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Originally Processed With FOIA(s): FOIA Number: S 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: Speechwriting, White House Office of Series: Speech File Backup Files Subseries: Chron File, 1989-1993 OA/ID Number: 13825 Folder ID Number: 13825-004 Folder Title: Knights of Columbus 8/5/92 [OA 7578] [1] Stack: Row: Section: Shelf: Position: G 26 22 7 1 *** w/ACKS (Duggan/Bunton) August 4, 1992 Draft Eight Knights.2 PRESIDENTIAL REMARKS: KNIGHTS OF COLUMBUS NEW YORK MARRIOTT MARQUIS NEW YORK, NEW YORK WEDNESDAY, AUGUST 5, 1992 11:00 a.m. Thank you, Virgil Dechant [DECK-ant]. Your Eminence, Cardinal O'Connor; Cardinal Law; Cardinal Hickey; Ambassador Meladay; Attorney General Barr; Bishop Daily; reverend clergy; ladies and gentlemen: A report came across my desk the other day. It stated that most people in the Western world "felt exceedingly gloomy about the future." It said that "institutions were decaying, well- meaning people were growing cynical." My first thought was: That's what happens when people spend too much time watching the evening news. 11 But what I was reading was not a report about Nineteen ninety-two. It was a history of public attitudes in Europe in Fourteen ninety-two! 11 Public moods are prone to change, of course. We know the gloom of 1492 was not to last for long. It was dispelled by the achievement of a man of humble birth a man of vision and courage. a man named Christopher Columbus. 11 Now I know that every speaker comes before you and says they identify with Columbus. But I really mean it. Think about it. The guy was faced with questions at home about whether his global efforts were worth a darn. Some critics wanted him to cut his voyage short. He even faced the threat of 2 mutiny. And yet Columbus persevered and won -- (not a bad analogy, huh?) Now I admit Columbus also had to worry about a lack of wind -- I don't have that problem. I have Congress. // This year, as in Columbus's time -- we hear a lot of talk about change. And sure, change is natural. But maybe a better word is renewal -- because the changes we need must be based on principles that never change. 11 My parents were like yours: They brought me up to understand that our fundamental moral standards were established by Almighty God. They taught me that if you have something for yourself, you should give half to a friend. They taught me to take the blame when things go wrong and share the credit when things go right. These ideas were supported by society. Only recently in America have we seen the rise of legal theories and practices that reject our Judeo-Christian tradition. Cardinal O'Connor eloquently describes this as an "inversion of values." It's a deeply disturbing trend -- and it is diametrically opposed to my idea of the kind of change that's good for our country. 11 Last month, just 12 blocks from here, there was another convention. Now, I didn't hear any of those speeches -- I was up in the mountains fishing. But I understand one of the speakers, known for his florid language, called me "the captain of the ship of state. " 11 I'm not sure the guy meant it as a compliment, but 3 believe me: As a Navy man at a Knights of Columbus convention the term suits me just fine. 11 I look at this office you have entrusted me with as more than managing the economy -- more even than being Commander in Chief. I stake my claim to a simple belief -- the President should set the moral tone for this nation. All around us, we see evidence that America's moral compass has gone awry. We seem to be moving away from the enduring idea of taking responsibility for our actions. Our city newspapers are filled with stories of drive-by shootings -- the taking of human life made more horrible by the awful anonymity through which it is accomplished. And recently I read a story of a kid from a good neighborhood charged in a gun store robbery. He told the police -- "it's not like I'm a criminal, I'm on the Dean's list. "// What is happening to America? As a nation -- we face enormous challenges in education, crime, drugs -- yet each of them come back to the challenge of pointing our moral compass in the right direction. So I believe that a central issue of this election should be -- who do you trust to renew America's moral purpose? Who do you trust to fight for the ideas that will help rebuild our families and restore our fundamental values? On this -- as in so many other issues -- the other side is talking a good game, saying the right words -- and yet when you get down to specifics, I wonder if their commitment is to do 4 what's right to win an election, or to do what's right to win back America? Look at welfare. We all know that our welfare system has destroyed the concept of responsibility -- tearing families apart, with no incentives for people to work and save and improve. I want something different -- I have fought for a new welfare system that says yes to people's lives. Today, as we speak, states are changing welfare rules to encourage families to stick together, not fall apart. They are saying to recipients -- either you get training, or you don't get a check. They are even going so far as to make the tough call of saying to single mothers -- if you can't afford another child, don't expect the taxpayer to pick up the added costs. These are tough choices, but they are all intended to promote responsibility. The other side says they agree with us. But if you look close, they argue that the ultimate solution to welfare is to guarantee a government job for every recipient. And I ask -- is this any way to promote responsibility? If we guarantee everyone a government job -- how can we reward initiative? -- how can we reward industry? -- how can we break the cycles of dependency and despair? Look at education. We know that renewing education depends on giving parents real freedom and real responsibility to choose their kid's schools. The other side tries to posture on the side 8 Here's the case I will be taking to the American people: Now that we have changed the world, we can change America. But we must keep something in mind. Now that our moral values are victorious around the globe -- we cannot and we will not abandon them at home! Let the other side traffic in trendy and transitory moral fashions, I'll stick to 100 percent family values. I'm going to defend the principles for which you stand so firm. \ We'll keep our sights on what's good in America. We'll keep our focus on the potential in our families and our kids. We'll keep a reliable compass. We'll put our ship of state in finest sailing trim. We'll navigate our way to shining new horizons. 11 Thank you. May God bless you and our beloved country. # # # 7 Let me be clear to the American people. If you're looking to restore America's moral fiber, why buy synthetic, when you can get real cotton? This is the choice we face. Nowhere is it more clear in the decisions a President must make every day to build real peace: to establish freedom and democracy, not the mere absence of war. Saint Ignatius said, "Work as though all depended upon yourself, and pray as though all depended on God." The practice of that motto conquered Communism. Ceaseless prayer and tireless work halted the Cold War \ and spared us from the catastrophe of a third world war. Believers behind the Iron Curtain defied persecution; believers in the West defied indifference. Over four decades, our servicemen trained -- our taxpayers paid four trillion dollars -- to keep our defenses strong. And as a consequence, the Iron Curtain is no more --- and our kids no longer face the threat of nuclear war. But while the Soviet bear is no more, there are still plenty of wolves in the woods. When we faced our first big challenge after the Cold War, we didn't shrink. We stood up to Saddam's aggression and expelled him from Kuwait. We protected the people of Israel and Saudi Arabia. Now we've brought age-old adversaries to the peace table for the first time. His Holiness, Pope John Paul, has spent many days and nights at work and in prayer for peace in the Middle East. As long as I am President, I assure you I'll do everything I can to bring about that peace that so many pray for. 11 5 of parents, but I don't think anyone will be fooled. Remember how old Henry Ford used to tell his customers, they could have any color Model T they wanted -- so long as it was black? Well, the other side says their ideal is that parents could choose any school for their kids -- so long as it's run by the government. 11 My opponent won the teachers union endorsement by saying he's "unalterably opposed" -- those are his words, "unalterably opposed" -- to letting Catholic parents and other private school parents have a fair share of education benefits. 11 My plan is different -- I call it the G.I. Bill for Kids. \ Right now, if you want an alternative to public schools, you have to pay twice -- first for tuition and again through taxes. A couple weeks ago, I was in Philadelphia. A group of parents told me, "we want our kids to go to Catholic school, but we just can't afford it.' So my solution is the G.I. Bill. Like the original G.I. Bill, my new bill offers scholarships or vouchers for students to take to any qualified school -- not only public schools, but Bible schools, yeshivas, and Catholic parish schools. The principle is basic. When it comes to schools, let the parents choose! 11 What about promoting religion as a force for good in our society. I'm reminded of the story about a small boy who once began a prayer this way: "God bless mother and daddy, my brother and sister. And, God," he said, "do take care of yourself. If anything happens to you, we're all sunk." America is still the most religious nation on earth, and I want to strengthen our 6 faith further. The other side gathered here in New York and crammed 10,000 words into their party platform. I would have found room for three simple letters -- "G-O-D."/ The other side thinks it's fine to hand-out condoms in school but not to put your hands together to say a prayer. I disagree. I call again on Congress to pass a constitutional amendment restoring voluntary prayer to our classrooms. Let's allow the faith of our Fathers back into our schools. 11 And there's a national tragedy: more than a million and a half abortions in this country every year. We know there must be a better way. The other side turns a deaf ear to humane and responsible alternatives -- like adoption; like abstinence. Seven times I have ignored the polls and acted on principle -- and vetoed abortion legislation. And I promise you again today, no matter the political price, I will stand on conscience, I will turn away any abortion-on demand legislation. // As you look at all these issues, a clear pattern emerges. Both sides talk about restoring values like personal responsibility, but only one side has the courage to take a stand. So the question is -- Who do you trust: those with the courage to stand for what may not be popular -- but is right? or the side that talks a good game -- but whose record and example make a mockery of their words? looking h can cank THE WHITE house WASHINGTON Paul Simmos Dep. Ast. See Pubhi Heal th Health sevin 690-6867 Doug Johnson- Fed. legis National Right to Life Committee Noone in CEC- has anything Main Philis Schey Engle Form [Faning WDC life Foundation] Eary Bauer - Family Resend ] L 343-2100 Fre Michael 546-3000 Schwartz SENT BY: 7-27-92 : 15:18 : 2024566218:# 1/13 8 Michal RIGHT TO LIFE Suite 500, 419 7th Street, N.W. Washington, D.C. 20004-2293 - (202) 626-8800 committee, inc. - - 619-9610 FACSIMILE TRANSMISSION COVER SHEET 690-6867 DATE: 7/27/92 Phblic health seni @HAS TO: Lars Pierson EMILY NAME: OF: W.H. SPEECHWRITING FAX NUMBER: 456-6218 FROM: Douglas Johnson, Federal Legislative Director: (202) 626-8820 Our telephone number for automatic facsimile reception is: (202) 347-3668 We are transmitting pages (including this cover page). If you have any trouble receiving these materials, please call (202) 626-8820. Jim CICCONI Dan McG Jeremy SHANE 336. 336.7943 7943 COMMENTS DUE 1V80N 12 PAGE 1 LEVEL 1 - 1 OF 15 STORIES Copyright 1992 The Atlanta Constitution The Atlanta Journal and Constitution June 30, 1992 SECTION: STATE NEWS; Section D; Page 4 LENGTH: 134 words HEADLINE: Parental consent backed BYLINE: By John Harmon STAFF WRITER KEYWORD: courts; regulations; law; government; rights; voting; elections; reviews; legislation; abortion; protests BODY: One aspect the Supreme Court upheld was the requirement that at least one parent consent before a minor child can have an abortion. Mr. Deal said he supports that limitation. "We require parental permission in this state to go to summer camp or get your ears pierced, 11 he noted. "I think we should require at least that much for something this serious." But on the issue of gun control, all but one candidate took a conservative tack more in keeping with the mostly rural North Georgia district. Only Mr. Orr said he supports a nationwide waiting period on handgun purchases. The same was true for giving the president a line-item veto over spending legislation, a power many governors have; only Mr. Orr voiced opposition. "It would give dictatorial powers to one person," he contended. TM TM TM LEXIS:NEXIS® LEXIS-NEXIS® LEXIS·NEXIS® Services of Mead Data Central, Inc. 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Brit 19p 10 QM6D 79mmwa DJ op of 93632 2111 DI norazimn9q indom 94" risum JENJ 12691 36 ships bluode SW Aning I" .b9jon gri b90991q 2769 TWOY '.2woinge Freedom Clone Ar] 9VIJ6V792000 6 NOOD sisbibned 900 Jud II6 , Ioninoo nwg to 9wa21 grlf no JW8 770 .TM VIMO .joinjaib signosa AJAON Isrur VIJ20m grij MJIW nt 970m HOGI pribagqa 19VQ 0J9V mgji-gnil 6 Ingbising grit not to 9015 6aml 25W 9M62 Bam gdT nupbned no botter gnijisw sbiwnolden 6 atnoqqu 9rt bisa .noijleoqqo begiov 710 .TM VINO ;9VEN YNEM @ Family 6121091 9d ' noangq 900 03 275w0q Istrojatoib gvig Regions Gam Bance Comil Caunel mign shyp 6 mults Dallar, AHanta, Herston ben there - boming toint womes pain lang mo nike [- Fairter mo aspum CA, vn w/o 1 Yawsints PAGE 4 LEVEL 1 - 3 OF 15 STORIES Copyright 1992 Newsday, Inc. Newsday May 11, 1992, Monday, CITY EDITION SECTION: NEWS; Pg. 19 LENGTH: 597 words HEADLINE: 0' Connor Backs Bill; Doctors may have to notify parents before teen abortion BYLINE: By David Glovin. STAFF WRITER KEYWORD: JOHN O'CONNOR; ABORTION; PARENT; LAW; PROPOSED; MOTHERS DAY BODY: As abortion-rights activists marched outside, Cardinal John O'Connor yesterday used part of his Mother's Day sermon to praise pending state legislation that would require doctors to notify the parents of minors before performing an abortion. Speaking in his weekly sermon, O'Connor also extolled the Bronx legislator who introduced the bill. "God bless you," he said to Assemb. John Dearie (D-Bronx), as applause filled St. Patrick's Cathedral. "In a state in which, as far as I know, you must have parental permission to have your ears pierced or your tonsils out, one would think few if any legislators would resist proposed legislation that would require merely notifying a parent if it's reasonably possible," 0' Connor said. Dearie's bill would require parental notification 48 hours before a doctor performs an abortion on a woman 17 or younger, unless there is a medical emergency or the woman has obtained a family court judge's authorization. Dearie's bill does not require a parent's consent for the operation. The U.S. Supreme Court in 1990 upheld parental notification laws that provide teenagers with the option of gaining a judge's approval. Last year, the first parental notification bill ever introduced in New York failed to pass the Assembly, where numerous parental consent bills have failed to pass in the last decade. 0' Connor also used his Mother's Day sermon to honor single mothers, who he said are "so often treated with contempt, so infrequently appreciated, deserted by the man responsible for their babies, yet courageously bringing those babies into the world." 0' Connor restated the archdiocese's offer of free medical care, legal assistance or adoption counseling to women who choose not to have an abortion. And the Cardinal praised "those who mother children spiritually" those "who are laying down their lives to protect and to enhance other human lives," including "the unborn." TM TM LEXIS·NEXIS® LEXIS-NEXIS® LEXIS-NEXIS® Services of Mead Data Central, Inc. Recyclable PAGE 5 Newsday, May 11, 1992 Outside St. Patrick's, about 40 members of a group called Women's Health Action and Mobilization condemned Dearie's bill and 0' Connor's involvement. Calling the Cardinal sexist, the group marched amid a gauntlet of police as parishioners arrived at church. One of the protestors, Christine Ryan, 17, of Richmond Hill, Queens, said, "I do not come from a family where I can sit down at breakfast and say, 'Mom, Dad, I had sexual relations with a guy. I'm pregnant. I'm going to get an abortion. See you at five." The group also criticized a reception in support of Dearie's bill which 0' Connor sponsored for legislators in March. Dearie's bill is pending in the Assembly's Health Committee and needs 10 committee members' support before it reaches the full house. Dearie said the bill lacks the necessary backing but that several pro-choice legislators have quietly voiced their approval. He would not identify the legislators. The Bronx Democrat added that the bill is backed by 50 legislators in the full Assembly and 15 in the State Senate, where it is sponsored by Sen. Frank Padavan (R-Queens). "Those who oppose this legislation are going to try to make this a litmus test for people - pro-choice or pro-life - [but] I want to underscore that our anaylsis of the bill is that it is a pro-family bill," Dearie said during a news conference immediately after yesterday's service. Dearie said he recognized that "a byproduct of this legislation" may be fewer teenage abortions. According to a fact sheet distributed by a St. Patrick's spokesman yesterday, a similar Massachusetts law produced a 28 percent drop in teenage abortions. GRAPHIC: Newsday Photo by Jon Naso- Abortion-rights demonstrators in costume for march near St. Patrick's Cathedral TM TM TM LEXIS:NEXIS® LEXIS-NEXIS® LEXIS-NEXIS® Services of Mead Data Central, Inc. Becyclable PAGE 2 LEVEL 1 - 2 OF 15 STORIES Copyright 1992 American Political Network, Inc. Health Line June 24, 1992 SECTION: THE NATIONAL DEBATE LENGTH: 1027 words HEADLINE: ABORTION: LEGISLATORS PUSH FOR SAFEGUARD BODY: SEATTLE POST-INTELLIGENCER reports, "Pro-choice legislators in Congress stand ready to push ahead with a bill to guarantee abortion rights by statute if the Supreme Court decides to seriously limit access to abortions." The Freedom of Choice Act (F OCA) was designed by the legislators to safeguard the rights protected by Roe V. Wade. FOCA reads: "A state may not restrict the reproductive right of a woman to choose to terminate a pregnancy before fetal viability." After viability, states could restrict abortions except in cases where the health or life of the woman are at risk. Supporters of the bill say it serves to "codify Roe" while opponents of the bill say it is "more sweeping than the original Roe decision and would strip away state abortion curbs that the Supreme Court has allowed over the years, including restrictions on abortions in the second trimester of pregnancy and requirements that minors get the permission of parents before having an abortion." FOCA could "increase the importance of abortion as a congressional campaign issue" because members who "might prefer to waffle will be forced to take a clear position -- voting on the bill and perhaps on a series of weakening amendments that anti-abortion forces will try to offer." Advocates of the bill, such as House Speaker Tom Foley (D-WA), hope to force floor action and a "showdown vote" by the end of summer. President Bush: "I will veto it now, I will veto it again, it will not become a law as long as I am president." It is extremely unlikely that the bill will draw support from two thirds of each chamber to override the veto this year. Nat'l. Abortion Rights Action League spokeswoman Loretta Ucelli said that forcing a vote, even in the event of a veto, would be worthwhile because it will show voters that "either a pro-choice president or a veto-proof, pro-choice Congress" is needed to safeguard abortion rights. From a legal standpoint, however, there is debate over whether Congress has the power to "force such legislation upon unwilling states" without a constitutional amendment (Christopher Hanson, 6/23). MINORS: According to the CHICAGO SUN-TIMES, the AMA "is considering a policy that for the first time explicitly states that doctors do not need parental permission before performing an abortion on an unmarried minor." The AMA's policy-setting House of Delegates will vote this week on the proposal. Joseph Scheidler, director of the Pro-Life Action League says, "My daughter cannot have her ears pierced without my permission. Now the AMA is saying that they want doctors to be able to take a girl in for major surgery" without parental notification (Howard TM TM TM LEXIS:NEXIS® LEXIS-NEXIS® LEXIS·NEXIS® Services of Mead Data Central, Inc. Recyclable PAGE 3 Health Line, June 24, 1992 Wolinsky, 6/23). Eighteen states currently require parental consent for a teen to have an abortion. Similar laws have been blocked by the courts in nine other states (Tim Friend, USA TODAY, 6/24). NUMBERS: CBS/N.Y. Times poll (see HEALTH LINE, 6/23) of 1,315 adults surveyed 6/17-20; margin of error +/- 3% asked the following abortion-related questions (CBS release, 6/22). IF COURT OVERTURNS ROE, SHOULD STATES LIMIT ABORTION? TOT GOP DEM IND Yes 56% 57% 55% 56% No 41 40 41 40 Don't Know 3 3 4 4 ABORTION AVAILABILITY SHOULD BE ... TOT GOP DEM IND Made to all 42% 40% 42% 43% Available but stricter 39 41 38 39 No permitted 17 18 17 16 Don't Know 2 1 3 2 TM TM LEXIS:NEXIS® LEXIS-NEXIS® LEXIS·NEXIS® Services of Mead Data Central, Inc. Recyclable 0000 mm mm <<<<<<<< mmm nmme midi <<<<<<<<< T nie OFFICE OF PRESIDENTIAL SPEECHWRITING FACSIMILE TRANSMITTAL SHEET Number of Pages (Including Cover) 9 To JANE BARNETT Fax Number 212-421-7631 Date 5 AUGUST 1992 From JEANNIE BUNTON Office Number 202-456-7750 ****** COMMENTS ****** As PROMSED. CLOSE HOLD. BRINE ME A NEWYORK BAGEL/ OR A FUNNY HAT. JBUNTON THE WHITE HOUSE WASHINGTON August 4, 1992 MEMORANDUM FOR THE PRESIDENT THROUGH: STEVE PROVOST FROM: JOSEPH P. DUGGAN DPA SUBJECT: PROPOSED REMARKS TO KNIGHTS OF COLUMBUS I. SUMMARY On Wednesday, August 5 at 11:00 a.m., you will deliver remarks to an audience of 2,200 members of the Knights of Columbus at their 110th Annual Supreme Council Convention at the Marriott Marquis in New York City. II. DISCUSSION Your remarks (approximately 15 minutes / teleprompter), follow the theme that change must be based on principles that never change, such as family and personal responsibility. This theme is tied to the issues of welfare, education, school prayer and abortion. The sound bite of the day is: when it comes to restoring America's moral fiber, why choose synthetics when you can get real cotton? (Duggan/Bunton) August 4, 1992 Draft Eight Knights.2 PRESIDENTIAL REMARKS: KNIGHTS OF COLUMBUS NEW YORK MARRIOTT MARQUIS NEW YORK, NEW YORK WEDNESDAY, AUGUST 5, 1992 11:00 a.m. Thank you, Virgil Dechant. Your Eminence, Cardinal 'Connor; reverend clergy; ladies and gentlemen: A report came across my desk the other day. It stated that most people in the Western world "felt exceedingly gloomy about the future." It said that "institutions were decaying, well- meaning people were growing cynical." My first thought was: That's what happens when people spend too much time watching the evening news. 11 But what I was reading was not a report about Nineteen ninety-two. It was a history of public attitudes in Europe in Fourteen ninety-two! 11 Public moods are prone to change, of course. We know the gloom of 1492 was not to last for long. It was dispelled by the achievement of a man of humble birth. a man of vision and courage. a man named Christopher Columbus. 11 Now I know that every speaker comes before you and says they identify with Columbus. But I really mean it. Think about it. The guy was faced with questions at home about whether his global efforts were worth a darn. Some critics 2 wanted him to cut his voyage short. He even faced the threat of mutiny. And yet Columbus perservered and won -- (not a bad analogy, huh?) Now I admit Columbus also had to combat food shortages and hurricanes -- which I don't face at all. But then again, did Columbus ever have to deal with Congress? This year, as in Columbus's time --- we hear a lot of talk about change. And sure, change is natural. But maybe a better word is. renewal -- because the changes we need must be based on principles that never change. 11 My parents were like yours: They brought me up to understand that our fundamental moral standards were established by Almighty God. They taught me that if you have something for yourself, you should give half to a friend. They taught me to take the blame when things go wrong and share the credit when things go right. These ideas were supported by society. Only recently in America have we seen the rise of legal theories and practices that reject our Judeo-Christian tradition. Cardinal O'Connor eloquently describes this as an "inversion of values.' It's a deeply disturbing trend -- and it is diametrically opposed to my idea of the kind of change that's good for our country. 11 Last month, just 12 blocks from here, there was another convention. Now, I didn't hear any of those speeches -- I was up in the mountains fishing. But I understand one of the speakers, known for his florid language, called me "the captain of the ship 3 of state. I'm not sure the guy meant it as a compliment, but believe me: As a Navy man at a Knights of Columbus convention ... the term suits me just fine. 11 I look at this office you have entrusted me with as more than managing the economy -- more even than being Commander in Chief. I stake my claim to a simple belief -- the President should set the moral tone for this nation. All around us, we see evidence that America's moral compass has gone awry. We seem to be moving away from the enduring idea of taking responsibility for our actions. Our city newspapers are filled with stories of drive-by shootings -- the taking of human life made more horrible by the awful anonymity through which it is accomplished. And recently I read a story of a kid from a good neighborhood charged with gun- running. He told the police -- "it's not like I'm a criminal, I'm on the Dean's list. "// What is happening to America? As a nation -- we face enormous challenges in education, crime, drugs -- yet each of them come back to the challenge of pointing our moral compass in the right direction. So I believe that a central issue of this election should be -- who do you trust to renew America's moral purpose? Who do you trust to fight for the ideas that will help rebuild our families and restore our fundamental values? On this -- as in so many other issues -- the other side is talking a good game, saying the right words -- and yet when you 4 get down to specifics, I wonder if their commitment is to do what's right to win an election, or to do what's right to win back America? Look at welfare. We all know that our welfare system has destroyed the concept of responsibility -- tearing families apart, with no incentives for people to work and save and improve. I want something different -- I have fought for a new welfare system that says yes to people's lives. Today, as we speak, states are changing welfare rules to encourage families to stick together, not fall apart. They are saying to recipients -- either you get training, or you don't get a check. They are even going so far as to make the tough call of saying to single mothers -- if you can't afford another child, don't expect the taxpayer to pick up the added costs. These are tough choices, but they are all intended to promote responsibility. The other side says they agree with us. But if you look close, they argue that the ultimate solution to welfare is to gaurantee a government job for every recipient. And I ask -- is this any way to promote responsibility? If we guarantee everyone a government job -- how can we reward initiative? -- how can we reward industry? -- how can we break the cycles of dependency and despair? 5 Look at education. We know that renewing education depends on giving parents real freedom and real responsibility to choose their kid's schools. The other side tries to posture on the side of parents, but I don't think anyone will be fooled. Remember how old Henry Ford used to tell his customers, they could have any color Model T they wanted -- so long as it's black? Well, n 92 151/ the other side says their ideal is that parents could choose any school for their kids -- so long as it's run by the government. 11 My opponent won the teachers union endorsement by saying he's "unalterably opposed" -- those are his words, "unalterably opposed" -- to letting Catholic parents and other private school parents have a fair share of education benefits. 11 I it children My plan is different -- it's called the G.I. Bill for Kids Right now, if you want an alternative to public schools, you have to pay twice -- first for tuition and again through taxes. A couple weeks ago, I was in Philadelphia. A group of parents told me, "we want our kids to go to Catholic school, but we just can't afford it.' So my solution is the G.I. Bill. Like the original G.I. Bill, my new bill offers scholarships or vouchers for students to take to any qualified school -- not only public schools, but Bible schools, yeshivas, and Catholic parish schools. The principle is basic. When it comes to schools, let the parents choose! 11 What about promoting religion as a force for good in our society. I'm reminded of the story about a small boy who once began a prayer this way: "God bless mother and daddy, my brother - J.Stindmer 7th is China rather than us (carrey say. POTUS her) ) Whoer 6 spacing and sister. And, God, " he said, "do take care of yourself. If anything happens to you, we're all sunk." America is still the most religious nation on earth, and I want to strengthen our faith further. The other side gathered here in New York and words crammed 10,000 letters into their party platform. I probably } would have found room for three simple letters -- "G-O-D."/ The other side thinks it's fine to hand-out condoms in school but not to put your hands together to say a prayer. I disagree. I call again on Congress to pass a constitutional amendment restoring voluntary prayer to our classrooms. Let's allow the faith of our Fathers back into our schools. And there's a national tragedy: more than a million and a half abortions in this country every year. We know there must be a better way. The other side turns a deaf ear to humane and responsible alternatives -- like adoption; like abstinence Six times I have ignored the polls and acted on principle -- and vetoed abortion legislation. And I promise again to you today, no matter the political price, I will stand on conscience, I will turn away any abortion-on demand legislation. // As you look at all these issues, a clear pattern emerges. Both sides talk about restoring values like personal responsibility, but only one side has the courage to take a stand. Metzaer and So the question is -- Who do you trust: those with the John Earcher courage to stand for what may not be popular -- but is right? or times $ I time pokay 7 the side that talks a good game -- but whose record and example make a mockery of their words? Let me be clear to the American people. If you're looking to restore America's moral fiber, why buy synthetic, when you can get real cotton? This is the choice we face. Nowhere is it more clear in the decisions a President must make every day to build real peace: to establish freedom and democracy, not the mere absence of war. Saint Ignatius said, "Work as though all depended upon yourself, and pray as though all depended on God." The practice of that motto conquered Communism. Ceaseless prayer and tireless work halted the Cold War \ and spared us from the catastrophe of a third world war. Believers behind the Iron Curtain defied persecution; believers in the West defied indifference. Over four decades, our servicemen trained -- our taxpayers paid four trillion dollars -- to keep our defenses strong. And as a consequence, the Iron Curtain is no more -- and our kids no longer face the threat of nuclear war. Soviety But while the Russian bear is no more, there are still plenty of wolves in the woods. When we faced our first big challenge after the Cold War, we didn't shrink. We stood up to Saddam's aggression and expelled him from Kuwait. We protected the people of Israel and Saudi Arabia. Now we've brought age- old adversaries to the peace table for the first time. His Holiness, Pope John Paul, has spent many days and nights at work and in prayer for peace in the Middle East. As long as I am 8 President, I assure you I'll do everything I can to bring about that peace that so many pray for. 11 Here's the case I will be taking to the American people: Now that we have changed the world, we can change America. But we must keep something in mind. Now that our moral values are victorious around the globe -- we cannot and we will not abandon them at home! Let the other side traffic in trendy and transitory moral fashions, I'll stick to 100 percent family values. I'm going to defend the principles for which you stand so firm. \ We'll keep our sights on what's good. in America. We'll keep our focus on the potential in our families and our kids. We'll keep a reliable compass. We'll put our ship of state in finest sailing trim. We'll navigate our way to shining new horizons. 11 Thank you. May God bless you and our beloved country. " tip top shape" # # # blue collar OSA t BISHOP DAILY (Thomas) 27 of DAIS BHIND POTUS Ambassador thomas Melady - to Am. Emb.@Vatican XX Cardinal HICKEY Cardinal Lan ) Vaser. Barr attorning Gen. 1 several have brought their wives 847-ROAM D Supreme pir ; C offin Bob Poviable Barnett Van Pinef ph. -wice kale then you fu a Jane fut p to stall officen officer Jane Barnett *** w/ACKS (Duggan/Bunton) August 4, 1992 Draft Eight Knights.2 PRESIDENTIAL REMARKS: KNIGHTS OF COLUMBUS NEW YORK MARRIOTT MARQUIS NEW YORK, NEW YORK WEDNESDAY, AUGUST 5, 1992 11:00 a.m. Thank you, Virgil Dechant [DECK-ant]. Your Eminence, Cardinal O'Connor; Cardinal Law; Cardinal Hickey; Ambassador Meladay; Attorney General Barr; Bishop Daily; reverend clergy; ladies and gentlemen: A report came across my desk the other day. It stated that most people in the Western world "felt exceedingly gloomy about the future." It said that "institutions were decaying, well- meaning people were growing cynical." My first thought was: That's what happens when people spend too much time watching the evening news. But what I was reading was not a report about Nineteen ninety-two. It was a history of public attitudes in Europe in Fourteen ninety-two! Public moods are prone to change, of course. We know the gloom of 1492 was not to last for long. It was dispelled by the achievement of a man of humble birth. a man of vision and courage a man named Christopher Columbus. nouble check Now I know that every speaker comes before you and says they identify with Columbus. But I really mean it. Think about it. The guy was faced with questions at home about whether his global efforts were worth a darn. Some critics wanted him to cut his voyage short. He even faced the threat of 198-M donble check wronged change: Chapter Admiral 14-17 occard SCR) 2 [WS]. 3 Aug mutiny. And yet Columbus persevered and won -- (not a bad analogy, huh?) wong also a lack of wind inconstant winds Now I admit Columbus also had to combat food shortages a flat sca have that prob worried about running outof food and hurricanes ) which I don't face at all. But then again, did was I have Columbus ever have to deal with Congress? than then thought a should took/tabing them longer This year, as in Columbus's time -- we hear a lot of talk take about change. And sure, change is natural. But maybe a better word is renewal -- because the changes we need must be based on principles that never change. My parents were like yours: They brought me up to understand that our fundamental moral standards were established by Almighty God. They taught me that if you have something for yourself, you should give half to a friend. They taught me to take the blame when things go wrong and share the credit when things go right. These ideas were supported by society. Only recently in America have we seen the rise of legal theories and practices that reject our Judeo-Christian tradition. Cardinal O'Connor eloquently describes this as an "inversion of values." It's a deeply disturbing trend -- and it is diametrically opposed to my idea of the kin good for our country. Last month, just 12 blocks from here, Leigh Ann Metzger convention. Now, I didn't hear any of thos final on either in the mountains fishing. But I understand speech? known for his florid language, called me "t of state. " \\ I'm not sure the guy meant i 3 believe me: As a Navy man at a Knights of Columbus convention the term suits me just fine. I look at this office you have entrusted me with as more no than managing the economy -- more even than being Commander in Chief. I stake my claim to a simple belief -- the President hyphers should set the moral tone for this nation. All around us, we see evidence that America's moral compass has gone awry. We seem to be moving away from the enduring idea of taking responsibility for our actions. Our city newspapers are filled with stories of drive-by shootings -- the taking of human life made more horrible by the awful anonymity through which it is accomplished. And recently I POST ARTICLE "29th read a story of a kid from a good neighborhood charged with gun m a major Store burglary drop major running. He told the police -- "it's not like I'm a criminal, I'm on the Dean's list. "// What is happening to America? As a nation -- we face MC me Now enormous challenges in education, crime, drugs -- yet each of them come back to the challenge of pointing our moral compass in the right direction. So I believe that a central issue of this election should be -- who do you trust to renew America's moral purpose? Who do you trust to fight for the ideas that will help rebuild our families and restore our fundamental values? On this -- as in so many other issues -- the other side is talking a good game, saying the right words -- and yet when you get down to specifics, I wonder if their commitment is to do 4 what's right to win an election, or to do what's right to win back America? Look at welfare. We all know that our welfare system has destroyed the concept of responsibility -- tearing families apart, with no incentives for people to work and save and improve. I want something different -- I have fought for a new welfare system that says yes to people's lives. Today, as we speak, states are changing welfare rules to encourage families to stick together, not fall apart. They are saying to recipients -- either you get training, or you don't get a check. They are even going so far as to make the tough call of saying to single mothers -- if you can't afford another child, don't expect the taxpayer to pick up the added costs. These are tough choices, but they are all intended to promote responsibility. The other side says they agree with us. But if you look close, they argue that the ultimate solution to welfare is to guarantee a government job for every recipient. And I ask -- is this any way to promote responsibility? If we guarantee everyone a government job -- how can we reward initiative? -- how can we reward industry? -- how can we break the cycles of dependency and despair? Look at education. We know that renewing education depends on giving parents real freedom and real responsibility to choose 5 their kid's schools. The other side tries to posture on the side of parents, but I don't think anyone will be fooled. Remember how old Henry Ford used to tell his customers, they could have was any color Model T they wanted -- so long as it's black? Well, the other side says their ideal is that parents could choose any school for their kids -- so long as it's run by the government. 11 My opponent won the teachers union endorsement by saying he's "unalterably opposed" -- those are his words, "unalterably opposed" -- to letting Catholic parents and other private school parents have a fair share of education benefits. \\ My plan is different -- I call it the G.I. Bill for Kids. \ Right now, if you want an alternative to public schools, you have to pay twice -- first for tuition and again through taxes. A couple weeks ago, I was in Philadelphia. A group of parents told me, "we want our kids to go to Catholic school, but we just can't afford it. " So my solution is the G.I. Bill. Like the original G.I. Bill, my new bill offers scholarships or vouchers for students to take to any qualified school --- not only public schools, but Bible schools, yeshivas, and Catholic parish schools. The principle is basic. When it comes to schools, let the parents choose! \\ What about promoting religion as a force for good in our society. I'm reminded of the story about a small boy who once began a prayer this way: "God bless mother and daddy, my brother and sister. And, God," he said, "do take care of yourself. If anything happens to you, we're all sunk." America is still the 6 most religious nation on earth, and I want to strengthen our faith further. The other side gathered here in New York and crammed 10,000 words into their party platform. I would have found room for three simple letters -- "G-O-D."/ The other side thinks it's fine to hand-out condoms in school but not to put your hands together to say a prayer. I disagree. I call again on Congress to pass a constitutional amendment restoring voluntary prayer to our classrooms. Let's allow the faith of our Fathers back into our schools. And there's a national tragedy: more than a million and a half abortions in this country every year. We know there must be a better way. The other side turns a deaf ear to humane and responsible alternatives -- like adoption; like abstinence. Seven times I have ignored the polls and acted on principle -- and vetoed abortion legislation. And I promise you again today, no matter the political price, I will stand on conscience, I will turn away any abortion-on demand legislation.// ) As you look at all these issues, a clear pattern emerges. Both sides talk about restoring values like personal responsibility, but only one side has the courage to take a stand. So the question is -- Who do you trust: those with the courage to stand for what may not be popular -- but is right? Or the side that talks a good game -- but whose record and example make a mockery of their words? 7 Let me be clear to the American people. If you're looking to restore America's moral fiber, why buy synthetic, when you can get real cotton? This is the choice we face. Nowhere is it more clear in the decisions a President must make every day to build real peace: to establish freedom and democracy, not the mere absence of war. Saint Ignatius said, "Work as though all depended upon yourself, and pray as though all depended on God." The practice of that motto conquered Communism. Ceaseless prayer and tireless work halted the Cold War \ and spared us from the catastrophe of a third world war. Believers behind the Iron Curtain defied persecution; believers in the West defied indifference. Over four decades, our servicemen trained -- our taxpayers paid four trillion dollars -- to keep our defenses strong. And as a consequence, the Iron Curtain is no more -- and our kids no longer face the threat of nuclear war. But while the Soviet bear is no more, there are still plenty of wolves in the woods. When we faced our first big challenge after the Cold War, we didn't shrink. We stood up to Saddam's aggression and expelled him from Kuwait. We protected the people of Israel and Saudi Arabia. Now we've brought age-old adversaries to the peace table for the first time. His Holiness, Pope John Paul, has spent many days and nights at work and in prayer for peace in the Middle East. As long as I am President, I assure you I'll do everything I can to bring about that peace that so many pray for. 8 Here's the case I will be taking to the American people: Now that we have changed the world, we can change America. But we must keep something in mind. Now that our moral values are victorious around the globe -- we cannot and we will not abandon them at home! Let the other side traffic in trendy and transitory moral fashions, I'll stick to 100 percent family values. I'm going to defend the principles for which you stand so firm. \ We'll keep our sights on what's good in America. We'll keep our focus on the potential in our families and our kids. We'll keep a reliable compass. We'll put our ship of state in finest sailing trim. We'll navigate our way to shining new horizons. Thank you. May God bless you and our beloved country. # # # PAGE 2 2ND STORY of Level 1 printed in FULL format. Copyright 1992 The Washington Post The Washington Post June 29, 1992, Monday, Final Edition SECTION: METRO; PAGE D1 LENGTH: 1122 words HEADLINE: Youth in Gun Case Proves a Puzzlement; Suspect Is Business Student on Dean's List SERIES: Occasional BYLINE: Pierre Thomas, Washington Post Staff Writer BODY: Matthew Stong, 20 years old, former Eagle Scout and an honor roll student at George Washington University, did not fit the usual profile of a gunrunner. But there he was, his wiry frame in the shadows of the Potomac Arms gun store in Old Town Alexandria and 90 powerful handguns worth $ 75,000 stuffed in three nearby duffel bags. It was shortly before daybreak on April 24, during a two-year stretch in which more than 40 robberies and burglaries of area gun stores had netted more than 1,300 firearms, that business major Stong was arrested with William 0. Lara, 30, a convicted felon from Texas, and led away in handcuffs. The question of how Stong, who as a teenager had minor brushes with the law, came to be charged in a major gun store burglary has intrigued federal and local authorities, who are examining whether he and Lara may have been involved in gunrunning in the District. Police say Stong is not the type of person they would expect to have connections to the dangerous and highly profitable underworld of weapons trafficking. Now authorities are trying to determine whether Stong was an equal partner in the alleged crime or a young overachiever caught in a misadventure. Charged with statutory burglary, the college junior and Lara each face a 20-year prison sentence if convicted. They are scheduled to face grand jury proceedings this summer. "It's not like I am a criminal," said Stong, sporting a new-wave haircut, Mickey Mouse T-shirt and shorts imprinted with green turtles during an interview outside his Foggy Bottom town house. "I scored 1,400 on my SAT. I'm on the dean's list here Now they want to throw me in prison." In statements to police and in two interviews, Stong said he was coerced into the burglary attempt. At the same time, some statements Stong has made to police suggest he had knowledge of illegal gun activity, court records show. And he once told police TM LEXIS:NEXIS® LEXIS·NEXIS® LEXIS-NEXIS Services of Mead Data Central, Inc. Recyclable PAGE 3 The Washington Post, June 29, 1992 that going to the gun store was "daring." He has told police that in recent months, he had allowed Lara to store weapons briefly in his apartment and later saw the weapons in a drug-plagued Southeast Washington neighborhood that he visited with Lara, the records say. He also said Lara gave a weapon to a friend while the two were visiting Arizona. Lara, who declined to be interviewed, recently was charged with burglary in an earlier incident at Potomac Arms in which dozens of guns were stolen. Two of those weapons have been recovered from District residents, one in a drug raid near Potomac Gardens, which has been targeted recently by police officials, the other from a District man wearing a bulletproof vest at the time he was interviewed by police. Stong was reared as one of seven children in a military family that spent time in Kansas, New Mexico, Mississippi and Germany before moving to Fairfax County. Stong's parents would not comment about their son's case, but by all accounts he was a young man living a decidedly middle-class life in a conservative Mormon family, according to several sources. Active in the church, Stong was in the top 10 percent of his class at West Potomac High School, from which he graduated in 1989. He was a member of the debate team and the Future Business Leaders of America club. "Matt was a bright kid," said Charles J. Little, who coached Stong's crew team for two years. "He was a good kid. When I heard about the arrest, I was surprised because it did not fit the Matt I know I would expect Matt to do something mischievous, but nothing illegal." After graduation, Stong enrolled in George Washington University, a private institution with about 8,000 undergraduates that charges $ 15,900 a year in tuition for a full-time student. He has studied business and economics, making the dean's list, a university official confirmed. Stong was arrested by police in 1990. He was convicted in Prince William County of stealing stereo equipment, two speakers, a walkie-talkie, tapes and tools. After two felony larceny charges were reduced to misdemeanor counts, Stong received suspended sentences and was ordered to do 40 hours of community service work. Stong's family supported him throughout the ordeal and suggested that he was a naive youth swept into trouble by other juveniles. According to several sources, Stong's father wrote a letter reminding court officials that his son had cooperated with police and was an exemplary youth whose immaturity led him to become entangled with delinquents. Stong met Lara in February or March of this year through a former student at George Washington University, police sources and Stong said. Stong said he did not know about Lara's criminal record, including an eight-year prison sentence in Texas on burglary charges. Before his release in June 1990, Lara had violated parole three times and his release was revoked TM LEXIS:NEXIS® LEXIS·NEXIS® LEXIS-NEXIS® Services of Mead Data Central, Inc. Recyclable PAGE 4 The Washington Post, June 29, 1992 twice, Texas corrections officials said. He came to Washington soon after. The two began partying together, and Lara soon became a companion, occasionally staying over at Stong's home, police and Stong said. It was then, Stong said in interviews and statements to police, that he sometimes saw Lara with heavy-duty firearms. Before their April arrests, "Willie Lara brought a bag with four guns to my apartment," Stong said in a statement to police. The weapons included an assault rifle and a machine pistol. He said he later saw the guns at an apartment in Potomac Gardens, which he visited with Lara. On another occasion, when he and Lara traveled to Phoenix, Lara gave a friend of Stong's a Smith & Wesson 9mm handgun, Stong said. On the day of the break-in, Stong said in the interview, he "didn't know [Lara] was planning on breaking in until we got there." "He asked me to take him to Chadwick's, an Old Town restaurant, Stong said. "The next thing I knew he was up on the roof." The arrest of the two men has left members of the District's Rapid Deployment Unit, Alexandria police and the Bureau of Alcohol, Tobacco and Firearms trying to find out where the guns were destined. Much of the focus has been on Lara, who has been arrested twice since the April burglary attempt. Lara was released on $ 5,000 bond by Alexandria officials, and was arrested again on May 21 in the District by U.S. Park Police and charged with carrying a pistol without a license. A few days later, Lara was arrested again and charged with another burglary after the firearm was traced to a February theft at Potomac Arms, when 41 guns were stolen. In an interview, Stong said he felt "terrible" about his arrest and the events that led to it. "I know that people in D.C. get killed every day," he said. Staff writer Avis Thomas-Lester contributed to this report. GRAPHIC: PHOTO, MATTHEW STONG TYPE: VIRGINIA NEWS, DC NEWS SUBJECT: ARRESTS; FIREARMS AND EXPLOSIVES LAWS; BURGLARY AND THEFT AND LARCENY ORGANIZATION: ALEXANDRIA CITY NAMED-PERSONS: MATTHEW STONG; WILLIAM O. LARA LEXIS:NEXIS® LEXIS-NEXIS® LEXIS:NEXIS® Services of Mead Data Central, Inc. Recyclable WASH POST: 07/01/92 DOROTHY GILLIAM 120 Crime and Stereotypes he conceit of the honor roll student is daring. T The George Washington University Stong told police that he had allowed Lara to business student was caught by police near store assault weapons in his Foggy Bottom the Potomac Arms gun store in Old Town apartment and later saw some of the same weapons Alexandria with 90 handguns worth $75,000 at an apartment in Potomac Gardens in Southeast. jammed into three duffel bags. Along with a Gunrunning in the District of Columbia is a convicted felon from Texas, he was arrested and serious matter; during just a four-year period, the charged with statutory burglary. number of homicides has doubled. The villains are Not the type! said the police. crack cocaine and semiautomatic weapons. Surprised! said a former instructor. A Washington Post editorial yesterday was on A puzzlement! said the media. target in observing: "The drugs and guns fueling Impossible! said the alleged felon. "It's not like I am a criminal," Matthew Stong, the city's violence are strictly smuggled imports: 20, told this newspaper. "I scored 1,400 on my the cocaine from overseas, the weapons from a SAT I'm on the dean's list here. Now they black market trade that probably couldn't survive want to throw me in prison." without the gun stores of Virginia and Maryland." Why is there such incredulity here? The annals of So this young man-who seems to believe his crime are paved with the names of people with high credentials put him above the law-allegedly is credentials. involved in a dangerous, extremely volatile crime We make the mistake of equating intelligence with honesty, when criminal behavior has to do that is killing at an alarming rate, wrecking with the absence of character. families, destroying neighborhoods and setting this Certainly it is unusual for a college student to be whole city atremble. caught before daybreak with $75,000 worth of Stong told police, and said in two interviews, that guns in tow-and that uniqueness was in large part he was coerced into the burglary attempt by Lara. the reason the incident received so much attention. But even if you accept that, he not only let a friend A college student, after all, is expected to be more come to his apartment with weapons and store idealistically career-oriented. them there, but also saw the friend give another The case has yet to come to trial. But I was man a weapon. Yet he told none of this to disturbed by the implication that being on the authorities. dean's list bestows automatic integrity, or that high Now he says he knows that "people in D.C. get Scholastic Aptitude Test scores eliminate greed. killed every day." But curiously, he was not worried That this youth seems to believe that his academic about that until he was caught. success should excuse his alleged behavior is His story, at a minimum, calls into question a mind-boggling. rampant stereotype: White college boys don't When the motivation is greed and when commit felonies. Well, it's not true. character is flawed, it is just as plausible for a And this incident, whatever the outcome, should college student as it is for some poor guy from teach police and the media that crime-not culture, Southeast Washington to get involved in crime. not color, not intelligence-makes the criminal. That the items allegedly stolen are guns and that police are examining whether Stong and William O. Lara, the convicted felon from Texas, may have been involved in gunrunning make the young man's attitude even more surprising. much They are planning to spend well over $350 billion for new planes now on the drawing boards when a the fraction of that will do. troops On the ground, the Army has five light infantry tegic bom. divisions for rapid deployment to brush-fire wars air cover foi and the Marines have three, costing $2 billion apiece Neither the 1 per year. The Pentagon is spending billions more on buy airlift to transpo. fast sealift ships to transport the Army, amphibious idly to the fighting front. ships for the Marines and prepositioning ships to Marines have air forces of in store equipment and supplies for both. cover their troops. Army helice, Such duplication of effort wastes billions of aren't deemed good enough to trans, dollars and still leaves holes in America's defenses. The Marines want to spend billions on a As defense budgets shrink, it will be imperative to aircraft, the part-helicopter, part-plane Os, reshape the armed forces to retain their potency Back in 1948, an agreement was negotial despite reduced rations. Key West, Fla., to divide responsibilities among That's why Senator Sam Nunn is bravely services. It barred the Army, for example, from mounting a frontal assault to redefine service roles having fixed-wing aircraft. But changing military and missions. His colleagues in Congress would do technology and expanding bureaucracies have t well to rally to his cause. made the existing division of responsibilities obso- er A lete. There is no good reason today why the Army and the Marines need different helicopters, or the Each service fights for its preferred roles and Air Force needs helicopters at all. Pla. missions and tries to keep its rivals from perform- As the Persian Gulf war showed, the military ing them. Marines complain, for example, that they that can integrate forces for combined operations To the 1 were left offshore as decoys during the Persian Gulf has an enormous battlefield advantage. If the serv- The P war while the Army got the glory on the ground in ices can now redefine their roles and missions, they er Hom Kuwait could become more efficient and affordable as well. half-righ high sche but your S Editorial Notebook decision to sheltered mory is ba On August 3, He Put to Sea gle men. I armories. unsafe. Bui "We departed Friday the third third day out: sabotage, by her own- Columbus's Journal will be put day of August of the year 1492 from er and a crewman. "Neither of has now be the bar of Saltes at the eighth hour." these men wanted to make this voy- Logs the Journey space has b. Thus, in Columbus's own words, age," he wrote, "and even before we space avail. did the Niña, Pinta and Santa Maria departed Palos they attempted to sonal variat set out 500 years ago today from the little Spanish port of delay or prevent the enterprise." The city-o Palos de la Frontera on a voyage that would change the The damage forced a long layover in the Canary Islands are so unde world. Ten weeks later, in the small hours of Oct. 12, a while Columbus sought another ship and finally repaired whenever p crewman aboard the Pinta sighted land, at last, and the the rudder. After four weeks' delay, the westward voyage avoid them three ships lowered sail to wait for daylight. "At dawn," resumed on Sept. 6. weather is Columbus wrote in his journal, "we saw naked people, and Sept. 9: Mindful of the crews' marginal commitment to indoor accon I went ashore in the ship's boat, armed." his mission, Columbus admits in his journal that he plans That Columbus kept a journal is remarkable in itself; to give them false reports on each day's progress, so that This "new SI so far as is known, he was the first explorer to do so. The "they might not think themselves so great a distance pied in less original, which he presented to Queen Isabella, has been from Spain as they really were." cold weather lost; likewise the copy that royal scribes made for Colum- Sept. 15: "I saw a marvelous meteorite fall into the homeless me bus. But the essential content, much of it verbatim, sea." To some of the crew it was a bad omen. He told them The lawsu survives in Madrid's Biblioteca Nacional in a detailed not to worry; he'd seen many before. But in private he requires the abstract of the duplicate copy. wrote; "I have to confess that this is the closest a falling action in the This priceless documentation was done by Bartolomé star has ever come to my ship." sues before t. de Las Casas, a Dominican friar and friend of the Colum- Sept. 23: Concern for his own safety. Inconstant winds clients. Such bus family, who spent years recording West Indies history and a flat sea have "led the men to believe we will never be done befor and exposing Spain's mistreatment of the natives. The get home," he wrote. "Later, when the sea made up regardless of best English translation was published in 1989 by Oliver considerably without wind, they were astonished. I saw may have for Dunn and James Kelley, two American scholars; another, this as a sign from God. As with Moses when he led his happen in the Robert Fuson, has done a more fluid, less precise version, people out of captivity, my people were humbled." A move froi fleshed out with detail from other writings by Las Casas Not for long. The next day he says "a few trusted men a plan for de and Columbus's son Fernando, and transposed into an and these are few in number!)" have reported talk of (estimated to imagined first-person narrative throughout. throwing him overboard some night if he persists in night) is ir From these two works one learns, for example, what sailing on. Homeless sing: Columbus thought when the Pinta's rudder broke on the He persisted. RICHARD E. MOONEY than the armor To: J. Bunton From: G Kinahan 8-4-92 1:48pm p. 2 of 2 The Challenger Clinton Offers National Education Plan By GWEN IFILL Special B The New York Times LOS ANGELES, May 14 - Gov. Bill Clinton sald today that America's com- mitment to bettering itself economical- by and socially had been hurt by a failure to place education at the top of the nation's priorities, and he called for a revived commitment to schools and job training. In a speech delivered at a distressed public college in East Los Angeles, Mr. for bilingual education, job training, Clinton outlined an education plan that literacy programs and college aid. calls for Federal college tuition assist- Trickle-Down Education' nince, job training for high school drop- "The President's education plan outs and graduates who choose not to amounts to a form of trickle-down edu- 30 on to college, and legislation that cation that won't help America any- that opportunity channel," he said. would allow parents to choose which more than trickle-down economics has Mr. Clinton repeated his call for al- public school their children will attend. helped us in the 1980's," he said. lowing parents to choose the public "We know we have real gaps in Mr. Clinton's speech was received schools their children should attend, an American education, he said. Oppor- warmly by the audience of several approach he has championed in Arkan- tunity gaps and responsibility gaps hundred students and administrators sas. But he said he "unalterably op- which are more important to our na- at East Los Angeles College, a two- posed" the proposal favored by the tional security today than the missile Bush Administration that would allow year school where recent tuition in- gap that played such an important role creases made the audience especially parents to use vouchers to send their in the Presidential election of 1960. receptive to his assistance proposal. students to private schools if they "The education opportunity gaps be- wished. (ween ourselves and the rest of the Inner-City Links Now is not the time to further dt- world and among our own people are Mr. Clinton also used the opportunity minish the financial resources of Immense." to link his education proposals to the schools when budgets are being New National Goals problems of inner-city crime that have slashed by states all across America," preoccupied elected officials and Cali- Mr. Clinton said his administration Mr. Clinton said, "when the Federal fornia voters since the Los Angeles Government has restricted its commit- would set new education goals. includ. riots. ment to education." ing a plan to increase high school grad- Recalling a 1989 visit he made to a uation rates to 90 percent of enrolled South-Central Los Angeles school, the Mr. Clinton has delivered formal students, "meaningful" national ex- Arkansas governor said the students speeches on foreign affairs, economic Imination standards for students and he talked to then "were most worried teachers and increased Federal spend- about being shot going to and from policy and the environment to stress school." the substantive differences between ing on-programs to reduce class size and expand preschool opportunities. "Those kids are now in ninth grade," his campaign and the President's and he said. "I have often wondered in the to try to put behind him the constant His remarks today, which were es- last few days, after what happened discussion of character questions that sentially a repackaged version of the here, how many of them wound up in had dominated his campaign. education speech he has delivered at gangs, whether they looted, whether schools and colleges throughout the they'r still alive We need to make He said he did not want to spend the country this year, featured sharp parti- something of the lives we're wasting." bulk of his speech today blaming Re- san attacks on President Bush. publican administrations for the fail- Tuition Plan Is Popular ures in education. But in the end, he AS has become Mr. Clinton's habit in Mr. Clinton's most popular proposal, was unable to resist taking repeated the weeks since he began transforming judging by the applause he typically aim at President Bush, who declared his campaign into a general election gets from audiences around the coun- during the 1988 campaign that he effort almed at stressing the failures of try, is a plan to replace the existing would be the "education President." White House policy, he faulted the Ad- Federal student loan programs with a Of his own education reform pack- ministration for not living up to prom- program that would allow any student age, Mr. Clinton said: "I'll work day ises Mr. Bush made as a candidate in to borrow money for college if the and night to get It passed, unlike our 1988 and during an education summit student promised to repay the loan current President, who often proposes with governor's in 1989. either by committing to pay a small and then leaves it to someone else to "America needs an education Presi- percentage of income over a period of dispose or not to act at all." dent who shows up for class every day. time or by agreeing to join a national not just once every four years," he service program as a teacher, police said. Mr. Bush, he said, has CUE funding officer or other public servant for re- duced pay. Such a plan, his aides have estimat- ed, would cost about $8 billion by its fourth year. Mr. Clinton has said he would pay for this and other priority programs - including health care and deficit reduction - by instituting cost controls and trimming defense spend- NEWYORKTIMES ing. Mr. Clinton drew heavily upon his experience as governor of Arkansas and parent of a I2-year-old public 5.15.92 school student to illustrate his commit- ment to improving education. Recall- ing his own education, he said he had used loans and scholarships and had CLINTON worked six jobs to go to college and law school. MOCRAT. Fants Parental Choice What bothers me so much about America today is that there are so Bush. many people who are being left out of To: J. Bunton From: G Kinahan 8-4-92 1:47pm P. 1 of 2 © Republican National Committee Dwight D. Eisenhower Republican Center 310 First Street Southeast Washington, D.C. 20003 (202) 863-8638 Telex: 701144 FAX: (202) 863-8820 To: J. Bunton Date: 8-4-92 From: G Kinahan Page 1 of 2 B SENT BY:A ; 8- 4-92 11 :38AM ; 44364-> 2024566218:# 1 PRRC The Georg e H. Gallup International Institute 100 Palmer Square P.O. Box 140; Princeton, NJ 08542 USA TEL: (609) 921 6200 359 FAX: (609) 924 0228 or (609) 924 2584 FAX TRANSMISSION: DATE: 8/4/92 TO FAX NUMBER: 202-456-6218 NO. OF PAGES (Including cover): 2 ATTENTION: Jeannie Bunton FROM: Alison Gallup, PRRC COMPANY: White House, Pres. speech (were out of fax paper CITY: D.C. writing wour letterhead) Please call (509) 921 6200 If this tax does not transmit correctly. office COMMENTS: This appeared in our Jan '91 issue of "Emerging Trends". you'll Sile the U.S. is 2nd on two questions and 1st CA the third, and most telling, question. It's important to note that we didn't question every country you could say that 'of' 14 countries polled (by the Gallup Org. in 1989 and 1990), the U.S. rated the importance of God in One's life the highest (scale of 1-10) SENT BY:A ; 8- 4-92 11:39AM ; 44364-> 2024566218:# 2 Religion Triumphs Over Despite the aggressive espousal of Consider Selves atheism under communist rule, there Atheism in Enstern is actually a lower percentage of "con- Religious Persons vinced atheists" in Lithuania than in Italy 83% Europe many Western European countries. United States 81 Just 2 percent of ethnic Lithuanians Ireland 64 and 4 percent of other Lithuanians Spain 63 el: gious belief in say they are convinced atheists. The Great Britain 58 Ea: tern Europe has average for Western Europe is 5 per- West Germany 58 per sisted at high lev- cent, ranging from 1 percent in Ire- Hungary 56 els despite nearly a land, 3 percent in West Germany and France 51 hal f century of sup- Scandinavia, 4 percent each in Great Other Lithuanians 50 pl ssion. Resisting Britain, Italy and Spain to a high of 10 Ethnic Lithuanians 45 aggressive official policies and percent in France. In the United Czechoslovakia 49 indoctrination in atheism, the level States, 5% of Americans say they do Slovaks only 69 of those professire not to believe in not believe in God. Czechs only 38 God has remaine small. For most Weekly church attendance for the Scandinavia 46 measures there is little apparent dif- Eastern Europeans appears to be ference in religious attitudes and remarkably high when the compara- behavior between Eastern and West- tive scarcity of places of worship and em Europeans. clergy are considered, not to mention These findin S emerged from frequent official discouragement of Attend Church At Least Weekly Gallup survey conducted in attendance in the past. Attending at Czechoslovakia and Hungary in late least once a week now are 17% of Ireland 82% Czechoslovaks, 15% of ethnic Lithua- United States 43 1989 and in Lith. ania in 1990. Gor- don Heald, mana; ;ing director of the nians, 12% of other Lithuanians, and Spain 41 Gallup Poll in G:- eat Britain, provid- 13% of Hungarians. Italy 36 ed the survey rest Its at a recent sem- In the Hungarian study, the people West Germany 21 of that country average 4.8 in rating Czechoslovakia 17 inar sponsored by the Center for the importance of God in their lives, Ethnic Lithuanians 15 Applied Researc! in the Apostolate on a scale of 1 to 10, where 1 means Other Lithuanians 12 at Georgetown University. The surveys si ow that from four one does not consider God at all Great Britain 14 to five persons :.1 10 in each of the important and 10 means God is Hungary 13 believed to be of paramount impor- France 12 countries and groups surveyed describe thems Ives as "religious tance. This is a lower rating than Scandinavia 5 persons." In Lith ania, 45% of ethnic found in most Western European Lithuanians desc ibe themselves this countries and the United States, but way, and 50% ron-ethnic Lithuani- still higher than the average ratings in Denmark, France and Sweden. ans consider the mselves to be reli- gious persons. Comparable self- A high proportion of the people of Czechoslovakia and Hungary have Average Ratings of Importance descriptions we:e given by 56% of been baptized. Two in three Czech- of God in One's Life the Hungarians and by 49% of the oslovaks (66%) were baptized as Czechoslovakin is interviewed on United States 8.2 Catholics, 10% in Protestant denomi- Republic of Ireland 8.0 the surveys. There is a considerable nations, 1% Orthodox, and 1% in Northern Ireland 7.5 religious gap bt tween Czechs and another faith. Only 19% were not bap- Italy 6.9 Slovaks, with 69% of Slovaks saying tized, and 3% are unaware if they had they are religious persons, compared Spain 6.4 been baptized. Seven in 10 Hungari- Finland 6.2 to 38% of the Crechs, The Eastern ans (71%) were baptized as Catholics, Europeans are the middle of the 22% Reformed Church, and 4% Belgium 5.9 Great Britain 5.7 religious spectrum in comparison to Lutheran. Only 1% said they" were the West, where between 62% of West Germany 5.7 never baptized, and 2% did not know Norway 5,4 Western Europeans and 46% of if they had been. Scandinavians onsider themselves The findings for each question are Netherlands 5.3 to be religious ersons. By compari- based on probability samples of at Hungary 4.8 son, 81% of A nericans describe least 1,000 interviews conducted in France 4.7 themselves as re: igious persons. each country in 1989 and 1990. Denmark 4.4 -5- PAGE 2 4TH STORY of Level 1 printed in FULL format. Copyright 1992 News World Communications, Inc. The Washington Times July 27, 1992, Monday, Final Edition SECTION: Part E; COMMENTARY; Pg. E3 LENGTH: 860 words HEADLINE: Clinton's convoluted school choice record BYLINE: Donald Lambro; THE WASHINGTON TIMES BODY: On Oct. 18, 1990, Bill Clinton wrote a letter to Wisconsin state Rep. Polly Williams to encourage her crusade for a school choice program that helps bright but poor inner-city Milwaukee children attend local private schools. The governor had read a column I had written supporting Mrs. Williams' work as the author of a state law that was bitterly opposed by the NAACP, teachers unions, the local news media and an assortment of other liberal litmus groups. This spunky and articulate former welfare mother, who was state chairwoman for Jesse Jackson's 1988 presidential campaign, was stunned to find that her support came not from her liberal friends, but from the editorial page of the Wall Street Journal and conservative activists who believe school choice is the only way to force meaningful educational reforms. "I read Don Lambro's recent column about your version of the school choice bill in Milwaukee, Mr. Clinton wrote her. "I am fascinated by that proposal and am having my staff analyze it. "I'm concerned that the traditional Democratic Party establishment has not given you more encouragement. The visionary is rarely embraced by the status quo." Mr. Clinton is running this year as the candidate who is challenging the status quo, but he isn't supporting Polly Williams' plan anymore. Sometime in the middle of his campaign for president he addressed the National Education Association, which opposes Mrs. Williams' school choice program, and told the nation's public school teachers that he was for public school choice but against any choice program that included private schools. Mr. Clinton had a choice between a big powerful union that could deliver votes and a modest state program that helps academically qualified, inner-city children shift from badly run public schools to local, non-sectarian private schools that offer them a better education and a step up the ladder of opportunity. He sided with the union. Mrs. Williams' pilot program offers her constituents a way out of poverty. Under its terms, 1,000 school children are eligible for up to $2,500 for tuition costs that comes out of the public school budget. LEXIS:NEXIS® LEXIS-NEXIS® LEXIS-NEXIS® Services of Mead Data Central, Inc. Recyclable PAGE 3 The Washington Times, July 27, 1992 The purpose is not to hurt the public schools but to force them to change through healthy competition. Yet the NEA wants no such competition with their public school monopoly, and the Democratic Party has sided with the elitists against those who are trying to break the status quo. Earlier this year, Mrs. Williams' program was the subject of a highly positive report on the CBS "60 Minutes" program. One viewer was so moved by this story that he offered a full college scholarship to one of the young, black students who is in Mrs. Williams' program. Mr. Clinton pays lip service to "public school choice" in his speeches and in his party platform. But he does not want the federal government encouraging choice programs - as President Bush has proposed - that would empower poor and median income families to choose from a broader range of school choices, including private schools. This is not the only case where Mr. Clinton has said one thing and done another. Not that long ago, he was critical of federal funding for abortions, only to change his mind to win the votes of the pro-choice lobby. "There's a big difference between being pro-choice and being for spending tax dollars for any kind of abortion," Mr. Clinton said last October. "I don't think that's appropriate." Now he is a down-the-line supporter of the Democrats' pro-abortion choice act that would use tax dollars to finance abortions. Somewhere in his long political career, Mr. Bush also changed from a more pro-choice to a staunch pro-life position on abortion. But changing positions from one year to the next, as Mr. Clinton has done, is a remarkably fast switch on an issue of such deep moral complexity. Meantime, much was made at the Democratic National Convention of Mr. Clinton's moderate image and the so-called moderate positions in his party platform. But a careful reading of the party platform reveals that Mr. Clinton would create nearly two dozen new federal programs. And many of them are proposals long promoted by Jesse Jackson's far-left Rainbow Coalition. Indeed, at the end of the convention Mr. Jackson held a news conference in which he proudly listed a number of Clinton programs that his organization and the AFL-CIO have been pushing for years. Among them: Indexing the minimum wage so that it rises with the rate of inflation (which would destroy entry-level jobs and worsen youth unemployment); a $220 billion public works jobs program; pushing affirmative action programs; and sharply raising taxes on business and upper-income people making $90,000 and up. "These are positions that the Rainbow Coalition took in 1984 and 1988," said a satisfied Mr. Jackson. So much for moderation and change. Donald Lambro, chief political correspondent of The Washington Times, is a nationally syndicated columnist. TM TM LEXIS:NEXIS® LEXIS-NEXIS® LEXIS-NEXIS® Services of Mead Data Central, Inc. Recyclable PAGE 4 The Washington Times, July 27, 1992 GRAPHIC: Cartoon, "DON'T LET THIS UNDERWEAR WORRY YOU...MY SUIT HERE IS PRETTY MODERATE! ", By Gorrell/The Richmond Times-Dispatch TM TM TM LEXIS:NEXIS® LEXIS-NEXIS® LEXIS·NEXIS® Services of Mead Data Central, Inc. Recyclable (Duggan/Bunton) August 3, 1992 Draft Six Knights PRESIDENTIAL REMARKS: KNIGHTS OF COLUMBUS NEW YORK MARRIOTT MARQUIS NEW YORK, NEW YORK WEDNESDAY, AUGUST 5, 1992 11:00 a.m Thank you, Virgil Dechant. Your Eminence, Cardinal O'Connor and reverend clergy; distinguished Knights; ladies and gentlemen: A report came across my desk the other day. It stated that most people in the Western world "felt exceedingly gloomy about gamuel the future." It said that "institutions were decaying, well- Eliots meaning people were growing cynical. "Admiral the Morison occan of ga" My first thought was: That's what happens when people spend too much time watching the network evening news. 11 ind But what I was reading was not a report about 1992. It was a history of public attitudes in 1492. Public moods are prone to\change. When some people turn negative, all I can do is hold the rudder firm. ((I told Barbara that the more I'm criticized, the more I turn it into humor. She said, "At this rate, you'll soon be funnier than Jay Leno.")) As I said, public moods are prone to change. We know the gloom of 1492 was not to last for long. It was dispelled by the achievement of a man of humble birth a man of vision and courage. .. a man named Christopher Columbus. 11 Columbus opened up a new world of opportunity ... for the spread of commerce \ culture \ and faith. \ In this 500th anniversary year of his voyage of discovery, I'm honored to meet 2 with a group of Americans dedicated to his ideals. This year we hear a lot of talk about change. And sure, renewal there are things I'd like to change. Though maybe a better word is renewal -- because the changes we need must be based on principles that never change. My parents were like yours: They brought me up to understand that mankind's fundamental moral standards were established by Almighty God. They're as natural and unchangeable as the laws of physics. Our common law, our Constitution and our Bill of Rights are firmly rooted in this tradition -- the Judaeo- Christian tradition. Only recently in America have we seen the rise of legal theories and practices that reject our tradition. Cardinal speech on 1991 Cardinal O'Connor eloquently describes this as an "inversion of values." It's a deeply disturbing trend -- and it is diametrically opposed to my idea of the kind of change that's MSG good for our country. ison convention 46th st Last month on a stage just 12 blocks from here, there was July DNC 13-18, Marriott is another convention -- very different from this one. Now, I on 34th didn't hear any of those speeches. I was up in the mountains fishing -- where the air was clear, not hot. But I understand one of the speakers, known for his florid language, called me Cuomo Maino Nomination spach "the captain of the ship of state. He didn't mean it as a POTUS compliment, but believe me: As a Navy man at a Knights of Lt.J.G. July 15, 1992 Columbus convention the term suits me just fine. Whoever is chosen to pilot the ship of state must have a reliable moral compass. Personal responsibility -- among the 3 people and in our leaders -- must be more than just a slogan. It must be embodied in our ideas and actions. Americans will make a choice this year about economic freedom and growth, and about keeping our defenses second to none -- keeping America safe and strong. But the choice is about more than that: It is about renewing our moral strength. Principles don't change from one day to the next. Principles aren't driven by opinion polls. Principles endure. This year, one side offers real change to make America One Nation all under God. The other side -- in that convention I spoke of -- wrote a 10,000 word platform -- and never once mentioned the one In as 16, 16,1992 word that counts the most: God. You can see the differences of philosophy reflected in our policies. As a baseball umpire would put it, "You make the call." Consider our system of welfare. In too many cases, it's not lifting people up, it's holding them down. This system is neither well nor fair. The key to reform: personal responsibility. Now, on the other side of the debate are the interests that want to protect bureaucracy and spending -- even if it means saying no to unwed mothers who want to get married. Even if it means saying no to families on public aid who somehow manage to put money aside in savings. It's time the system started saying yes: Yes to people like 15 NYT MAY 92 Sandra Rosato, who worked and saved money for college because she didn't want to leave a legacy of welfare to her kids. The system NYT May 15, 1992 4 said her family couldn't continue to get benefits while she saved $ 4,900 money for school. She saved $4,000. I call that amazing. The welfare bureaucrats? They called it fraud. Something is wrong here. That's why I aim to shake up the top-down bureaucratic way of welfare and let our states innovate to reward people like Sandra -- reward work and responsibility. 11 Take education. We know that renewing education depends on giving parents real freedom and real responsibility to choose their kids' schools. The other side tries to posture on the side of parents, but I don't think anyone is fooled. Remember how old Henry Ford used to tell his customers, they can have any color INTERN puòb Model T they want -- so long as it's black? Well, the other side says their ideal is that parents could choose any school for their kids -- as long as it's run by the government. 11 My plan is different -- it's called the G.I. Bill for Children. Right now, if parents choose a Catholic school or any other alternative to the public schools, they have to pay twice - with - first for tuition and again through taxes. Catholic parents I met in Philadelphia last month made it plain to me: that makes 21,92 it hard to exercise your religious freedom. Like the original July G.I. Bill, my new bill offers scholarships or vouchers for students to take to any qualified school -- not only public schools, but Bible schools, yeshivas, and Catholic parish schools if that is what parents want. 11 My plan for education preserves religious freedom. That's also true of another issue where there's a Grand Canyon of a Montor america says India 5 A-609-924-9600 Griup Gallup Seience divide. ( (A small boy once began a prayer this way: "God bless christmay 1984 123 mother and daddy, my brother and sister." He continued, "And, Graham kinihan oh, God, do take care of yourself, because if anything happens to 336- 598L Elders you, we're all sunk.")) That boy knew why, according to the one of Gallup Poll, America is the most religious nation on earth Dir, Ark Public chinton Sadly, one side this year thinks it's fine to give out condoms school but not to say a prayer. I totally disagree. So today, school based Appointee Clinton to is amendment prayer again call on Congress to pass a Constitutional Amendment An Graham on School ham kinanan restoring voluntary prayer to our classrooms -- and I Gra Research my opponent to support me. Let's bring the Faith of our Fathers 336 B/Q 7865 back to our schools. 11 Jerry Bennutt in Dr. Archeis office @ HHH say this is right Center for Pisease Control And there's the issue of a national tragedy: more than a million and a half abortions in this country every year. We know 404-639-3311 there must be a better way. The other side turns a deaf ear lisa 404- koonin 488-5774 to humane and responsible alternatives -- like adoption; like abstinence. The other side refuses to let the Governor of Aboutionsin Pennsylvania present a pro-life view at his own party's Gov. Casey 1989- 1,396,658 convention. The other side is pushing a so-called "Freedom of Alan & Gutmaker NYC Choice" bill, which is in fact the most radical abortion-on- demand legislation ever offered. inst. IN This bill would prevent states from enacting even modest says restraints against abortion on demand. It would threaten the 1987- 1,559, 110 autonomy of Catholic hospitals and other private institutions Dr. Stankey that refuse as a matter of conscience to perform abortions. Suffice it to say: This radical abortion on demand bill will 212- susan Tew Reproductive Health Data 1,590, 1988 750 never become law as long as I am President of the United States DEMOGRAPHIC DATA CDC- STATE HEALTH DEPTS CHARACTERISTICS] COMPLETE cov. ALL STATES INC. NYC/DC AGI DIR TD ABDRNSN PROVIDERS #T rate - bleage of women 6 of America. 11 On each of these issues, the choice is clear. Who do you trust to change America -- to renew timeless values like personal responsibility? Who do you trust: those with the courage to stand for what may not be popular -- but is right? Or the side that talks a good game -- mouths the right rhetoric about values -- but whose record and example make a mockery of their words? Nowhere is this choice more vital than in the decisions a President must make every day to build what I call real peace: the triumph of freedom and democracy, not the mere absence of war. Saint Ignatius said, "Work as though all depended upon yourself, and pray as though all depended on God." The practice of that motto conquered Communism. Ceaseless prayer and tireless work halted the Cold War \ and spared us from the catastrophe of a third World War. Believers behind the Iron Curtain defied persecution; believers in the West defied indifference. Over four decades, our servicemen trained -- our taxpayers paid four ANPA TO WAGE THE COLD WAR trillion dollars -- to keep our defenses strong. And as a April 9, consequence, the Iron Curtain is no more -- and our kids no longer face the kind of nuclear threat that used to haunt us. I'll always be grateful for the Knights of Columbus' support on the morality of our strategic deterrence. Because Americans understood the moral stakes in the Cold War, because we persevered -- we're now able to work at building a lasting peace between East and West. We're working with democratic Russia to 7 reduce the arsenals that once threatened to unleash a nuclear war and to cooperate on defenses against ballistic missiles. When we faced our first big challenge after the Cold War, we didn't shrink. We stood up to Saddam Hussein's aggression and expelled him from Kuwait. We protected the people of Israel and Saudi Arabia. Now we've brought age-old adversaries to the peace table for the first time. We've gained the greatest opportunity in centuries to establish peace and stability in the Holy Land. His Holiness, Pope John Paul, has spent many sleepless nights in prayer and endeavor for peace in the Middle East. As long as I am President, I assure you I'll do everything I can to bring about that peace that so many pray for. 11 Respect for life \ for freedom \ for human dignity \ forms the common basis both for peace in the world and for renewal at home. The Knights of Columbus are in the forefront of this ? aggie effort. In countless ways you help your neighbors: Organizing Scout Troops. Sponsoring that magnificent program, the Special Olympics. Visiting the sick and the elderly. Nourishing minds carl and souls that hunger for sound values. You bear witness to the Andwson you fact that real compassion and tolerance cannot abide abandonment of standards of right and wrong. 11 I try to keep that at my core. Whatever the political cost, underline I intend to do what's right for America. I'll work to protect and renew America -- with a strong national defense, and with a true and steady moral compass. 11 Now that America's moral values -- liberty, honor, personal responsibility -- are 8 victorious around the globe -- why in the world would we abandon them at home? We cannot. As long as I'm President, we will not. Let the other side traffic in values that are trendy and transitory. I'm going to defend the principles for which you stand so firm. We'll keep our sights on what's good in America. We'll keep our focus on the potential in our families and our kids. We'll keep a reliable compass. We'll put our ship of state in finest sailing trim. We'll navigate our way to shining new horizons. 11 Thank you. May God bless you and our beloved country. # # # A = applause line (Duggan/Bunton) August 4, 1992 Draft Eight Knights.2 PRESIDENTIAL REMARKS: KNIGHTS OF COLUMBUS NEW YORK MARRIOTT MARQUIS NEW YORK, NEW YORK WEDNESDAY, AUGUST 5, 1992 11:00 a.m Thank you, Virgil Dechant. Your Eminence, Cardinal Connor; reverend clergy; ladies and gentlemen: A report came across my desk the other day. It stated that most people in the Western world "felt exceedingly gloomy about the future." It said that "institutions were decaying, well- meaning people were growing cynical." My first thought was: That's what happens when people spend too much time watching the network evening news. 11 laugh line But what I was reading was not a report about Nineteen ninety-two. It was a history of public attitudes in Europe in Fourteen ninety-two! 11 Public moods are prone to change, of course. We know the gloom of 1492 was not to last for long. It was dispelled by the achievement of a man of humble birth. a man of vision and courage. a man named Christopher Columbus. 11 Columbus opened up a new world of opportunity for the spread of commerce \ culture \ and faith. \ In this 500th anniversary year of his voyage of discovery, I'm honored to meet with a group of Americans dedicated to his ideals. This year we hear a lot of talk about change. And sure, there are things I'd like to change. Though maybe a better word is renewal -- because the changes we need must be based on 2 principles that never change. IA My parents were like yours: They brought Ee up to understand that our fundamental moral standards were established by Almighty God. They're as natural and unchangeable as the laws of physics. 11 Our common law, our Constitution and our Bill of Rights are firmly rooted in this Judaeo-Christian tradition. Only recently in America have we seen the rise of legal theories and practices that reject our tradition. Cardinal 'Connor eloquently describes this as an "inversion of values." It's a deeply disturbing trend -- and it is diametrically opposed to my idea of the kind of change that's good for our country. 11 DD Last month just 12 blocks from here, there was another (+) convention -- very different from this one. Now, I didn't hear any of those speeches. I was laugh up in the mountains fishing. But layl understand one of the speakers, known for his florid language, called me "the captain of the ship of state.' 11 He didn't mean it as a compliment, but believe me: As a Navy man at a Knights of Columbus convention the term suits me just fine. 11$ ... That reminds me of a story about Columbus. He wrote in his log that the longer he stayed on course -- the farther he traveled on his mission -- the more he faced threats from crewmen who wanted to throw him overboard and turn the ship around. 11 up Let me make you this promise: No matter how rough the going gets, I won't turn around. *11 I'm going to stay on course. All front I'm going to finish what I've started. 11 A Whoever is chosen to pilot the ship of state must have a A 3 reliable moral compass. Personal responsibility -- among the people and in our leaders -- must be more than just a slogan. It must be embodied in our ideas and actions. 11# Americans will make a choice this year about economic freedom and growth, and about keeping our defenses second to none -- keeping America safe and strong. But the choice is about more than that: It is about renewing our moral strength. A Every day we hear stories showing the human cost of the breakdown in values. Somewhere in this country every day, an innocent kid gets killed in the crossfire of the drug wars. Just last month we read of an honor student, a kid from a good neighborhood, charged with gun-running. He tried to make his privilege a cover for his lack of responsibility. "It's not like I'm a criminal," he told the police. "I'm on the dean's list.' Well, you and I know that the Ten Commandments don't have exclusions for the poor -- or the rich. Principles don't change from one day to the next. \ Principles aren't driven by opinion polls. \ Principles endure. A This year, one side offers real change to renew America as One Nation under God. The other side -- in that convention I spoke of -- wrote a 10,000 word platform -- and never once sentioned the one word that counts the most: God. You can see the differences of philosophy reflected in our policies. As a baseball umpire would put it, "You make the call." Consider our system of welfare. In too many cases, it's not lifting people up, it's holding them down. This system is 4 neither well nor fair The key to reform: personal responsibility. Now, on the other side of the debate are the interests that want to protect bureaucracy and spending -- even if it means saying no to people who want to take responsibility. It's time the system started saying yes: Yes to people like Sandra Rosado, who worked and saved money for college because she didn't want to leave a legacy of welfare to her kids. The system said her family couldn't get benefits while she saved money for school. She saved $4,900. I call that amazing. The bureaucrats called it fraud. Something's wrong here. That's why I aim to shake up the old bureaucratic ways and let our states reward people like Sandra -- reward work and responsibility. IM Take education. We know that renewing education depends on giving parents real freedom and real responsibility to choose their kids schools. The other side tries to posture on the side of parents, but I don't think anyone is fooled. Remember how old Graham Henry Ford used to tell his customers, they can have any color laugh line Model T they want -- so long as it's black? Well, the other side says their ideal is that parents could choose any school for long splance their kids -- as long as it's run by the government. And NEA CUNTON ABC 135 DNC * their leader won the teachers union endorsement by saying he's unalterably opposed" -- those are his words, "unalterably SPEECH opposed" -- to letting Catholic parents and other private school parents have a fair share of education benefits. 11 provention My plan is different -- it's called the G.I. Bill for Children. \ Right now, if parents want any alternative to the 5 public schools, they have to pay twice -- first for tuition and again through taxes. As Catholic parents told Be in Philadelphia last month: That makes it hard to exercise your religious freedom. Like the original G.I. Bill, my new bill offers scholarships or vouchers for students to take to any qualified school -- not only public schools, but Bible schools, yeshivas, and Catholic parish schools if that is what parents want. My education plan preserves religious freedom. That's also true of another issue where there's a Grand Canyon of a divide. ((A small boy once began a prayer this way: "God bless mother and daddy, my brother and sister. And, God,' he said, "do take lough care of yourself. If anything happens to you, we're all sunk. That boy knew why, according to the Gallup Poll, America is the one of the V post religious nation on earth. Now, one side thinks it's fine to give out condoms in school but not to say a prayer. I totally disagree. II call again on Congress to pass a constitutional A amendment restoring voluntary prayer to our classrooms. Let's allow the faith of our Fathers back into our schools. And there's a national tragedy: more than a million and a half abortions in this country every year. We know there must be a better way. The other side turns a deaf ear to humane and responsible alternatives -- like adoption; like abstinence. The other side refuses to let the Governor of Pennsylvania present a pro-life view at his own party's convention. The leader of the other side has promised to appoint only judges who would uphold 29 Jung w5 Roe versus Wade -- in other words, an out-and-out litmus test for Rubong Blendow 6 appointments to the court. The other side is pushing a so- called "Freedom of Choice" bill, which is in fact the most radical abortion-on-demand legislation ever offered. 11 This bill would prevent states from enacting even modest restraints against abortion on demand. It would threaten the autonomy of Catholic hospitals and other private institutions that refuse as a matter of conscience to perform abortions. Suffice it to say: This radical abortion on demand bill will never become law as long as I am President. 11 On each of these issues, the choice is clear. Who do you trust to change America -- to renew timeless values like personal responsibility? Who do you trust: those with the courage to stand for what may not be popular -- but is right? or the side that talks a good game -- mouths the right rhetoric about values -- but whose record and example make a mockery of their words? Nowhere is the choice more vital than in the decisions a President must make every day to build real peace: to establish freedom and democracy, not the mere absence of war. Saint Ignatius said, "Work as though all depended upon yourself, and pray as though all depended on God." The practice of that motto conquered Communism. Ceaseless prayer and tireless work halted the Cold War \ and spared us from the catastrophe of a third World War. Believers behind the Iron Curtain defied persecution; believers in the West defied indifference. Over four decades, our servicemen trained -- our taxpayers paid four trillion dollars -- to keep our defenses strong. And as a 7 consequence, the Iron Curtain is no more -- and our kids no longer face the kind of nuclear threat that used to haunt us. I'll always be grateful for the Knights of Columbus' support on the morality of our strategic deterrence. Because Americans understood the moral stakes in the Cold War, because we persevered -- now we're able to work at building a lasting peace between East and West. We're working with democratic Russia to reduce the arsenals that once threatened to unleash a nuclear war and to cooperate on defenses against ballistic missiles. When we faced our first big challenge after the Cold War, we didn't shrink. We stood up to Saddam's aggression and expelled him from Kuwait We protected the people of Israel and Saudi Arabia. Now we've brought age-old adversaries to the peace table for the first time. We've gained the greatest opportunity in centuries to establish real peace in the Holy Land. His Holiness, Pope John Paul, has spent many days and nights at work and in prayer for peace in the Middle East. As long as I am President, I assure you I'll do everything I can to bring about that peace that so many pray for. A Respect for life \ for freedom \ for human dignity \ forms the common basis both for peace in the world and for renewal at home. The Knights of Columbus are in the forefront of this Spnsory effort. In countless ways you help your neighbors: Organizing Scout troops. Sponsoring the Special Olympics. Visiting the sick. Nourishing minds and souls that hunger for sound values. You bear witness to the fact that real compassion and tolerance 8 cannot abide abandonment of standards of right and wrong. 11 I try to keep that at my core. Whatever the cost, I intend to do what's right for America. I'll work to protect and renew America -- with a strong national defense, and with a true and steady moral compass. AT Now that America's moral values -- liberty, honor, personal responsibility -- are victorious around the globe -- why in the world would we abandon them at home? We cannot. As long as I'm President, we will not Let the other side traffic in trendy and transitory moral fashions. I'm going to defend the principles for which you stand so firm. We'll keep our sights on what's good in America. We'll keep our focus on the potential in our families and our kids. We'll keep a reliable compass. We'll put our ship of state in finest sailing trim. We'll navigate our way to shining new horizons. 11 Thank you. May God bless you and our beloved country. # # ; PAGE 1 LEVEL 1 - 1 OF 1 STORY Copyright (c) 1984 The Christian Science Publishing Society; The Christian Science Monitor July 23, 1984, Monday SECTION: Ideas; Perspectives; A Monday Column; Pg. 19 LENGTH: 750 words HEADLINE: Gallup's poll of pacesetters suggests the shape of the year 2000 BYLINE: RUSHWORTH M. KIDDER BODY: ... confused and ambivalent in our feelings about marriage and the family. Confused, too, is the view of religion. After citing poll results showing that America, second only to India, is ''the most religious nation in the world, he notes that only 29 percent of these opinion leaders thought that organized religion is ''giving adequate answers. 'We lack NJ 609-921-8112 Prinaton Rengion Resturce Center Call Gallup 609-924-9600 through Gathy - organization Lydia News service passed to Religious section [allison Gallup] header by Ges. Gallup Jr. full church attenderm han't changed in 30 yrs. 1 pretty stable TM TM TM LEXIS:NEXIS® LEXIS·NEXIS® LEXIS-NEXIS® Services of Mead Data Central, Inc. Recyclable (Duggan/Bunton) August 4, 1992 Draft Eight Knights.2 PRESIDENTIAL REMARKS: KNIGHTS OF COLUMBUS NEW YORK MARRIOTT MARQUIS NEW YORK, NEW YORK WEDNESDAY AUGUST 5, 1992 11:00 a.m. Thank you, Virgil Dechant. Your Eminence, Cardinal 0' Connor; reverend clergy; ladies and gentlemen: A report came across my desk the other day. It stated that most people in the Western world "felt exceedingly gloomy about the future." It said that "institutions were decaying, well- meaning people were growing cynical." My first thought was: That's what happens when people spend too much time watching the network evening news. 11 But what I was reading was not a report about Nineteen ninety-two. It was a history of public attitudes in Europe in Fourteen ninety-two! Public moods are prone to change, of course. We know the gloom of 1492 was not to last for long. It was dispelled by the achievement of a man of humble birth. a man of vision and courage. a man named Christopher Columbus. 11 Columbus opened up a new world of opportunity for the spread of commerce \ culture \ and faith. \ In this 500th anniversary year of his voyage of discovery, I'm honored to meet with a group of Americans dedicated to his ideals. This year we hear a lot of talk about change. And sure, there are things I'd like to change. Though maybe a better word is renewal -- because the changes we need must be based on 2 principles that never change. 11 My parents were like yours: They brought me up to understand that our fundamental moral standards were established by Almighty God. They're as natural and unchangeable as the laws of physics. 11 Our common law, our Constitution and our Bill of Rights are firmly rooted in this Judaeo-Christian tradition. Only recently in America have we seen the rise of legal theories and practices that reject our tradition. Cardinal O'Connor eloquently describes this as an "inversion of values." It's a deeply disturbing trend -- and it is diametrically opposed to my idea of the kind of change that's good for our country. 11 Last month just 12 blocks from here, there was another convention -- very different from this one. Now, I didn't hear any of those speeches. I was up in the mountains fishing. But I understand one of the speakers, known for his florid language, called me "the captain of the ship of state. 11 He didn't mean it as a compliment, but believe me: As a Navy man at a Knights of Columbus convention the term suits me just fine. 11 That reminds me of a story about Columbus. He wrote in his log that the longer he stayed on course -- the farther he traveled on his mission -- the more he faced threats from crewmen who wanted to throw him overboard and turn the ship around. 11 Let me make you this promise: No matter how rough the going gets, I won't turn around. 11 I'm going to stay on course. 11 I'm going to finish what I've started. 11 Whoever is chosen to pilot the ship of state must have a 3 reliable moral compass. 11 Personal responsibility -- among the people and in our leaders -- must be more than just a slogan. It must be embodied in our ideas and actions. 11 Americans will make a choice this year about economic freedom and growth, and about keeping our defenses second to none -- keeping America safe and strong. But the choice is about more than that: It is about renewing our moral strength. Every day we hear stories showing the human cost of the breakdown in values. Somewhere in this country every day, an innocent kid gets killed in the crossfire of the drug wars. Just last month we read of an honor student, a kid from a good neighborhood, charged with gun-running. He tried to make his privilege a cover for his lack of responsibility. "It's not like I'm a criminal," he told the police. "I'm on the dean's list.' " Well, you and I know that the Ten Commandments don't have exclusions for the poor -- or the rich. Principles don't change from one day to the next. \ Principles aren't driven by opinion polls. \ Principles endure. 11 This year, one side offers real change to renew America as One Nation under God. The other side -- in that convention I spoke of -- wrote a 10,000 word platform -- and never once mentioned the one word that counts the most: God. You can see the differences of philosophy reflected in our policies. As a baseball umpire would put it, "You make the call." Consider our system of welfare. In too many cases, it's not lifting people up, it's holding them down. This system is 4 neither well nor fair. 11 The key to reform: personal responsibility. Now, on the other side of the debate are the interests that want to protect bureaucracy and spending -- even if it means saying no to people who want to take responsibility. It's time the system started saying yes: Yes to people like Sandra Rosado, who worked and saved money for college because she didn't want to leave a legacy of welfare to her kids. The system said her family couldn't get benefits while she saved money for school. She saved $4,900. I call that amazing. The bureaucrats called it fraud. Something's wrong here. That's why I aim to shake up the old bureaucratic ways and let our states reward people like Sandra -- reward work and responsibility. 11 Take education. We know that renewing education depends on giving parents real freedom and real responsibility to choose their kids' schools. The other side tries to posture on the side of parents, but I don't think anyone is fooled. Remember how old Henry Ford used to tell his customers, they can have any color Model T they want -- so long as it's black? Well, the other side says their ideal is that parents could choose any school for their kids -- as long as it's run by the government. 11 And their leader won the teachers union endorsement by saying he's "unalterably opposed" -- those are his words, "unalterably opposed" -- to letting Catholic parents and other private school parents have a fair share of education benefits. 11 My plan is different -- it's called the G.I. Bill for Children. \ Right now, if parents want any alternative to the 5 public schools, they have to pay twice -- first for tuition and again through taxes. As Catholic parents told me in Philadelphia last month: That makes it hard to exercise your religious freedom. Like the original G.I. Bill, my new bill offers scholarships or vouchers for students to take to any qualified school -- not only public schools, but Bible schools, yeshivas, and Catholic parish schools if that is what parents want. 11 My education plan preserves religious freedom. That's also true of another issue where there's a Grand Canyon of a divide. ((A small boy once began a prayer this way: "God bless mother and daddy, my brother and sister. And, God," he said, "do take care of yourself. If anything happens to you, we're all sunk.")) That boy knew why, according to the Gallup Poll, America is the most religious nation on earth. Now, one side thinks it's fine to give out condoms in school but not to say a prayer. I totally disagree. I call again on Congress to pass a constitutional amendment restoring voluntary prayer to our classrooms. Let's allow the faith of our Fathers back into our schools. 11 And there's a national tragedy: more than a million and a half abortions in this country every year. We know there must be a better way. 11 The other side turns a deaf ear to humane and responsible alternatives -- like adoption; like abstinence. The other side refuses to let the Governor of Pennsylvania present a pro-life view at his own party's convention. The leader of the other side has promised to appoint only judges who would uphold Roe versus Wade -- in other words, an out-and-out litmus test for 6 appointments to the court. The other side is pushing a so- called "Freedom of Choice" bill, which is in fact the most radical abortion-on-demand legislation ever offered. 11 This bill would prevent states from enacting even modest restraints against abortion on demand. It would threaten the autonomy of Catholic hospitals and other private institutions that refuse as a matter of conscience to perform abortions. Suffice it to say: This radical abortion on demand bill will never become law as long as I am President. 11 On each of these issues, the choice is clear. Who do you trust to change America -- to renew timeless values like personal responsibility? Who do you trust: those with the courage to stand for what may not be popular -- but is right? Or the side that talks a good game -- mouths the right rhetoric about values -- but whose record and example make a mockery of their words? Nowhere is the choice more vital than in the decisions a President must make every day to build real peace: to establish freedom and democracy, not the mere absence of war. Saint Ignatius said, "Work as though all depended upon yourself, and pray as though all depended on God." The practice of that motto conquered Communism. Ceaseless prayer and tireless work halted the Cold War \ and spared us from the catastrophe of a third World War. Believers behind the Iron Curtain defied persecution; believers in the West defied indifference. Over four decades, our servicemen trained -- our taxpayers paid four trillion dollars -- to keep our defenses strong. And as a 7 consequence, the Iron Curtain is no more -- and our kids no longer face the kind of nuclear threat that used to haunt us. I'll always be grateful for the Knights of Columbus' support on the morality of our strategic deterrence. Because Americans understood the moral stakes in the Cold War, because we persevered -- now we're able to work at building a lasting peace between East and West. We're working with democratic Russia to reduce the arsenals that once threatened to unleash a nuclear war and to cooperate on defenses against ballistic missiles. When we faced our first big challenge after the Cold War, we didn't shrink. We stood up to Saddam's aggression and expelled him from Kuwait. We protected the people of Israel and Saudi Arabia. Now we've brought age-old adversaries to the peace table for the first time. We've gained the greatest opportunity in centuries to establish real peace in the Holy Land. His Holiness, Pope John Paul, has spent many days and nights at work and in prayer for peace in the Middle East. As long as I am President, I assure you I'll do everything I can to bring about that peace that so many pray for. 11 Respect for life \ for freedom \ for human dignity \ forms the common basis both for peace in the world and for renewal at home. The Knights of Columbus are in the forefront of this effort. In countless ways you help your neighbors: Organizing Scout troops. Sponsoring the Special Olympics. Visiting the sick. Nourishing minds and souls that hunger for sound values. You bear witness to the fact that real compassion and tolerance 8 cannot abide abandonment of standards of right and wrong. 11 I try to keep that at my core. Whatever the cost, I intend to do what's right for America. I'll work to protect and renew America -- with a strong national defense, and with a true and steady moral compass. 11 Now that America's moral values -- liberty, honor, personal responsibility -- are victorious around the globe -- why in the world would we abandon them at home? We cannot. As long as I'm President, we will not. 11 Let the other side traffic in trendy and transitory moral fashions. I'm going to defend the principles for which you stand so firm. \ We'll keep our sights on what's good in America. We'll keep our focus on the potential in our families and our kids. We'll keep a reliable compass. We'll put our ship of state in finest sailing trim. We'll navigate our way to shining new horizons. 11 Thank you. May God bless you and our beloved country. # # # (Duggan/Bunton) August 3, 1992 Draft Seven Knights.2 PRESIDENTIAL REMARKS: KNIGHTS OF COLUMBUS NEW YORK MARRIOTT MARQUIS NEW YORK, NEW YORK WEDNESDAY AUGUST 5, 1992 11:00 a.m Thank you, Virgil Dechant. Your Eminence, Cardinal 'Connor; reverend clergy; ladies and gentlemen: A report came across my desk the other day. It stated that most people in the Western world "felt exceedingly gloomy about the future.' It said that "institutions were decaying, well- meaning people were growing cynical." My first thought was: That's what happens when people spend too much time watching the network evening news. 11 But what I was reading was not a report about 1992. It was a history of public attitudes in Europe in 1492. Public moods are prone to change, of course. We know the gloom of 1492 was not to last for long. It was dispelled by the achievement of a man of humble birth. a man of vision and courage a man named Christopher Columbus. 11 Columbus opened up a new world of opportunity for the spread of commerce \ culture \ and faith. \ In this 500th anniversary year of his voyage of discovery, I'm honored to meet with a group of Americans dedicated to his ideals. This year we hear a lot of talk about change. And sure, there are things I'd like to change. Though maybe a better word is renewal -- because the changes we need must be based on principles that never change. 2 My parents were like yours: They brought me up to understand that our fundamental moral standards were established by Almighty God. They're as natural and unchangeable as the laws of physics. Our common law, our Constitution and our Bill of Rights are firmly rooted in this Judaeo-Christian tradition. Only recently in America have we seen the rise of legal theories and practices that reject our tradition. Cardinal O'Connor eloquently describes this as an "inversion of values." It's a deeply disturbing trend -- and it is diametrically opposed to my idea of the kind of change that's good for our country. 11 Last month just 12 blocks from here, there was another convention -- very different from this one. Now, I didn't hear any of those speeches. I was up in the mountains fishing. But I understand one of the speakers, known for his florid language, called me "the captain of the ship of state." He didn't mean it as a compliment, but believe me: As a Navy man at a Knights of Columbus convention ... the term suits me just fine. 11 That reminds me of a story about Columbus. He wrote in his log that the longer he stayed on course -- the farther he traveled on his mission -- the more he faced threats from crewmen who wanted to throw him overboard and turn the ship around. 11 Let me make you this promise: No matter how rough the going gets, I won't turn around. 11 I'm going to stay on course. 11 I'm going to finish what I've started. 11 Whoever is chosen to pilot the ship of state must have a reliable moral compass. 11 Personal responsibility -- among the 3 people and in our leaders -- must be more than just a. slogan. It must be embodied in our ideas and actions. 11 Americans will make a choice this year about economic freedom and growth, and about keeping our defenses second to none -- keeping America safe and strong. But the choice is about more than that: It is about renewing our moral strength. Every day we hear stories showing the human cost of the breakdown in values. Somewhere in this country every day, an innocent kid gets killed in the crossfire of the drug wars. Just last month we read of an honor student, a kid from a good neighborhood, charged with gun-running. He tried to make his privilege a cover for his lack of responsibility. "It's not like I'm a criminal," he told the police. "I'm on the dean's list." Well, you and I know that the Ten Commandments don't have exclusions for the poor -- or the rich. And principles don't change from one day to the next. Principles aren't driven by opinion polls. Principles endure. 11 This year, one side offers real change to renew America as One Nation under God. The other side -- in that convention I spoke of -- wrote a 10,000 word platform -- and never once mentioned the one word that counts the most: God. You can see the differences of philosophy reflected in our policies. As a baseball umpire would put it, "You make the call." Consider our system of welfare. In too many cases, it's not lifting people up, it's holding them down. This system is neither well nor fair. 11 The key to reform: personal 4 responsibility. Now, on the other side of the debate are the interests that want to protect bureaucracy and spending -- even if it means saying no to people who want to take responsibility. It's time the system started saying yes: Yes to people like Sandra Rosado, who worked and saved money for college because she didn't want to leave a legacy of welfare to her kids. The system said her family couldn't get benefits while she saved money for school. She saved $4,900. I call that amazing. The bureaucrats called it fraud. Something's wrong here. That's why I aim to shake up the old bureaucratic ways and let our states reward people like Sandra -- reward work and responsibility. 11 Take education. We know that renewing education depends on giving parents real freedom and real responsibility to choose their kids' schools. The other side tries to posture on the side of parents, but I don't think anyone is fooled. Remember how old Henry Ford used to tell his customers, they can have any color Model T they want -- so long as it's black? Well, the other side says their ideal is that parents could choose any school for their kids -- as long as it's run by the government. 11 My plan is different -- it's called the G.I. Bill for Children. Right now, if parents want any alternative to the public schools, they have to pay twice -- first for tuition and again through taxes. As Catholic parents told me in Philadelphia last month: That makes it hard to exercise your religious freedom. Like the original G.I. Bill, my new bill offers scholarships or vouchers for students to take to any qualified 5 school -- not only public schools, but Bible schools, yeshivas, and Catholic parish schools if that is what parents want. 11 My education plan preserves religious freedom. That's also true of another issue where there's a Grand Canyon of a divide. ((A small boy once began a prayer this way: "God bless mother and daddy, my brother and sister. And, God," he said, "do take care of yourself. If anything happens to you, we're all sunk.")) That boy knew why, according to the Gallup Poll, America is the most religious nation on earth. Now, one side thinks it's fine to give out condoms in school but not to say a prayer. I totally disagree. I call again on Congress to pass a constitutional amendment restoring voluntary prayer to our classrooms. Let's allow the faith of our Fathers back into our schools. 11 And there's a national tragedy: more than a million and a half abortions in this country every year. We know there must be a better way. 11 The other side turns a deaf ear to humane and responsible alternatives -- like adoption; like abstinence. The other side refuses to let the Governor of Pennsylvania present a pro-life view at his own party's convention. The other side is pushing a so-called "Freedom of Choice" bill, which is in fact the most radical abortion-on-demand legislation ever offered. This bill would prevent states from enacting even modest restraints against abortion on demand. It would threaten the autonomy of Catholic hospitals and other private institutions that refuse as a matter of conscience to perform abortions. Suffice it to say: This radical abortion on demand bill will 6 never become law as long as I am President. On each of these issues, the choice is clear. Who do you trust to change America -- to renew timeless values like personal responsibility? Who do you trust: those with the courage to stand for what may not be popular -- but is right? Or the side that talks a good game -- mouths the right rhetoric about values -- but whose record and example make a mockery of their words? Nowhere is the choice more vital than in the decisions a President must make every day to build real peace: to establish freedom and democracy, not the mere absence of war. Saint Ignatius said, "Work as though all depended upon yourself, and pray as though all depended on God." The practice of that motto conquered Communism. Ceaseless prayer and tireless work halted the Cold War \ and spared us from the catastrophe of a third World War. Believers behind the Iron Curtain defied persecution; believers in the West defied indifference. Over four decades, our servicemen trained -- our taxpayers paid four trillion dollars -- to keep our defenses strong. And as a consequence, the Iron Curtain is no more -- and our kids no longer face the kind of nuclear threat that used to haunt us. I'll always be grateful for the Knights of Columbus' support on the morality of our strategic deterrence. Because Americans understood the moral stakes in the Cold War, because we persevered -- now we're able to work at building a lasting peace between East and West. We're working with democratic Russia to reduce the arsenals that once threatened to unleash a nuclear war 7 and to cooperate on defenses against ballistic missiles. When we faced our first big challenge after the Cold War, we didn't shrink. We stood up to Saddam's aggression and expelled him from Kuwait. We protected the people of Israel and Saudi Arabia. Now we've brought age-old adversaries to the peace table for the first time. We've gained the greatest opportunity in centuries to establish real peace in the Holy Land. His Holiness, Pope John Paul, has spent many days and nights at work and in prayer for peace in the Middle East. As long as I am President, I assure you I'll do everything I can to bring about that peace that so many pray for. 11 Respect for life \ for freedom \ for human dignity \ forms the common basis both for peace in the world and for renewal at home. The Knights of Columbus are in the forefront of this effort. In countless ways you help your neighbors: Organizing Scout troops. Sponsoring the Special Olympics. Visiting the sick. Nourishing minds and souls that hunger for sound values. You bear witness to the fact that real compassion and tolerance cannot abide abandonment of standards of right and wrong. 11 I try to keep that at my core. Whatever the cost, I intend to do what's right for America. I'll work to protect and renew America -- with a strong national defense, and with a true and steady moral compass. 11 Now that America's moral values -- liberty, honor, personal responsibility -- are victorious around the globe -- why in the world would we abandon them at home? We cannot. As long as I'm President, we will not. Let the 8 other side traffic in trendy and transitory moral fashions. I'm going to defend the principles for which you stand so firm. We'll keep our sights on what's good in America. We'll keep our focus on the potential in our families and our kids. We'll keep a reliable compass. We'll put our ship of state in finest sailing trim. We'll navigate our way to shining new horizons. 11 Thank you. May God bless you and our beloved country. # # # AUG- 3-92 MON 10:28 OPD P.01 Fires TELE-FAX COVER SHEET DEPARTMENT OF JUSTICE OFFICE OF POLICY & COMMUNICATIONS 10TH AND CONSTITUTION AVENUE, NW WASHINGTON, DC 20530 DATE: 8/3 SEND TO: Jeannie Butnam COMMENTS: Goldpill included - I also have a thick packet of the summaries of actual investigations FAX NUMBER: 456-6218 CONTACT PERSON: Kimberly Booth PHONE: 514-9205 NUMBER OF PAGES (INCLUDING THIS ONE): 6 OUR TELE-FAX NUMBER IS (202)-514-2424 AUG- 3-92 MON 10:29 OPD P.02 U.S. Department of Justice Federal Bureau of Investigation Office of the Director Washington, D.C. 20535 Contact: FBI Press Office IMMEDIATE RELEASE (202) 324-3691 June 30, 1992 "OPERATION GOLDPILL" TARGETS HEALTH CARE CRIME Attorney General William P. Barr and Director William S. Sessions announced today that more than 1,000 FBI Agents and 120 other law enforcement officers are making arrests, conducting searches, and seizing assets in over 50 cities and towns as part of "Operation Goldpill," the most widespread criminal fraud investigation of the health care industry ever carried out. Agents are expected to arrest more than 100 persons-- including pharmacists and prescription drug distributors. Barr said, "In February, the Justice Department released a report which underscored our continuing commitment to leading the effort to combat health care fraud. At that time, I announced resource enhancements in the FBI and Justice Department's efforts against this insidious type of white collar crime. Today, I congratulate the FBI, Director Sessions, the United States Attorneys and all those who have contributed to this most successful example of a nationally coordinated probe of fraud in the health care field. "Health care fraud is a serious crime that cheats the government and private industry, taking vast numbers of dollars from the pockets of Americans who pay taxes and insurance premiums. This type of fraud hurts all who use the health care AUG- 3-92 MON 10:29 OPD P.03 Medical Licensing Boards, Blue Cross and Blue Shield Special Investigative Units, pharmaceutical industry managers, and the United States Attorneys. Sessions said, "our objective today is to focus the attention of the American people on the issue of health care fraud and on those who are responsible for this epidemic of fraud and abuse." "Information gathered during the first portion of this investigation showed us that, in order to address the problem of health care fraud more adequately, we needed to assign more agents. Therefore, last February I redirected 50 FBI Agents because we want those engaged in health care fraud to know we will use all available investigative tools to stop them from lining their pockets by risking the health and well-being of the American public," Sessions said. Dr. Louis W. Sullivan, Secretary of Health and Human Services, said, "While only at tiny fraction of the medical community might by involved, for me, 'Operation Goldpill' is a bitter pill. As a physician, I find it unconscionable that any health care professional would sacrifice a patient's welfare for economic gain." "Operation Goldpill" is the first of many investigations being pursued to preserve the quality and integrity of our health care system," Sessions said. "Today's actions are part of the first phase of "Operation Goldpill" which intended to produce ongoing evidence against people who - 3 - AUG- 3-92 MON 10:30 OPD P.04 fraudulently siphon money from the health care system and prey on others without regard for the health risks or financial problems they cause. I want to assure the American public that at no time during this investigation did the FBI allow tainted or outdated pharmaceuticals to reach the public. During every step of this operation, the FBI worked closely with the FDA to carefully monitor potential sales of inferior medications. Whenever the FBI and FDA suspected any medications of being adulterated or expired, they were seized. Public safety was paramount, and plans were put in place to ensure that affected customers had continued access to medication. Signs advising patients to contact their physician if they require medications will be posted at pharmacies that are being closed. Hotline numbers will also be posted," Sessions said. The investigation uncovered two schemes: Illegal diversion of non-controlled pharmaceutical medications and fraudulent billings. ILLEGAL DIVERSION * Individuals who are eligible to receive Medicaid obtain prescriptions for expensive medications through an unscrupulous physician, who may have recruited the patient. * The physician would bill Medicaid for extensive office visits by these patients who are not ill and may only stay five minutes or less, just long enough for the doctor to write out the prescription. - 4 - AUG- 3-92 MON 10:31 OPD P.05 The patients then have the prescription filled by a pharmacist who is involved in the scheme. Medicaid is also billed for the medicine. * The patient then turns around and sells the prescription drugs for approximately ten percent of their value to a "non-con" man, a street term for criminals who trade in non- narcotic prescription medication. * The "non-con" men, or diverters, purchase the drugs for resale to other "non-con" men or, sometimes pharmacies which, in turn, then sell them to the unsuspecting public. In most cases, the drugs are repackaged to disguise the origin of the medications. FBI investigations show this criminal activity is occurring in many metropolitan areas throughout the United States. FRAUDULENT BILLING * Filling prescriptions with generic drugs and billing for the more expensive brand name products; * Billing Medicaid and insurance carriers multiple times for the same prescription; * Billing Medicaid and insurance carriers for prescriptions never written or filled; and, Filling only a portion of the prescriptions, causing patients to return at a later date to get the rest of their medications. By splitting the prescription, the pharmacist is paid two dispensing fees instead of the one he normally receives when he fills a prescription. - 5 - AUG- 3-92 MON 10:31 OPD P. 06 "Despite the number of arrests, searches and seizures executed today, it is essential that the American public continue to have faith in those health care professionals who work diligently to provide the very best medical care possible," said Sessions. ### - 6 - AUG- 3-92 MON 10:32 OPD P.07 VL01 WI - .... -- SENT BY:Xerox Telecopier 7020 ; 8-30-92 : 13:55 : The White House- OPD:# 2 THE WHITE HOUSE office of the Press Secretary For Immediate Release June 30, 1992 STATEMENT BY THE PRESIDENT The federal government took another major step today to protect our citizens against & type of crime which victimizes all Americans: health care fraud. More than 1,000 FBI agents carried out early morning raids in over 50 cities nationwide as part of "Operation Goldpill" and we expect charges against some 200 individuals, cerporations, and pharmacies. The targets of this unprecedented crackdown are pharmacists, other health care professionals, and prescription drug distributors who are charged with carrying out widespread fraud through excessive billings and the illegal diversion, repackaging and distribution of prescription medicine. These health care professionals are charged with betraying a sacred trust to their patients. These frauds steal billions from the pockets of every American who pays taxes and health insurance premiums. These crimes also pose potentially grave health hasards to patients. Health care and health care fraud have long been enforcement The government also has a sacred trust: to protect all Americans. priorities Service for the Justice Department and Department of Health and Human Services. Let those medical professionals and others who pray on the public take need: This is only Phase One of operation Goldpill. The FBI and other enforcement agencies working with them are using every law enforcement tool in our arsenal against these serious crimes, including court-approved wiretapping and undercover agents. H wish to take this opportunity to congratulate the FBI, Attorney General Barr, and Health and Human services Secretary Sullivan for this outstanding example of a nationally coordinated effort. I look forward to the continued results of Operation Goldpill. # # # AUG- 3-92 MON 10:36 OPD P.01 TELE-FAX COVER SHEET DEPARTMENT OF JUSTICE OFFICE OF POLICY & COMMUNICATIONS 10TH AND CONSTITUTION AVENUE, NW WASHINGTON, DC 20530 DATE: 8/3 SEND TO: Jeannie Butname COMMENTS: Goldpill included - I also have a thick packet of the summaries of actual investigations FAX NUMBER: 456-6218 CONTACT PERSON: Kimberly Booth PHONE: 514-9205 NUMBER OF PAGES (INCLUDING THIS ONE): 15 OUR TELE-FAX NUMBER IS (202)-514-2424 AUG- 3-92 MON 10:36 OPD P.02 Accorup. keport FIGHTING FRAUD AND PUBLIC CORRUPTION The Justice Department considers white collar crime -- fraud and public corruption a top priority and a major threat to the nation's well-being and economic health. In addition to the huge financial losses they impose on their victims, these crimes can undermine confidence in the nation's public and private institutions. During the past three years, the Department through the FBI, U.S. Attorneys, and the Civil, Tax, and Criminal Divisions -- has expanded its resources to deal firmly and swiftly with white collar crime. These new efforts include special offices and task forces to investigate and prosecute patterns of white collar crime as well as emerging areas of economic crime. FINANCIAL INSTITUTION FRAUD. In June 1990, the Attorney General appointed a Special Counsel for Financial Institutions to coordinate investigations and prosecutions in this area. In February 1991, the Attorney General created the New England Regional Bank Fraud Task Force with its headquarters in Boston. In addition, 323 prosecutors have been added in U.S. Attorneys Offices and 100 U.S. Secret Service Agents have been assigned to financial institution fraud (FIF) cases as a result of resource enhancements in 1989 and 1990; a total of 853 FBI agents are presently working these important matters. During the summer of 1991, 30 AUSA positions were dedicated in 8 districts to work on a pilot project to recover fines, restitution and seek affirmative civil recoveries in these FIF matters in coordination with the regulatory agencies. o Overall Statistics. From FY 1989 through the third quarter of FY 1992, the Department charged 3,270 defendants in major financial institution fraud cases. During that period, 2,603 defendants were convicted - a 95.9% conviction rate. Of those convicted, 77% were sentenced to prison terms. In addition, $18 million in fines were imposed, and nearly $800 million in restitution ordered. 1,188 defendants were charged, and 862 were convicted in major S&L cases. The convictions resulted in 542 defendants being sentenced to prison, and nearly $11 million in fines imposed. o Dallas Task Force. Since the Task Force began in 1987, 190 people have been charged and 142 of those charged have been convicted. It has achieved convictions in all the major failure cases commonly associated with the S&L crisis in Texas Sunbelt, Vernon, Western, Caprock, Security, Southwest and First Western. Sentences ranging to 30 years in prison and millions in fines have been achieved. 0 BCCI. The Bank of Credit and Commerce International pleaded guilty to federal racketeering charges in January 1992. In December 1991, BCCI agreed to plead DOJ Accomplishments 1989 H (July) 1992 19 AUG- 3-92 MON 10:37 OPD P.03 guilty to federal and state charges of conspiracy to commit racketeering and fraud. As part of the agreement, BCCI will forfeit all of its assets in the United States ($550 million), the largest forfeiture in history, and will cooperate fully in ongoing investigations of individuals. The plea agreement covers all three of the BCCI corporate entities and a closely related organization. On January 24, 1992 the Court accepted the plea and ordered the $550 million forfeiture. On July 29, 1992, Clark Clifford and Robert Altman were indicted separately by federal and state authorities. o In California and Arizona, the infamous Lincoln Savings case has produced several indictments and convictions. Recently indicted and awaiting trial was the head of Lincoln - Charles Keating. Three of the initial five people indicted in the Lincoln case pleaded guilty and are cooperating as government witnesses. Charles Keating, III also has been indicted and is awaiting trial. Both Keatings are scheduled for trial on October 20, 1992. SECURITIES FRAUD. To combat fraud in the nation's securities and commodities markets, the Department established Securities and Commodities Fraud Task Forces in selected U.S. Attorneys offices in January 1989. More than 400 cases are now under investigation by the Task Forces in Chicago, Los Angeles, San Francisco, Kansas City, Denver, New York (Manhattan), Philadelphia, Salt Lake City, and Newark. Major successes have been scored by the Department against traders and their firms as well as individuals engaging in illegal trading and market manipulation. In addition to the Department's successful prosecution of the massive Boesky-Milken- Drexel-Burnham securities fraud, a major Department undercover investigation into illegal floor trading at the Chicago Board of Trade and the Chicago Mercantile Exchange resulted in 48 indictments returned on August 3, 1989; 36 convictions have been obtained to date. Eleven of those convicted were found guilty on RICO charges. HUD FRAUD. In 1989, the Attorney General directed all U.S. Attorneys to "give HUD fraud cases a top priority." In addition, a HUD Fraud and Corruption Coordinating Group was created in the Criminal Division. During FY 1989-91, the Department has obtained 386 convictions; over $48.4 million in fines, recoveries and restitution have been ordered. In Oklahoma City, a HUD task force established in October 1988 to investigate HUD fraud secured 40 convictions and more than $6.4 million in fines and court-ordered restitution. DOJ Accomplishments 1989 - (July) 1992 20 AUG- 3-92 MON 10:38 OPD P.04 HEALTH CARE FRAUD I. Introduction In 1991, the United States expended $738 billion in providing health care to the public. This equates to an expenditure in excess of $24,000 per second. By comparison, in 1980, health care cost approximately $282 billion. By 1994, the United States Chamber of Commerce estimates the United States health care costs will eclipse $1 trillion, and $1.6 trillion by the turn of the century. By the year 2000 health care will consume up to 16.4 percent of the Nation's gross national product (GNP). Health care frauds and crimes committed by health care professionals affect our income and imperil the safety of patients. People stricken with illnesses seeking medical treatment are the unwitting victims of unnecessary laboratory tests, surgeries, x-rays, prescriptions, supplies, and other ancillary services which defraud Government-funded programs and private insurance carriers. Additionally, these frauds expose patients to treatments which potentially subject them to unwarranted dangers. Health care fraud continues to be a top investigative priority within the FBI's White-Collar Crimes Program (WCCP). Additionally, the Attorney General's Economic Crime Council has mandated health care fraud as a top prosecutive priority, having recognized the safety issues and the enormous economic considerations involved. The Chamber of Commerce estimates that between 5 to 20 percent of all paid insurance claims are fraudulent or questionable. HEALTH CARE COSTS 5% 15% FRAUDULENT QUESTIONABLE LEGITIMATE SOURCE . CHAMBER OF COMMERCE AUG- G 3-92 3 MON 10:39 OPD P.05 While a number of law enforcement and commercial investigative agencies look into allegations of criminal activity by health care professionals, the FBI has taken a prominent role in bringing these cases to prosecution. During the past fifteen years, the FBI has focused on a variety of criminal activities by different types of health care providers, including: false billings and excessive diagnostic tests by physicians controlled substance and prescription distribution abuse by pharmacies and physicians pharmaceutical diversions, false billings, generic substitutions and kickbacks by pharmacies kickbacks and false test results by medical laboratories false cost reports by hospitals and nursing homes kickbacks or patient screening by health maintenance organizations (HMO) false billings and kickback activities by therapists, ambulance service companies, and other ancillary health care providers A. The Historical Perspective The FBI's initial investigations into health care fraud during the 1970s were viewed favorably because this type of fraud had not been investigated before. But there were also some negative aspects. First, the investigative efforts were restricted to a few field offices and the FBI's national coverage was spotty. Second, these investigations were almost exclusively traditional in that field divisions overwhelmingly resolved criminal allegations through strictly overt investigative techniques such as record reviews and interviews. During the early to late 1980s, the FBI's resources in health care fraud investigations were diverted from the WCCP to address two major crime problems: drugs matters and the savings and loan crisis. FBI offices were only able to address significant investigative health care fraud matters. By 1990, the FBI's trained investigators and the criminal intelligence base in health care frauds diminished. P.06 AUG- 3-92 MON 10:39 OPD B. The FBI's Current Perspective However, during the past two years, the FBI's efforts in health care investigations have been redefined and focused on addressing significant crime problems, developing an extensive intelligence base and training field Agents in the complex aspects of conducting health care investigations. As a result of an aggressive training program and increased interest from field divisions, the FBI coverage of health care fraud has become less localized and is pursued nationally by virtually all FBI field offices. Currently, present day health care efforts involve broader participation by most field divisions with a focus on larger regional and national crime problems. Since 1989, FBI expenditures in health care fraud investigations have more than doubled from $4.2 million to expenditures of $9.3 million in Fiscal Year 1991. At the same time, manpower committments have increased by 150 percent. Currently, 147 Agents are working on health care violations. FBI MANPOWER UTILIZATION HEALTH CARE AGENT WORKYEARS 160 140 120 100 80 60 1988 1989 1990 1991 1992 FISCAL YEARS (INCLUDES GOVERNMENT FRAUD & ECONOMIC CRIMES WORKYEARS) AUG- 3-92 MON 10:40 OPD P.07 As in the early 1980s, where the FBI used its arsenal of sophisticated investigative techniques to address organized crime families, white-collar crime investigations, and more specifically health care frauds, have also been addressed through undercover operations, consensual monitoring and Title III electronic surveillance. single defendant prosecutions have given way to multi- defendant conspiracy indictments; and, rather than "reacting" to isolated complaints, the current initiatives include the deployment of unique and sophisticated proactive investigative techniques. The FBI's efforts now focus on the larger crime problems and are evidenced by recent successes in: pharmaceutical frauds and diversions medicare frauds medicaid clinic frauds The FBI has also taken a broader approach to health care provider fraud cases. While it has been recognized that Government-funded health care frauds are significant criminal problems, it has been repeatedly shown that providers who defraud the Government also defraud commercial insurance carriers. Field offices have more effectively addressed Government frauds by investigating the same provider for commercial insurance fraud. This approach not only deals with significant financial ramifications of health care fraud on the commercial insurance industry, but also streamlines the inherent difficulties in investigating many Medicare cases. Medicare patients can make good witnesses, but often they are reluctant to testify or cannot produce the evidence needed to bring the case to prosecution. Also, for age reasons, undercover efforts are difficult in many Medicare cases. Consequently, a broader investigative approach to health care fraud is necessary to more effectively address crimes perpetrated by health care providers and unscrupulous businessmen. Recent results have been extremely successful with a certain expectation there will be significant prosecutions of professionals and businessmen engaged in criminal activity. AUG- G 3-92 MON 10:41 OPD P.08 II. The Health Care Industry Medicaid is funded by both the Federal and state governments with each state contributing up to 50 percent to the program. Many states fund substantially less than 50 percent. In 1991, Federal/state contributions to Medicaid totalled approximately $80 billion. The Federal Government's share of contributions was approximately $40 billion. Medicare is funded entirely by the U.S. Government. In 1991, $112.2 billion was expended in medical claims for the elderly. Medicare's high cost and continued rapid growth are evidence of inadequate economic incentives for patients and providers to contain costs. Other Government-sponsored programs, which include benefits provided to Federal employees, retired and active military and their dependents, veterans, and others, account for $92.4 billion in current expenditures. Private health insurers, through contributions by employee benefit plans and the general population, support and pay the expenses of the substantial balance of health care costs. Private insurance costs as well as out-of-pocket expenses account for the majority of expenditures or $400 billion. The Nation's Health Dollar: 1990 Private Insurance Hospital Care Medicare Other 38% 17% 20% 23% Nursing 14% 19% Home Medicaid Out-of-pocket Personal Physician Other Govt. Payments Health Care Services Programs Where it came from Where it went Source - HCFA AUG- 3-92 MON 10:41 OPD P.09 III. Health Care Crime Problems Health care fraud is a criminal activity which is committed by both highly educated health care professionals and specialized business entities. Health care frauds occur in every segment of the health care industry. Frauds have been uncovered in hospitals, nursing homes, clinics, and pharmacies. Health care frauds have been committed by durable medical equipment (DME) companies and suppliers, pharmaceutical representatives, medical testing laboratories, and others who provide services to health care professionals and institutions. Deception, violations of professional ethics, and betrayal of the public trust are key incentives to providers and businessmen committing health care frauds. Distribution of Cases Investigated Services not Rendered 3% Other 14% Employment Falsification Fraudulent Copay/Deductible Diagnosis Waiver Brand/Generic Substitution Source: 1989 HIAA Survey 3-92 MON 10:42 OPD P.10 A. Billing Frauds Primarily frauds revolve around the submission of false claims. False billings by health care providers generally occur when: the service was never rendered a service was in fact rendered, but a more expensive procedure (unperformed) was billed the service was preformed fewer times than it was billed the diagnosis code on the billing is altered to purportedly justify more expensive treatment and procedures the service was not rendered by the qualified professional but was rendered by lesser or unqualified individual One example of false billing for services not rendered involves medical laboratories who "sink test" a procedure which essentially involves dumping blood and urine specimens down the sink without performing the tests and then reporting test results within the normal range. Another example is a pharmacy which, upon receiving a prescription from a patient, dispenses an inexpensive generic drug but bills for a more expensive or brand name drug. A similar type of pharmacy crime occurs when the pharmacist has purchased devalued, diverted, or stolen pharmaceuticals. Because pharmacies are required to bill insurance carriers on a cost basis, their billings should reflect actual costs incurred in the acquisition of pharmaceuticals. If the pharmacy has obtained stolen pharmaceuticals or dispensed samples, their acquisition costs are, of course, negligible. To bill legitimately the pharmacy should be reporting these reduced costs to insurers. If they do not accurately represent the costs, fraudulent billings result. Other examples of false billings include: clinics billing for patient examinations when none have been performed AUG- 3-92 MON 10:43 OPD P.11 physical therapists performing two modes of therapy on a patient and then billing for four separate procedures physicians representing that a more expensive plaster cast was placed on the patient rather than the less expensive splint pharmacies billing for refilled prescriptions when the prescriptions are not refilled ambulance companies billing for emergency conveyance when no "emergency" existed podiatrists billing for extensive medical procedures while simply clipping a patients toenails durable equipment providers who bill for the purchase or rental of medical equipment well beyond the time period the equipment is used or on a more frequent basis than actually provided In addition to the myriad of services that health care providers bill for without actually providing the services, criminal activity is being conducted to a number of less obvious yet insignificant segments of the health care industry. B. Hospital and Nursing Homes False cost reports filed by nursing homes or hospitals can also be prosecuted through Federal criminal statutes. Nursing homes and hospitals bill insurers on a cost basis. The greater the cost of operating their facility the greater the reimbursement rates for room use, treatments, and other components of in-patient care. Insurers, intermediaries, and auditors rely upon the representations these facilities make concerning their operating costs. Therefore, if the facility falsely inflates the reported costs, the insurer pays a higher fee structure than it should. Since these cost reviews are mostly an auditing function, the FBI's role has been to work closely with other investigators and auditors, who conduct the initial review and determine the accuracy and necessity of charges generated by hospitals and nursing homes. AUG- 3-92 MON 10:43 OPD P.12 C. Health Maintenance and Preferred Provider Organizations Additional criminal activities involve the "screening" of patients who obtain treatment through Health Maintenance Organizations (HMO) and Preferred Provider Maintenance Organizations (PPMO). Both HMOS and PPMOs are multipurpose provider organizations which charge reduced fees for services because they service large groups of the patient population. The fees are usually paid on a per capita or patient basis. Both HMOs and PPMOs generally bill employers or insurers a single fee for each patient or employee on a annual basis, regardless of the number of patients, visits or number of procedures performed. Naturally, the HMOs profits are greater when fewer procedures need to be performed on patients. Therefore, the healthier the patients, the more profitable the HMO becomes. "Screening" is the fraudulent practice that the HMO performs when it excludes or "screens" the sick patients and accepts only the healthy patients. The HMO falsely reports to the insurers, however, that it has not discriminated against individuals by not providing services to otherwise qualified persons. Another type of false billing takes place if the physician or other primary care professional enters a false diagnosis code. Before ordering expensive laboratory x-rays or other similar services, physicians justify the ordering of such procedures by determining that a need exists to make such diagnostic inquiries. They accomplish this by entering a diagnosis code on the service order forms. For example, a physician examines a healthy patient and orders extensive diagnostic tests for the patient based upon a knowingly false diagnosis, the physician has submitted a false billing. Prosecutions of this type of criminal activity has historically been limited to egregious situations. It must be remembered that a physician has a professional prerogative to treat patients with wide latitude. To be pursued criminally, it must be shown that the services billed bear absolutely no relationship to the patients' actual condition and therefore are a sham. Evidence in these situations must be exceptionally strong to sustain successful prosecution. AUG- G 3-92 MON 10:44 OPD P.13 D. Diet Clinics Current intelligence data shows that diet clinics commit significant frauds upon Government and private carriers. Clinics involved in criminal activity perpetuate fraud by soliciting patients (usually through mass media) and promise weight loss at nominal expense to the patient. Customers who frequent diet clinics are often required to undergo a series of blood tests, x-rays, and other ancillary tests. These services are then billed to insurers under the false pretense of a manufactured psychological malady. The clinics solicit patients promising an in-house respite at a country club-type facility usually at a warm climate location. Patients are provided airfare and are often chauffeured to the club. Services such as trips to Disney World or deep sea-fishing are billed as therapy. The hospital stay as well as all services provided is billed to the Government and insured carriers based upon a purported psychiatric diagnosis when in fact the patients were at the clinic to lose weight or simply a respite-type vacation. The clinics accomplish the fraud by misstating medical conditions of their customers in order to justify payments for the tests and other services. Frauds of this nature have been documented in the millions with little investigative emphasis. E. Psychiatric Hospitals In recent years, employers have expanded health care benefits to employees to cover treatments for substance abuse, alcoholism, and mental depression. Generally, health insurance allows for coverage of in-patient treatment for up to 28 days on an annual basis. Current intelligence shows that psychiatric hospitals and clinics are defrauding Government programs and private insurers of hundreds of millions of dollars annually when out- patient treatment was appropriate. Patients have been forcibly admitted into psychiatric treatment programs in situations where they posed no threat to the community or themselves. Often patients are subject to batteries of blood tests, x-rays, shock treatment, and other services. Investigations to date have disclosed billings to the Government in the hundreds of millions of dollars. Private insurers have also provided similar allegations involving hundreds of millions of dollars of billings. AUG- 3-92 MON 10:45 OPD P. 14 F. Durable Medical Equipment Frauds Current investigations and the intelligence base have shown that DME fraud is a significant criminal problem. DME frauds are perpetrated through several schemes. Subject companies often pay kickbacks to nursing homes and hospitals for obtaining supply contracts. Subjects have been known to use aggressive telemarketing scams to fraudulently bill unnecessary DME supplies and services. Other subjects obtain patient lists from nursing homes and routinely bill for products or services which are neither needed or rendered. G. Senior Citizens' Homes Senior citizens' homes often accommodate patients long- term medical attention to a lesser degree than care provided in nursing homes and hospitals. With "baby boomers" reaching retirement age, senior citizen homes are fast becoming a growing industry. The intelligence base has also indicated substantial fraud at these facilities. DME suppliers, pharmaceutical suppliers, physical therapists, and other ancillary care providers perpetrate fraud by paying kickbacks to the home's managers or bill for phony services. Controlled substance violations Title 21, USC, Section 841 addresses criminal behavior in the dispensing of controlled substances and issuance of prescriptions for controlled substances. This statute prohibits health care facilities from issuing prescriptions for controlled substances unless the physician has made medical inquiry through examination and has come to a bona fide conclusion that the patient has a need for controlled substances. (Pharmacists have similar obligations.) The prosecution of health care providers for fraud coupled with narcotics-related offenses has been encouraged in White-Collar Crimes investigations for several reasons. Such prosecutions are usually more appealing to Assistant U.S. Attorneys and the criminal penalties are generally more severe and much more likely to result in significant jail sentences. AUG- 3-92 MON 10:45 OPD P.15 IV. Related Health Insurance Frauds A. Slip and Fall Cases Private insurers and the Government lose millions of dollars annually to phony automobile and "slip-and-fall" claims. Ongoing investigative matters and the intelligence base indicate that billions of dollars in medical and liability claims are paid annually to medical doctors, lawyers, and parties faking injury. Normally, to avoid litigation costs, insurance companies generally agree to settle claims through arbitration. The cooperating doctor will have conspired in structuring the fraud and the arbitrator generally is not able to determine that the claim is valid. B. Multiple Employer Welfare Arrangements A Multiple Employer Welfare Arrangement (MEWA) constitutes part of an employee welfare benefit plan, or any other arrangement, that is established or maintained for the purpose of offering or providing medical, surgical, or hospital benefits, or benefits in the event of sickness, accident, disability, or death to the employees of two or more employers, or to their beneficiaries. Small employers lacking the expertise and desperate to cope with high health insurance costs, are turning to these arrangements on the erroneous assumption that they are safe, either regulated by the state insurance department or adequately protected under Federal law. Operators forming fraudulent MEWAS use proposals, application forms, benefit booklets, and other materials that make them appear to be licensed insurance companies or which suggest that large legitimate insurers stand behind their policies. The low rates, offered by fraudulent MEWAS, may be very alluring to small businesses who require low cost insurance. However, these low rates provide for actuarially unsound insurance plans. The fraudulent MEWA represents a high-stakes Ponzi scheme paying today's claims with tomorrow's premiums. Fraudulent MEWA operators deliberately design their scheme to pay small claims on time and in full during the early stages of operation. This process avoids consumer complaints that would normally alert insurance regulators and criminal investigators. When a fraudulent or unauthorized MEWA is discovered, regulators must initiate an investigation and bring civil proceedings in court to obtain an injunction to stop the MEWA. This process has built in delays which allow the fraudulent MEWA operator to collect additional contributions. A fraudulent MEWA typically involves violations of the Federal Fraud by Wire, Mail Fraud, and various banking and/or securities fraud statutes. These statutes directly convey to the FBI authority to conduct investigations. AUG- 3-92 MON 10:46 OPD P.16 V. Development of a National Strategic Investigative Plan this country, the FBI has adopted the following: - In order to impact on health care frauds affecting - Assigned resources to address identified health care problems, using a national concept, "Goldpill," which will address & local problem nationally. - Devoted resources to cases focused at national health providers such as psychiatric hospitals and diet centers which are committing frauds nationwide. - Devoted resources to investigations involving ancillary services provided to the health care industry. - Devoted a sufficient number of resources which will penetrate and attack health care frauds in every segment of the industry in a coordinated effort. - Have resources able to follow up on intelligence obtained through current investigations and initiatives in order to expand upon existing efforts. To attack the further problems which have already been defined will require an infusion of investigative resources and coordinated effort with both law enforcement and private insurers. The most fundamental hurdle to overcome in tackling health care frauds afflicting the Nation will be determining the magnitude of the crime problem. TEL: Aug 03'92 16:36 No 016 P.01 FAX BUSH *** QUAYLE 92 1030 15th St. NW Washington, DC 20005 Date: 8/3/92 To: Jeannic Bunton Organization: Fax Number: 456-6218 From: Grahams Kinahan Organization: Number of Pages to Follow: Phone Number: 336-7865 Comments: Confidentiality Notice confidential The document accompanying this telecopy transmission contains information belonging to the distribution above. If you are not the intended recipient. you are hereby notified that any disclosure, incividual or entity named and may be legally privileged. The information is intended only for the use of the sender which is prohibited. If or the taking of any action in reliance on the contents of this telecopied information is copying. return of the original you have document received to this us. telecopy in arror. please immediately notify US by telephone to arrange strictly for TEL: Aug 03'92 16:36 No 016 P.02 Note: The following points are for partisan use, and are written and constructed accordingly. They should be shared and copied within GOP circles only. Clinton and Family Values On Mother's Day, Clinton spoke in San Francisco and said, "For all the talk of family values by those who have governed this country for 20 of the last 24 years, we don't do anything like we should in the rearing and educating of children." He continued, "All the people who thump their convictions and religion and pretend to be so righteous, where are they when the family values can't be found on the streets of this country? When there is no health care for pregnant women? When too many children are born with low birth weights? ... Where are they?" Well, maybe they're somewhere in Arkansas. During Clinton's tenure as governor for 12 of the last 14 years, Arkansas has remained or sunk even lower in a mire of afflictions that threaten Arkansas' families. Clinton also said in San Francisco, "I grieve for the causes that led to" the riots and looting. Yet, he has done little or nothing to deal with the very same problems in Arkansas. Families and Family Values in Clinton's Arkansas Despite objection from many churches and parents, Arkansas is one of the few condoms states to have school-based health clinics which are encouraged to dispense condoms to children. The program was initiated and sustained under the Clinton administration in order to fight the second highest teenage birth-rate in the nation. According to the Wall Street Journal in 1986, teenage family planning clinics have led to lower birthrates nationally, but not lower pregnancy rates. Dr. Joycelyn Elders, the Clinton-appointed director of the Arkansas Department of Health, told 60 Minutes in 1990 that, "It's apparent that preaching abstinence does not work." Elders also admitted that the school-based health clinics counsel girls on their options abortion being one such option. But, Clinton said during the 1990 gubernatorial campaign that the school clinics did not give abortion counseling. Though Clinton admits that unmarried pregnant women are a serious problem for America, pregnancy out of wedlock is rampant in Arkansas. The number of unmarried pregnant women rose from 20.5 percent in 1980 to 26.5 percent in 1988. In 1986, Arkansas ranked 17th nationally for unmarried women giving birth. On the campaign trail, Clinton has said that illegal drugs are a scourge, and yet the Arkansas high school dropout rate due to drug and alcohol abuse rose 29 percent from 1987-88 to 1988-89. TEL: Aug 03'92 16:37 No. 016 P.03 see next page for School prayer DOCUMENT- 72 OF 914 PAGE = 1 OF 7 ACCESS # AG21329 HEADLINE Special session to start Monday, focus on damage control from last Byline: JOHN BRUMMETT DATE 06/16/85 SOURCE THE ARKANSAS GAZETTE (AG) Section: CITY Page: 1A (Copyright 1989) RE AR The 75th General Assembly will convene in special session at 4 p.m. Monday, not quite three months since adjourning its regular session, for a meeting that is expected to last a week or two and is primarily designed to head off damage that could result from actions taken in the regular session. The session, called by Governor Bill Clinton and encouraged by Attorney General Steve Clark, will deal mainly with the proposed amending, and perhaps repeal, of three laws that many now acknowledge were ill-conceived, or at least a bit freewheeling. Three main issues These are the laws: Act 740 of 1985, which grants tax credits, meaning direct reductions in tax liability, for donations during 1985 and 1986 to public or private colleges and universities to maximum amounts of $200 for individuals, $400 for couples and $5,000 for corporations. In other words, a person could donate $200 to a college and reduce his tax debt by $200. The state, in effect, would reimburse him, and the taxpayer conceivably could profit by itemizing the contribution as a deduction in a federal tax return. The law would take effect June 28, the 90th day after adjournment of the regular session, but Mr. Clinton wants to restrict it before the effective date because of fear that the drain on the state treasury could reach $9 million a year or more. He has proposed granting a 33 per cent credit on donations to maximums equal to half those in the current law for individuals and couples, and $1,000 for corporations. That might reduce the state's loss to $1.5 million or SO. Senator Ben Allen of Little Rock, chairman of the Senate Revenue and Taxation Committee, has promised to fight for outright repeal of the law. Colleges and universities, both public and private, have indicated a willingness to reduce the credit, though most oppose repeal. Act 491 of 1985, which legalizes home schools, provides only that home-educated youths must pass a test after reaching age 9 and gives the state Education Department no authority to enforce regulations it has proposed on the subject. Mr. Clinton has avoided specifics and has asked the legislative Joint Interim Education Committee for advice. The Committee met Thursday and will meet again Monday morning. The governor has mentioned earlier testing requirements. Clark has said the law should require testing of parents who choose to teach their children and curriculum and attendance requirements. Some legislators can be expected to favor repeal of the law, while home school advocates want to keep the bill in its current form. Act 417 of 1985, which grants tax credits of up to $4,000 a year for up to 10 years to defray the costs of individuals or businesses who build surface water impoundments for storage, conservation or wildlife management. The bill is intended to encourage the preservation of groundwater and was popular with many East Arkansas TEL: Aug 03'92 16:38 No.016 P.04 legislators who considered it an alternative to the twice-unsuccessful efforts to adopt a comprehensive state water code. Mahlon Martin, the director of the Finance and Administration Department, has warned of a substantial, though undeterminable, revenue loss to the state. It is conceivable that the tax credits could extend to the building of stock ponds. Again, Mr. Clinton hasn't yet offered specifics, other than to say he wants to reduce the size of the tax credit. Other issues are bound to attract attention and cause dispute, and it's possible the Grand Gulf matter will rear its head. Grand Gulf not on list now Friday, Mr. Clinton asked the state Public Service Commission to recommend any possible pieces of legislation that might help the state deal with the Federal Energy Regulatory Commission ruling last week requiring the Arkansas Power and Light Company to pay 36 per cent of the Middle South Utilities share of the Grand Gulf nuclear power plant in Mississippi. He hadn't mentioned any Grand Gulf issues in the formal proclamation for the session, but he could amend the proclamation later. The governor has said a state takeover of AP and L is a last resort and that the point of last resort hasn't been reached. State Representative Lloyd George of Danville has a takeover bill ready for filing and has indicated a willingness to introduce it as an alternative to increases of 40 per cent or more in residential electric rates. (Increases that high only would come at the end of the phase-in of Grand Gulf costs and including a pending retail rate increase request.) In a special session, the General Assembly may consider only those measures proposed by the governor or bills initiated by legislators that are germane to the subjects enumerated by the governor in his formal proclamation - unless it votes by two-thirds majority to consider something else. School prayer on agenda School prayer will be on the agenda. Mr. Clinton wants to amend the state law permitting school prayer to make it conform to the ruling last week by the United States Supreme Court that struck down an Alabama law on silent school prayer. The Supreme Court indicated states could permit moments of silence or meditation as long as they were not for the expressed purpose of religious prayer. As is the case with the college tax credit and home school issues, Clark had encouraged Mr. Clinton to include the school prayer issue in the session. Splitting parimutuel handle The potentially volatile issue of distributing the parimutuel handle from Oaklawn Park's horse racing season is also on the agenda. Until last year, the Arkansas Thoroughbred Breeders Association had received a portion of the handle for purses and breeders' awards. But a new law enacted in 1984 said the breeders would get a portion of the handle exceeding the handle of the previous year. What happened this year was that the handle was down for the first time in recent memory, so the breeders got nothing. Mr. Clinton wants to write the breeders into the distribution formula, assuring them some money. The governor listed 21 items in his proclamation, issued Thursday, and most were houskeeping matters. His office said an amended proclamation could be expected Monday adding three or four more items. THE ALAN GUTTMACHER INSTITUTE 111 FIFTH AVENUE NEW YORK, NEW YORK 10003 (212) 254-5656 AGI FACSIMILE NUMBER (212) 614-9203 FACSIMILE COVER LETTER Date: 8/3/92 Number of pages (including cover sheet) 5 To: Jeanie Bunton Fax No. 202 456 -6218 Firm Name: Office of Speech writing Office No. From: Susan Teur Ext. Comments: Please Check Appropriate Selection(s) A Original will not follow Original will follow via: Regular Mail Overnight Delivery Hand Delivery Other If you have problems receiving this transmission, please contact us. Confidentiality Note: information contained in this facsimile pessage is legally privileged and confidential information intended only for the use of The addressee named below. If the reader of this message is not the intended recipient, you are hereby notified that any dissemination distribution the or of this telecopy is strictly prohibited. If you have received this telecopy in error, please immediately notify us by telephone copy and return the original 8855398 to us at the address above via the United States Postal Service. We will reiaburse any costs you incur in notifying us and returning the aessage to us. Thank you. P.01 FAX NO. 6149203 ALAN GUTTMACHER INST. 16:44 NOW 3992 Aug- The FACTS Alan Guttmacher Institute An Independent, Nonprofit Corporation for Research, Policy Analysis and Public Education 111 Fifth Avenue New York, New York 10003 Telephone 212 254-5656 BRIEF Fax: 212 254-9891 2010 Massachusetts Avenue, NW Washington. DC 20036 Telephone: 202 296 4012 Fax. 202 223-5756 Abortion in the United States Catholic women are about as likely to obtain an abortion as INCIDENCE OF ABORTION are all women nationally, while Protestants and Jews are More than 50% of the pregnancies among American less likely. Catholic women are 30% more likely than women are unintended-1/2 of these are terminated by Protestants to have abortions. abortion. In 1988, there were 1.6 million abortions in the United 1 in 6 abortion patients in 1987 described herself as a born- States. From 1973 through 1988, more than 22 million legal again or Evangelical Christian; they are half as likely as other women to obtain an abortion. abortions took place in the United States. Since 1967, when 70% of women having an abortion say that they intend to many states began liberalizing their abortion laws, almost have children in the future. 24 million legal abortions have been performed. On average, women report more than 3 reasons that lead Each year nearly 3 out of 100 women aged 15-44 have an them to choose abortion: 3/4 say that having a baby would abortion-43% have had at least one previous abortion and interfere with work, school or other responsibilities; about 49% have had a previous birth. 2/3 say they cannot afford to have a child; and 1/2 say they The abortion rate-the number of abortions per 1,000 do not want to be a single parent or have problems in their women aged 15-44-in 1975 was 22; in 1980, 29; in 1985, 28; Of women having abortions, 1% have been advised that the relationship with their husband or partner. and in 1988, 27. The United States has one of the higher abortion rates fetus has a defect and an additional 12% fear that the fetus among developed countries; U.S. rates of abortion and may have been harmed by medications or other conditions. unintended pregnancy are about 5 times those of the About 16,000 women have abortions each year because Netherlands. they become pregnant as a result of rape or incest. Most women who have an abortion after 15 weeks of pregnancy have had problems detecting their pregnancy, WHO HAS ABORTIONS AND WHY? and almost 1/2 are delayed because of problems, usually The majority of women obtaining abortions are young: 58% financial, in arranging an abortion. are under age 25, including about 26% who are teenagers (aged 11-19); only 20% are aged 30 and older. 18-19-year-old women have the highest abortion rate-64 ABORTION AND TEENAGERS The proportion of pregnancies terminated by abortion is per 1,000 women. Among teenagers, 82% of pregnancies are unintended. Of the 1.6 million abortions obtained by U.S. women in higher among unmarried women (56%), women aged 40 1988, 406,000 were obtained by teenagers. and older (44%), teenagers (41%) and nonwhite women 41% of women who become pregnant as teenagers choose (39%) than among all women (29%). abortion, while 59% continue their pregnancies to term Unmarried women are 5 times more likely than married (excluding those who miscarry). women to have an abortion. Of teenagers having abortions, 3/4 say they cannot afford Poor women are about 3 times more likely than women to have a taby, and 2/3 think they are not mature enough. who are financially better off to have abortions. Neverthe- More than 1/4 of unmarried teenagers under age 18 who less, 11% of abortions are obtained by women whose get abortions have never used birth control. Of those who household incomes are $50,000 or more. have, most have often used one of the less effective ones, While white women account for 65% of all abortions, the such as the condom or withdrawal. nonwhite abortion rate is more than twice the white rate Teenagers are more likely than older women to have (57 vs. 21 per 1,000). abortions during the second 3 months of pregnancy, when Hispanic women are 60% more likely than non-Hispanic health risks associated with abortion increase significantly. women to have abortions. 55% of teenagers under age 18 who obtain an abortion do Women who report no religious affiliation have a higher so with their parents' knowledge-the younger the rate of abortion than women who report some affiliation. teenager, the more likely that her parents know. 20 FAX NO. 6149203 ALAN GUTTMACHER INST. AUG- 3-92 MON 16:44 18 states currently have mandatory parental Involvement HOW SAFE IS ABORTION? laws in effect for a minor to obtain an abortion: AL, AR, The risk of complications with abortion is minimal-less GA, ID, IN, LA, MA, MI, MN, MO, NB, ND, OH, RI, SC, than 1% of all abortion patients experience a major compli- UT, WV, WY. The laws in all of these states except ID and cation associated with the procedure, such as A serious UT stipulate that a minor can seek a court order authoriz- pelvic Infection, hemorrhage requiring a blood transfusion ing the procedure without parental knowledge. CT or unintended major surgery, requires counseling by a professional for minors under age There is no evidence of problems with later childbearing 16; ME requires parental consent or counseling by a among women who have an early abortion performed by professional (as of 4/92). the most common method-vacium aspiration, The risk of death associated with childbirth is about 11 times as high as that associated with abortion. WHEN DO WOMEN HAVE ABORTIONS? The risk of death associated with abortion increases with 89% of abortions take place in the first trimester of preg- the length of pregnancy, from 1 death for every 500,000 abortions at 8 weeks or less to 1 per 30,000 at 16-20 weeks 50% nancy. of the 1.6 million abortions each year take place at 8 and 1 per 8,000 at 21 or more weeks. The risk of death associated with abortion decreased more weeks or less from the last time the woman menstruated than fivefold from 1973 to 1985, with 3.4 deaths per 100,000 (LMP); 27% at 9-10 weeks LMP; and 12% at 11-12 weeks LMP. 6% of abortions take place at 13-15 weeks LMP; 4% legal abortions in 1973 to 0.4 in 1985. at 16-20 weeks LMP; and less than 1% at 21 weeks LMP or more (0.6%). About 100 or 0.01% of abortions take place after 24 weeks. PUBLIC FUNDING AND ABORTION One study found that of 78 reported abortions past 24 Since 1977, the U.S. Congress has barred the use of federal weeks of pregnancy, 75 were classified incorrectly and funds to pay for abortions for Medicaid-eligible women were actually in utero fetal deaths or occurred at earlier except when the woman's life would be endangered by a gestation, and two of the three correctly classified abortions full-term pregnancy. However, 13 states use their own were for anencephaly. funds to pay for abortions for low-income women: AK, CA, CT, HL MA, MD, NJ, NY, NC, OR, VT, WA, WV (as of 4/92). WHERE DO WOMEN HAVE ABORTIONS? In 1987, 12% of all abortions in the United States were paid 9 out of 10 abortions take place in clinics or doctors' offices. for with public funds, virtually all of which were state In 1989, the cost of a first-trimester nonhospital abortion funds. ranged from $95 to over $1,000, and the average amount For every $1.00 spent by government to pay for abortions for poor women, about $4.00 is saved in public medical and paid was $250; charges are elightly higher now. The number of abortion providers declined by 4% between welfare expenditures incurred as a result of the unintended 1983 and 1988 (from 2,680 to 2,582). The geographic birth. distribution of services is markedly uneven: 83% of all U.S. When public funds are unavailable, 20% of Medicaid- counties lacked an abortion provider in 1988 yet these eligible women who want to have an abortion carry their counties were home to 31% of all women aged 15-44. pregnancy to term. An estimated 22% of the Medicaid-eligible women who 2% of all abortions took place outside of metropolitan areas had second-trimester abortions would have had first- in 1988. trimester abortions if the lack of public funds had not Only 43% of all abortion facilities provide services to women after the 12th week of pregnancy. resulted in delay in trying to raise funds. The states with the highest abortion rates (according to the state in which the abortion occurred) in 1988 were: CA (46); NY (43); HI (43); NV (40); and DE (36). Like other large FOR MORE INFORMATION citles, the District of Columbia has a higher rate (163) than FROM THE ALAN GUTTMACHER INSTITUTE: any state. Abortion and Women's Health: A Turning Point for America?, 1990, 74 PP- $15.00. The states with the lowest abortion occurrence rates In 1988 Abortion Factbook, 1992 Edition: Readings, Trands, and State and Local Date le 1988. were: WY (5); SD (6); WV (8); ID (8); and MS (8). 212 PP. $90.00, Induced Abortion, A World Register 1986, 152 PP- $15.00. Inducal Abortion, A World Review 1990 Supplement, 120 PP- $5.00 ABORTION AND CONTRACEPTIVE USE Our Drughters' Decisions: The Conflict In State Law on Abortion and Other Issues, In 1988, there were 579 million women of reproductive 1992, 35pp. $10.00. age-generally considered to be those aged 15-44, Preventing Pregnancy. Protecting Health: A New Look at Birth Control Choices in the 67% of women of reproductive age, or 39 million, are at risk United States, 1991, 129 PP" $20.00, for unintended pregnancy (women who are sexually active, Testage Pregnancy In the United States: The Scope of the Problem and State fertile, and not pregnant or seeking pregnancy). Responses, 1989, 72 PP. $15.00. 90% or 35 million women at risk for unintended pregnancy Family Planning Perspections, 1-year subscription: $38.00 for Institutions, $28.00 use some method of contraception: 10% or 3.9 million for Individuals. Back issues avellable for $8.00, women are not contraceptive users. State Repreduction Health Monitor: Logislative Proposals and Actions, 1-year Women using contraceptives account for 43% of 1.7 million subscription $120.00 for Institutions, $100.00 for individuals. of unintended pregnancies a year; 57% or 1.9 million Washington Mano, 1-year subscription: $60.00 for Institutions, $50.00 for pregnancies occur among women not using contraceptives. Individuals. Only 9% of women having abortions have never used a Plane include 10% for postage and handling. Prepaid orders only. birth control method; nonuse is greatest among those who are young, unmarried, poor, black, Hispanic or less Additional copies of this factshest may be purchased for $0.40 each-volume discounts are available. educated. The preparation of this "Facts in Drief" was made possible by & grant from the A. L. Mailman Foundation. 4/92 80 FAX NO. 6149203 ALAN GUTTMACHER INST. AUG- 3-92 MON 16:45 RESEARCH NOTE Abortion Trends in 1987 And 1988: Age and Race By Stanley K. Henshaw This research note updates and re- Most age-groups had a slightly higher higher fertility and lower abortion rates T vises the numbers, percentage dis- abortion rate in 1988 than in 1987. The among women aged 40 and older. tributions, rates and ratios of U.S. largest increases (3% or more) occurred Large differences exist in the abortion abortion patients, according to age and among women aged 18-29 and those aged rates, ratios and recent trends among white race.¹ New data for 1988 are presented, 40 and older. Among women aged 18-39, women, compared with those of nonwhite and the statistics for 1987 have been re- rates were slightly higher in 1988 than in women. In 1988, minority women (black calculated to correct an anomaly in the any other year since 1980.+ The rate and other races) obtained 565,100 abortions, 1987 data that occurred when one large among women under age 15 increased or 36% of total abortions. Their abortion rate state overstated the proportion of abor- from 8.4 abortions per 1,000 in 1980 to 9.3 of 57 per 1,000 women was 2.7 times that tions that occurred among women under per 1,000 in 1984, then decreased to 8.6 per of white women, whose rate was 21 abor- age 18. Data for 1980 and 1986 are shown 1,000 in 1988. No clear trend was found tions per 1,000 women. The abortion ratio to illustrate recent trends. among women aged 15-17 during this pe- of nonwhite women was also higher than riod. Among women aged 40 and older, that of white women at all ages except Methods the abortion rate declined 20% between among teenagers, whose ratio was 41 abor- The total number of abortions that have 1980 and 1986, then increased slightly be- tions per 100 pregnancies in both groups. occurred in the United States was derived tween 1986 and 1988. Between 1987 and 1988, abortion rates from periodic surveys by. The Alan Gutt- The abortion ratios in Table 1, which among white women remained stable or macher Institute of all abortion providers equal the percentage of pregnancies (ex- increased slightly among women of all in the United States.* The distributions cluding miscarriages) terminated by abor- ages except those younger than 15, whose by age and race were obtained from the tion, were calculated after adjustment of rate decreased from 5.1 abortions per 1,000 abortion surveillance reports of the U.S. births and abortions to the woman's age to 4.5 per 1,000. Between 1980 and 1987, a Centers for Disease Control² and include when she became pregnant. The ratios downward trend occurred among white adjustments to eliminate the effects of were lowest among women aged 25-29 women in the following age-groups: 15-19 year-to-year changes in the states pro- (22 abortions per 100 pregnancies) and (down 7%), 20-24 and 25-29 (down 4%), viding data and in the completeness of those aged 30-34 (21 per 100). At these and 40 and over (down 23%). The other the data collected by the states. The num- ages, women are most likely to accept age-groups experienced a slight upward bers of births as published by the U.S. childbearing even when pregnancies are trend, with increases of 4% or less. Al- National Center for, Health Statistics³ unintentional. The ratios were about twice though most abortion ratios were stable were used to calculate abortion ratios per as high among teenagers (41 abortions per between 1987 and 1988, those of women 100 births plus abortions, and population 100 pregnancies) and among women aged in their 30s and 40s declined considerably estimates from the Census Bureau were 40 and older (45 per 100). between 1980 and 1988. used to calculate abortion rates.4 Between 1987 and 1988, abortion ratios Greater changes in abortion rates have fell by 3-5% among women under age 18 occurred among minority women than Findings and women aged 35 and older. Among among white women. Between 1987 and As in previous years, the majority of wo- women younger than 15, the ratio declined 1988, abortion rates increased 5-6% among men who had abortions in 1988 were under from a high of 46 in 1984-1985 (not shown) minority women younger than 25 and in- 25 years old: 33% were aged 20-24 and 26% to 39 per 100 in 1988. Pregnant women creased 3% among those aged 25-29. The were under age 20 (Table 1, page 86). Of the younger than 15 were slightly less likely estimated 406,400 teenagers who had abor- to terminate their pregnancies by abortion 'An exception is the total for 1986, which was estimated tions in 1988, 13,700 were younger than 15. than were older teenagers. The ratio by Interpolation between the figures for 1985 and 1987. The highest abortion rate, 64 per 1,000 among women aged 15-17 has also de- The survey methodology is described in S.K. Henshaw and J. Van Vort, "Abortion Services in the United States, women in the age-group, occurred among creased since 1986, from 43 abortions per 1987 and 1988," Family Planning Perspectives, 22:102. 1990. women aged 18-19, followed by a rate of 100 pregnancies to 41 per 100. Among +For the abortion rates and ratios by age for the years be- 54 per 1,000 among women aged 20-24. women aged 30 and older, the trend has tween 1980 and 1986, sec S.K. Henshaw and J. Van Vort, been downward since 1980, reflecting high- eds., Abortion Facibook, 1992 Edition: Readings. Trends, and Stanley K. Henshaw is deputy director of research at The er fertility rates rather than lower abortion State and Local Data to 1988, The Alan Guitmacher Insti- Alan Guttmacher Institute. rates among women in their 30s, and both tute, New York, 1992 (forthcoming), Detailed Table 1. Volume 24, Number 2, March/April 1992 85 04 FAX NO. 6149203 ALAN GUTTMACHER INST. AUG- 3-92 MON 16:46 Abortion Trends by Age and Race Table 1. Number and percentage distribution of legal abortions, rate of abortions per 1,000 women and ratio of abortions per 100 live births plus abortions, by race and age, according to year Race and age N % Rate* Ratiot 1987 1988 1987 1988 1980 1986 1987 1988 1980 1986 1987 1988 Total 1,559,110 1,590,750 100.0 100.0 29.3 27.4 26.9 27.3 30.0 29.4 28.8 28.6 <20 395,910 406,370 25.4 25.6 44.4 44.4 43.8 45.5 41.2 41.8 41.0 40.7 <15 14,270 13,650 0.9 0.9 8.4 9.2 8.8 8.6 42.7 438 41.0 39.1 44.0 41.1 41.7 41.0 40.7 15-19 381,640 392.720 24.5 24.7 42.9 42.6 42.2 15-17 161,120 158,330 10,3 10.0 30.2 30.0 29.7 30.3 42.4 42.9 42.0 40.9 18-19 220,520 234,390 14.2 14.7 61.0 61.9 61.0 63.5 40.1 40.7 40 2 40.6 20-24 518,290 519.600 33.2 32.7 51.4 52.2 52.5 54.2 30.1 31.5 31.3 31.3 25-29 337,450 347,250 21.6 21.8 30.8 30.9 30.8 31,8 21.8 22.0 21.6 21.7 23.3 21,5 21.1 20.6 30-34 191,540 197,210 12.3 12.4 17.1 17.9 17.9 16.1 35-39 93,030 95,870 6.0 6.0 9.3 9.7 9.6 9.9 37.2 31.9 30.4 29.1 >40 22,890 24,450 1.5 1.5 3.5 2.8 2.9 3.0 51.7 46.2 45.3 43 9 White 1,017,310 1,025,670 100.0 100.0 24.3 21.8 21.1 21.2 27.4 25.9 25.2 25.0 <20 267,280 269,390 26.3 26.3 39.2 36.8 36.4 37.3 41.8 41.6 41.1 40.5 4.5 U U <15 6,650 5,740 0,7 0.6 5.0 4.8 5.1 U u 15-19 260,630 263,650 25.6 25.7 38.3 35.9 35.5 36.6 u U V u 20-24 337.270 332.280 33.2 32.4 43.1 42.2 41.5 42.3 27.4 28.3 27,8 27.7 25-29 213,920 218,690 21.0 21.3 24.5 23.9 23.5 24.1 18.1 18,0 17.5 17.6 30-34 121,920 124,920 12.0 12.2 13.3 13.8 13.7 13.8 19.6 17.6 17.1 16.7 26.4 25.2 35-39 61,240 63,340 6.0 6.2 7.4 7,7 7.7 7.8 33.8 28.1 240 15,680 17,050 1.5 1.6 3.0 2.3 2.3 2.4 50.5 44.0 42.1 41.2 Black and other 541,800 565,080 100.0 100.0 56.8 55.9 56.0 57.3 39.2 39.8 39.3 38.9 <20 128.630 136.980 23.7 24.2 70.4 77.9 75.8 80.1 39.3 419 40.8 40.7 <15 7.620 7,910 1.4 1.4 24.4 27.0 23.4 24.9 W W U u 15-19 121,010 129,070 22.3 22.8 66.0 72.5 71,3 75.5 u u U u 20-24 181,020 187,320 33.4 33.1 95.6 99.4 103.6 108.5 40.3 40.9 41.0 40.9 25-29 123,530 128,560 228 22.7 64.7 657 66.8 68.8 36.8 36.8 36.4 36.0 30-34 69,620 72,290 12.9 12.9 38.9 38.7 39.3 39.6 37.5 36.1 35.6 34.7 35-39 31,790 32.530 5,9 5.8 21.0 21.0 21.3 21.0 47.6 44.0 43.2 41.5 240 7,210 7,400 1.3 1.3 6.7 5.8 6.4 6.2 54,9 52.7 54.6 52.0 "Denominator for ages <20 IS number of women aged 15-19; for ages <15. denominator is number of 14-year-old Temales: for ages 240, denominator IS number of women aged 40-44, denominator for total IS women aged 15-44. Denominator 15 number of abortions plus live births SIX months later (to maich times of conception for pregnancies ending in births and pregnancies ending in abortions). both adjusted 10 age of woman at time of conception Sources: Total number of abortions-AGI abortion provider surveys Distribution by age and rece-see reference 2. data have been adjusted TO as- sure comparability between years: joint distribution was adjusted by ilerative proportional fitting to the marginal distributions Number of women-lor 1980 US Bureau of the Cansus, "Preliminary Esti- mates of the Population of the United States. by Age. Sex, and Race: 1970 to 1981,7 Current Population Reports, Series P-25. No 917, Table 2: for 1986-1988. see reference 4. Number of births-see reference 3. Note: usunavailable. 1988 rate was higher than that of any other a factor for miscarriages.* The rate declined cording to data from the National Surveys year since 1980 for women aged 15-34. The slightly, from 111 pregnancies per 1,000 of Family Growth. Among minority abortion rates for minority women have women aged 15-19 in 1980 and 1981 to a women aged 15-19, on the other hand, the increased considerably since 1984: In 1988, low of 108 pregnancies per 1,000 in 1986 pregnancy rate increased even though the the rate was 13% higher than in 1984 and 1987, then rose to 113 per 1,000 in 1988. proportion of sexually active young among women aged 15-19, 16% higher for Because births and abortions increased by women remained virtually unchanged. those aged 20-24, 8% higher among those about the same percentage, the proportion Table 2 also shows pregnancy rates aged 25-29 and 6% higher for those aged of pregnancies ending in abortion changed based on sexually active teenagers. The 30-34. Rates declined 13%, however, little. Although the pregnancy rate in- rate among teenagers who have ever had among women younger than 15 and creased between 1987 and 1988 by about intercourse fell from 232 pregnancies per changed little among women aged 35-39 the same percentage among white and 1,000 women aged 15-19 to 212 pregnan- and those aged 40 and older. nonwhite teenagers, the trends since 1980 cies per 1,000. The rate for sexually active Abortion ratios for minority women differ: The rate for white women aged (Continued on page 96) younger than 20 and aged 20-24 have 15-19 fell from 96 pregnancies per 1,000 in 1980 to 93 per 1,000 in 1988, while the rate Table 2. Pregnancy rates per 1,000 women changed much less, reflecting increases in aged 15-19, and rates per 1,000 women aged childbearing that approximate increases for minority teenagers rose from 186 preg- 15-19 who have ever had Intercourse, by race, in abortion. Increased fertility among nancies per 1,000 to 197 per 1,000. The in- according to year women in their 30s has reduced the abor- crease among minority teenagers has been especially marked since 1984, when their Race 1982 1988 tion ratios for those age groups. We were able to calculate approximate rate was 181 per 1,000. All women Total 110 113 pregnancy rates for teenagers by totaling Trends in the pregnancy rates of teen- White 95 93 the abortion and birth rates, then adding agers cannot be attributed to changes in Other races 181 197 the proportions initiating sexual activity. Women who have ever had intercourse" "Miscarriages are estimated to equal 10% of abortions Between 1982 and 1988, the pregnancy Total 232 212 plus 20% of births. These proportions attempt to account rate for white women aged 15-19 de- White 211 177 for pregnancies that miscarry after lasting long enough Other races 322 352 creased, as shown in Table 2, even though to be noted by the woman (six to seven weeks after the the proportion of women in this age- 'The proportions who have ever had intercourse were derived from last menstrual period). See H. Leridon, Human Fertility: group who had ever had sexual inter- special tabulations of the 1982 and 1986 National Surveys of Fam- The Basic Components, University of Chicago Press, Chica- By Growth. go, 1977, Table 4.20. course increased from 45% to 53%, ac- 86 Family Planning Perspectives P.05 FAX NO. 6149203 ALAN GUTTMACHER INST. AUG- 3-92 MON 16:47 Digests There were significant differences in birth pregnancy had a 10% risk of delivering a between race and low birth weight among low-birth-weight baby, but a black woman the poor, and conclude that factors pre- weights of white infants who were poor and those who were not poor, according who was poor at both times was only 1.3 ceding the specific pregnancy, such as times more likely to do so (13%). poverty or prior low-birth-weight deliver- to poverty status in the year of sample se- lection and in the year pregnancy began, A 31% risk of low birth weight was ies, have more of an effect. They point out but not when the measure was the gener- found among women whose prior birth that "the possible role of social class in ex- was of low birth weight, compared with plaining variations in birthweight distrib- al poverty pattern. 4% among women whose prior birth was utions and, thereby, prognostic differentials A white woman who was poor both at of normal birth weight. Among poor is generally recognized but unexplored," sample selection and at pregnancy was women with a prior low-birth-weight de- and suggest that "a focus on women who three times more likely to deliver a low- birth-weight infant as was a woman who livery, the risk of having another was 39%; are white and poor as well as on those who was not poor at either time (14% vs. 4%). among women in this category who were are black may provide a better under- However, women who went from being not poor, the risk was 27%. If the woman's standing of the social factors that predispose poor to not being poor had a risk of low prior birth was of normal birth weight, the to poor pregnancy outcome."-R. Turner birth weight of 8%, while women who risk of having a low-birth-weight infant went from not being poor to being poor was 7% among the poor and 3% among Reference had a risk of 10%. A black woman who those who were not poor. 1. B. Starfield et al., "Race, Family Income and Low Birth was not poor at either sample selection or The investigators find little relationship Weight," American Journal of Epidentiology, 134:1167. 1991. tion, 1986; and J.). Card and R.T. Rengan, "Strategies for ture: An Agenda for the 1990s, Washington, D.C., 1989: and Program for Adolescent Mothers Evaluating Adolescent Pregnancy Programs," Family K. Pittman and F. Adams, Tecnage Pregnancy: An Advo- (Continued from page 71) Planning Perspectives, 21:27, 1989. cale's Cuide to the Numbers. Children's Defense Fund, Washington, D.C.. 1988. Consequences of Teenage Childbearing," in5. Hofferth and 10. S. Kagan et al., eds., America's Family Support Programs. C. Hayes, cds., Risking the Future: Adolescent Sexuality, Preg- Yale University Press, New Haven. 1987; and H. Welss and 14. lbid. numby and Childbearing. Volume 11. National Academy Press, R. Halpern, "Community-Based Family Support and Ed- 15. D.F. Polit and R. Kahn, "Project Redirection: Eval- Washington, D.C., 1987; and D. Polit, "Comprehensive ucation Programs. Something Old or Something New?" uation of a Comprehensive Program for Disadvantaged Programs for Pregnant and Parenting Teenagers: An As- The National Center for Children in Poverty, Columbia Tecnaged Mothers," Family Planning Perspectives, 17:150, sessinent," Humanalysis, Inc., Jefferson City, Mo., 1986. University School of Public Health, New York, 1991. 1985. 8. D.F. Polit and C.M. White, "The Lives of Young Dis 11. Department of Research, "Attrition from OFF/PTS 16. Ibid. advantaged Mothers: The Five Year Follow-Up of the Pro- Programs," unpublished report, Ounce of Prevention jeet Redirection Sample," Humanalysis, Inc., Saratoga Fund. Chicago. 17- C. Hayes, ed., 1987, op cit. (see reference 2). Springs, N. Y., 1988: and A. M. Mitchell and D.K. Walk- 12. H. Ruch-Ross and M. Fernandez, "The Impact of 18. E.D. Jones and H.S. Ruch-Ross, "A Room Full of er, "Final Report: Impact Evaluation of Too-Early Child- Agency and Community Characteristics on Service De- Your Sisters," unpublished manuscript. bearing Programs," Southwest Regional Laboratories, livery and Outcomes for Pregnant and Parenting Ado- Los Alamitos, Calif., 1989. lescents in Illinois," paper presented at the annual meet- 19. Ibid. ting of the American Public Health Association, Atlanta, 20. G.J. Stahler and J. Ducette, "Evaluating Adoles- 9. ].]. Card, "Summary and Recommendations: Evalu- November 10-14, 1991. cent Pregnancy Programs: Rethinking Our Priorities," ating and Monitoring Programs for Fregnant and Par- enting Teens," Palo Alto, Calif., Soclometrics Corpora- 13. Children's Defense Fund, A Vision for America's Fu- Family Planning Perspectives. 23:29, 1991. Abortion Trends the fertility rates increased an additional for Disease Control, Abortion Surveillance 1979-1980. At- 4-7% in 1989.5 (The fertility rate also in- lanta, Ca., 1983. (Continued from page 86) creased among white women in 1989.) 3. National Center for Health Statistics (NCHS), "Ad- These results suggest that young minori- vance Report of Final Natality Statistics, 1989," Monthly white teenagers decreased from 211 preg- nancies per 1,000 to 177 per 1,000 (down ty women are having increasing difficul- Vital Statistics Report, Vol. 40, No. 8, Supplement, 1991: "Advance Report of Final Natality Statistics, 1988," 16%), while the rate for comparable mi- ty controlling their fertility. Further re- Monthly Vital Statistics Report, Vol. 39, No. 4, Supplement, nority teenagers increased from 322 to 352 search is needed to determine the causes 1990; "Advance Report of Final Natality Statistics, pregnancies per 1,000 (up 9%). These re- for this and to develop strategies to pre- 1987," Monthly Vital Statistics Report. Vol. 38, No. 3, Sup- sults may indicate improved contracep- vent unwanted pregnancies. plement, 1989; Advance Report of Final Natality Statistics, 1986," Monthly Vital Statistics Report. Vol. 37. tive use among white teenagers and less No. 3, Supplement, 1988;- "Advance Report?' Final effective use among nonwhite teenagers. References Natality Statistics, 1981," Monthly Vital Statistics Report, 1. S.K. Henshaw. L M. Koonin and J.C. Smith, "Char" Vol. 32, No. 9, Supplement, 1983; and "Advance Re- Conclusion acteristics of U.S. Women Having Abortions, 1987." Fam- port of Final Natality Statistics, 1980," Monthly Vital Sta- Although overall abortion rates have de- ily Planning Perspectives. 23:75. 1991. tistics Report, Vol. 31, No. &, Supplement, 1982. clined slightly in recent years, both abor- 2. L. M. Koonin et al., "Abortion Surveillance, United 4. U.S. Bureau of the Census, "United States Population tion rates and birthrates have increased States, 1988," Morbidity and Mortality Weekly Report. Vol. Estimates, by Age. Sex, Race, and Hispanic Origin: 1980 markedly since 1984 among minority 40, No. SS-2, July 1991, P. 15:-, Surveillance, to 1988," Current Population Reports, Series P-25, No. 1045. "Abortion women aged 15-30. The increases were es- United States, 1986-1987." Morbidity and Mortality Week- 1990, Table 2. pecially large between 1987 and 1988, and ly Report. Vol. 39, No. SS-2, June 1990, P. 23: and Centers 5. NCHS, 1991, op. cit. (see reference 3). Family Planning Perspectives 96 90 'd FAX NO. 6149203 ALAN GUTTMACHER INST. AUG- 3-92 MON 16:48 Catholic New York February 21, 1991 5 From My Viewpoint 'Connor's Folly'-to Make Kids Wise By CARDINAL JOHN J. O'CONNOR T he truth about our Catholic schools, like the Anyway, everybody knows that property is beg- graduation. truth about how much money the Archdio- ging for buyers these days, and that buyers don't But the money does not come in. The bills cese of New York has, is open to anybody who is have the money. And would anybody really want scream to be paid. Praise doesn't pay them. Yet open to it. That's why I can never get over the fact us to sell St. Patrick's Cathedral? the moment we talk about closing a single school, that so many people find the truth so strange that Moreover, schools aren't our only problem. We we are flooded with protests. What in the world they refuse to believe it. are trying desperately to keep our hospitals open, are we going to do? There are so many myths about our schools that our nursing homes, our child care facilities. We I'll tell you what I, personally, am going to do. I we couldn't begin to talk about them in an entire are trying to help provide homes for the homeless, am going to continue trying to move heaven and issue of Catholic New York. So let's take just a and to feed the hungry. If we closed down the earth. With the help of my immediate associates few. buildings we use to take care of persons with and our pastors and parents, religious sisters and First, there's the myth that we take only the AIDS, where would they go? Some day visit the brothers and magnificent lay teachers, I believe best and brightest young people from the "best" brain-damaged children we care for, the utterly we can keep schools closures to a bare-bone mini- families (by which they mean all white, all Catho- helpless, the twisted and deformed who in another mum, but we will have to close some schools be- lic), and that we throw everyone out who causes society not so long ago would have been gassed to fore September of 1991-this year. 1 am commit- the slightest bit of trouble. death. ted to an outstanding network of schools, with a The truth is that in our inner-city schools (ap- school within a reasonable distance for every proximately 140 of them), the student bodies are With federal, state, county and city budgets cut youngster who really wants to get there. 85 percent minority: black, Hispanic, Asian or by billions of dollars, the Church has to take care I can no longer keep two schools open which are Oriental. In many inner-city schools, at least 50 of even more of the poor, the hungry, the home- only a short distance from each other if neither percent are not Catholic. In one Catholic school less, the helpless. Where is all the money SO many has enough students, or one has a building falling you may have read about in The New York people believe we have? Where are we going to down. We must make changes in such cases. In Times, 95 percent of the youngsters are Chinese, get what is needed? some instances, one school can better take care of almost 80 percent Buddhist. In upper counties the You who believe the Church has an immense pre-school youngsters, while other schools are figures vary, but we have a mix of color, ethnic amount of money, please-please-show me better suited to handle upper grades. backgrounds and religion. where it is. Tell me which buildings we should But something must give this year, that is, by In the inner-city schools at least half of the sell, which hospitals or daycare centers or homes September of 1991. No decisions will be made ar- youngsters are from families living at below pov- for the retarded we should close down. You decide bitrarily or callously. I am keenly aware of the erty level, with a significant number from one- which children don't deserve. a Catholic educa- need to place faithful, loyal teachers in schools as parent families. tion. close as possible to the schools in which they al- Yet some 85 percent or more of our graduates Those who live in the worst drug-infested neigh- ready teach. go on to college. Fewer than 1 percent drop out of borhoods? Those who are surrounded by daily I will continue efforts to raise monies, as will our schools, and we throw out even fewer than murders as a way of life? Shall we close schools in our pastors and others. I will continue to ask busi- that, and then only after consultation with par- Harlem or in the South Bronx? In Newburgh or in ness people and others to pick up tuition costs for ents, pastors, teachers, principals, district super- Yonkers? Shall we close schools where there are individual students. Some tuition charges will intendents and others. To be thrown out of one of no others for miles and miles? Should we tell one have to be increased, but I'm well aware that if our Catholic schools is not easy! of two or three families living together in a tiny we increase them too much, we will drive away One of the biggest myths is that tuition paid by apartment not large enough for one family: the poor. I hope I will be able to get everyone to parents covers the cost to the school or the parish. You're too poor to send your kids to our schools? understand that tuition pays only a portion of the Tuition pays only a portion of the cost. Average Shall we tell working mothers they can't rely on real cost of teaching each student. tuition in Catholic elementary school is $962. The our schools to take their youngsters during the Very soon the schools that will close will be in- actual cost is $1,768. Average tuition in Catholic day? formed. They will be as few as possible this year. high school is $2,289. The actual cost is $3,352. Tu- You may know that there are 312 Catholic elemen- ition in some elementary and high schools Is a lot tary and secondary schools in the archdiocese. lower, in some it's a bit higher. W e are engaged at this moment in the third The status of any school under the direction of the How do we make up the difference? In some intensive study of our schools since I have archdiocese will be changed only with my per- cases, the people of the parish pay the difference, been Archbishop of New York, slightly less than sonal study and permission, and until I have as- whether they have youngsters in school or not. In seven years. Despite the finding of study after sured myself that pastors and representatives of a great many cases, the Archdiocese of New York study, telling us we must close a large number of parents, teachers, principals, supervisors and raises the money to pay the difference. We don't schools, and should have closed them years ago, I others have been consulted. So whoever is looking raise nearly enough. That's what's killing us, and have refused to take such action. Some of my for someone to blame can blame me. I have per- putting our schools in grave jeopardy-that and most responsible and efficient advisers have been sonally examined all reports and all recommen- the ever increasing cost of personnel and taking angry at me. They tell me we have no choice. dations on every school, and have prayed might- care of buildings. If we are going to teach justice, Some make clear they think I am bankrupting the ily for guidance in each case. Every change can we have to pay just wages. archdiocese. They are sincere and responsible be a painful one. No matter how many schools Last year the Archdiocese of New York made people. may be closed, one is many to the individuals in- up a more than $20 million deficit between tuition But I believe desperately in our Catholic volved. and parish payments, other school income and the schools. I have fought to keep every single one of Next year will be a different story. I can't guar- actual costs of keeping youngsters in school. For them open. I have literally begged people for antee what we can do. The problems won't have this coming year we don't have that money to money. Day after day, night after night I meet ended. Nevertheless, I am foolish enough to hope give. with business people, with wealthy contributors, we can raise the money. That takes us to the myth about the wealth of with practically anyone who will meet with me I suspect that a lot of "little people" would be the Archdiocese of New York. That really is a with money or ideas to save our schools. Many willing to support a youngster through school, if myth. Why can people see so easily that the fed- people in the business community have been very we made arrangements. I suspect a lot more busi- eral government is running at an enormous defi- generous, with their time and their money. Many ness people will be willing to help once they real- cit, as is the State of New York and the City of others have not been able to help or have refused ize the need and appreciate what our schools do New York, but insist that the Church has untold to do SO. for them. We're trying to raise $100 million wealth? One reason is that they see a lot of build- It is SO ironic. Some of the major research orga- largely from the business community. Our pas- ings owned by the Church, SO they ask why we nizations in the United States have studied our tors are busily engaged in parish campaigns that don't sell them. Catholic schools and have marveled at our will help a great deal. Did you ever try to sell a school that needs capi- achievements. Every once In a while a newspaper When Archbishop John Hughes built St. tal repairs to the tune of $800,000? How about a or magazine reports on our schools and heaps Patrick's Cathedral against great odds, a lot of church with the walls caving in? More important- praise on them. We save city, counties and state people thought he was out of his mind. They called ly, what do you do if you sell them? Where do you hundreds of millions of dollars in building and the cathedral "Hughes' Folly." Well, maybe I'm hold school-on a vacant lot? But the people who teacher costs every year, to say nothing of the out of my mind, but I am fiercely committed to bought the building either want to use it for some- long-term monies we save such governments be- saving our schools. Some may call that thing else or tear it down and build something cause so few of our youngsters drop out, and so "O'Connor's Folly." That's all right. I'm willing else. Pretty soon you have no buildings left and many are ready to enter the work force as con- to be called a fool, if It makes it possible for a lot tributing, reliable citizens immediately after of kids to be wise. nowhere to go. Catholic New York Augus 1990 From My Viewpoint 'At Issue Are Hundreds of Helpless' By CARDINAL JOHN J. O'CONNOR 0 n March 2 of this year, while disagreeing with ingness to see AIDS transmitted, and therefore of killing people. A year or so later, city health care with AIDS on the grounds of how it has been ac- our position on AIDS prevention, The New authorities withdrew the clean needle program on quired, or the nature of a person's sexual orienta- York Times nonetheless observed: it would be unreasonable to expect the Church to teach other- grounds that it didn't work! tion. I invite-no, I urge,-public health authori- wise in its own institutions and programs." On Many medical doctors and other health care ties to examine every one of our Catholic hospi- workers recommend the use of condoms to pre- tals that care for persons with AIDS. They will July 27, the Times made a similar observation. Addressing the conflict surrounding our refusal to vent transmitting AIDS. A number of medical find persons with AIDS from all ethnic and racial put into practice certain state requirements op- doctors and health care workers do not trust con- groups, of all religious backgrounds, who have Barlond posed to our "institutional conscience" in caring doms to prevent transmitting AIDS. Are the acquired AIDS in different ways. They will find all of these receiving quality care, and more, be- for persons with AIDS, the Times editorialized: former "good" people and the latter "evil"? We "If the archdiocese's position is regrettable, it is recommend abstinence and nonuse of drugs to ing treated with dignity and respect. What do nonetheless unreasonable to expect the Church to prevent transmitting AIDS. Does that make us those who call us killers have to say of the count- teach otherwise in its own institutions and "killers"? Our country has never before known less numbers of doctors, nurses, assistants, vol- the number of condoms in existence today, or the unteers who work day and night to care for the programs." amount of instruction in their use to prevent teen- fever-wracked, the emaciated, the convulsive, I don't agree, of course, that our position is re- age pregnancy. Our country has never before the blind, the dying? I have seen them at work, grettable, but sincerely appreciate the Times' ob- jectivity and understanding. Further, I appreci- known the staggering number of teenage preg- lovingly, tirelessly, or rather, exhausted but still nancies. So much for quick fixes. going. I saw them in the earliest days of the AIDS ate its recognition of the issue: homes for epidemic, washing sores and emptying bedpans "hundreds of the helpless." That is, indeed, the issue and not what some Y and administering medicines and nourishment, et on the very day I am writing this column a when much of the world was in panic over AIDS, have reported it to be: a game, with each party newspaper editorial notes with apparent and terrified to go near a person who might have waiting for the other to flinch, and back down. scorn and disbelief that I "once told health care AIDS. Such observers can not seem to understand the workers that abstinence is the only effective AIDS The Church was the first to urge that prisoners Church except in terms of a political cliché, the prevention method." The thrust of the editorial is with AIDS be released into our care, rather than "powerhouse," an ecclesiastical Tammany Hall. that the Church has cornered the state into per- locked away to die untended and uncared for. The They have utterly no understanding of an institu- mitting us to run nursing homes for AIDS pa- Church was the first to establish a dental clinic tion that takes seriously the question: "What does tients. What in the world do such commentators for persons with AIDS. The Church cares, there- it profit a man if he gain the whole world and suf- think we are up to: providing beds as a business? fore acts. fer the loss of his own soul?" Have they any notion that we offer a service for People are dying. We do not believe they are the sick and the dying? The suffering of persons with AIDS is no game. dying for lack of condoms. We will continue to do Their deaths no power struggle. Hating and cari- I have argued before and I argue again: when a everything we can to take care of persons with society tries to treat such massive disasters as caturing the Church alleviates no suffering, saves AIDS, and try to help to prevent the transmission no lives. The Church is trying to do precisely that: drug abuse and AIDS with quick fixes, it is ignor- of AIDS. The state has determined that we qualify ing causes and relieving itself of trying to achieve alleviate suffering and save lives. Yet, some even to do so. If the city chooses to deny us the right to cures. accuse us of "killing" people because we disagree add critically needed nursing beds for persons The other day I read a newspaper article which with the "condom" approach to caring for per- with AIDS, that is completely up to the city. State quoted a line from an address I gave at the Inter- sons with AIDS. and city officials have the responsibility to do national AIDS Conference in the Vatican: When the great myth of the "clean needle" was what they think best for the community. I have "Morality is good medicine." I have seen that touted by city health care authorities in New York my responsibility. Integrity is not for sale, neither principle denounced and ridiculed and used as a theirs nor mine, nor does it yield to threats. as the way to prevent transmitting AIDS by intra- justification for violent and vitriolic protests. I Both The New York Times and Dr. David Axel- venous drug use, we refused to be duped by it, and have not seen the principle refuted. rod got it right: at issue are hundreds of helpless. argued not only that it was wrong, but that it sim- Nor have I seen a shred of proof that Church There is only one way the Church can help: by ply wouldn't work. We were then accused of will- health care facilities discriminate against persons sticking to what it believes to be the right way. From My Viewpoint I Need Help and I Need It Now By CARDINAL JOHN J. O'CONNOR I didn't sleep last night, again. I couldn't. assist parishes to pay bills they can not meet on provide scholarships, some adopt entire schools, Christmas is upon us, and as for so many fa- their own. some repair buildings in critical need. I am tre- thers and mothers in this crushing economy, the So we turn to industry. Day after day we re- mendously grateful to such committed individu- cupboard is bare; and though I don't live in a mind big businesses in New York that we provide als, but there are only a fraction of them in com- shoe, I have thousands of times more children to them top grade graduates, that 90 percent of our parison with the need. worry about than Old Mother Hubbard ever Catholic high school graduates go to college, that Some people assume that tuition paid by par- dreamed of-the children of every religion, color those who don't are ready to pass stiff tests for ents meets expenses. In truth, tuition meets be- and nationality in our Catholic schools. I desper- industry jobs. We remind them that all our Catho- tween one-third and one-half of the costs, at most. ately want to give every one of them and every lic schools include non-Catholic students; in The bulk of the money has to come from other one of their parents a beautiful Christmas some, 80 percent may be non-Catholic (three of sources. present: the promise that our Catholic schools our Catholic schools, for example, have heavy will always be there, for them and for their chil- That's why I beg, every day. That's why I go populations of Buddhists). Eighty-five percent of sleepless night after night. dren and their children's children, generation af- youngsters in our inner-city schools are black or What will be the next step after I finish all the ter generation. Hispanic. Fewer than one percent of our students reviews of the 41 schools "at risk"? In every in- So I sleep little and I worry a lot, night after drop out of school. stance where there is danger of closing a school, I night. Tossing and turning doesn't help. Time af- There's a myth, perpetrated by some anti- will personally meet with representative parents ter time, I turn the light on again, and review Catholic school educators, that our schools are so and teachers, the principal, the local superinten- staggering rows of depressing numbers, each pre- successful because we throw kids out for the dent, the pastor, the Finance Council and Parish ceded by both a dollar sign and a minus sign. The slightest reason. It is, in fact, very difficult to be Council representatives and others. I will go over deficits refuse to disappear. thrown out of a Catholic school. You really have with them every conceivable way of trying to Every day I beg. I meet with the wealthy and to work at it. No teacher can throw a student out, save the school if it should be and can be saved. the not-so-wealthy, Jew, Protestant, Catholic, nor can a principal, without a hearing by the su- The rest will be largely in their hands. I have Muslim, and ask them to help save our schools. perintendent of schools, who doesn't listen to ex- done this before with other schools and we have Many are wonderfully generous. Others are em- pulsion talk very sympathetically. been able to save many. barrassed; they want to help, but are struggling The schools are not mine. They belong to par- themselves in these hard times. Right now I am personally going over the data S ome critics say we take only the best kids. In a ents, to children, to the Church, to all society. I sense we do, in that we believe every kid is a need the help of all society and I need it now! It is on each of 41 schools, with the proverbial fine "best" kid if you see in him or her the Image of not enough to come up with the money to save a tooth comb. Why these schools? My close consult- God, and are willing to go all out to help that Im- school only for this year or the year ahead. We ants tell me they are "at risk." Most, if not all, age shine through. In another sense, our young- need long-term help for a long-term problem. It's have raised tuition as high as they can, without sters come from the same backgrounds as young- that, or close our schools. I can not believe that driving away those who can not afford another sters in other schools-many from broken homes, would be the right thing to do. penny. Yet the overall deficit for the 41 schools is from single parents, from families whose in- Practically every one of you who reads Catholic over four-and-a-half million dollars. I counted comes are well below the poverty level. I have New York is already stretched to the limit. Some those dollars instead of sheep last night! And I written before about one archdiocesan parish in of you are in dread of losing your homes. Many of added that four-and-a-half million to the four- the immediate neighborhood of which 65 murders you are out of work. Many of you have never had and-a-half million dollar deficit our Catholic high were committed in one year. The Catholic school a lot of money in the best of times. Yet I must schools are running. Where do I come up with in that parish, to my knowledge, is drug free, and appeal to you, not for big contributions, but for money like that? every year the youngsters score higher than the the "widow's mite" that Our Lord praised so It's more than a tuition problem. The archdio- national average in basic academic subjects. highly. Anything you can give; anything you can cese supports a large number of our 413 parishes That's not unusual for our Catholic schools-to do to help save our schools, I will be deeply grate- by as much as $20 million a year. Many of those surpass national averages. ful for. parishes have to put a large percentage of that That's what's SO frustrating. During the past I want more than anything in the world to give money into their schools. During the past few year or so-finally-the story is breaking all over to all New York the magnificent Christmas years we have been investing some $50 million in the United States that Catholic schools excel. Sci- present of promising a long-range, healthy future parish buildings to keep roofs from falling in and entific studies are multiplying, all reporting the for our Catholic schools. Without you, that prom- boilers from blowing up. Millions of more dollars same story of excellence and superiority. News- ise would be a mockery. have gone into asbestos removal, by government papers such as The New York Times and the Wall Can you give a year-round Christmas present to order. Street Journal have picked up the story and pub- preserve our schools? A dollar? A hundred, a Most importantly, from my viewpoint, we have lished it. Magazines such U.S. News & World Re- thousand dollars? Can you fund a youngster for a been trying desperately to raise salaries and ben- port and Forbes have done the same, as have couple of thousand dollars a year? There might efits for our teachers, who still deserve more than many others, well known and lesser known. Yet even.be a rare and generous soul who would make we can pay and will be able to pay for another at the very time that their worth is being widely a gift of a hundred thousand dollars, or a million several years. Some 86 percent of our parish ele- publicized, our schools are in greatest jeopardy. dollars or more! Can you send whatever you can mentary school teachers and 76 percent of our At a point in our national history when a solid edu- send to Bishop Patrick Ahern, Office of Develop- Catholic high school teachers are lay persons. A cation is absolutely crucial, one of the best educa- ment, 1011 First Avenue, New York, N.Y. 10022? great many have families. I thank God for our lay tional systems our country has ever known is be- Every gift will be gratefully acknowledged. Ev- teachers, as well as for our teaching sisters, ing dismantled in diocese after diocese. Catholic ery penny will go into our schools, and every brothers and priests. One day I hope we will be schools have closed in frightening numbers penny will be accounted for. able to pay every one of them what they deserve. throughout the Church in the United States. It is Maybe not. Maybe you don't have a penny left. It is not that Catholics aren't being generous. not simply the Church that will suffer the loss, or God bless you, nonetheless. Send me your Our Parish Campaign has brought in $111 million. even Catholics alone. Our Catholic schools are a prayers. A Hail Mary a day might keep more That, my friends, is a lot of money, and most of it national treasure, a treasure disappearing bit by schools open than we know. And maybe you can has been given or pledged at great sacrifice. bit every day. at least pray me to sleep! Eighty to 90 percent of that money stays in the I am trying desperately to save our Catholic Have a wonderful, happy and holy Christmas, parishes. Only 10 to 20 percent comes to the arch- schools for New York-every one of them. A with my deepest gratitude for all that you do and diocese, which the archdiocese in turn uses to great number of people are helping. Some for all that you are. / want more than anything in the world to give to all New York the magnificent Christmas present of promising a long-range, healthy future for our Catholic schools. Without you, that promise would be a mockery. From My Viewpoint Health Care Is in 'Imminent Peril' By CARDINAL JOHN J. O'CONNOR uitr apart from being "my" physician. Kevin M. Cabill. M.D., has an extraordinary record of practicing medicine under some of the most difficult circumstances imaginable in some of the most demanding regions in the world; the Sudan is but one example. Hence, when Dr. Cabill uses the term "Imminent Peril," I listen careful- ly, anticipating a gripping description of a whole people in danger of perishing somewhere in the "Third World." When he uses the term to describe public health in New York. I listen with more than care: I listen with a sense of urgency. "Imminent Peril" is the title of a compilation of lectures on public health in New York. lectures delivered at a sympostum convened by the Board of Health of the City of New York in late August of 1991. Dr. Cahill generated the symposium and ed. ited the collection. Ilis introductory remarks are chilling: "The 'public' served by the public health SYS tent is increasingly the disenfranchised. the unin sured. the impoverished. the homeless, the aged. the addicted. Failing their needs is more than morally indefensible in our 'new world order: it threatens the health of all. For as surely as an untreated tuberculous lesion will cavitate the lungs of a homeless vagrant. SO too will the deadly mist of his infection disseminate through every social and economic class, among innocent fellow riders in the subway, or passengers in an elevator and. inevitably. from child to child in the class rooms of our city. Public health programs are not political vivileges to he pareeled out annually. They must hr recognized as fundamental, non negotiable prerogatives of every citizen. Such public ser vices must be held immune from those who mea- sure value merely with fiscal scales. There are irreducible levels of health care and prevention that are absolute requirements in the rare system of government our Founding Fathers created." THE F.LDERLY-"Most severely hit" by currently proposed cuts in state funding of Gov. Mai io Cuomo was one of 12 who provided public health "would be the olderly," Cardinal O'Connor writes. "If home health papers for the symposium. The governor said care is lost. a great number of them will have absolutely no care al all." something with which I agree strongly: as important as medicine and medical care by more than 300 percent in the past few years. elderly. Some 50,000 people currently get home are to health status. they are not enough. There's Dennis Rivera is the president of the Drug. Hos health care vices. The average has a ker "" equal need for " realignment of our priorities pital and Health Care Employees Union in New for 212 hours a month. About 6,000 are SO disabled SO that the opportunities we Americans speak York. We discuss health care frequently. A couple and infirm that they are cared for 24 hours a day. grandly of are in fact open to all: SO that more of years ago, he brought to my attention the at If these lolks were taken care of in hospitals or people have access to them and a chance to lift most unbelievable treatment of home health care nursing homes. the costs would he beyond the as themselves out of poverty- a chance to work: to workers who were saving society a time and tronomical. If home health care is lost, a great educate themselves: to live in sale, decent hous being paid a starvation wage, with no health-care number of them will have absolutely no care at ing: to provide themselves and their children ade benefits for themselves. Government listened. all. Add to the misery the increasing number of quate, nutritious food." (Emphasis added.) and some Improvements were made. persons with TB and the suffering of those with Mayor David Dinkins was another of the 12 pro- On Dec. 23. Mr. Rivera wrote to give me his AIDS. viding papers that pointed up the peritous nature assessment of what currently proposed cuts in Mr. Rivera summarizes what he estimates to of what is happening: state funding of public health would do. Space be the cumulative effect of severe reductions: We face tremendous challenges in our public limitations preclude my listing all the specifies, "More and sicker people are Hocking to the health system. The statistics are hourilying. In- but there can be 110 question about the impact on emergency rooms because they can't afford the [ant mortality in New York City is one-third hospitals and nursing homes. Hundreds of thou- CO payment that would have been required before higher than the national average and the rate sands of doctor visits provided in clinics would seeing a doctor or getting a prescription. Waiting for African Americans is twice as high as that for have to be eliminated. Outpatient services would for days for a bed to open "P because the hospital whites. ^ large percentage of pregnant women in be sharply reduced. Trauma units in some cases can't discharge its elderly patients because there New York City receive prenatal care only fair in would have to be closed altogether. is no nursing home bed and no home care avail pregnancy-if at all. Maternal drug use has isen Most severely hit. however. would be the able. An increase in TB and measles deaths. in creased suffering by people with AIDS. less treat. ment and more disease. According to Mr. Rivera's letter. Medicaid this Obviously there have to be limits to Medicaid year costs about $12 billion. with half paying for as to every other governmental program. hospitals and clinics, about one-quarter for nurs- ing homes. and 15 percent for home care. while No government could fund everything. the remainder goes to doctors, dentists and other providers and to pay for drugs and supplies. It is The question as I see it is: What should government fund? estimated that next year's program will cost $16 billion. Medicaid is funded by federal. state and This is not merely a fiscal question; it's a moral question. local governments, with the state paying some 30 Catholic New York January 2, 1992 5 percent, local government some 20 percent, and the federal government 50 percent. Every dollar reduction in state spending means a two- to three- dollar loss in health-care spending. Yet the pro- posed cuts in state funding of Medicaid amount to approximately $1 billion. W hat is the answer? Many compassionate people question both the social and fiscal soundness of Medicaid. Some, as New York Post's Ray Kerrison, blame New York's fiscal crisis in large part on Medicaid, and note that while New York has 7 percent of the nation's pop- ulation, It consumes 20 percent of the nation's Mayor David Dinkins Gov. Mario Cuomo Sen. Hubert Humphrey Medicaid spending. Mr. Kerrison reports: "From The statistics are A need for a realignment We have sick care, 1980 to 1990, the Medicaid bill jumped from $1.4 billion to $3.5 billion. Most states opèrate at half horrifying. of our priorities. not health care. New York's costs while delivering similar servic- T hus would many critics of Medicare argue: desperate and must be met today. However cru- es." (Dec. 27, 1991) that costs are too high, waste too rampant, cial It may be to effect a radical restructuring of In his day, Sen. Hubert Humphrey faulted the delivery systems too prodigal. They are not lack- our entire approach to health care as quickly as allocation of health-care funding, arguing that ing In compassion, they are simply looking for a possible, that cannot possibly happen quickly enough to avert disaster for the unborn who need "we have a system of sick care in this country, better way. They ask whether continuing escala- not health care." At that time some 96 percent of tion of the cost of Medicaid can prevail without prenatal care, the infants who need neonatal federal health-care funding went into treatment; completely destroying the economy, if not society care, the children, the Irall elderly, the countless less than 4 percent went toward preventing dis- Itself. They question even more acutely the ex- others in "imminent peril." Let us set about immediately the task of hon- ease or promoting health. pansion or contraction of Medicaid spending for estly defining and realizing our priorities and re- In his introduction to "Imminent Peril," cited purposes of political expediency. above, Dr. Cahill speaks along similar lines: I agree with many of the anxieties. Obviously structuring our health-care systems as neces- "If we cannot test, if we cannot treat, If we can- there have to be limits to Medicaid as to every sary, but being realistic about how long it will take to do this equitably. In the meanwhile, nei- not immunize, if we cannot educate, then we shall governmental program. No government could ther will critical Immediate needs be met while fall victim to a calamity that will not only fill the fund everything. The question as 1 see It is: What the debate runs on, nor will long-term health-care corridors of our hospitals but will soon cripple the should government fund? That's not merely a fis- needs be met by the outcome of such debates If economic engine, and drive away those preclous cal question; it's a moral question. What are our such outcomes are purely political or Ideological. human resources that give life to cities such as real priorities? What do we consider absolutely Politics may well be the art of compromise, but New York. Time is not on the side of those who basic to our society and to every individual within not every compromise is morally right and good. believe we can continue to replace reality with that society? What do we really believe about the Compromise can save a lot of lives. Compromise rhetoric." human person? Are we willing as a people to in- can send a lot of people to their deaths. In "Governing America," Joseph A. Califano sist that rights must be balanced against A realignment of our "priorities" can't wait. Jr. writes that when he became Secretary of responsibilities? Everyone is not entitled to everything, but every- Health, Education, and Welfare, he hoped to start In my judgment, these are but a few of the ques- one is entitled to life, liberty and the pursuit of a "second health revolution in America." The tions that must be faced with moral courage by happiness. We fought a war over that belief a long first was the struggle against Infectious diseases, all who govern and all who are governed. Until time ago. won not with cures, but with sanitation programs, such questions are taken seriously, budget after Since I write this during the Christmas season, pasteurization of milk, mass immunization, and budget will be hostage to an inordinate number of it seems fitting to conclude with yet another ex- similar efforts. Results were spectacular. Today, demands that can be met only at the expense of cerpt from Dr. Cahill's Introduction: victory against such leading killers as heart dis- fundamental human needs, human worth and hu- "The hour for the rebirth of a caring and com- ease, stroke and cancer also "lles more securely man dignity. passionate country is here, for renewing old prior- in prevention than in cure," and is "the less costly But while all the questions are being raised and ities that may still allow that rough beast of way to mount a second revolution in public the Ideologies debated, hundred of thousands of hope-urban societies with all their failings-to health." But any "major health promotion human persons are at grave risk. They need help continue, as an Irish poet would have It; slouching effort," writes Mr. Califano, "involves scientific critically now. For many of the needs are toward Bethlehem to be born to a better life." and economic ingredients, financial incentives, Reprinted With Permission, Catholic New York, fan. 2. 1992 and individual self-discipline." He goes on: "We must, as a matter of social justice, provide health care to the millions of poor and unpro- tected Americans, particularly children and mi- norities. There are significant improvements to be made by federalizing Medicaid into a single program, opening up Medicare and Medicaid to more competition, putting a lid on hospital costs, encouraging more efficient delivery of health- care services through health-maintenance orga- nizations and nurse practitioners, and inoving the focus of our system from acute care to health pro- motion and disease prevention." "But beyond that, we may be better off as a nation giving an awakened and aroused private sector a chance to function for the next several years, perhaps under a broad mandate that em- ployers provide a minimum level of health bene- fits for their employees. For every free industrial nation-Canada, England, Germany, and even socialist Sweden-has much the same problems that plague our current system. Their national health plans provide easy access to health care- an important objective-but their health-care systems are just as expensive and profligate, and the ethical questions those systems face are no less vexing. Until we can deal with these prob- lems, we should stop worshiping at the altar of an instant universal, mandatory, comprehensive na- tional health plan and move Instead in discrete increments to serve our most pressing health- care needs; reform our relmbursement and deliv- CNY/Chris Sheridan cry systems, and curb waste, inefficiency, and es- EMERGENCY ROOM at St. Vincent's Hospital in Manhattan. More and sicker calating costs. In the process, we can learn liow people are llocking to the emergency rooms because they can't afford the co- better to resolve the moral and ethical Issues that payment that would have been required before seeing a doctor," Dennis Rivera agovernment providing health care inust face. wrote: Calnolic December 199 From My Viewpoint 'Beyond the Extra Mile' By CARDINAL JOHN J. O'CONNOR S ometimes I'm not sure whether New York that the ACLU will not be satisfied unless it suc- entrusted to feed, house, clothe, care for, worry Newsday is editorially anti-Catholic, or ceeds in driving the Catholic Church out of child about, love children on behalf of the city. Why are whether its editors simply don't do their home- care. If it loses on one issue, it will go after us on we entrusted with the lives of children at all, if we work on matters relating to the Church. In either another. Our financial expenditures have been can't be trusted to keep our word that we do teach event, the editorial "Can They Find A Just Solu- staggering. We could have given up long ago, but about abortion and birth control? The law re- tion" was a doozy! (Friday, Nov. 29, 1991.) we believe in our ability to provide high-quality quires that our agencies be open at all times to The editorial informs the world that "Cardinal child care, and have wanted to continue providing city officials to visit in order to determine how John O'Connor is playing a dangerous game of it. well we are taking care of children. We Invite and chicken when he says he'll resist efforts to give I don't know whether the American Civil Liber- encourage such visits. information on birth control to teenagers in foster ties Union had the grace to be embarrassed, but Why could the city not do any Instructing it care agencies affiliated with the Archdiocese of all pretense of racial discrimination proved ab- wants to do before remitting children to our care? New York." The writer goes on: "Such a move by surd when a head count consistently revealed a Why will the city not settle for sending letters to the cardinal might force city officials to call his very high percentage of black and non-Catholic children in our care inviting them to visit the bluff and cut off Catholic funds...' children in our Catholic child-care agencies. I do city's "Options Centers"? (An "Options Center" That's only the opening paragraph, but there not recall an apology from the ACLU. On the con- is obviously an optional place to visit.) Because are a host of things wrong with it. trary, as memory serves me, it was only after its the children can't read? Nonsense. First, to suggest that I am playing a game of racial discrimination suit fell apart, that it turned Before the editorial concludes, it piously hopes any sort with the lives of thousands of young peo- its big guns on alleged denial of information on a that before the "December 17 court deadline for ple or trying to bluff city officials is worse than "full range of family planning" to youngsters in resolving this dispute," the Commissioner of the insulting-It suggests gross and inexcusable igno- our care. Child Welfare Agency and I will manage to settle rance of the facts. What Newsday is re- things amicably. It also urges the ferring to, although its failure to say SO commissioner not to "cave in." 1, too, makes one wonder if it knows. is the We are providing a vital service would hope the commissioner will not Wilder case. The Wilder case began cave in-to the ACLU. The city's bat- more than 18 years ago, when I was still to the City of New York, tle is not and never has been with the in Navy uniform and Cardinal Cooke, Church, but with the ACLU. never in his life known as either a and doing so happily and with integrity. If there is a danger of "cave-in," player of games or a bluffer, was Arch- however, It is I (and, I suspect, Bishop bishop of New York. Bishop Mugavero If the city no longer needs or wishes to use Daily of Brooklyn) who may cave-in, was Bishop of Brooklyn. but in a totally different sense. One What Is-has been-the Wilder case? our services-no hard feelings. simply gets fed up. More, one has to I will Inadequately condense 18 years. ask how many more hours, weeks, Shirley Wilder was approximately 14 years of time and energy can we years old. In June of 1973, the Civil Liberties This brings me to another blooper in the spend in trying to accommodate ACLU demands? Union brought a class action suit, on her behalf Newsday editorial: that I say I will "resist efforts How much more money can we throw away- and that of other children, against the City and to give information on birth control to teenagers." money that could go to child care? What will be State of New York on grounds of racial discrimi- Again, the ignorance. The reality is that our child- the next ACLU gambit? For a time they were vig- nation. Allegedly, black Protestant children were care agencies themselves provide full informa- orously protesting religious symbols in our Catho- being discriminated against because they were tion on the "full range of family planning," In- lic child-care agencies. If it won't be that, it will not being placed in the Catholic child-care sys- cluding birth control and abortion. I will put our be something else. Are we Catholic or are we not? tem, conceding the high quality of care provided program of education in sexuality against any If we have provided the highest quality-indeed, by the Catholic system. In question was the con- program the city or the ACLU can offer. What the sought after-child care for more than a century, stitutionality of New York State law and practice editorialist apparently means is that we teach in large measure because we are value oriented, of placing children, when practicable, in institu- about birth control and abortion within a context why fault us now for being value oriented? tions or agencies of the same religious faith of the of values. That's what sticks in people's throats. Which really introduces the crucial question: child in accord with the wishes of the parents. We refuse to be antiseptic or naive in our teach- Should Catholic child-care agencies stop being In 1974 a Federal Court ruled in favor of New ing. We believe that we have both the right and Catholic in order to continue caring for children? York State constitutional and statutory provisions the responsibility to go beyond techniques to the In my judgment, and in Bishop Daily's, I am cer- but left open the question whether these provi- public morality of techniques and of motives. We tain, that would be a contradiction in terms. sions, as implemented, violated the federal consti- are quite as prepared as anyone to describe the We are providing a vital service to the City of tutional rights of the children. Then began several physical activity of birth control pills and devices. New York, and doing so happily and with Integri- years of legal discovery involving motions and We are also prepared and determined to teach the ty. If the city no longer needs or wishes to use our depositions. People like our own top child care ex- moral dimensions of the use of such. services-no hard feelings. We have an almost in- pert, Sister Una McCormack, O.P., were exten- finite number of demands on our limited resourc- sively Interrogated. In 1978 the ACLU filed a new es. Nor are we dazzled by the millions of dollars complaint and by 1983 this new complaint had I invite Newsday both to examine the curricu- the city pays us. Child care still costs us money. been amended, I believe, four times. Shortly be- lum that was so carefully developed in good We are not in it as a business, but as a service and fore going to trial, the ACLU and the city entered faith to assure our consonance with the Court's a work of love. into settlement discussions leading to a settle- decree. My understanding is that the ACLU rep- After seven and a half years of an enormous ment agreement approved in final form by the resentative alleges that anything produced under amount of effort to achieve an amicable arrange- court in 1987. The settlement was between the Catholic auspices is automatically unsatis- ment without compromising principle, I am sub- ACLU and the City of New York. The stipulation factory. stantially less than amused by an editor who required the city, among other things, to "ensure Furthermore, in my judgment, birth control is speaks of playing chicken and bluffing. I don't that all children have meaningful access to the not the issue; abortion is. We categorically refuse own a leather jacket, with or without steel studs, full range of family planning information, ser- to refer children to any agency that may encour- and my only gold chain carries my episcopal vices and counseling to be provided either by the age them to undergo abortion. To teach about cross. I am ill-suited to playing chicken or any agency or by a suitable outside source or both." In abortion is one thing; to encourage abortion is an- other game with human lives. my judgment, the primary thrust of the ACLU's other. But since the Newsday editorial fails to use No, Mr. Newsday Editor, I am not bluffing, nor present pressure on the city and, in turn, on our the term abortion even once, while it uses the is Bishop Daily. We have hung on, he for the year agencies is to ensure that the maximum number term birth control by my count six times, either he has been Bishop of Brooklyn, I for my seven of children in Catholic child-care agencies be pro- the editorialist doesn't know that abortion is the and a half years as Archbishop of New York, vided with abortion counseling. abortion services issue, or considers abortion just another form of against inordinate challenges, demands and ha- and condoms. birth control. The difference, of course, is fatal. rassment. We have walked far beyond the extra I apologize if this thumbnail sketch does a dis- When most people speak of birth control they mile. Our feet are worn out. Pray not that we will service to either the city or the ACLU. I have at- mean preventing conception. Abortion, of course, stop "bluffing"; pray, rather, If you care about tempted to synthesize the complexities of 18 years destroys a life already conceived. both children and principle, that we won't give up of legal and judicial processes in a few para- The editorial proceeds. I will not. As the King of in exasperation and discouragement. graphs. and as I understand them. Siam put it: "It's a puzzlement." For more than a No one is "playing chicken," Mr. Editor, but What I deduce from a study of these years is century Catholic child-care agencies have been someone is throwing some pretty rotten eggs. Catholic New York March 21, 1991 From My Viewpoint The World Will Hate You' By CARDINAL JOHN J. O'CONNOR L ife is never easy; in Lent it often gets even charge levied against Jesus standing before Pi- harder. This Lent "Catholic bashing" has re- late: "He stirs up the people. ally been the in thing. That gives me a degree of Expect that, each of you who would be called comfort. It suggests we must be doing some "Christian." Expect it when you object to your things right. Our Lord made it very clear: school boards about the imposition of the world's Because you are not of the world, but I have values on children. Expect it when you object to taken you out of the world, the world will hate your television stations about imposing the you as it hated Me before you." world's values about marriage and family life The Roman historian, Tacitus, lived through the and when you object to theater owners who show early days of Christianity (56 A.D.-117 A.D.) He the movies they show, and to producers who pro- saw Christians come to Rome and Rome worried duce them. by their presence. They were countercultural, like Expect it when columnists and editors who are the Church today. Tacitus wrote a book called censored for ethnic slurs or attacks on virtually The Annals of Imperial Rome," in which he de- any other people can romp all over the place ai scribed the burning of Rome during the reign of the expense of Catholics who dare to publicly up- Nero, who ruled from 54-68 A.D.. Here's Tacitus: hold their faith, without a murmur from publish- neither human resources, nor imperial mu- ers or owners. nificence, nor appeasement of the gods, elimi- nated sinister suspicions that the fire had been in- Expect to stand before the Pilates of the world stigated. To suppress this rumor, Nero fabricated 'FOLLOW ME'-Bas relief of Good Fri- each day of your life, my Christian brothers and scapegoats-and punished with every refinement day event suggests Christ's words sisters or any other good and decent people o the notoriously depraved Christians (as they were quoted by Cardinal O'Connor, "If you other religious persuasions, and have the world popularly called). Their originator, Christ, had would follow Me, take up your Cross." wash its hands of you before it sentences you to been executed in Tiberius' reign by the governor death. of Judea, Pontius Pilate. But in spite of this tem- and convenient practice. Neither the Church at If you're going to be a real Catholic, expect to be porary setback the deadly superstition had bro- large nor individual Christians should be the treated like one and be glad, even if it doesn' ken out afresh, not only in Judea (where the mis- slightest bit surprised to hear from those who make you feel good. Neither Christ nor the Church chief started) but even in Rome. All degraded and speak for this world's values that we are the ones ever said that "feeling good" is the purpose of life shameful practices collect and flourish in the who create problems, "stir up the people," im- "If you would follow Me, take up your Cross." No capital." pose our values on others whenever we proclaim, in all of history has Easter Sunday come befor Blaming the victim is an ancient, dishonorable "This is what we believe." Do you remember the Good Friday. of George Bush, 1992 Administration of George Bush, 1992 / May 11 823 ate Returning or public subsidies, or fails to eliminate spe- 80 percent of the spending limit, the partici- e Congressional cial interest PACs. pating candidate may spend without limit Limit and Further, as I have previously stated, I am and receive unlimited Federal matching of 1992 opposed to different rules for the House and funds. The subsidies provided for in S. 3 Senate on matters of ethics and election re- could amount to well over 100 million dollars form. In several key respects, S. 3 contains every election cycle, yet the Act is silent on ed States: separate rules for House and Senate can- how these generous Government subsidies with without my ap- didates, with no apparent justification other would be financed. It seems inevitable that (ressional Campaign than political expediency. they would be paid for by the American tax- ction Reform Act of S. 3 no longer contains the provision that payer. I understand why Members of Con- baign finance system the Senate passed last year abolishing all. gress would be reluctant to ask taxpayers di- 3 years I have called PACs. Although that provision was overbroad' rectly to subsidize their reelection cam- rhaul our campaign in banning issue-oriented PACs unconnected paigns, but given the significant costs of S. to reduce the influ- to special interests, S. 3 would not eliminate 3, its failure to address the funding question to restore the influ- any PACs. Instead, the Act provides only a is irresponsible. political parties, and reduced limit on individual PAC con- Our Nation needs campaign finance laws Ivantages of incum- tributions to Senate candidates and no that place the interests of individual citizens accomplish any of change in the status quo in the House. More- and political parties above special interests, tion to perpetuating over, the limit on aggregate PAC con- and that provide a level playing field between of special interests tributions to House candidates to one-third challengers and incumbents. What we do not veen challengers and of the spending limit, $200,000, is not likely need is a taxpayer-financed incumbent pro- limit political speech to diminish the heavy reliance of Members tection plan. For these reasons, I am vetoing nendment and inevi- on PAC contributions. The average amount S.3. the Treasury to pay a Member of Congress raised from PACs in George Bush heme of public sub- the last election cycle was $209,000. The spending limits for both House and The White House, comprehensive cam- Senate candidates will most likely hurt chal- May 9, 1992. egislation to reduce lengers more than incumbents, especially be- J interests and the cause S. 3 does little to reduce the advantages My proposal would of incumbency. Inexplicably, there is no par- committees (PACs) allel House provision to the sensible Senate Remarks on Maternal and Infant ns, unions, and trade provision restricting the use of the frank in Health Care rotect statutorily the an election year. In the last election cycle, May 11, 1992 ican workers, imple- the amount incumbent House Members Court's decision in spent on franked mail was three times the Thank you, Lou, thank you, Secretary Sul- rs V. Beck. It would total amount spent by all House challengers. livan, and welcome, everyone. Let me just S. It would virtually The system of public benefits, designed to pay a special thanks to Senator Dale Bump- bundling. It would induce candidates to agree to abide by the ers and to Congressman Tom Bliley, who are of all soft money spending limits, is unlikely in many cases to have been spearheading many of our prenatal 1 parties and by cor- overcome the inherent favors of incumbency. and immunization initiatives on Capitol Hill. it would restrict the S. 3 contains several unconstitutional pro- They are true leaders for this cause, and ng privileges enjoyed visions, although none more serious than the we're delighted to see you all here today. prevent incumbents aggregate spending limits. In Buckley V. Also to Jim Mason, our Assistant Secretary war chests from ex- Valeo, the Supreme Court ruled that to be for Health; Bill Roper from Atlanta, doing n previous elections. constitutional, spending limits must be vol- a superb job as our Director at CDC. And it reforms, and I am untary. There is nothing "voluntary" about a warm welcome to representatives of the ludes a few of them, the spending limits in this Act. The penalties Advertising Council and to all the very spe- ices. If the Congress in S.3 for candidates who choose not to abide cial mothers and children who are with us 'g campaign finance by the spending limits or to accept Treasury today. egislation along the funds are punitive-unlike the Presidential Yesterday, on Mother's Day, millions of 9, and I will sign it campaign system-as well as costly to the tax- Americans took time to appreciate the mir- cannot accept legis- payer. For example, if a nonparticipating acle of motherhood. We thank the mothers tains spending limits House candidate spends just one dollar over who brought us into this world, who taught 824 May 11 / Administration of George Bush, 1992 S us our first lessons about life and love and tration's budget for immunization continues character. Today, we're taking some vital to respond to the need. For fiscal '93, we're steps to help American mothers, their chil- seeking an increase to $349 million. We're dren, and their families. We're announcing also announcing new standards for pediatric improved standards and a new action plan immunization, the work of an expert panel C for immunization. We're beginning a public representing many private and public sector P service ad campaign to promote an innova- organizations. They're going to help clinics tive prenatal care program called Healthy improve their method to provide vaccination Start, the program Dr. Sullivan referred to. to kids who need them the most. Every year in America thousands of babies I salute the leaders again of the Advertis- are delivered at dangerously low birth ing Council for all the volunteer time and weights, and too many of these babies die talent that you have organized for the cause or suffer chronic illness as a result. Thou- of infant mortality. I know that public service sands of our young children suffer crippling ad campaigns such as this work. Think of the effects each year from measles and other success of other Ad Council campaigns for communicable childhood diseases, and some kicking the smoking habit, for seatbelt use, even die. But the saddest fact of all is this: for screening for cancer. All such efforts help Most of this death and disease is easily pre- people show greater responsibility in their ventable through immunization and through own behavior. better prenatal care. To the extent they are Now, I've often thought that the same sort preventable, they too often reflect bad health of diligent use of marketing science and com- choices stemming from ignorance of good munications talents could help motivate health behavior or absence of a defined sense Americans to address other problems involv- of personal responsibility by the parents. ing personal responsibility, for instance, in All of our maternal and child health pro- keeping families together, encouraging re- grams are being improved, integrated, and sponsible sexual behavior, and other matters developed to promote the principles of inno- of personal and family well-being. So I'm vation, of community involvement, and per- confident that the Ad Council's new cam- sonal responsibility. We are using new and paign will have strong and positive results. creative approaches to bringing high-risk The Council's messages will emphasize women into care. To attack this problem we that the health of pregnant women and their are mobilizing the Nation's best ideas and unborn babies is a matter of concern to every resources. The hallmarks of our plan can be member of a civilized society. When an ex- summed up in two words: immunization and pectant mother is financially needy or with- action. out a husband or a family to support her, Last June I stood here in the Rose Garden it is all the more urgent for good neighbors with the Secretary to call for a stronger im- to show that they care. The Ad Council's first munization effort. We sent out teams to six message, therefore, targets the general pub- areas of our country to determine how we lic. It calls on all of us for action. The theme could do it better. We learned lessons that that you'll soon be hearing on television is we're now applying nationwide. I was pleased this: We must not accept high rates of infant to be a part of the visit to San Diego in Feb- deaths because this is America. ruary and happy that representatives of all The second announcement will impress six communities that we looked at are here upon men the importance of their role. with us today. Whether a man is an unborn child's father Today we're announcing a new action plan or another family member or friend, there to get our children vaccinated when it makes is much he can and should do to help an the greatest difference, before the age of two. expectant mother. We cannot understate The plan requires more effective coordina- male responsibility. tion to promote vaccination among the var- The third announcement will tell women ious Federal Agencies that serve children. that proper care begins long before the baby We're helping States and localities with their is born. Consider this: Babies born after a own immunization plans. And our adminis- pregnancy with no prenatal care are four ration of George Bush, 1992 Administration of George Bush, 1992 / May 11 825 T immunization continues times more likely to die than those whose of our cities, and you're the model of a good need. For fiscal '93, we're mothers received care beginning in the first neighbor. Thank you for what you do. ie to $349 million. We're trimester. The full series assures pregnant Unbelievable as it may seem, the innova- ew standards for pediatric women in need that they are not alone. Care work of an expert panel is available, and good neighbors are being tions of Healthy Start ran into resistance up in Congress where they are still too much private and public sector mobilized to help. /'re going to help clinics The Healthy Start approach represents wedded to the old bureaucratic ways of doing things. I'm optimistic, though. I believe our ad to provide vaccination what we should be doing to solve our social problems: local solutions, local control, local approach for empowering people with new em the most. ideas is the way of the future. Our crusade ers again of the Advertis- accountability. The first 15 Healthy Start for preventive health care for infants and ex- i the volunteer time and communities were chosen from a long list pectant mothers will move a step further e organized for the cause of applicants. I understand that rep- when we reform this-overall reform of the I know that public service resentatives of many of these communities as this work. Think of the health insurance system. I've proposed mak- from around the Nation are here today, and ing every American able to afford a basic d Council campaigns for thank you all for your good work. g habit, for seatbelt use, We're not weighing down these commu- health insurance plan of his choice, using ncer. All such efforts help credits or vouchers. And through the market nity initiatives with burdensome Federal er responsibility in their mandates and command-and-control regula- system, we would provide needy Americans better health care than they now receive. tions. We're seeking to empower neighbor- thought that the same sort hood volunteers in local governments to in- These two efforts represent a new way of arketing science and com- vent effective new ways to help save babies' solving our problems in infant mortality and ts could help motivate lives and keep babies and their mothers immunization. Our guiding principle is to :SS other problems involv- strong and healthy. reach out: Reach out to young parents, make insibility, for instance, in" Healthy Start successes will come from sure they know what they need to do, and then help them to do it; reach out to commu- ogether, encouraging re- people who see neighbors in need and ask, havior, and other matters "What can I do to help?" And they follow nity organizations; reach out to the private amily well-being. So I'm sector; and reach across the artificial lines in through on their generous impulses. And Ad Council's new cam- they keep noticing and helping more people. our Government so that any program that rong and positive results. I'm talking about people like Minnie Thomas touches young children and their parents will messages will emphasize in Oakland, California. An energetic grand- become an opportunity point for better health. oregnant women and their mother, she was helping drug abusers when matter of concern to every she learned there was no facility for drug We have new kinds of problems, and so ized society. When an ex- abusers who became pregnant. So she we've got to think in new ways. We need financially needy or with- opened her own facility called Solid Founda- to think about all the opportunities that we a family to support her, tion. And 47 kids have been born to mothers have to draw in young families who may be urgent for good neighbors at Solid Foundation, and not one suffered left out today, to help them, to inform them. are. The Ad Council's first We need to enlist them and enlist our com- from low birth weight. targets the general pub- Here in Washington, Tawana Fortune- munities to work together to help them. All f us for action. The theme the community organizations have a tremen- Jones is the woman with the Mom Van, and e hearing on television is she knocks on doors in neighborhoods where dous role to play. It's already worked in our accept high rates of infant infant mortality is high. She's enlisted the co- six demonstration immunization cities, and I operation of doctors and clinics to establish am confident that it's going to work in is America. Healthy Start and in more immunization ouncement will impress a Healthy Start Pregnancy Register. She nportance of their role. drives the Mom Van, and each morning at communities all around this great country. an unborn child's father 7 a.m. she begins picking up women and tak- Thank you all for your leadership. Again, member or friend, there ing them to doctors' offices. Afterwards she my respects to the two Members of Congress nd should do to help an takes them home, and then she shuttles an- here. Thank the doctors here, and thank all We cannot understate other group in the afternoon. She's a friend of you working in the communities to make life just a little better for the kids and for to women who have no other friends, and ncement will tell women she's saved and bettered the lives of hun- the families out there. Thank you all for com- gins long before the baby dreds of babies. And she's here with us today. ing. this: Babies born after a Tawana, where are you now? Right over ) prenatal care are four Note: The President spoke at 11:16 a.m. in here. Tawana, good neighbors are the heroes the Rose Garden at the White House. PAGE 1 LEVEL 1 - 1 OF 3 STORIES Copyright (c) 1991 The New York Times Company The New York Times November 5, 1991, Tuesday, Late Edition - Final SECTION: Section C; Page 17; Column 1; Cultural Desk; Word and Image Page LENGTH: 776 words HEADLINE: Books of The Times; In a Convent, Rapture And Questions of Reality BYLINE: By MICHIKO KAKUTANI who just happens to be Mariette's older sister, warns her: "Don't try to be exceptional; simply be a good nun. St. Ignatius Loyola gives us the right prescription. Work as if everything depended on you, but pray as if everything depended on God." Mariette, of course, is anything but ordinary. She radiates a beauty and purity that the other nuns TM TM TM LEXIS·NEXIS® LEXIS-NEXIS® LEXIS-NEXIS Services of Mead Data Central, Inc. Recyclable Elintion chicaren's initiation presering family that don't east clearly to embarras BOTHS my political (Libram Corps) faming present pressure foster care Breenzy Teny out $3.5 bin. into bin or your on befit TEAL PEOPLE/REAL EXAMPLES of o STEVE - HIRED KEN SOMETHING OR OTHER 4 THES/WEDS + THIS WEEK 7