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[07/08/1994 - 07/27/1994] [AFL-CIO]
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[07/08/1994 - 07/27/1994] [AFL-CIO]
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Presidential Electronic Mail from the Automated Records Management System (ARMS)
Automated Records Management System (ARMS) Email from the Office of Policy Development (OPD) Bucket
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ARMS Email System
Page 1 of 37
RECORD TYPE: PRESIDENTIAL (RECONSTRUCTED EMAIL)
CREATOR: Linda S. Work
( WORK_L ) (WHO)
CREATION DATE/TIME: 08-JUL-1994 13:20:00.00
SUBJECT: Health Reform Wire Report, 1PM Edition, July 8, 1994
TO: Kimberly S. Anderson
( ANDERSON_K ) (OA)
READ: UNKNOWN
TO: Catherine Balsam-Schwaber
( BALSAMSCHW_C ) (WHO)
READ: UNKNOWN
TO: Robert O. Boorstin
( BOORSTIN_R ) (WHO)
READ: UNKNOWN
TO: Thomas I. Burke
( BURKE_T ) (WHO)
READ: UNKNOWN
TO: Kenneth R Chitester
( CHITESTER_K ) (WHO)
READ: UNKNOWN
TO: Gary Cohen
(COHEN_G ) (WHO)
READ: UNKNOWN
TO: Charlotte A. Hayes
( CHARLOTTE A. HAYES@EOP_OVP@CCGATE@EOPMRX
READ: UNKNOWN
TO: Elise Deal
( DEAL_E ) (WHO)
READ: UNKNOWN
TO: Steven C. Edelstein
( EDELSTEIN_S ) (OPD)
READ: UNKNOWN
TO: Jeffrey L. Eller
( ELLER_J ) (WHO)
READ: UNKNOWN
TO: Patricia A. Enright
(ENRIGHT_P ) (WHO)
READ: UNKNOWN
TO: Deborah L. Fine
( FINE_D ) (WHO)
READ: UNKNOWN
TO: Jonathan P. Gill
( GILL_J ) (WHO)
READ: UNKNOWN
TO: Jason S. Goldberg
( GOLDBERG_JS ) (WHO)
READ: UNKNOWN
TO: John P. Hart
( HART_J ) (WHO)
READ: UNKNOWN
TO: Christine M. Heenan
( HEENAN_C ) (OPD)
READ: UNKNOWN
TO: Dana J. Hyde
( HYDE_D ) (WHO)
READ: UNKNOWN
TO: Paul W. Jamieson
( JAMIESON_P ) (OPD)
ARMS Email System
Page 2 of 37
READ: UNKNOWN
TO: Kelcey Kintner
( KINTNER_K ) (WHO)
READ: UNKNOWN
TO: Joseph H. Kolski
( KOLSKI_J ) (WHO)
READ: UNKNOWN
TO: G. N. Lattimore
( LATTIMORE_G ) (WHO)
READ: UNKNOWN
TO: Gregory E. Lawler
(LAWLER_G ) (OPD)
READ: UNKNOWN
TO: My La
( LA_M ) (WHO)
READ: UNKNOWN
TO: Jacob J. Lew
( LEW_J ) (OPD)
READ: UNKNOWN
TO: Mike Lux
( LUX_M ) (WHO)
READ: UNKNOWN
TO: Ira C. Magaziner
( MAGAZINER_I ) (OPD)
READ: UNKNOWN
TO: Lorraine McHugh
( MCHUGH_L ) (WHO)
READ: UNKNOWN
TO: Julia Moffett
( MOFFETT_J ) (WHO)
READ: UNKNOWN
TO: Meeghan E. Prunty
( PRUNTY_M ) (WHO)
READ: UNKNOWN
TO: Mark Miller at PROFS
( PR_U=MMILLER@PR_L=CPUB@MRP@EOPMRX ) (DEFA
READ: UNKNOWN
TO: Laura Quinn
( QUINN_L ) (WHO)
READ: UNKNOWN
TO: Simone M. Rueschemeyer
( RUESCHEMEY_S ) (OPD)
READ: UNKNOWN
TO: Joshua Silverman
( SILVERMAN_J ) (WHO)
READ: UNKNOWN
TO: Adam R. Skilken
( SKILKEN_A ) (WHO)
READ: UNKNOWN
TO: Jason M. Solomon
( SOLOMON_J ) (WHO)
READ: UNKNOWN
TO: John O. Sutton
( SUTTON_J ) (WHO)
READ: UNKNOWN
TO: Harris, Skila S.
( SKILA S. HARRiS@EOP_OVP@CCGATE@EOPMRX ) (
READ: UNKNOWN
TO: Marjorie C. Tarmey
(TARMEY M ) (OPD)
ARMS Email System
Page 3 of 37
READ: UNKNOWN
TO: Guild L. Taylor
( TAYLOR_G ) (WHO)
READ: UNKNOWN
TO: Joe Velasquez
( VELASQUEZ_J ) (WHO)
READ: UNKNOWN
TO: Melanne Verveer
( VERVEER_M ) (WHO)
READ: UNKNOWN
TO: Susannah B. Wellford
( WELLFORD_S ) (WHO)
READ: UNKNOWN
TO: Margaret A. Williams
( WILLIAMS_MA ) (WHO)
READ: UNKNOWN
TO: Marilyn Yager
( YAGER_M ) (WHO)
READ: UNKNOWN
TO: Lynn M. Margherio
( MARGHERIO_L ) (WHO)
READ: UNKNOWN
TEXT:
PRINTER FONT 12_POINT_COURIER
Health Care Reform Wire Report
1PM Edition, July 8, 1994
Cisneros to meet with community builders for health care
reform (Advisory
- -PRNewservice)
Women may be losers if Clinton health plan shrinks
(Baltimore Sun)
Democrats enlist ad couple in bid to save health plan (Dow
Jones)
Opposition's health ads play off Harry, Louise (Newsday)
Health bill seen falling short of 95% coverage (Wall St.
Journal)
Give the states a crack at devising health care reform
(LAT)
Coalition attacks Dole's health plan (NY Times News
Service)
States continue to act as laboratories of innovation (Wall
St. Jpournal)
NEB: Rally, Congressmen line up on health care issues (AP)
OK: Doctor to run against Synar; won't take tobacco money
(AP)
ARMS Email System
Page 4 of 37
WI: Klug announces bid for third term from 2nd
Congressional District (AP)
CA legislature approves tough, statewide anti
-smoking law
(Bloomberg)
NH:Poll shows jobs, economy top concerns (AP)
Hawaii presents possible archetype for Clinton health plan
(LA Times)
Subsidy fund becomes one of Hawaii's best kept secrets (LA
Times)
USA TODAY Issues; Health Reform
CT: Franks announces bid for third term (AP)
Johns Hopkins hospital rated best in the nations
(PRNewswire)
AP Daybook
Friday
-Health Reform
bc
-DC
-HUD health
-care
NEWS ADVISORY -- TO NATIONAL EDITOR:
COMMUNITY BUILDERS FOR HEALTH CARE REFORM
Secretary Henry G. Cisneros, U.S. Department of Housing
and Urban Development, will join the leaders of a number
of community organizations to discuss their support of the
administration's five principles of health care reform.
These community groups will discuss the impact of the
current health care situation on local communities and the
importance of reforming the nation's health care system.
WHAT:
Community Builders for Health Care Reform
WHO:
Secretary Henry G. Cisneros and organizational
leaders
WHEN:
Monday, July 11
10 a.m.
WHERE:
White House
Indian Treaty Room
Old Executive Office Building
17th & Pennsylvania Ave. N.W.
Washington
NOTE TO EDITORS: White House clearance procedures are
ARMS Email System
Page 5 of 37
in effect. Press persons attending must call the contact
below and provide the following information: full name,
social security number, date of birth, organization.
CONTACT: Michael Zerega of the U.S. Department of
Housing and Urban Development, 202
-708
-0277, ext. 118.
-0-
7/8/94
/PRNewswire -- July 8/ CO: U.S. Department of Housing
and Urban Development ST: District of Columbia IN: HEA
SU:
EXE
DC
KF DC004 9387 07
-08
-94 10:54 EDT
bc
-health
-women - a2122
(bal) (ATTN: National editors) (Includes optional trims)
Women May Be Losers If Clinton's Health Plan Shrinks
(Washn)
By Karen Hosler= (c) 1994, The Baltimore Sun=
WASHINGTON Women, who probably had the most to gain
from President Clinton's proposed overhaul of the health
care system, may now have the most to lose as Congress
moves to shrink and delay the program.
Women's health care advocates, who once viewed
Clinton's proposal as a chance to make enormous strides on
abortion rights, preventive services and direct access to
insurance for the largest segment of the adult population
that is without it, now fear they could lose ground in all
these areas.
So much controversy has developed over how to finance
reform that ``a squeamish, incremental approach'' appears
to be taking hold of the legislative process, Pamela J.
Maraldo, president of the Planned Parenthood Federation of
America, a leader in abortion rights, complained Thursday.
`We want to make sure coverage isn't lost.
A gradual, voluntary approach that fails to provide
everyone with comprehensive coverage will do little to
bring Pap smears, mammogram screenings and other
preventive services within reach of working
-class women
who cannot afford them today. In fact, critics say, a
go
-slow approach to reform could drive up insurance
premiums, putting preventive services even further out of
reach for many.
ARMS Email System
Page 6 of 37
As the 10
-month
-old health care reform debate moves
later this month to the full House and Senate, a battle
over abortion rights has long been expected. It appears to
be one of a handful of issues on which the success or
failure of the entire legislation could turn.
But as important as the abortion cause is to women's
advocates, it is secondary to the more fundamental
question of whether Congress can produce a measure that
meets Clinton's goal of guaranteed health care for all
Americans that can never be taken away.
``It's really hard to figure out abortion strategy when
you don't know what's going to happen to the priority
concern of universal coverage, said Andrea Camp, a
spokeswoman for Rep. Patricia Schroeder, D
-Colo., who has
been a leader on women's issues in Congress.
(Begin optional trim)
Universal coverage'' is the underpining that would
open the insurance market to women who are
disproportionately poor, jobless, work part time, are
employed by companies that don't offer insurance or are
covered by a spouse's policy over which they have no
control.
Without some version of Clinton's proposal that
employers be required to buy insurance for their workers
and a new government program to subsidize the working
poor, many of the 12 million women now without health
insurance are unlikely to get it.
Republican lawmakers argue that even without mandates
requiring insurance coverage, more people can get policies
because of lower costs that will result from greater
competition and because of market reforms to bar insurance
companies from denying coverage for pre
-existing
conditions, such as breast cancer.
But industry lobbyists contend that those reforms won't
lower costs unless premiums can be spread across the
population. For example, they say, if an insurance company
accepts the risk of a woman diagnosed with breast cancer,
all others in the plan will have to pay more.
As premiums rise to absorb those costs, industry
lobbyists say, young, healthy people who must buy
insurance on their own will drop out, shrinking the pool
of payers. Premiums will rise further, ultimately raising
the costs beyond the reach of most of the middle class.
(End optional trim)
Women lawmakers on three of the four congressional
committees that produced versions of the bill
worked to meet women's health needs. Under most
versions of the bill, preventive services, such as regular
Pap smears and mammogram screenings, are included in the
basic benefit package that must be offered.
But without universal coverage, Maraldo of Planned
Parenthood said, those services still won't be available
ARMS Email System
Page 7 of 37
to most women who can't afford them now. If Congress
signals employers that providing health insurance to
workers is not expected of them, other women could lose
the coverage they have now.
Women have a lot more to lose from this than they
realize, said Alice Weiss, a program analyst for the
Campaign for Women's Health, a grass
-roots advocacy group.
Thus, women's rights groups are in the forefront of the
crusade Hillary Rodham Clinton unleashed two weeks ago,
when she urged the strongest supporters of her husband's
bill to put aside parochial concerns and focus on assuring
coverage for all.
Distributed by the Los Angeles Times
-Washington Post
News Service
Democrats Enlist Ad Couple In Bid To Save Health Plan
WASHINGTON The Democrats have drafted the health
insurance industry's best customers, Harry and Louise, in
an effort to rescue President Clinton's health
-reform
initiative, The Wall Street Journal reported.
The fictional couple's concerns over the plan, expressed
in television and radio ads sponsored by the Health
Insurance Association of America over the past several
months, have helped diffuse support for the proposal.
Now the Democratic National Committee is bringing out a
new TV spot showing the couple sick and uninsured. Louise,
heavily bandaged, yells at Harry, in a full body cast,
about how he said they would always be covered because he
had a job. Now he doesn't. She kicks him out of bed.
Committee Chairman David Wilhelm says the commercials
stress the Clinton administration's cornerstone theme of
health reform: coverage for all Americans. The commercial
advises viewers to "Tell Congress you want what they
already have" in health insurance.
The insurance association says it finds the Democratic
committee's ads "the highest form of flattery. If they
want their Harry and Louise to push for universal coverage
and get the same benefits as members of Congress, we would
absolutely agree with that," says Susan VanGelder, an
assistant vice president at the trade group.
(END) DOW JONES NEWS 07
-08
-94
6 00 AM
bc
-health
-ndy - a1823
(ndy) (ATTN: National editors) (Includes optional trims)
ARMS Email System
Page 8 of 37
Opposition's Health Ads Play Off Harry, Louise (Washn)
By Dena Bunis= (c) 1994, Newsday=
WASHINGTON Harry and Louise are back sort of. But
this time, it's the Democratic Party that is bringing them
to American living rooms.
The brainchild of the health insurance industry, Harry
and Louise have spent more than a year trying to convince
the American public that President Clinton's health plan
has serious flaws.
Now, as the health care debate is set to move from the
committee rooms to the floors of the House and Senate, the
Democratic National Committee has decided to spend
$250,000 to use Harry and Louise lookalikes to inject some
humor and bite into the issue.
``We want to challenge the Health Insurance Association
of America and others on their scare tactics, the
fear
-mongering, the skillful manipulation of people's
emotions, Democratic Party Chairman David Wilhelm said
at a news conference Thursday. `This new ad, which is
entitled, `Harry Takes a Fall,' attempts to show people in
a lighthearted way that the Health Insurance Association
of America has been misleading them.
The ads, produced free by Clinton friend and television
producer Harry Thomason and sanctioned by the White House,
show Harry and Louise bandaged up and in bed after a bad
accident, with Louise carping at Harry about his
opposition to universal coverage. An announcer then urges
viewers to call Congress and say they want the same
`affordable, universal health care'' that the lawmakers
already have.
Supporters of Clinton's approach to health care have
criticized the White House for what they contend has been
a disorganized campaign to sell the issue.
Advocates Thursday said while they applaud the DNC's
gesture, they are still concerned about the message
getting out effectively.
``Our experience in health care advertising is not to
overreach and try to do too much, said Charles Leonard,
coordinator of the Health Care Reform Project, a coalition
of labor, business, seniors and other advocates of
sweeping change. The project has spent $3 million on
advertising this year, and Leonard said it hopes to raise
close to $2 million and be back on the air soon with more
of its own commercials.
The DNC spot could also be in for some congressional
criticism. Sen. Daniel P. Moynihan, D
-N.Y., has already
expressed concern over first lady Hillary Rodham Clinton's
insistence that the health plan be as good as the one
Congress has.
`As someone who has tried to get votes for the
president's bill, he had the experience that a certain
number of members were alienated by that discussion,
said Lawrence O'Donnell, staff director of the Senate
Finance Committee, which Moynihan chairs.
Wilhelm said in addition to the $250,000 being spent
for this commercial, which began airing Thursday night and
ARMS Email System
Page 9 of 37
will run for five days in the metropolitan New York and
Washington markets, the committee has set aside $4 million
for the final push toward passage of a health care bill.
(Optional add end)
Officials at the health insurance association reacted
with bemusement to the DNC spot.
We're for universal coverage, and we're for the
employer mandate, and I wish they would put their energy
into how to effectively communciate their position on
those issues instead of spoofing us, said the group's
vice president, Chip Kahn.
This is the third parody of the group to hit the
airwaves. Thomason did an earlier one that showed Harry
dead after he didn't have proper health insurance, and the
president and first lady videotaped a widely aired skit
first used for a media dinner in Washington last spring.
It's sort of three spoofs and you're out, Kahn
said.
Distributed by the Los Angeles Times
-Washington Post
News Service=
Health Bill Seen Falling
Short Of 95% Coverage
By David Wessel and Hilary Stout
Staff Reporters of The Wall Street Journal
WASHINGTON The slapdash health bill that the Senate
Finance Committee approved last week promises health
insurance for 95% of Americans, but doesn't raise enough
money to achieve that goal, administration and
congressional officials say.
The bill was heralded as proof the government could get
close to President Clinton's goal of universal coverage
without requiring employers to provide health insurance as
Mr. Clinton proposes.
But Democratic and Republican congressional staffers and
administration officials privately say the bill can't
deliver what it promises. The bill even provides a
mechanism for breaking the promise; a fail
-safe provision
designed to avoid increasing the federal deficit would
automatically scale back subsidies and new tax deductions
if the financing proved inadequate.
The Finance Committee hasn't provided any cost estimates
for the bill even to the senators on the committee,
several of whom acknowledged they were voting on it with
even less than the usual analysis. But estimates prepared
for comparable proposals and preliminary calculations
circulating within the government suggest that, over the
next five years, the program the bill envisions would cost
tens of billions of dollars more than it provides
perhaps as much as $100 billion more.
"Without additional funding, I don't think there's any
way the bill will lead to 95% coverage," says Thomas
Scully, who oversaw health spending for the Bush
administration's budget office and now represents a number
of clients in the health
ARMS Email System
Page 10 of 37
-care industry. "There's a big
financing gap, and it's not any fun to close it. Your
choices are A: raise taxes, which isn't doable; or B: cut
entitlements, which is also highly unpleasant."
The Finance Committee's bill is one of two health
-reform
measures approved by Senate committees. The other promises
universal coverage by requiring employers to pay part of
the tab for their workers' insurance, but it's unlikely
that a majority of the Senate would vote for such a
mandate. Senate Majority Leader George Mitchell of Maine
has said he will meld the two measures and bring a bill to
the Senate floor by the end of this month.
In the more liberal House, two committees have approved
bills with employer mandates. A floor vote also is
expected on a bill that would create a government
-run,
taxpayer
-financed health system.
To make health insurance affordable to lower
-income
Americans and to encourage them to buy it, the Finance
Committee's bill would offer subsidies for all families
with incomes up to twice the poverty level (up to about
$29,500 in today's dollars for a family of four). The
poorest of those would get insurance free; the government
would pick up part of the premium for others.
A Congressional Budget Office analysis of a rival
program crafted by Rep. Jim Cooper (D., Tenn.) and Sen.
John Breaux (D., La.) puts the five
-year price for a
similar subsidy plan at $400 billion to $500 billion,
depending on the scope of the benefit package. And the CBO
says that sum would lift the fraction of Americans with
insurance to only 91% from the present 85%.
The Senate panel's bill appears to aim at a benefit
package in the middle of the CBO's range, suggesting the
promised subsidies will cost roughly $450 billion over
five years. (There are differences between the Cooper and
Finance Committee plans, but some would make the Senate
version more costly and others would make it less costly.)
(END) DOW JONES NEWS 07
-08
-94
6 05 AM
Health Bill Seen
-2: Senate Unable To Reach Majority
After rejecting a number of tax increases suggested by
Chairman Daniel Patrick Moynihan (D., N.Y.), the Finance
Committee Saturday approved a bill that appears to raise
little more than $100 billion in revenue over five years,
ARMS Email System
Page 11 of 37
after accounting for the cost of expanded tax deductions
for the self
-employed and those workers who buy their own
policies.
The biggest chunk would come from higher tobacco taxes,
about $65 billion over five years. Another $30 billion or
so would come from a new 1.76% tax on health
-insurance
premiums, though the bill would dedicate that money
exclusively to research. Another $4 billion would come from
raising Medicare premiums for upper
-income elderly people.
The hardest tax to estimate in the legislation is Sen.
Bill Bradley's (D., N.J.) tax on high
-cost insurance
plans. The Treasury's top tax official has indicated the
tax might produce $14 billion to $17 billion over 10
years.
The remaining $350 billion or SO needed to provide the
subsidies would have to come from money
-saving changes to
Medicare and Medicaid, the federal insurance programs for
the elderly and the poor. Medicaid spending would fall
because many beneficiaries would be shifted to
government
-subsidized private insurance under the Senate
committee's bill, but none of the preliminary estimates
suggest the Medicare and Medicaid savings come close to
making up the shortfall.
During the committee deliberations, Sen. Robert Packwood
(R., Ore), who voted against the bill, said
back
-of
-the
-envelope calculations by GOP staff found the
bill $91 billion short over five years. Afterward, Sen.
Bradley, who voted for it, said he was "concerned that
this bill is short on funding." Under the fail
-safe,
provision if financing is inadequate, phasing in subsidies
and expanding tax deductions would be delayed beyond 2000.
The bill also creates a commission to make recommendations
to Congress if fewer than 95% of Americans have health
insurance in 2002; Congress would have to vote on those
recommendations.
The Finance Committee bill isn't the only proposal that
would deliver less than coverage for 95% of Americans.
There essentially are three ways to assure universal
coverage: require individuals to obtain it, require
employers to provide it, establish a government program,
ARMS Email System
Page 12 of 37
or some combination. None of those seems to attract a
majority in the Senate, SO the alternative is to offer
subsidies to encourage the uninsured to buy insurance. With
more generous subsidies, more of the uninsured are
expected to take the bait. But generous subsidies are
costly.
A proposal put together hastily by Senate Republican
Leader Bob Dole and endorsed by 39 other Senate
Republicans would give subsidies to Americans with incomes
up to 150% of the federal poverty line without raising
taxes. But the still
-sketchy proposal is difficult to
evaluate because it doesn't specify how generous a benefit
plan would be offered.
Some of the Democratic universal
-coverage bills also may
come up short. An employer mandate reduces the need for
large government expenditures. To fund subsidies to small,
low
-wage companies and low
-income people, most of the
bills rely on higher tobacco taxes, Medicare and Medicaid
savings and a payroll tax on large companies.
(END) DOW JONES NEWS 07
-08
-94
6 18 AM
bc
-health
-states
-comment - a0840
(ATTN: Editorial Page editors)
Give the States a Crack at Devising Health Care Reform
Marmor is a professor of public policy and Mashaw is a
professor
of law at Yale University. They frequently write on
health
-reform
issues.
By Theodore R. Marmor and Jerry L. Mashaw= Special to the
Los Angeles Times=
We have reached a point in the congressional struggle
over health
-care reform where there is enough opposition
to defeat the Clinton administration's plan but nothing
like a firm majority for an alternative. With proposals
emerging from the House Ways and Means Committee, Senate
Finance Committee and three other committees, the press
ARMS Email System
Page 13 of 37
reports are confusing, the policy issues are
unintelligible to most Americans and the chances of
deadlock are considerable.
Can a workable version of national reform be enacted
when no majority exists for any single plan? The answer is
yes, but you'd never know it from the compromise proposals
now making the rounds. The real challenge for reformers is
to find a strategy that reflects whatever agreement there
is on the goals of health reform and accommodates the
disagreements on means. Instead, in the search for a plan
that can pass, the compromisers focus on what seems doable
politically rather than what is substantively desirable.
Three of these political compromises which look
appealing on the surface but are badly thought through
currently crowd the agenda:
Amending the definition of ``universal coverage.
Debates on this issue mask a substantive disagreement
about how great a role public compulsion, of either
individuals or businesses, should play in ensuring
coverage. A group in the Senate Finance Committee
including John Chafee, R
-R.I., and John Breaux, D
-La.,
suggests giving up President Clinton's nearly 100 percent
goal and substituting a 95 percent coverage ``target''' by
the 2002. This approach is misguided because it fails to
confront either the large
-scale insecurity or the cost
escalation problems that have driven reform. Who will the
5 percent left uncovered turn out to be? You? Me? The
chronically ill? The usually well? Only if we know the
answers to these questions would we know whether reform
was likely to achieve its major goals. The methods
proposed to increase coverage if it falls below the target
percentage may also be misaimed either ineffective
(another study of the problem) or pointed in the wrong
direction (employer mandates, which would fizzle if the
uninsured were not workers).
A continuing aversion to straight talk about paying for
reform. This was evident in President Clinton's original
proposal that employers pay for the health insurance of
their employees, reinforcing the delusion that because
employers write checks for health insurance, they bear the
costs. Then and now, it is we citizens who bear the costs,
whether it's through direct taxes, increased prices or
forgone wages and employment. The only relevant questions
then or now concern the fairness and sustainability of
the distribution of the costs. We will keep paying a steep
price in confusion and discord until this crucial matter
is understood. Those who want to avoid all mandates
individual or employer have given us a scheme that is
truly illusory: Tax 40 percent of the most expensive
health
-insurance plans to provide subsidies for low- and
moderate
ARMS Email System
Page 14 of 37
-income Americans. But people in expensive plans
may be there because they are ill, not because they are
rich. And the game
-playing that will go on by people
trying to stay below the 60th percentile ought to reemploy
any insurance company personnel laid off by other reforms.
Forgetting about the cost
-control problems that
prompted the reform movement in the first place. The
continuing escalation of health costs, which still
threatens the affordability of health insurance, has
dropped out of the vocabulary of compromise. Words like
``moderate''' or ``centrist''' typically appear in
descriptions of senators like Breaux, Chafee, David
Durenberger (R
-Minn.), Kent Conrad, D
-N.D., David Boren,
D
-Okla., and others, but they don't fit the reforms
sponsored by them, because they contain no serious
approaches to cost control. Just as it does not make sense
to cross
a chasm in two steps rather than a leap, it is impossible
to have workable health reform without slowing the rate of
expenditure increases.
Is there a compromise that builds on agreed goals but
permits enough variation of means to assemble a majority
for reform? One possibility is state
-led reform (in this,
California is a leader, with its modified single
-payer
health
-reform initiative on the November ballot) Congress
could pass legislation that provided federal assistance to
states that enacted universal coverage, insurance law
reform and reasonable controls on costs. This would leave
states free to choose which administrative and
health
-delivery changes they wanted to implement. By
mandating basic reform principles without imposing their
administration, state
-led reform builds on the reformers'
consensus about goals while allowing for wide differences
in the means of achieving them.
States already have a significant track record in
health reform, including Hawaii's near
-universal coverage
and employer mandates. Given the diversity of states,
their varied experience with health care and intense local
ARMS Email System
Page 15 of 37
preferences, why enact a single brand of national health
reform, especially if it's the poorly considered
compromise that we seem to be headed toward?
By moving compromise in the direction of preserving
goals rather than defining means, we can allow states the
further thought and experimentation that are needed for
effective implementation.
A COALITION ATTACKS DOLE'S HEALTH PLAN
c.1994 N.Y. Times News Service
WASHINGTON - A coalition of labor, consumer, civic and
health advocacy groups Thursday denounced the health plan
put forward by Sen. Bob Dole, the Republican leader.
In an effort organized by the coalition, the Health
Care Reform Project, 117 groups wrote to members of the
Senate, saying the Dole plan would leave 24 million to 40
million Americans, many of them working, without health
insurance.
The letter also said the Dole plan would continue to
drive up health care costs and shift the burden onto the
backs of businesses and families that pay for coverage.
The signers of the letter included the American College
of Physicians, the AFL
-CIO, the Catholic Health
Association of the United States, Consumers Union and the
National Association for the Advancement of Colored
People.
01:42 EDT JULY 8, 1994
States Continue To Act As
Laboratories of Innovation
By George Anders
Staff Reporter of The Wall Street Journal
Last year, Minnesota held itself up as a state that
could teach the rest of the U.S. how to overhaul the
health
-care system in a hurry. This year, reform
-minded
states such as Minnesota have a new message: Don't try to
fix everything at once.
"As smart as we think we are, we keep learning things
and making mid
-course corrections," " says Mary Jo O'Brien,
Minnesota's health commissioner. "Our buzzword this year
is sequential reform: Doing things one step at a time. I
hope that at the federal level, people will do the same."
This new gradualism doesn't mean the end of state
efforts to jump ahead of any federal health legislation.
States from Florida to Washington continue to be
laboratories of innovation, trying out ideas that include
cut
-rate buying pools for health insurance, statewide
standardized benefits packages and large
-scale subsidies
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Page 16 of 37
for low
-income workers.
"There's a lot of leadership in the states, says
Richard Merritt, a George Washington University
health
-policy researcher. "More than two
-thirds of the
states, for example, are calling for reforms in the
small
-employer insurance market." But Prof. Merritt says
that governors and state legislatures increasingly are
opting for a step
-by
-step approach instead of
across
the
-board revamping.
That's a sharp contrast with last year Most of those
bills were designed to provide universal care within the
next few years, reshape the local medical industry and
nudge residents into cost
-minded health plans, known as
"managed care."
Only a few of those proposals were enacted, though. In
states such as Vermont and Missouri, far
-reaching health
bills died entirely this spring, as state legislators
couldn't agree on what they wanted.
"There's not much flexibility between the left and the
right," says Vermont Gov. Howard Dean, who has pushed hard
for state health reform since 1991. In Vermont,
legislators clashed over whether employers or the state
government should pay for employees' health insurance.
Neither plan drew enough support to prevail.
In many states -- just as in Congress jitters about
how to pay for universal coverage are causing caution to
increase. "There are a lot of goals we can push for in
state legislatures," says Vermont's Gov. Dean. "But you
need a national framework in areas like financing and a
benefits package."
As states narrow their focus, many are trying to help
uninsured low
-income workers buy coverage. A common
approach involves offering insurance subsidies, provided
that recipients join managed
-care plans. These new plans
typically are run in conjunction with the state
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Page 17 of 37
-federal
Medicaid program for the indigent, but target people
earning too much to qualify for Medicaid. The new programs
focus on people earning up to 200% of the federal poverty
level, which is defined as annual income of $7,360 for one
person and $14,800 for a family of four.
Among the states aggressively trying this approach is
Tennessee.
Its program, known as TennCare, took effect Jan. 1.
Since then, state officials say, 315,000 previously
uninsured residents have signed up for health care through
the program. Gov. Ned McWherter says he believes the
program can help Tennessee achieve 95% or 96% insurance
coverage of its population. Last year, about 91% of the
state's 5.5 million residents had coverage.
(END) DOW JONES NEWS 07
-08
-94
6 11 AM
States Continue To Act
-2-: Minnesota Offers Subsidies
TennCare has drawn complaints from doctors' groups,
concerned about low reimbursement rates under the program.
The Tennessee Medical Association has sued the state over
the program. But Gov. McWherter insists: "We're working
through those problems."
Minnesota is in the midst of installing a similar
subsidy program. The state currently offers a sliding
scale of health insurance subsidies for families earning
as much as 275% of the federal poverty level. Over the next
15 months, Minnesota plans to offer similar subsidies to
adults without children. Minnesota also has set up a
program for high
-risk people who couldn't get commercial
insurance otherwise; that program currently covers 30,000.
Minnesota's plan to phase in universal coverage over the
next few years would put the burden on individuals to buy
health insurance if their employers don't provide it.
Washington state, however, has passed a bill that by 1999
would require all employers to offer standardized health
benefits.
States can't require employers to provide health
insurance. That's because the federal Employee Retirement
and Income Security Act of 1974 pre
-empts state laws on
such employee
-benefit issues. Expectations are that if
Congress passes a national health bill, it will supersede
the Erisa rules, perhaps choosing to give states more
authority.
How the Erisa issue will be handled "is the question of
the day," says Bernadette Dochnal, who chairs the
Washington state Health Services Commission. "For us to
ARMS Email System
Page 18 of 37
fully implement our act, an Erisa exemption is required."
Washington state is drafting a standard benefits
package, assuming that it ultimately will have authority
to require employers to offer such coverage to their
workers. Some business groups are pressing for the
Legislature to take a second look at the employer
-mandate
issue. Few other states seem eager to push ahead with an
employer mandate on health insurance before seeing how
Congress handles the issue.
Another big state issue involves changes in the medical
work force, so that universal coverage can actually be
carried out if Congress votes for it. In New York state,
officials have begun programs aimed at producing more
primary
-care doctors.
Minnesota is encouraging doctors, hospitals and other
health providers to join together in "integrated service
networks." And other states such as Connecticut, Utah and
Iowa are setting up health boards to oversee detailed
aspects of reform.
Ironically, President Clinton's original health plan of
last fall called for many of these work
-force changes and
oversight boards. But those proposals were met with
widespread apprehension about creating a new federal
bureaucracy. Such ideas seem to fare better on the state
level, where bureaucracies are smaller and more likely to
give a voice to local interest groups.
Even on the state level, though, the push for health
reform sometimes faces unexpected obstacles. Florida's
Legislature last year voted to create voluntary
insurance
-buying cooperatives, to make it easier for small
businesses to buy coverage for their workers. Those CO
-ops
began taking applications May 16. But early signups have
been small for a state in which about 2.6 million people,
or 18% of the population, are uninsured.
Dun & Bradstreet Corp., which is processing applications
for about 75% of Florida, says that only 891 workers in
its regions have signed up SO far. Those early results may
not signal the program's ultimate success, but initial
signs are that the CO
-ops aren't attracting many previously
uninsured people. In a spot check of one region, D&B found
that just one of 44 employers joining the program hadn't
offered health insurance before.
(END) DOW JONES NEWS 07
-08
-94
6 17 AM
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Page 19 of 37
States Continue To Act
-3-: & Floridians Clash On Subsidies
Florida Gov. Lawton Chiles has been pushing for subsidies
that would help low
-income workers buy health insurance.
But state legislators have repeatedly clashed about how
big those subsidies should be and whether they can be
financed solely from Medicaid savings. As a result, Florida
has yet to enact any such subsidies.
There's a lesson to be learned from such impasses, says
Tennessee Gov. McWherter. For an issue as big as health
care, he says, decisive action requires bipartisan
agreement, gubernatorial leadership and a quick push
through the Legislature.
"You can't pass a comprehensive health reform bill
through the committee system in this state, any
other state or Washington without having special
interests butcher it up," Gov. McWherter says. "Government
is a wonderful process, but if you have too much of it,
things will get screwed up."
Eight States to Watch on Health Care
FLORIDA It is betting heavily on "managed
competition, having created 11 Community Health
Purchasing Alliances that let local employers band
together and buy health care for workers. This system is
supposed to produce lower rates and better access.
KENTUCKY It plans to set up a single, statewide
cooperative that will buy health insurance for state
employees plus any small businesses that want to join.
Consultants think the Kentucky cooperative could have one
million members a few years after its 1995 start.
MASSACHUSETTS It aims to increase insurance coverage
in 1995 through a system known as "pay or play. Companies
with six or more employees will be required to offer
health insurance, or else pay a hefty payroll tax and
enroll employees in a state
-run insurance plan.
MINNESOTA It is encouraging doctors, hospitals and
other providers to group together into "integrated service
networks. Its strategy for universal coverage relies on
individuals to buy insurance if their employers don't.
NEW YORK Unable to finance a major drive toward
universal coverage, New York is concentrating instead on
reshaping its medical
-delivery system. It seeks to produce
more primary
-care doctors for underserved areas.
OREGON It is aiming for universal coverage by 1998,
with employers obligated to provide coverage for their
workers. It also has begun a priority system that some
call "rationing." This system, for low
income workers,
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Page 20 of 37
covers diseases such as pneumonia, diabetes and AIDS but
won't pay for aggressive care of extremely premature
babies.
TENNESSEE It has expanded its Medicaid program for
the indigent to cover many low
-income workers slightly
above the poverty line. That program, TennCare, is pulling
in enrollees rapidly, thanks in part to a sliding scale of
income
-based subsidies. Costs are held down by using
managed care.
WASHINGTON Its program closely mirrors President
Clinton's original 1993 health plan. Over the next five
years, the state wants employers, big ones first and
smaller ones later, to provide health coverage for all
workers. Health alliances and managed care would play a
big role.
(END) DOW JONES NEWS 07
-08
-94
6 19 AM
PM
-NE- Health Care, 532
Rally, Congressman Line Up On Health Care Issues
LSWHjlstv1
By The Associated Press=
Rep. Doug Bereuter, R
-Neb., is getting ready to make
one of the most important votes he has made in Congress
while a group of people in Nebraska's largest city rally
to try to help him and others make up their minds on the
future of the nation's health care.
Bereuter has spent the week listening to constituents
at 15 town hall meetings, the first time the veteran
lawmaker has focused his annual sessions on a specific
issue.
Constituents also have offered their opinions in record
numbers by mail, he said.
``I have had more mail on this issue than any issue
I've faced, the 16
-year congressman said.
The cost of health insurance for self
-employed farmers
emerged as the top concern at Bereuter's agricultural
meetings in his eastern Nebraska district this year, he
said.
Last March, some 8,250 constituents responded to a
legislative questionnaire that included a survey of their
views about the Clinton health
-care reform plan.
ARMS Email System
Page 21 of 37
Results: 61.6 percent opposed; 13.8 percent in favor.
Bereuter said people are concerned about questionable
cost estimates, increased bureaucracy and a belief that
the federal government doesn't do anything well.
He said people worry about their loss of choice in
terms of physician or hospital or insurance plan. Health
care rationing, employer mandates on small businesses and
the affordability of health care and health care
insurance.
Bereuter said he agrees with the majority of his
constituents who are telling him that `the Clinton plan
is not in the best interests of the country.
He said his fear is that reforms like the Clinton plan
could be very harmful to health care quality (and) could
destroy some of the best things about health care in our
country.
Bereuter said he can't support any of the five plans on
the Senate or House floor, at least not totally.
At this point, ``the one that comes closest'' to
meeting his criteria is the compromise plan that cleared
the Senate Finance Committee. ``But it makes more basic
changes in health care delivery than most Americans are
comfortable with, he said.
Bereuter said he favors doing some health
-care
insurance reform now and encouraging states to do more
experimentation ``before we jump to comprehensive national
reform.
He said he'll oppose employer mandates, but support
some cost containment elements, including tort reform
aimed at excessive malpractice costs.
Meanwhile, opponents of the Clinton plan gathered in an
Omaha parking lot Thursday to say they don't want any
further government involvement.
``We've got enough, said Rosalie Shepherd, director
of United We Stand Nebraska.
She said she favors doing away with either the Medicare
program for the elderly or the Medicaid plan for the poor.
The two programs simply prove that government can't
provide care efficiently and economically, she told a
crowd of about 50 people.
Republican candidate for the U.S. Senate Jan Stoney
attended the rally.
Spokesmen for Democrat Sens. Bob Kerrey and Jim Exon,
and Democrat Rep. Peter Hoagland said they were not
invited.
State Democratic Chairman Joe Bataillon said it was
more than just coincidence that the event was across the
street from Kerrey's Omaha office. Kerrey has been
criticized for his health
-care stand.
But Mrs. Shepherd said the location was chosen because
it's outside her office.
PM
-OK-
ARMS Email System
Page 22 of 37
-Coburn
-2nd District, 2nd Ld
-Writethru, 560
Doctor to Run Against Synar; Won't Take Tobacco Money
Eds: UPDATES with Synar announcing re
-election plans;
CORRECTS in 5th graf that Vardeman running as a Democrat
By TED BRIDIS= Associated Press Writer=
TULSA, Okla. (AP) Tom Coburn, a family practice
doctor, will run as a Republican against Rep. Mike Synar,
but he says he will not accept campaign money from the
tobacco lobby.
Tobacco interests, generous toward favored candidates,
are furious at Synar over high
-profile hearings on the
health risks of smoking and efforts to raise cigarette
taxes to pay for health reforms.
Coburn comes from a well established Muskogee family.
His father founded Coburn Optical in 1951 but sold the
business in 1976.
Synar, a Democrat, announced his re
-election plans
today, telling supporters: We have represented people,
not special interests. Synar planned a day of campaign
stops around the district.
Other Republicans running in the district include Jerry
Hill, who lost to Synar in 1992 with 41 percent of the
vote, and T.J. Tipton, state GOP chairman Clinton Key
said. William S. Vardeman, who ran as an independent in
1992 and won 3 percent, will file as a Democrat next week.
He calls himself as ``Democrat
-independent
Coburn was asked Thursday if he has any ethical
problems accepting money from the tobacco lobby: ``As a
physician I do, and
I don't intend to take money from tobacco companies, he
said.
That could restrict Coburn's fund
-raising in a district
where the 1992 election when Synar narrowly beat fellow
Democrat Drew Edmondson in a runoff was among the most
expensive congressional races in Oklahoma history.
In that race, Synar had angered the National Rifle
Association over his support of the Brady Bill. The NRA
contributed heavily to Edmondson.
In May, Synar was among seven members of Congress who
asked the Justice Department to conduct a criminal
investigation of the tobacco industry.
``He is sure the tobacco industry will play again, and
the National Rifle Association, Synar spokeswoman Amy
Weiss
ARMS Email System
Page 23 of 37
-Tobe said. ``He knows the special interests will be
after him again.
Coburn who said he has raised $60,000 the past 10 days
will accept money from political action committees. Synar
refuses PAC contributions but accepts money from
individuals who represent special interests.
``I don't see any difference from taking money from
people who give money to the PAC, from taking money from
the PAC. There is no difference, Coburn said. They
represent legitimate interests as well
Coburn touched on some political issues:
Coburn is opposed to proposed White House health care
reforms, which he said would drive up costs and taxes,
reduce the options enjoyed by the average American and
place a crushing burden on small business. He instead
urged work on insurance reform and allowing medical savings
accounts.
Coburn is opposed to abortion, saying ``our goal as a
society should be to protect and enhance life, not make it
easier to snuff it out before it has a chance to grow on
its own.
Coburn believes gays should not be allowed to serve in
the military. ``It's not because they're gay. It's because
it provides
a disruption to the efficient running of the military
organization.
PM
-WI-
-Klug Candidacy, 110
Klug Announces Bid for Third Term from 2nd Congressional
District
sta
-jdh
MADISON, Wis. (AP) Rep. Scott Klug, R
-Wis., announced
his candidacy for a third term from Wisconsin's 2nd
District, saying he wants to keep working to shrink the
federal government and improve health care.
Klug, 41, said in announcing his re
-election bid
Thursday that the American health care system has some
very serious problems, but he opposes requiring employers
to provide health insurance.
He said he favors reforming health insurance and
managing competition of health care to reduce health care
costs, he said. Federal officials should try that for four
or five years before making other changes, he said.
BC
-Calif.
ARMS Email System
Page 24 of 37
-Legislature
Approves
-Tough,
Calif. Legislature Approves Tough, Statewide Anti
-Smoking
Law
Sacramento, Calif., July 8 (Bloomberg) - - California
legislators sent a bill to Gov. Pete Wilson limiting
smoking to a short list of situations, the San Francisco
Chronicle reported today. After two years of
consideration, the Legislature approved a bill that would
allow smoking in homes, warehouses, long
term health
-care
facilities, smoking rooms at work places, up to 65% of
hotel rooms, and in gaming clubs, bars and offices with
fewer than five employees. Separately, legislators agreed
to spend the 25 cent a pack tax approved by voters in 1988
on health screening for poor children and financing the
state's anti
-smoking campaign.
Philip Morris Cos. Inc. is backing a ballot proposition
this fall that would replace local anti
-smoking
regulations with statewide rules that would be far weaker
than the measure passed yesterday by the Assembly on a
44
-21 vote. (SFC 7/8 A19) (TM) - All San Francisco Bay area
newspaper citations refer to local editions of the San
Francisco Chronicle and the San Francisco Examiner. Tom
Murphy in San Francisco (415) 587
-0945, or through the
Princeton newsroom (609) 279
-4000/gm
(Story illustration: For a chart of Philip Morris
revenue for the past four years, see MO US
Equity> DES5 Go.
For California news,
Muni> N CA. For information on Philip Morris, MO US
Equity> BQ. For more industry news: NI TOB.)
10:22
-0- (BBN) Jul/08/94 10:21 EOS (BBN) Jul/08/94
10:21 85
PM
-NH-
ARMS Email System
Page 25 of 37
-Poll, Bjt, 550
Poll Shows Jobs, Economy Top Concerns
avbrewnas
CONCORD, N.H. (AP) New Hampshire is enjoying its
lowest unemployment in four years, but residents still
identify jobs as the most important problem facing the
state, according to a recent statewide poll.
Taken together, more than 41 percent of those surveyed
identified unemployment (25 percent) and the state economy
(16.7 percent) among their highest concerns. Taxes was
second
-highest at 18.9 percent, while education placed
fourth at 13.3 percent.
By contrast, when asked to identify the most important
problem facing the nation, these residents listed health
care at 14.9 percent, crime
-gangs at 14.1 percent, the
economy at 13.5 percent and unemployment
-jobs at 12.1
percent as the top four.
The results are n the ``Voters of Voice'' survey of 503
residents taken last month and cosponsored by New
Hampshire Public Radio, New Hampshire Public Television
and WGOT
-TV.
The University of New Hampshire Survey Center conducted
the poll June 6
-19. It has a margin of error of 4.4
percent.
The survey bodes well for support of President
Clinton's health care plan, according to Democratic
National Committeeman Terry Shumaker, a Clinton adviser.
This tells me that Hillary (Clinton) is right, that
we are going to have a health care plan that covers
everyone or it won't survive a presidential veto,
Shumaker said.
I think politicians from New Hampshire should
understand that they vote against health care reform at
their own peril. Some members seem to only be motivated by
what will keep them in their job, SO they should pay
attention to this issue.
The results did coincide, however, with what Republican
Gov. Steve Merrill had said about issues facing New
Hampshire last week.
Merrill had insisted that education was not the No. 1
issue facing the state in response to a poll released last
week in which those surveyed identified it as the most
neglected problem.
The No. 1 issue is the economy and following that is
taxes, Merrill said.
Voters in this survey were asked 'What do you consider
the most important problem facing the country today?' and
What do you consider the most important problem facing
New Hampshire today?'
Survey Center Director Kelly Myers said respondents
ARMS Email System
Page 26 of 37
were not given a list of issues but asked to name them
without prompting.
In some respects, I wish they had asked people to
give their top two or three because sometimes they only
answer what they might have seen on the news or in the
newspaper on the given day they were called, Shumaker
said of the poll.
Other breakdowns in the survey:
Income: Jobs was the most important issue, especially
for those earning less than $20,000 a year (32.9 percent)
and between $30,000 and $60,000 a year. Taxes was tops
among those earning more than $60,000 (24.8 percent).
Ownership: 22.2 percent of those who own a home
identified taxes as the key issue. Only 7.8 percent of
those who rent chose taxes.
Political interest: Taxes was the most important issue
among those most interested in politics (24.8 percent),
while those only somewhat interested (9.4 percent) or not
interested at all (4.7 percent) rated education low.
Age: Unemployment was the most serious concern for
those between 18 and 30 (28.4 percent), while taxes
figured highest among the 46
-60 age bracket (28.1
percent).
Party: The only variable for the political party of the
respondent was far fewer Republicans identified education
as the top issue (9.9 percent) than did Democrats (18.6
percent) The responses of Republicans and independents,
however, were similar.
bc
-health hawaii - a2124
(ATTN: National editors) (Includes optional trims)
Hawaii Presents Possible Archetype for Clinton Health Plan
(Waianae)
By Edwin Chen= (c) 1994, Los Angeles Times=
WAIANAE, Hawaii Atop a wind
-swept bluff with an
aquamarine vista that a posh resort would envy, the
Waianae Comprehensive Health Clinic on Oahu's leeward
coast offers a compelling view of the benefits and
limitations of the employer mandate the controversial
linchpin of President Clinton's health reform plan.
After 20 years under a state law that requires
employers to pay
a portion of their workers' health insurance, 96 percent of
Hawaiians enjoy medical insurance, easily the highest
percentage of any state. Yet this rural clinic still
provides $1 million a year in uncompensated care to those
lacking coverage, mostly people who drift in and out of
odd jobs, seeking treatment only when a serious problem
arises.
`Hawaii's not perfect, says Dr. Jack Lewin, a chief
architect of the state's recent efforts to cover everyone.
But we have powerful lessons for the future. We're not
theoretical. We're real.
ARMS Email System
Page 27 of 37
Many lawmakers and analysts, the president among them,
believe requiring employers to pay the lion's share of
their workers' health costs is the most feasible way to
achieve universal coverage and that spiraling costs cannot
be contained until everyone including the nation's 38
million uninsured is covered. But others believe cost
containment must come first, with the savings used to
gradually extend coverage. They also believe an employer
mandate would pose severe financial burdens on many
businesses, costs that will only grow.
Hawaii's unique experience as the only state with an
employer mandate offers lessons for all participants in
the debate.
Some of the results of the state's experiment:
Hawaii has contained costs, even while expanding
coverage, and is approaching universal coverage, with 96
percent of its 1.2 million residents covered. The
explosive growth of insurance costs for all, especially
small businesses, has been lowered by 30 percent or more.
An employer mandate alone does not guarantee that all
will be insured. Other programs must be put into place to
pay for the medical care of those who slip through the
cracks.
Independent studies have shown that the employer
mandate has not resulted in ``disruptions'' or high
unemployment among small businesses here, but the costs to
such firms have clearly grown over the years. The
employer's share of premium payments have skyrocketed in
relation to employee contributions and the state has
required a slew of new benefits that must be covered,
which have further driven up costs.
A Louis Harris and Associates poll, sponsored by the
California
-based Kaiser Family Foundation, found that 56
percent of small businesses in Hawaii cited health
insurance as ``a major problem, more so than any other
government mandate. And yet, the identical percentage also
said they would support an employer mandate if one were
proposed today.
Nearly universal coverage can dramatically improve
overall public health, further reducing spending and
leading to a more productive work force. Hawaii officials
cite the infant mortality rate, which is down 50 percent
from its 1974 high of 16 deaths per 1,000 births and the
state's life expectancy of 78, the highest in the nation.
When Hawaii adopted the Prepaid Health Care Act in
1974, most of the state's then
-million residents already
were insured. The employer mandate was designed to reach
the 17 percent believed to be without coverage, roughly
the same percentage of Americans nationwide who now lack
health insurance.
All employers were required to pay for at least 50
percent of an employee's health insurance premiums. But
the state law capped a worker's contribution at 1.5
percent of wages. A minimum
-wage worker in the mid
ARMS Email System
Page 28 of 37
-1970s,
when health costs were much lower than they are now, paid
almost one
-third of the cost of his insurance premiums.
Over the years, insurance premiums skyrocketed, far
outpacing the growth in wages. Yet the 1.5 percent cap
remained, meaning that employers were forced to pay an
increasingly disproportionate share.
`Workers are not being asked to share the burden.
There has to be more of a shared responsibility, said
Russell R. Watanabe, president of a family
-owned flower
and floral supplies business in Honolulu.
(Begin optional trim)
State officials concede the point. Lewin, the former
state health director who is now seeking the Democratic
gubernatorial nomination, says the cap on individual
contributions should be raised to `somewhere between 3
percent and 6 percent'' to make the arrangement more
equitable.
(Originally, Hawaii had intended a 50
-50 split between
employer and employee.)
Watanabe and many other small business owners also
complained that the frequent addition of new and costly
benefits such as in
-vitro fertilization and mental health
have forced many small business owners to reduce other
benefits, to lay off employees, to hire more part
-time
workers, or simply to `throw in the towel' and close
their doors.
(End optional trim)
While Clinton would require employers to pay the
premiums of part
-time employees working as little as 10
hours a week, Hawaii placed the cut
-off at 20 hours or
more per week.
Watanabe and other entrepreneurs said some business
owners have attempted to duck the mandate by hiring
part
-timers to work only 19 hours a week. In the Harris
poll, three out of 10 companies said they had engaged in
the practice in the last two years, specifically to avoid
the requirement. But state officials dispute such claims,
noting that the percentage of part
-time workers on the
Islands (18.2 percent) is lower than on the mainland (19.2
percent).
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Page 29 of 37
(Begin optional trim)
A Government Accounting Office study this year
concluded that the employer mandate in Hawaii ``has not
resulted in large disruptions'' among small businesses.
Despite such efforts to reach universal coverage in the
state, as many as 20 percent of patients who show up at
the Waianae clinic are uninsured, says administrator
Richard Bettini.
And it's the same story at the bustling Queen Emma
Clinic in downtown Honolulu. Of the 38,000 patients who
visit the clinic each year, one in four is uninsured,
according to director Chuck Duarte.
(End optional trim)
But despite some problems in achieving total coverage,
officials here generally agree that the employer mandate
is the essential building block of universal coverage.
``Without it, says Marvin Hall, Hawaii's top private
health insurance executive, ``you are just not going to do
the job.
-END
-OF
AUTOBREAK (1) -
AUTOBREAK (2)
- FOLLOWS
bc
health hawaii
fund - a2123
(ATTN: National editors)
Subsidy Fund Becomes One of Hawaii's `Best
-Kept Secrets'
(Honolulu)
By Edwin Chen= (c) 1994, Los Angeles Times=
HONOLULU In the face of withering criticism, Clinton
administration officials staunchly maintain that an
employer mandate would not be a crushing blow to small
businesses, and they cite as proof a little
-used subsidy
fund in Hawaii, created to help needy entrepreneurs buy
health insurance for employees.
The fund has paid out only $109,000 since 1974, but it
appears little used because it is SO obscure that even
state officials charged with promoting business
development were unaware of its existence.
``I don't know of any subsidies for health insurance,
said Milton G. Kwock, manager of the Business Action
Center, a special office in the Department of Business,
Economic Development and Tourism.
``If there is one, I'd be pleasantly surprised, " said
Kwock, whose office was created in 1989 to help start up
ARMS Email System
Page 30 of 37
small businesses.
Largely untapped, the `premium supplementation fund,
has grown in 20 years from an initial legislative
appropriation of $375,000 to $2.4 million.
Dayton M. Nakanelua, director of the Department of
Labor and Industrial Relations, which administers the
fund, conceded that the state needs to make the fund's
existence better known and perhaps to broaden eligibility
for it.
``We didn't even know it was there, said Bette Tatum,
state director of the National Federation of Independent
Business, a small
-business advocacy group.
The fund has difficult
-to
-meet eligibility
requirements. Only companies with eight or fewer workers
can apply and they must meet
a complex profit
-loss formula.
According to the Department of Labor and Industrial
Relations, an eligible small business that paid, say,
$5,665.32 in annual premiums might be eligible for
$1,302.26 in government subsidies.
One of the few entrepreneurs to avail himself of the
state largess is Edwin Burstyn, CO
-owner of a four
-person
business consulting firm in Lahaina, located on the island
of Maui.
He read about the fund in a newspaper clipping sent by
a former client on the mainland a few years ago. Since
then, Burstyn has received more than $5,000 in
reimbursement for the health insurance premiums of his
employees.
This program is one of the best
-kept secrets there
is, he said. The state's intent was good. But they are
not reaching the people who need it.
bc
-issues
DECISIONLINE/Issues & Debate
USA TODAY Update
July 8
-10, 1994
Source: USA TODAY/Gannett National Information Network
Here are some of the issues and topics being debated
across the nation Friday morning in USA TODAY: Health,
peace, Al Neuharth.
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TODAY'S DEBATE: HEALTH REFORM
USA TODAY'S OPINION:
Imagine if Congress required baseball teams to hire
every walk
-on able to hit a slider. The teams would be
ruined, the game would be destroyed. Congress would never
do that to baseball, of course. But some lawmakers appear
happy to do it to health care. At least one of
Washington's five pending health
-reform plans contains
language requiring all managed
-care networks to enlist any
health
-care provider who is interested. The idea, designed
to protect some doctors' pocketbooks, is called `any
willing provider. You can call it absolutely worthless.
To a large extent, the future of health care lies with
managed care. These systems work by accumulating pools of
consumers, and then negotiating with doctors and others to
provide needed services. Physicians agree to certain
controls in exchange for
a large patient population. Consumers agree to reduce their
health choices slightly in exchange for lower costs. This
setup has many benefits. Managed
-care networks - including
the ubiquitous health maintenance organizations - favor
primary and preventive care. They discourage unnecessary
testing and treatment. Result: The best existing chance to
expand health care to millions of Americans is effectively
gutted. Supporters say the idea protects consumer choice.
But that high
-sounding premise is fake. Managed
-care
patients can choose to visit other providers. They just
have to pay for it, which is fair enough. The fact is that
sweeping any
-willing
-provider laws don't protect consumer
choice. They only protect the incomes of specialists who
find their livelihoods endangered by reform. But that's
the marketplace for you. It's certainly no reason to
sabotage managed care. As of last year, 16 states had
enacted limited any
-willing
-provider laws. Mostly, they
intend to protect small pharmacies and access to health
care in rural and inner
-city settings. These are
ARMS Email System
Page 32 of 37
legitimate interests, but local regulators can answer
them. Washington's interference isn't necessary. Does
health
-care reform endanger some providers and presage
some loss of consumer choice? Yes. Does it warrant laws
that defend the costly, irrational, inequitable status
quo? No.
OTHER VIEW:
WILLIAM J. JEFFERSON, D
-La., member of the House Ways and
Means Committee: What Americans want out of health
-care
reform is freedom of choice among quality health
-care
providers at an affordable cost and the security of
coverage. The ``any willing provider'' provision in the
House Ways and Means Committee's bill guarantees all
three. This is why 19 states allow any
-willing
-provider
plans and 25 others have them under consideration. Most
plans offer consumers three choices: low
-cost health
maintenance organizations, high
-cost fee
-for
-service
plans, or combination plans similar to a
preferred
-provider organization. The willing
-provider
concept allows any certified health
-care provider to
render services if the provider is willing to meet the
quality and cost criteria of a health plan, thus making
broader choice available to all. It ignores the clear
requirement of the committee's language that gives plan
organizers sole authority to set standards, configure
health
-care providers to meet their targeted markets and,
most importantly, to set provider fee schedules. The price
for managed competition should not be unbridled freedom
for a plan to make arbitrary or discriminatory decisions
about which health
-care provider is part of its plan and
ARMS Email System
Page 33 of 37
thus which, as a practical matter, a patient must choose.
Our committee learned of many instances, too numerous to
be ignored, of longstanding doctor
-patient relationships
being disrupted and of physicians who had served a
community for many years being arbitrarily left out of
plans. In summary, the any
-willing
-provider provision
increases health
-care choices without costly new benefits;
it assures no unreasonable diminution and, most likely,
increases the number of health
-care providers available to
consumers, especially those in underserved rural and urban
areas; and it alleviates the anxiety of health
-care
consumers and providers about continuing traditional
doctor
-patient relationships.
VOICES ACROSS THE NATION ON WORLD PEACE:
MARTIN, Tenn., Nina R. Barker, 62, retired: Since countries
all over the world are talking more and meeting each other
face to face, I truly feel there's more of a sense of
strength for peace in the world. Communication is half the
battle.
COLLEGE PARK, Ga., Rick Kiernan, 52, retired Army officer:
At this point, I would say it's not a safer world for
several reasons. Each new state in the old Soviet Union
will have growing pains, seeking it own sovereignty and
identity in economic and military terms. Dialogue must be
tailored to each nation's specific needs.
JUNCTION CITY, Kan., Beverly M. Victoriano, 23, college
student: On one hand, the breakup of the Soviet Union is a
good thing and makes the world seem safer since it was the
main nuclear threat to the USA. But there are other
countries, like Korea, that could become powerful nuclear
threats.
PRINCETON, N.J., Joseph P. Feran, 48, hotel general
manager: I believe the world is safer primarily because of
the demise of the USSR. It was our biggest threat, and the
breakup has helped to eliminate that threat. I think it's
safer now that the nuclear situation is being controlled.
TOPIC - Neuharth family reunion:
(Al Neuharth is the founder of USA TODAY) : ``You Can't Go
Home Again''
- Author Thomas Wolfe, 1930s
EUREKA, S.D. - Hundreds of Neuharths, of all ages, from
South Dakota to Alaska, Florida to California and in
between, gathered here for a 4th of July weekend family
reunion. Thousands of you had similar holiday homecomings
across the USA. If your reunions were like ours, they put
the lie to Thomas Wolfe's novel warning against going back
ARMS Email System
Page 34 of 37
where your roots are. Mine are deep in this pristine
prairie town of 1,200 where I spent the first 11 years of
my life (1924
-35). Much reunion reminiscing was about my
grandmother, Katharina. She lived to age 90 and left this
legacy: 17 children; 51 grandchildren. Her firstborn, my
dad, Daniel, died after a farm accident when he was 30.
Her husband, my grandfather John, died at 60. Most
Neuharth women outlived their men. My mother, Christina,
widowed for 54 of her 86 years. Aunt Hilda, now a feisty
widow of 80 who did much of the planning for this family
reunion, called `Rejoining the Generations. They
practiced their own form of feminism. Family first. Gritty
and witty women gave us our values and the glue that held
our family together. Even after most of the third and
fourth generations split for the four corners. There was
two lasting bequests we can give our children. One is
roots. The other is wings.
-END
-OF
AUTOBREAK (1) -
- AUTOBREAK (2)
FOLLOWS
PM
-CT-
Franks Congress, 1st Ld
-Writethru, 300
Franks Announces Bid For Third Term
Eds: INSERTS new grafs 2, 8 and 9 to ADD details
tbwatrfones
WATERBURY, Conn. (AP) U.S. Rep. Gary Franks wants a
third term.
The lone black Republican in Congress told supporters
that he will continue to fight against tax increases if
re
-elected to represent Connecticut's 5th Congressional
District.
Franks promised to continue his record as the best
pro
-taxpayer and pro
-jobs congressman in Washington.
Franks said taxpayers should not pay for universal
health care.
``We do not need to turn our health care system over to
the federal government, he said Thursday night at the
Waterbury Sheraton
Yes, we must make health care more
ARMS Email System
Page 35 of 37
affordable. Yes, we must make health care more accessible
and we must maintain the high quality of health care that
we have here in our country. But we do not need to turn it
over to Mr. Bill Clinton.
Franks also said fewer federal mandates are a must.
In order to have a more vibrant economy we cannot
continue to mandate in Washington to our states without
providing the funding needed to implement new laws, he
said. This would only drive up local and state taxes.
A former Waterbury alderman, Franks, 41, was first
elected to Congress in 1990 after a bitter campaign
against Democrat Toby Moffett.
In 1992, Franks left the House Armed Services Committee
to join the powerful committee on Energy and Commerce. He
said membership on the committee, which deals with a broad
range of issues affecting business, the environment,
health care, telecommunications and insurance, would give
him more influence over issues important to Connecticut.
Franks will face the winner of a Democratic primary
between state House Majority Leader Thomas S. Luby,
D
-Meriden, and state Sen. James H. Maloney, D
-Danbury.
Franks was re
-elected to a second term in 1992 to
represent the western Connecticut district. Both
Democratic candidates have called him ineffective.
He doesn't do anything for the district he represents
and he's out of touch, said Maloney campaign manager
Matt Levine. `What this district really needs is someone
who can spend some time here.
bc
-MD
-Johns
-Hopkin
-first
TO NATIONAL AND HEALTH/MEDICAL EDITORS:
/CAUTION -- ADVANCE FOR RELEASE AT 12:01 A.M. EDT
SUNDAY, JULY 10/
FOUR YEARS IN A ROW: HOPKINS RANKED FIRST IN NATIONAL
SURVEY
/ADVANCE/ BALTIMORE, July 10 /PRNewswire/ For the
fourth consecutive year, The Johns Hopkins Hospital has
been rated best in the nation in U.S. News & World
Report's annual survey of American hospitals.
The magazine's 1994 guide to America's Best Hospitals
measures a hospitals reputation in 16 medical specialties
among a nationwide sample of 2,400 board certified
physicians, as well as information in such categories as
discharge planning, death rates, technology, and nurse to
bed ratios.
ARMS Email System
Page 36 of 37
Hopkins ranked in the top ten in 15 of the 16
specialties.
"We're obviously pleased. This is a wonderful tribute
to this hospital, its incredibly fine staff, to the
Hopkins School of Medicine physicians and staff, and to
the physicians in our community who refer patients to us
every day and with whom we have such close ties," said
James A. Block, M.D., president and CEO of The Johns
Hopkins Hospital and Health System. "Most of all, the
accolades affirm our assurances of quality care to our
patients -- and that's what we're here for."
Conducted by the magazine in conjunction with The
National Opinion Research Center at the University of
Chicago, an independent polling firm, the physician survey
ranked Hopkins in the top ten hospitals in AIDS, cancer,
cardiology, endocrinology, gastroenterology, geriatrics,
gynecology, neurology, orthopedics, otolaryngology,
rheumatology, urology, ophthalmology, pediatrics and
psychiatry. Hopkins ranked first in gynecology.
This past year, the hospital also was singled out in a
study of 5,600 hospitals as among the nation's 100 highest
quality and most cost
-effective. Hopkins was the only
major medical center on the East Coast to make this list,
compiled by Health Care Investment Analysts, Inc. and
Mercer Management. And more Hopkins physicians than those
at any other hospital were listed in the latest edition of
"The Best Doctors in America," " compiled from
recommendations by specialists in the United States.
U.S. News & Report consistently has ranked the Hopkins
School of Medicine in the top three medical schools in the
magazine's annual report on graduate institutions and the
school's faculty receives more government research dollars
than any medical school in the United States.
-0-
7/10/94/0001
/NOTE TO EDITORS: Johns Hopkins Medical Institutions'
news releases can be accessed on
line through compuserve:
Jforum: scinews
-mednews. /
/CONTACT: Joann Rodgers of The Johns Hopkins Medical
Institutions, 410
-955
-6680/ CO: Johns Hopkins Medical
Institutions; Johns Hopkins Hospital ST: Maryland IN:
HEA SU:
KF
-DC DC001 -- 9408 07
-08
- 94 11:35 EDT
ARMS Email System
Page 37 of 37
AP
-Daybook
-Fri Health Reform The Associated Press
AP DAYBOOK, WASHINGTON, FRIDAY, JULY 8
HEALTH REFORM
The following take contains a compilation of health
care reform
-related items.
Nothing scheduled.
ARMS Email System
Page 1 of 1
RECORD TYPE: PRESIDENTIAL (RECONSTRUCTED EMAIL)
CREATOR: David C. Childs
( CHILDS_D ) (OMB)
CREATION DATE/TIME:15-JUL-1994 11:09:00.00
SUBJECT: 12803 Mtg
TO: Michael D. Deich
( DEICH_M ) (OPD)
READ: UNKNOWN
TEXT:
This responds to your E-Mail of the 12th regarding our meeting
with Mr. Bilik & company on the 26th. Our system was down and I
just now got a hard copy from Lori in Chris's office.
My understanding is that Joe Valasquez will attend. From the
AFL-CIO PED Al Bilik, and three public employees group
representatives will also be attending (AFSCME, Transit and
FCU9?). Also attending will be Rudy Oswald, who I understand
represents the larger interests of the AFL-CIO. Chuck Richards
believes that Rudy will represent the private sector union
interests, such as the SEIU, and that a separate meeting with
private sector unions may not be necessary. Mr. Oswald is somehow
responsible for overall AFL-CIO policy, particularly when there
are divergent interests within the AFL-CIO, such as there is
likely to be in this case.
Based on Chucks comments, for the moment, I am comfortable that we
do not need additional meetings with the unions (public or
private) on reissuing 12803.
What I am concerned by is the perception that we have already
begun our outreach effort and will now have engaged in two
discussions with the AFL-CIO - at very senior levels - without
inviting any private sector interests to the table. At the risk
of re-stating the obvious, if we want more private investment in
public infrastructure, we need the help and cooperation of the
State and local governments, investment banking community,
developers and the construction and service industries more than
we need AFSCME or the PED. Short of absolute job protection,
which is opposed by almost every member of the working group,
AFSCME will oppose sales or leases to the private sector at the
national and local level - as a membership issue - no matter what
we do with 12803.
Separate but equally senior meetings with the private sector
community are essential to convey the Administration's interest
and commitment to public-private partnerships. My sense of this
community is that, while we have said some good words in, for
example, E.0.12893, the investment community has not been asked to
really participate in the policy process. They continue to take a
wait and see attitude. No programs will move forward and no
investments packages will be developed, in my opinion, without the
investment community pushing State and local leaders to move
forward and they, in turn, appear to be looking to us to get the
ball rolling. We should hear their views on 12803 and on the
infrastructure bank. We should also make it clear - by asking for
their input that we are serious about solutions that will
actually stimulate their investment. I suggest that this needs to
be done soon.
ARMS Email System
Page 1 of 27
RECORD TYPE: PRESIDENTIAL (ALL-IN-1 MAIL)
CREATOR: Linda S. Work ( WORK_L ) (WHO)
CREATION DATE/TIME:15-JUL-1994 12:42:34.20
SUBJECT: Health Reform Wire Report, 12:30 PM Edition, July 15, 1994
TO: Kimberly S. Anderson
( ANDERSON_K ) (OA)
READ: 15-JUL-1994 13:40:20.46
TO: Catherine Balsam-Schwaber
( BALSAMSCHW_C ) (WHO)
READ:NOT READ
TO: Robert O. Boorstin
( BOORSTIN_R ) (WHO)
READ: NOT READ
TO: Thomas I. Burke
( BURKE_T ) (WHO)
READ: NOT READ
TO: Kenneth R Chitester
( CHITESTER_K ) (WHO)
READ: 15-JUL-1994 19:15:36.31
TO: Gary Cohen
( COHEN_G ) (WHO)
READ:15-JUL-1994 15:38:52.12
TO: Charlotte A. Hayes
( Charlotte A. Hayes@EOP_OVP@CCGATE@EOPMRX
READ:NOT READ
TO: Elise Deal
( DEAL_E ) (WHO)
READ:15-JUL-1994 13:14:23.56
TO: Steven C. Edelstein
( EDELSTEIN_S ) (OPD)
READ:NOT READ
TO: Jeffrey L. Eller
( ELLER_J ) (WHO)
READ:NOT READ
TO: Patricia A. Enright
( ENRIGHT_P ) (WHO)
READ: 15-JUL-1994 13:27:25.96
TO: Deborah L. Fine
( FINE_D ) (WHO)
READ: NOT READ
TO: Jonathan P. Gill
( GILL_J ) (WHO)
READ: 18-JUL-1994 09:29:13.74
TO: Jason S. Goldberg
( GOLDBERG_JS ) (WHO)
READ: 15-JUL-1994 16:22:21.11
TO: John P. Hart
( HART_J ) (WHO)
READ:NOT READ
TO: Christine M. Heenan
( HEENAN_C ) (OPD)
READ:15-JUL-1994 15:27:50.78
TO: Dana J. Hyde
( HYDE_D ) (WHO)
READ:15-JUL-1994 16:29:02.99
TO: Paul W. Jamieson
( JAMIESON_P ) (OPD)
ARMS Email System
Page 2 of 27
READ:15-JUL-1994 13:20:35.13
TO: Kelcey Kintner
( KINTNER_K ) (WHO)
READ:15-JUL-1994 13:25:05.81
TO: Joseph H. Kolski
( KOLSKI_J ) (WHO)
READ: NOT READ
TO: G. N. Lattimore
( LATTIMORE_G ) (WHO)
READ: NOT READ
TO: Gregory E. Lawler
( LAWLER_G ) (OPD)
READ: 18-JUL-1994 13:54:38.58
TO: My La
( LA_M ) (WHO)
READ: NOT READ
TO: Jacob J. Lew
( LEW_J ) (OPD)
READ:19-JUL-1994 07:47:36.80
TO: Mike Lux
( LUX_M ) (WHO)
READ: NOT READ
TO: Ira C. Magaziner
( MAGAZINER_I ) (OPD)
READ:NOT READ
TO: Lorraine McHugh
( MCHUGH_L ) (WHO)
READ:16-JUL-1994 13:30:34.56
TO: Julia Moffett
( MOFFETT_J ) (WHO)
READ:15-JUL-1994 13:40:52.90
TO: Meeghan E. Prunty
( PRUNTY_M ) (WHO)
READ:17-JUL-1994 20:47:30.45
TO: Mark Miller at PROFS
( PR_U=MMILLER@PR_L=CPUB@MRP@EOPMRX )
READ:NOT READ
TO: Laura Quinn
( QUINN_L ) (WHO)
READ: NOT READ
TO: Simone M. Rueschemeyer
( RUESCHEMEY_S ) (OPD)
READ:15-JUL-1994 17:15:40.54
TO: Joshua Silverman
( SILVERMAN_J ) (WHO)
READ:NOT READ
TO: Adam R. Skilken
( SKILKEN_A ) (WHO)
READ: NOT READ
TO: Jason M. Solomon
( SOLOMON_J ) (WHO)
READ:15-JUL-1994 12:46:51.88
TO: John O. Sutton
( SUTTON_J ) (WHO)
READ: 1-AUG-1994 18:00:56.03
TO: Harris, Skila S.
( Skila S. Harris@EOP_OVP@CCGATE@EOPMRX )
READ: NOT READ
TO: Marjorie C. Tarmey
( TARMEY_M ) (OPD)
ARMS Email System
Page 3 of 27
READ: 15-JUL-1994 13:44:27.20
TO: Guild L. Taylor
(TAYLOR_G ) (WHO)
READ: NOT READ
TO: Joe Velasquez
( VELASQUEZ_J ) (WHO)
READ: NOT READ
TO: Melanne Verveer
( VERVEER_M ) (WHO)
READ: NOT READ
TO: Susannah B. Wellford
( WELLFORD_S ) (WHO)
READ: 15-JUL-1994 15:22:42.58
TO: Margaret A. Williams
( WILLIAMS_MA ) (WHO)
READ: NOT READ
TO: Marilyn Yager
( YAGER_M ) (WHO)
READ: 15-JUL-1994 15:56:21.07
TO: Lynn M. Margherio
( MARGHERIO_L ) (WHO)
READ: 15-JUL-1994 13:03:47.59
TEXT:
PRINTER FONT 12_POINT_COURIER
Health Care Reform Wire Report
12:30 PM Edition, July 15,1994
Clinton, health care advisory- late arrival delays speech
(AP)
PA Clinton Visit (AP)
Senate moderates pitch Mitchell on health reform bill
(Bloomberg)
Democrats say Pizza Hut, McDonald's pay their workers'
insurance abroad (AP)
Democrats seek to presure own, attack GOP with new health
care ads (AP)
GOP may delay GATT passage over health care politics, Dole
says (AP)
Center for Public Integrity to release study of health care
reform lobbying (US Newswire)
Advertising war over health reform heats up (Wall St.
Journal)
Senate wants to tax insurers who sell high cost policies
(Wall St. JoUrnal)
KY: Insurance Co. to sue over new health care law (APA)
Workplaces increasingly offer incentives for good health,
ARMS Email System
Page 4 of 27
penalties for unhealthy habits (Chicago Tribune)
Catholic Bishops should help find common ground on health
reform (Knight
-Ridder)
AP Daybook
-Friday
-Health Reform
AP Daybook
-Friday
-Health Care
-Update
Conference of lawmakers from southern states opens this
week
-end (AP)
PM Health Reform, 3rd Ld
-Writethru, a0554,8 890
Democrats Say Pizza Hut, McDonald's Pay Their Workers'
Insurance Abroad
Eds: LEADS with 15 grafs to UPDATE with report on Pizza
Hut, McDonald's, Dole threat to delay GATT; cuts at bottom
to tighten
By CHRISTOPHER CONNELL= Associated Press Writer=
WASHINGTON (AP) Key Democratic lawmakers accused Pizza
Hut and McDonald's of hypocrisy Friday for opposing a
requirement that employers pay their workers' health
insurance in America while paying health insurance and
thriving in their overseas operations.
``We have a question for them, Sen. Edward M.
Kennedy, D
-Mass., said at a Capitol news conference, where
he was joined by Rep. John Dingell, D
-Mich.
``What do they have against American workers?
Why
do they want to treat Japanese workers, German workers,
Belgian workers, Netherlands workers
better than they
treat the American workers here at home?'
The statements came in response to a study released by
the pro Clinton Health Care Reform Project, saying both
companies were rapidly expanding operations in countries
where they are required to pay large portions of their
workers' insurance.
The Health Care Reform Project says it plans to run
full
ARMS Email System
Page 5 of 27
-page advertisements in The New York Times and The
Washington Post on Sunday attacking Pizza Hut. No Matter
How You Slice It I the ads read. Pizza Hut Does Not
Deliver The Same Health Benefits in America As It Does In
Germany and Japan
``If Pizza Hut Wins, American Workers Lose
The Health Care Reform Project also produced a
television ad, which it planned to run for about 10 days
in Washington. But Bob Chlopak, a consultant to the group,
said no television station would run it because of libel
threats from Pizza Hut.
Kennedy released a letter from a Pizza Hut lawyer to
Chlopak, threatening legal action.
Pizza Hut, a division of Pepsico, and McDonald's had no
immediate comment on the charges. The Health Care Reform
Project says the company's domestic hourly employees must
pay the full cost of their health insurance for the first
six months, after which the company contributes only to
additional coverage, not the basic plan. It said
McDonald's does not cover its hourly or part
-time workers
in this country.
Senate Minority Leader Bob Dole, in an address to
American Medical Association leaders, rebuked the White
House and its allies for the attack on Kansas
-based Pizza
Hut. Making the firm buy health insurance would drive
prices up to $20 a pizza, he asserted.
He said Pizza Hut has 190,000 part
-time employees and
the Clinton plan would cost them $200 million. They say,
Just raise your price of pizza' It doesn't work that
way
He said the Democrats have these crazy ideas (that)
if somebody disagrees with you, you have to punch him in
the nose. That's not the way it works. There's still time
for bipartisanship in health care
Separately, Dole told reporters he may try to derail a
new world trade agreement if Clinton keeps attacking the
GOP on health care. He said Clinton's new chief of staff,
Leon Panetta, had asked for a political timeout to
push the new General Agreement on Tariffs and Trade through
Congress.
`Why should I worry about what President Clinton wants
to do on trade when he's out beating us up on health
care?'' Dole said. ``If this is the kind of hardball they
want to play, they need to know there are two teams out
there
Meanwhile, the Democratic Party's latest round of
health reform ads drew Republicans' scorn and prompted one
of its own to urge people to stop giving money to the
party.
The new $400,000 round of television and radio ads
paint Republicans as the villains, saying that most oppose
universal coverage.
But Democratic National Committee Chairman David
ARMS Email System
Page 6 of 27
Wilhelm said the spots were also intended to pressure
Democratic senators in Nebraska, Wisconsin and Nevada to
support coverage for all Americans and making employers
pay for it.
That infuriated Sen. Bob Kerrey, D
-Neb., one of the
targets.
I would urge people at the moment not to give to the
Democratic National Committee, he said. ``It's a waste
of money, it's counterproductive, it's irritating and it
doesn't influence me at all.'
Kerrey said the party should run ads urging Clinton to
embrace the Senate Finance Committee compromise, which
avoids mandates but stops short of universal coverage.
That's what the people want, he said.
Haley Barbour, the Republican Party chairman, said,
``It should be revealing to the public that the Democrats
feel like they have to bludgeon their own members to get
them to vote for the Clintons' bill
Health and Human Services Secretary Donna E. Shalala
today appealed to leaders of the American Medical
Association to push for
a bill that covers every American not just 91 percent
or 96 percent
You have a long history (for) universal coverage.
This is not the time for any of us to get weak
-kneed on
this issue, Shalala told the AMA. But the doctors' group
supports mandatory coverage by employers only for
companies with 100 or more workers.
The Democrats' ad includes a colorful paean to how well
mandatory employer
-paid health coverage has worked in
Hawaii. An announcer intones, Tell Republicans you don't
expect palm trees, but you do expect guaranteed coverage
that can never be taken away.
Other ads depict farmers and others complaining that a
Republican alternative would hurt the middle class and not
cover everyone.
PM
-Clinton Health Care, Advisory
EDITORS:
President Clinton arrived late on his visit to
Greenburg, Pa. and isn't expected to begin speaking on
health care for perhaps an hour. A lead to
PM
-Clinton
-Health Care, Bjt, a0407, will move after his
speech.
The AP
ARMS Email System
Page 7 of 27
PM
-PA-
-Clinton Visit, 0490
By JEFFREY BAIR= Associated Press Writer=
PITTSBURGH (AP) Bill Clinton is bringing some regular
folks to
a regular town to talk about a complex issue health
insurance.
Clinton scheduled a speech today in Greensburg, about
25 miles west of Pittsburgh, with three women who wrote
him about problems with their medical coverage.
In public appearances to support their plan, the
president and Hillary Rodham Clinton have cited stories
from people with inadequate insurance or no insurance.
In opposition, health insurers started the $10 million
Harry and Louise' advertising campaign with characters
speculating the Clinton plan would reduce consumer choices
for medical care.
Today outside the Westmoreland County Courthouse,
Clinton shared the program with three residents of
southwestern Pennsylvania: Patricia Courson, 57, of
Ellwood City, Lawrence County; Francine Bagnato of
Pennsbury Village, a Pittsburgh suburb; and Louise
Bernick, 21, of Pittsburgh.
Mrs. Bernick said she wrote Clinton after Vice
President Al Gore appeared on the `Today'' show and
appealed for letters about insurance problems. She is
unhappy with the health coverage from her husband's union.
The tile finisher pays $2.75 per hour for coverage
without a vision or dental plan. He makes $15.09 per hour,
Mrs. Bernick said.
``I just got contact lenses, and I paid for it out of
my own pocket. I know I need to go to the dentist, but I'm
not going to take out a loan to get my teeth fixed, she
said.
She also wants an insurance plan that will pay when her
son, Ronnie, 2, visits the doctor when he is well. She
said she paid for two such visits just before writing the
president.
Mrs. Courson, who has high blood pressure and a leaky
heart valve, told Clinton she was concerned she would not
see her grandchildren grow up. She said she was lucky a
medical supplier donated an oxygen machine to her. She
needs it to breathe while sleeping because of sleep apnea,
which can rob her of breath.
Mrs. Courson said she lost her insurance when her
husband lost his job as a security guard.
Please help, she wrote. `We are going to fall
between the cracks
Ms. Bagnato told Clinton last October that her
7
-year
-old son was on a waiting list for charity
insurance.
'It's a terrible feeling when you can't provide decent
medical coverage for your child, she wrote.
ARMS Email System
Page 8 of 27
The boy has since been added to the Blue Chip program
funded by state cigarette taxes and administered by Blue
Cross and Blue Shield of Western Pennsylvania, said Mary
Emery, administration manager for the Western Pennsylvania
Caring Fund. The fund is a nonprofit division of Blue
Cross.
The Blue Chip and companion Caring Program insure about
19,000 children.
When Ms. Bagnato applied on behalf of her son, the
waiting list for insurance had swelled to about 4,000
names because of rule changes but it since has been
eliminated, Ms. Emery said.
No one who is eligible for charity insurance or
insurance subsidies in the program waits more than a month
now, she said.
BC Senate
-Moderates
-Pitch
-Mitchell
-on
Senate Moderates Pitch Mitchell on Health
-Reform Bill
Washington, July 15 (Bloomberg) Senate moderates
pressed their case for scaled
-back health
-care reforms as
the Clinton administration and its supporters launched
today a new public relations drive for guaranteeing
coverage to all Americans.
Senate and House leaders are working simultaneously to
put together versions of President Clinton's health
-care
plan to bring to their chambers for passage.
In the Senate, a group of conservative Democrats and
moderate Republicans urged Majority Leader George
Mitchell (D
-Maine) to bring a health
-reform bill to the
floor that falls short of the president's plan to
guarantee coverage to all Americans.
The group succeeded in getting their version of a
health
-reform bill passed by the Senate Finance Committee.
That bill would not require employers to help pay for
worker health coverage and relies heavily on subsidies to
the poor to reduce the number of Americans without
insurance.
ARMS Email System
Page 9 of 27
The Finance Committee did not provide sufficient
financing for its package of benefits, and Sen. John
Chafee (R
-R.I.), a leader of the moderate group, said
yesterday it had not determined yet what taxes or other
means will be used to cover the shortfall.
Even so, Chafee and a half
-dozen other Senate Democrats
and Republicans urged Mitchell to use the Finance panel's
work as the basis for the bill he brings to the floor.
Mandate Won't Survive
The consensus from each of us was that the employer
mandate is not going to survive, and we urged him to
embrace the Finance Committee bill, Chafee said.
The Clinton plan would expand health coverage to the
nation's 39 million uninsured, largely by requiring
businesses to pay for 80% of worker health insurance
premiums.
Republicans and some conservative Democrats argue that
the SO
-called employer mandate will cause layoffs.
`Americans want health
-care (reform), but they don't
want to pay for it with their jobs, Senate Minority
Leader Bob Dole (R
-Kan.) said on the floor of the Senate
earlier this week.
Meanwhile, Clinton was scheduled to go to Pennsylvania
today to sell his health
-care reform package, and the
Democratic National Committee launched a new round of
television ads on the subject.
The administration is showing no signs of retreating on
its pledge to get a bill that guarantees health coverage
to all Americans.
This is not the time for any of us to get
weak
-kneed'' on the issue, Health and Human Services
Secretary Donna Shalala told the American Medical
Association today.
Mitchell has heard from several senators on ways to
attract more votes in the Senate by modifying the employer
mandate provision.
Kennedy's Option
One option discussed by Sen. Edward Kennedy (D
-Mass.)
would phase in the president's proposal that employers pay
80% of the cost of a worker's health
-insurance premium.
Kennedy's idea would limit the employer's share to 50%
during the first year the law is in effect, eventually
ARMS Email System
Page 10 of 27
increasing it to 80%.
Senators and staffers played down the significance of
the idea today, saying that it is just one of many
financing options that have been raised as Mitchell works
on drafting a bill. Mitchell said yesterday that he has
been presented with ideas for almost every conceivable
variation of an employer mandate.
The question remains whether reducing the employer
share of health premiums and excluding some small
businesses from the requirement would attract the votes of
conservative Democrats.
``I can't be for an employer mandate of any kind, ''said
Sen. David Boren (D
-Okla.) -
-Paul Heldman (202)
434
-1842/daw (For more on health
-care reform: NI HCP, NI
HEA; on Congress: NI CNG; on the Clinton administration:
NI EXE)
-0- (BBN) Jul/15/94 9:40 EOS (BBN) Jul/15/94 09:40
86
PM
-KS-
-Dole Health Care, 0350
GOP May Delay GATT Passage Over Health Care Politics, Dole
Says
By CURT ANDERSON= Associated Press Writer=
WASHINGTON (AP) Republicans may attempt to derail a
new world trade agreement sought by the Clinton
administration if the president continues to attack the
GOP on health care, Senate Minority Leader Bob Dole said
today.
``Why should I worry about what President Clinton wants
to do on trade when he's out beating us up on health
care?'' Dole said. ``If this is the kind of hardball they
want to play, they need to know there are two teams out
there.
As Clinton and the Democratic Party increase pressure
on Republicans to support reform of the nation's health
care system, the president is also sending emissaries to
Congress seeking votes for the General Agreement on
Tariffs and Trade.
Dole, R
-Kan., told reporters in a weekly conference
that Clinton's new chief of staff, Leon Panetta, asked
this week for a ``political timeout'' among Republicans SO
that GATT could be passed before Congress breaks in
August.
But Dole said he's not interested in such cease
ARMS Email System
Page 11 of 27
-fires
if Democrats continue to bash Republicans for their
opposition to elements of the president's health reform
bill, such as a requirement that most employers provide
coverage.
``I think it's unfortunate it's going to get in a
political tug of war here, Dole said. When the
president's out attacking the Republican bill, it makes it
hard for us to cooperate on other things.
Dole recently proposed a scaled
-down health bill that
would enact many insurance reforms and provide subsidies
to allow low
-income families to obtain care, but would not
require anyone to buy coverage.
Democratic Party Chairman David Wilhelm this week
criticized that plan as à disaster for the middle
class.
Dole said that instead of buying television time and
organizing bus caravans aimed at blasting the GOP over
health care, Clinton and other Democrats should
demonstrate how the president's plan will affect jobs and
taxes to sway Republican votes.
They need our votes to pass health care, Dole said.
And they can't pass GATT without Republican support.
bc health
-care
-lobby 07
-15
Center for Public Integrity to Release Study of Health
Care Reform Lobbying July 21
To: Assignment Desk, Daybook Editor, Health Care Writer
Contact: Charles Lewis of The Center for Public
Integrity,
202
-783
-3900
News Advisory:
Well
-Healed: Inside Lobbying for Health Care
Reform, is a comprehensive investigative study about the
forces attempting to influence health care reform. The
Center for Public Integrity, using 17 researchers over the
past year, has contacted over 650 corporations, trade
associations, labor unions, and nonprofit groups with an
interest in health reform, trying to better understand the
ways in which many of them lobbied the Clinton
Administration and Congress. The study also examines the
evolution of the Clinton health care reform plan. This
ARMS Email System
Page 12 of 27
study includes new ``money and politics'' data, from
campaign contributions to industry
-sponsored trips, from
the `revolving door' to investment portfolios of members
of Congress.
The findings of the study, the 16th produced by the
Center for Public Integrity, will be released at a news
conference on Thursday, July 21, at 9:30 a.m. at the
National Press Club in the main lounge.
-0-
/U.S. Newswire 202
-347
-2770/
Advertising War Over
Health Reform Heats Up
By Rick Wartzman
Staff Reporter of The Wall Street Journal
WASHINGTON -- Even the cola wars don't get as nasty as
the advertising battle over health
-care reform.
In the latest clash, a coalition called the Health Care
Reform Project is set to issue a report today saying that
PepsiCo Inc. 's Pizza Hut operation pays into a universal
health system for its workers in Germany, but has been
leading the charge against employers' being required to
help pay for insurance coverage for workers in the U.S.
The Reform Project wants to run a TV ad highlighting what
it calls a "double standard,' but says Pizza Hut has
scared local stations into refusing to air it. Pizza Hut,
which acknowledges contacting the stations, calls the
report "very misleading.
The Reform Project's ad is about the only health
-care
commercial that the public isn't seeing. As Congress
debates a final health
-care bill, ads touting opposite
positions are spreading like some communicable disease.
Airing at one point this week on NY 1 News, a New York
cable
-TV channel, was an ad featuring "Harry and Louise,"
the insurance industry's famous fictional couple, warning
about some proposed cost
-control measures. Not long after,
there appeared another spot mocking Harry and Louise paid
for by a group urging a Canadian
-style health system that
would do away with the private insurance industry.
ARMS Email System
Page 13 of 27
And just what do people think when they're hit with this
salvo of mixed messages?
"They throw up their hands and decide they don't know
who's telling the truth any longer,' concludes Drew
Altman, president of the Kaiser Family Foundation, an
organization that sponsors health
-policy research and has
spent $3 million on its own series of "Straight Facts"
health
-care ads. "And then, he says, "they run for
cover."
The problem is there is hardly anywhere left to hide.
Besides the health insurers and Canadian
-system advocates,
everyone from the National Right to Life Committee
(opposing abortion services) to the National Restaurant
Association (fighting an employer mandate) to the American
Hospital Association (battling deep Medicare cuts) have
all put out new ads in the past few weeks.
Though all sides are firing plenty of shots now, there
is little doubt who is winning the ad wars. A welter of
conflicting signals, media specialists say, only
contributes to an environment of cynicism and uncertainty
that makes comprehensive health
-care reform all the more
difficult to pass.
"The impulse is not to want change when you're
confused, says Kathleen Hall Jamieson, dean of the
University of Pennsylvania's Annenberg School for
Communication, which plans on Monday to release a study on
health
-care ads that will, among other things, analyze
their effectiveness. "We're seeing that in our focus
groups."
Some of the ads are stirring new controversies as
quickly as they come out. Just yesterday, the Democratic
National Committee unveiled new ads emphasizing how the
middle class who will be hurt unless there is universal
coverage. But Democratic Sens. Kent Conrad of North Dakota
and Richard Bryan of Nevada, who are up for re
-election
this year, complain that the DNC's main theme should have
been the need for cost control. The DNC's $400,000 ad buy
is money "down the drain," adds Democratic Sen. Robert
Kerrey of Nebraska.
Even hotter is the dispute over the proposed ad about
Pizza Hut's policies. Pizza Hut says it does offer medical
insurance to its part
-time workers in the U.S. and helps
pay for coverage to those who elect to receive it through
the company. The Reform Project ad is "vicious. We're
outraged,' says Rob Doughty, a Pizza Hut spokesman.
(END) DOW JONES NEWS 07
ARMS Email System
Page 14 of 27
-15
-94
6 11 AM
Advertising War, Health
-2-: Pizza Hut's Contribution
Bob Chlopak, a consultant to the Reform Project, says the
coalition of labor, medical
-care and consumer groups
stands by its report. He notes that Pizza Hut's
contribution for a part
-time worker's insurance kicks in
only after the employee carries the full load for six
months and that the company's contribution only expands
the limit of bare
-bones coverage. Mr. Chlopak says that if
the Reform Project can't get its ad on TV, it will simply
run print ads instead.
The Reform Project effort notwithstanding, the most
biting ads are coming from the political right. This week,
for example, a group headed by conservative activist Gary
Bauer took out an ad in the Washington Times linking a
Clinton administration lightning rod, Surgeon General
Joycelyn Elders, to the White House health
-care proposal.
The ad, which shows Dr. Elders surrounded by statements
she has made on such issues as legalizing drugs and gay
adoption, declares: "Bill Clinton Chose This Doctor
Now He Wants To Choose Yours.
Pairing Dr. Elders and health reform is "a non
sequitur," says Bill Cox of the Catholic Health
Association, which is lobbying for universal coverage.
"But it will probably gear up the right wing on this
They're pulling out every possible advantage that they
might have to stop health reform."
Besides Mr. Bauer's group, the conservative organization
Empower America also is running attack ads against what it
describes as President Clinton's plan for "socialized
medicine" a refrain that is frustrating those who
support a sweeping brand of health reform.
"It's always easier to get a negative message through," "
says John Rother, a lobbyist at the American Association
for Retired Persons. "Our attempts to be positive are
being drowned out. The easiest thing to do is scare
people." In an attempt to counterpunch, the AARP recently
staged a new $800,000 ad campaign that focuses on how the
group says health costs will soar if reform is thwarted.
By traditional marketing standards, the health
-care ads
even the $12 million Harry and Louise campaign have
been modest in their reach, frequency and budget. But by
carefully targeting policy makers and news media in
ARMS Email System
Page 15 of 27
Washington and select congressional districts, some of
these ads have managed to be very effective. The
pharmaceutical industry, for instance, has used a series
of ads stressing its commitment to research to put itself
in a better position to beat back price controls.
The health
-care ad blizzard shows no sign of slowing
down. The Democratic National Committee, for one, still
has $3 million to $4 million to spend on additional ads in
the coming weeks.
But the biggest single chunk of televised health
-reform
lobbying still to come is a program being produced by the
Republican National Committee and paid for with $1 million
of Ross Perot's money. The prime
-time infomercial still is
under production, and the RNC hasn't reached an agreement
with a major network to carry it; but the RNC would like to
get the ad aired before the end of this month.
(END) DOW JONES NEWS 07
-15
-94
6 19 AM
Advertising War, Health
-3-: American Medical Association
Meanwhile, the American Medical Association says it may
exceed its $1.6 million ad budget for the year as it
continues its fight against managed
-care insurance
companies over who would hold the reins in a new health
system. The Chamber of Commerce, which has become a
leading foe of a major overhaul of the system, says it is
considering buying ads for the first time. And William
Kristol's Project for the Republican Future, which ran an
earlier ad sharply critical of the Clinton package, also
is thinking of doing another.
Harry and Louise may not be finished yet, either.
Richard Coorsh, a spokesman for the Health Insurance
Association of America, says his group is kicking around
another spot. In this one, the couple would raise questions
about a Senate Finance Committee proposal to tax
higher
-priced insurance plans.
(END) DOW JONES NEWS 07
-15
-94
6 25 AM
Senate Wants To Tax Insurers Who Sell High
ARMS Email System
Page 16 of 27
-Cost Policies
By Hilary Stout
Staff Reporter of The Wall Street Journal
WASHINGTON A new policy twist on an old issue has
surfaced in the health
-care reform debate.
After months of dispute over whether the government
should impose controls on private health
-insurance
premiums, the Senate Finance Committee wants to attack
medical costs another way: Tax insurers who sell
high
-priced health policies.
Insurance companies, to no surprise, are against the
idea. So are labor unions, which consider rich health
plans to be hard
-won fringe benefits for members. But a
group of moderate Democrats and Republicans who back the
levy are hopeful that the panel has reached a creative way
out of the cost
-control impasse.
The tax, which narrowly cleared the Finance Committee
last week by a vote of 11
-9, isn't aimed primarily at
collecting federal revenue, although its proponents say
that would be a nice dividend. The half
-dozen lawmakers
who pushed the measure said it is intended to bring more
price consciousness to the health
-insurance market and to
generate more competition among health
insurance plans.
"This is designed to create a disincentive for very
high
-cost plans, " Sen. John Danforth, a Missouri
Republican, said in a speech imploring his Finance
Committee colleagues to support the measure. He insisted:
"This is an essential component of the legislation. It has
to be in it."
Whether the tax would achieve its goal is open to
question. Basically, this is how it would work:
Congress would establish a national standardized package
of health benefits. Then insurance companies that sell the
package at a price that exceeds the average price in their
region would be assessed a tax that amounts to 25% of that
difference. To avoid penalizing plans in regions where
health costs are low across the board, plans selling in
the lowest 25% price range nationwide would be exempt from
the tax even if their cost is higher than average in their
ARMS Email System
Page 17 of 27
region.
Sen. Bill Bradley, who suggested the idea a few weeks
ago, said the proposal is an attempt to wed the three
principal medical cost
-control theories:
Government
- imposed caps on health
- insurance premiums a la
President Clinton; a "tax cap" limiting tax breaks for
employer
-sponsored health plans, an idea pushed by
moderate proponents of "managed competition"; and free
market competition ideas embraced by conservative
Republicans. "I looked at the three mini debates and tried
to find something that melded the three together," Mr.
Bradley, a New Jersey Democrat, said in an interview.
Insurers, however, warn that such a levy would have the
opposite of its intended effect because they would simply
pass on their costs to consumers. "The costs would get
shifted onto the purchasers of health insurance. This just
raises the cost of health insurance,' said Willis
Gradison, president of the Health Insurance Association of
America. It was the association's advertising campaign
against premium caps that helped spur lawmakers to search
for a different costcontrol mechanism.
That's just what worries labor unions. "For all intents
and purposes, it's a tax on fringe benefits, said Calvin
Johnson, legislative representative at the AFL
-CIO. The
federation has lobbied against the tax and is continuing
an aggressive campaign to prevent it from clearing the full
Senate. "This would have an effect not only on high
-cost
plans, but it's going to make everyone's plan go up."
(END) DOW JONES NEWS 07
-15
-94
6 02 AM
Senate Wants To Tax
-2-: & White House Says Little
At first glance it would appear that the tax would hurt
most severely traditional indemnity or "fee
-for
-service"
plans. Because those plans offer virtually free choice of
doctors and hospitals, their premiums are often higher.
But the managed
ARMS Email System
Page 18 of 27
-care industry is concerned that health
maintenance organizations could be affected too.
Julie Goon, director of legislative affairs for the
Group Health Association of America, noted that in areas
of the country where managed
-care plans have a large share
of the market, prices between HMOs and indemnity plans are
much closer. Therefore, efficient coordinated care plans
could end up paying the levy as well.
Others said that as the tax forces higher plans to drop
out of the market, more and more lower
-cost plans
including some of the most efficiently operated plans
would end up subject to the tax. "So you end up eating
your young, Mr. Gradison said.
Moreover, some health policies are higher priced because
the beneficiaries they insure are higher risks. The way
the provision is now written, there is nothing to adjust
for that.
Sen. Bradley dismissed the criticism. "As with any new
idea, you find everyone's taking shots at the idea because
they're unfamiliar with it," he says.
Paul Ellwood, a CO
-founder of the Jackson Hole Group, a
loose
-knit band of academics and medical industry
executives that fathered the "managed competition"
approach to health
-care reform, said the idea is a good
compromise. "I'd prefer a tax cap, but we're not going to
get that, said Dr. Ellwood.
One selling point may be the potential revenue, although
many backers concede the tax is unlikely to raise a
significant amount of money for the federal government.
When the moderates group initially proposed the measure,
it said the tax could raise $30 billion over five years,
which could go to the federal pool of money to subsidize
the cost of health insurance for low
-income people. But
members of the group now say that was simply a number
equal to the estimated federal savings from the
Clinton
-style premium caps. They actually have no clear
idea of what the premium would raise, but preliminary
estimates by the Treasury Department put the figure at
around $7.5 billion.
The White House has said little publicly about the tax.
But with their proposed premium caps in trouble on Capitol
Hill, administration officials are quietly encouraged by
the development of the concept. While many have
reservations about the way the tax is structured in the
Finance Committee bill, some hope the idea can lead to a
less
ARMS Email System
Page 19 of 27
-regulatory solution to the problem of controlling
medical costs.
(END) DOW JONES NEWS 07
15
94
6 23 AM
PM
- KY-
Golden Rule, 1st Ld
-Writethru, 370
Insurance Company to Sue Over New Health Care Law
Eds: UPDATES with suit filed in lede, INSERTS 1 graf after
8th pvs to show where filed
By CHARLES WOLFE= Associated Press Writer=
FRANKFORT, Ky. (AP) An insurance company that ran an
ad campaign against health
-care legislation this year
filed suit today, the day the bill became law.
Golden Rule Insurance Co., which claims 18,000
customers under 9,300 policies in Kentucky, alleges the
legislation violates state and federal constitutions by
interfering with existing insurance contracts.
Meanwhile, the Legislative Ethics Commission filed a
complaint against Golden Rule. It charged that the company
broke Kentucky law by refusing to report the amount it
spent on an advertising blitz in the legislature's closing
days.
The commission demanded the information in an April 19
letter to Golden Rule executives in Indianapolis. Calls
for comment on the complaint were not immediately
returned. The next step in the ethics case would be a
public hearing, which had not been scheduled Thursday.
The Kentucky Health Care Reform Act creates a state
commission that is to design five types of benefit plans.
At least one of the five must equal the coverage received
by state employees. Coverage could not be denied or
canceled because of age or medical condition.
The theme of Golden Rule's ad campaign was that
Kentuckians were being deprived of coverage choices.
Golden Rule attorney Curtis J. Dickinson kept sounding the
theme Thursday in a series of briefings on the lawsuit.
He said the new law would terminate existing health
insurance contracts in one year July 15, 1995.
That day will be marked by Kentuckians as `Dependence
Day' dependence on state government for health care
needs, Dickinson said.
The suit was filed this morning in U.S. District Court
in Covington.
Gov. Brereton Jones said the lawsuit `comes as no
surprise in that this particular insurance company did
everything in its power
to defeat our efforts to
achieve meaningful health care reform legislation.
ARMS Email System
Page 20 of 27
We are sorry this particular company does not share
our concern for Kentuckians who are unable to secure
affordable health insurance coverage today, Jones said.
BC
-HEALTHPLANS medical, national editors: TB
Workplaces increasingly offer incentives for good health,
penalties for unhealthy habits
(HAS TRIMS)
By Rogers Worthington
Chicago Tribune
MILWAUKEE Mickey Kazmierski always avoided the body
fat check at her company's ``wellness fair. She already
knew what her scale told her. Why compound the agony?
But this year was different. The bite of the calipers
no longer yawned. Daily lunchtime walks and food choice
changes cut her weight from a range of 150
-200 pounds to a
trim 115
-120 pounds.
``I was right where I was supposed to be, said a
pleased Kazmierski, 40, a data processor at Wisconsin Gas
Co. There were other bonuses: The company rewards
employees for aerobically achieved ``HeartFIT''' points
with prizes such as sweatshirts, cooler packs, health
magazine subscriptions and gym bags.
It is increasing the reward for achieving low body fat,
lower risk blood pressure/cholesterol levels and high
frequency of exercise by offering credits that can be
converted to cash, used to reduce employees' health
insurance premiums, or to add new benefits.
Smokers, who are known to consume more in health
-care
costs, or even those living with a smoker, are not
eligible.
Wisconsin Gas Co.'s programs, which include other
carrots'' such as discount memberships in a nearby
health club and ``sticks'' such as
a 10 percent higher insurance premium for smokers, are part
of a growing health promotion trend in the American
workplace.
Health promotion consultants estimate that incentives
for good health and penalties for habits and activities
that make one a poor health risk, are in as many as 15 to
18 percent of U.S. workplaces.
``You have employers trying to give employees the tools
to take better care of themselves
and that is an
important development, said Dr. Jonathan Fielding, an
epidemiologist at the University of California's school of
public health in Los Angeles.
Companies have their own best interests at heart:
Putting a cap on soaring corporate health
-care costs.
A 9
ARMS Email System
Page 21 of 27
-year study of Steelcase Corp. employees by the
University of Michigan's Fitness Research Center found
that employees who were high risk in 1985, but who through
healthier habits and activities had shifted to a low
-risk
profile by 1988, reduced their annual medical claims by
half.
It's clear
that if you can influence people's
behavior to get some minor risk reduction, you can reduce
costs, said John Harris, a Toledo
-based health promotion
consultant.
A 1985 U.S. Public Health Service study found that of
1,507 employers with 50 or more employees, 66 percent
offered at least one health promotion activity for all
their workers.
When the service revisited the work sites in 1992, that
figure had grown to 81 percent. More than half the
companies offered weight control classes, workshops or
lectures, and nearly a third offered weight counseling.
The study also found that 12 percent of the companies
had an indoor fitness area, and 10 percent provided either
aerobic or strength training equipment.
A 1993 study of 786 U.S. companies by Hewitt
Associates, health promotion consultants in Chicago's
north suburb of Lincolnshire, found that 44 percent
provide either an on
-site or employer
-owned fitness
facility, which can range from a basketball hoop in a
company parking lot to a full
-scale fitness club or
subsidized health club memberships.
Apple Computer, based in Cupertino, Calif provides
free, fully staffed and equipped fitness centers for
employees and their families at five sites. Apple
employees in other cities are fully reimbursed for
memberships in commercial fitness centers.
Many companies, however, have shied away from fitness
club memberships because it is difficult to know whether,
or how often, employees utilize them.
Georgia Pacific Corp., in Ashdown, Ark., has found a
way around that by subsidizing employee memberships based
on use. If the employee uses a commercial fitness center
three times a week, the subsidy is 100 percent; two times
a week, 80 percent, and once a week, 60 percent. An
employee who enrolls but doesn't use facility, pays the
entire cost.
(EDITORS: NEXT 2 GRAFS OPTIONAL)
Some health maintenance organizations also are becoming
more active in promoting fitness. Matthew Thornton Health
Plan, an HMO based in Nashua, N.H., is offering insurers a
$150 subsidy for each employee who enrolls in a fitness
center or buys home equipment such as a treadmill,
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Page 22 of 27
stationary bicycle or other fitness device.
``We're finding health insurers are willing to put
their money where their mouth is, to shift dollars from
exclusively curative medicine to preventive medicine or
health promotion, said David Pickering, a spokesman for
the International Racquet and Sports Association, which is
actively promoting such arrangements.
(END OPTIONAL TRIM)
But while incentives for achieving better health are
increasing in the workplace, so are penalties for not
doing so.
E.A. Miller Co., a meatpacker in Hiram, Utah, won't pay
the $5,000 to $6,000 cost of childbirth if the parents
fail to attend company
-sponsored pre
-natal health
sessions. A company study found their biggest single
source of health
-care expenditures was premature babies.
The company also won't cover hospital bills for auto or
motorcycle accidents in which an employee was not wearing
seat belts or a helmet.
There has to be something to make employees
responsible for their actions. There has to be a line
drawn somewhere, said Eric Falk, a company spokesman.
Hershey Foods in Pennyslvania tracks five risk factors
for employees smoking, blood pressure, weight, lack of
exercise and cholesterol. If at periodic company
-sponsored
screenings they are not within appropriate levels, the
employees pay additional insurance premiums.
Employees and spouses at Quaker Oats Co. of Chicago can
earn up to $280 a year in credits toward reducing their
health insurance premiums. They do this by signing pledges
verified by periodic screenings not to smoke, drink to
excess, use illegal drugs, or misuse prescription drugs.
How well do incentive programs work?
Larry Chapman of Corporate Health Designs in Seattle
says that if the plans are well
-executed and offer
respectable rewards, 30 to 50 percent of a company work
force will behave differently because of them.
Are penalties, such as Wisconsin Gas' 10 percent higher
premium for smokers, effective?
Risk rating (making someone pay higher premiums
because of their high
-risk behavior) hasn't been proven to
change anyone's behavior, said Sandy Wendell, a
spokesman for the Wellness Councils of America in Omaha.
If a smoker pays more for health insurance, it
doesn't get at the dependents.
Two
-thirds of company
claims are from the dependents, she said.
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Page 23 of 27
- END
- OF
- AUTOBREAK (1) -
- AUTOBREAK (2)
- FOLLOWS
BC
-
ABORTION
- EDITORIAL op
-ed editors: PH
Catholic bishops should help find common ground on health
reform
Knight
-Ridder/Tribune News Service
(c) 1994, Philadelphia Inquirer
The following editorial appeared in the Philadelphia
Inquirer on Friday:
X X X
It does not show up explicitly in the polls, but there
is a sour mood this July, a sinking feeling that American
democracy may not be up to crafting the cradle
-to
-grave
health guarantee that is common across the rest of the
industrialized world. Well
-heeled lobbies are picking it to
death: Organized medicine is fighting HMOs, which cut
costs by keeping doctors' pay in check. Small businesses
are fighting mandates, arguing that they are taxes that
will destroy jobs (but never mentioning that businesses
providing insurance today take it out of their workers'
wages) There are any number of lines in the sand being
draw by politicians, interest groups and the elderly. They
say: Mental health care or we take a walk. They say:
No taxes on young workers or we take a walk. They say:
Don't try to cover everyone or we take a walk.
There was a new line in the sand drawn this week. This
time it was the bishops of the Roman Catholic Church
saying: Put abortion coverage in a national benefits
package and we take a walk.
Except the bishops didn't put it quite that passively.
They said they would fight tooth and nail from the
pulpits, in meetings with senators, on the airwaves to
kill any universal
-care bill that includes abortion
services.
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Page 24 of 27
And with that ultimatum, they fell neatly into lock
step with other anti
-health
-reform forces those who want
more; those who want less; those with political axes;
those such as Ross Perot, who is flirting with funding a
$1 million anti
-reform infomercial for the GOP; those such
as the Christian Coalition, which would spend a like
amount to dump a plan that it has vowed (evidence to the
contrary) is government
-run.
That's more than too bad. It is perverse because if
there is one thing that Catholic social
-service providers
have stood for in Philadelphia and far beyond is the
expansion of health care to those outside the loop, for
fair access, for affordability, for the very reform the
Clinton administration has championed SO bravely and
against so many foes.
The bishops are well within their rights to become one
of those foes. They are well within the tradition of this
debate to threaten to veto the entire health
-reform
enterprise should this issue not be resolved to their
liking. But several points need to be kept clear.
First, in any plan there will be something that offends
someone. There is in every federal budget, too. Yet in
common cause, one gripes
and pays. Second, abortion is legal, despite 20 years of
squabbling and a challenge before the most conservative
Supreme Court in recent memory. Third, two
-thirds of
private insurance policies are now covering abortion, as
are about 70 percent of HMOs.
Fourth, conscience clauses allow anti
-abortion doctors
and hospitals to follow their moral dictates.
Fifth, the lack of health care for those already born
in this country is a moral outrage.
Finally, there are ways to make a health bill palatable
to all sides if there is a will to win universal care
rather than win on any single issue. One of those ways,
floated by David Bonior, the House Democratic whip, would
give workers the option of choosing a health plan with
abortion services or one that excludes them. And surely
there are other strategies.
The bishops would do everyone a favor if, in good
conscience, they led the way in finding that common
ground, advancing their (and most Americans') goal of
decent health care for all and shedding their new image
as spoilers.
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Page 25 of 27
Philadelphia Inquirer
AP
-Daybook
-Fri Health Reform The Associated Press
AP DAYBOOK, WASHINGTON, FRIDAY, JULY 15
HEALTH REFORM
The following take contains a compilation of health
care reform
-related items.
MORNING
8:30 a.m. Health and Human Services Secretary Donna
Shalala delivers a major address to the American Medical
Association President's Forum. Topic: The Need for
Universal Coverage under Health Care.
Location: Willard Hotel, 1401 Pennsylvania Ave.
9:30 a.m. The National Institute for Health Care
Management sponsors video conference to examine rural
health issues linking rural health practitioners, managers
and experts from Arkansas, Iowa and Washington state with
congressional staff and policy experts on Capitol Hill.
Location: G50 Dirksen
Contact: Paul DelPonte, 202
-973
-5866
10 a.m. News conference with Sen. Edward Kennedy and
Rep. John Dingell and representatives of the Health Care
Reform Project to release a new report on shared
responsibility.
Location: Room 430, Dirksen.
Contact: Bob Chlopak, Andrea Sussman, 202
-289
-5900.
AP
-Daybook
- -Fri
-General The Associated Press
AP DAYBOOK, WASHINGTON, FRIDAY, JULY 15
UPDATE: Health Care
2 p.m. HEALTH CARE Pizza Hut holds news conference to
rebut Health Care Reform Project study.
Location: Main Lounge, National Press Club, 14th and F
Sts. NW
Contact: Paul Nathanson, 202
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Page 26 of 27
-466
-6210.
AM
-MS
-VA-
-Southern Legislators, 390
Conference of Lawmakers from Southern States Opens This
Weekend
NORFOLK (AP) One of the largest gatherings in the
country of state elected officials will open this weekend
as about 2,000 lawmakers from 16 states discuss everything
from welfare reform to health care to free trade.
``It's a significant conference and some very timely
issues are going to be discussed, said Virginia state
Sen. John H. Chichester, R
-Fredericksburg, who is
chairman
-elect of the Southern Legislative Conference.
The conference at the Waterside Marriott will open
Saturday and run through Tuesday.
Among the scheduled speakers are James L. Witt,
director of the Federal Emergency Management Agency, who
will talk about recovering from disasters such as the
recent flooding in Georgia.
Other speakers include Assistant Commerce Secretary
Wilbur Hawkins; Assistant Transportation Secretary Steven
O. Palmer; and State Department economist Robin King.
Former Virginia Gov. Gerald L. Baliles will talk to the
legislators about higher education.
The conference third largest of its kind, behind the
National Governors' Conference and the National Conference
of State Legislators operates under the Council of State
Governments to encourage cooperation and information
exchanges among member states.
`There's a community of interest in the South, 11 said
Chichester, who will take over as chairman Wednesday from
Florida Sen. Ron Silver. ``What happens is, some great
ideas are promulgated by the states, and then they share
them.
For example, Chichester said, some conference states
picked up on a Kentucky managed health care plan that was
adopted in the mid
-1980s for Medicaid recipients. In
Virginia, he said, the idea was modified to apply to state
employees to keep down medical costs.
``It's a comparing conference, Chichester said. ``We
compare theirs with ours. If theirs is better, we take
what's better and apply it to us.''
In addition to Virginia, Florida, Georgia and Kentucky,
the conference's member states include Alabama, Arkansas,
Louisiana, North and South Carolina, Maryland,
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Page 27 of 27
Mississippi, Missouri, Oklahoma, Tennessee, Texas and West
Virginia.
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Page 1 of 1
RECORD TYPE: PRESIDENTIAL (RECONSTRUCTED EMAIL)
CREATOR: Michael D. Deich
( DEICH_M ) (OPD)
CREATION DATE/TIME:20-JUL-1994 09:18:00.00
SUBJECT: oswald
TO: Paul A. Deegan
( DEEGAN_P ) (OPD)
READ: UNKNOWN
TEXT:
Pablo: per your request. Miguel
ATTACHMENT
1
ATT CREATOR: Michael D. Deich
( UNKNOWN )
ATT CREATION DATE/TIME:20-JUL-1994 09:17:00.00
ATT BODY PART TYPE: P
ATT SUBJECT: PC -BINARY- -OSWALD-
ATT TEXT:
Mr. Rudy Oswald
Director
Economic Research Department
AFL-CIO
815 Sixteenth Street, N.W.
Washington, D.C. 20006
Dear Mr. Oswald:
Thank you for coming by and letting me know of your concerns about Executive Order 1
hearing their report.
Thanks you also for sending a copy of Rebuilding America's Vital Public Facilities.
together for passage of the President's investment initiatives, so that our country
Sincerely,
RER
END ATTACHMENT
1
ARMS Email System
Page 1 of 1
RECORD TYPE: PRESIDENTIAL (RECONSTRUCTED EMAIL)
CREATOR: Linda J. McLaughlin
( MCLAUGHLIN_L ) (WHO)
CREATION DATE/TIME:21-JUL-1994 16:53:00.00
SUBJECT: August meeting with labor
TO: Paul A. Deegan
( DEEGAN_P ) (OPD)
READ: UNKNOWN
TO: Heather Beckel
( BECKEL_H ) (WHO)
READ: UNKNOWN
TO: UNKNOWN
( FAX (93956958, Alice for Tyson)
( TLXA1MAIL_\F:9395
READ: UNKNOWN
TO: FAX (92197659, Katherine for Reich) ( TLXA1MAIL_\F:92197659\C:KAThERINE for REI
READ: UNKNOWN
TO: Sylvia M. Mathews
( MATHEWS_S ) (OPD)
READ: UNKNOWN
TEXT:
The AFL-CIO has called to request that the August monthly meeting
be changed as follows:
Date: Tuesday, August 2
Time: 9:00 a.m.
Site: AFL-CIO
Lane Kirkland, Rudy Oswald, Jim Baker and Tom Donahue are
available at this time.
Are your principals able to attend? They are hoping to have some
indication tomorrow.
Thanks.
Linda
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Page 1 of 1
RECORD TYPE: PRESIDENTIAL (RECONSTRUCTED EMAIL)
CREATOR: Lori L. Victor
(VICTOR_L ) (OMB)
CREATION DATE/TIME:21-JUL-1994 14:52:00.00
SUBJECT: Attendees for Bilik Meeting
TO: David C. Childs
( CHILDS_D ) (OMB)
READ: UNKNOWN
TO: David J. Haun
( HAUN_D ) (OMB)
READ: UNKNOWN
TO: Michael D. Deich
( DEICH_M ) (OPD)
READ: UNKNOWN
TO: Kenneth L. Schwartz
( SCHWARTZ_K ) (OMB)
READ: UNKNOWN
TEXT:
Bilik will be bringing with him:
Donald Wasserman, AFSCME
Rudy Oswald, AFL-CIO
Robert Molofsky, ATU (Amalgamated Transit Union)
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Page 1 of 14
RECORD TYPE: PRESIDENTIAL (RECONSTRUCTED EMAIL)
CREATOR: Paul Meyer
( MEYER_P ) (WHO)
CREATION DATE/TIME:22-JUL-1994 18:28:00.00
SUBJECT: News Calendar
TO: Dawn A. Alexander
( ALEXANDER_DA ) (WHO)
READ: UNKNOWN
TO: David B. Anderson
( ANDERSON_D ) (WHO)
READ: UNKNOWN
TO: S. Collier Andress
( ANDRESS_S ) (WHO)
READ: UNKNOWN
TO: Paul T. Antony
( ANTONY_P ) (STP)
READ: UNKNOWN
TO: Tony Wilson
( ANTHONY T. Wilson@EOP_OVP@CCGATE@EOPMRX )
READ: UNKNOWN
TO: Wilson, Anthony T
( ANTHONY T. WILSON@EOP_OVP@CCGATE@EOPMRX )
READ: UNKNOWN
TO: Donald A. Baer
( BAER_D ) (WHO)
READ: UNKNOWN
TO: Joan Baggett
(BAGGETT J ) (WHO)
READ: UNKNOWN
TO: Heather Beckel
( BECKEL_H ) (WHO)
READ: UNKNOWN
TO: Eric Berman
( BERMAN_E ) (WHO)
READ: UNKNOWN
TO: Elizabeth A. Bernstein
( BERNSTEIN_E ) (WHO)
READ: UNKNOWN
TO: Robert O. Boorstin
( BOORSTIN_R ) (WHO)
READ: UNKNOWN
TO: Elizabeth C. Bowyer
( BOWYER_E ) (WHO)
READ: UNKNOWN
TO: Brian E. Burke
( BURKE_B ) (OPD)
READ: UNKNOWN
TO: Amy L. Busch
( BUSCH A ) (WHO)
READ: UNKNOWN
TO: Gabrielle M. Bushman
(BUSHMAN_G ) (WHO)
READ: UNKNOWN
TO: Prichard, Beth
(
BETH PRIchARD@EOP_OVP@CCGATE@EOPMRX ) (DE
READ: UNKNOWN
TO: Rebecca A. Cameron
( CAMERON_RA ) (WHO)
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READ: UNKNOWN
TO: Phillip M. Caplan
( CAPLAN_P ) (WHO)
READ: UNKNOWN
TO: Lisa M. Caputo
( CAPUTO_L ) (WHO)
READ: UNKNOWN
TO: Paul R. Carey
( CAREY_P ) (WHO)
READ: UNKNOWN
TO: Ann C. Castagnetti
( CASTAGNETT_A ) (WHO)
READ: UNKNOWN
TO: Jose Cerda, III
( CERDA_J ) (OPD)
READ: UNKNOWN
TO: Ken Chitester
( CHITESTER_K ) (WHO)
READ: UNKNOWN
TO: Deborah L. Coyle
( COYLE_D ) (WHO)
READ: UNKNOWN
TO: Kelly A. Crawford
( CRAWFORD_K ) (WHO)
READ: UNKNOWN
TO: Amanda Crumley
( CRUMLEY_A ) (WHO)
READ: UNKNOWN
TO: Carolyn Curiel
( CURIEL_C ) (WHO)
READ: UNKNOWN
TO: Betty W Currie
( CURRIE_B ) (WHO)
READ: UNKNOWN
TO: Gire, Cynthia L
( CYNThiA L. GIrE@EOP_OVP@CCGATE@EOPMRX ) (
READ: UNKNOWN
TO: M. Brooke Darby
( DARBY_M ) (WHO)
READ: UNKNOWN
TO: Katherine L. Darwin
( DARWIN_K ) (WHO)
READ: UNKNOWN
TO: Nestor M. Davidson
( DAVIDSON_N ) (WHO)
READ: UNKNOWN
TO: Paul A. Deegan
( DEEGAN_P ) (OPD)
READ: UNKNOWN
TO: David Dreyer
( DREYER_D ) (WHO)
READ: UNKNOWN
TO: Alpert, Dennis W
( DENNIS W. ALPErT@EOP_OVP@CCGATE@EOPMRX )
READ: UNKNOWN
TO: Charles M. Eaton
( EATON_C ) (WHO)
READ: UNKNOWN
TO: Anne M. Edwards
( EDWARDS_A ) (WHO)
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READ: UNKNOWN
TO: Anne M. Edwards
( EDWARDS_A ) (WHO)
READ: UNKNOWN
TO: Jeffrey L. Eller
( ELLER_J ) (WHO)
READ: UNKNOWN
TO: Rahm Emanuel
( EMANUEL_R ) (WHO)
READ: UNKNOWN
TO: John B. Emerson
( EMERSON_J ) (WHO)
READ: UNKNOWN
TO: Thomas S. Epstein
( EPSTEIN_T ) (WHO)
READ: UNKNOWN
TO: Emerson, Edward H.
( EDWARD H. EMERSoN@EOP_OVP@CCGATE@EOPMRX )
READ: UNKNOWN
TO: Deborah L. Fine
( FINE_D ) (WHO)
READ: UNKNOWN
TO: Karen Finney
( FINNEY_K ) (WHO)
READ: UNKNOWN
TO: Dawn M. Friedkin
READ: UNKNOWN
TO: William Galston
(GALSTON_W) (OPD)
READ: UNKNOWN
TO: William A. Galston
( GALSTON_W ) (OPD)
READ: UNKNOWN
TO: Mark Gearan
( GEARAN_M ) (WHO)
READ: UNKNOWN
TO: Mark D. Gearan
( GEARAN_M ) (WHO)
READ: UNKNOWN
TO: David R. Gergen
( GERGEN_D ) (WHO)
READ: UNKNOWN
TO: Ernest D. Gibble
( GIBBLE_E ) (WHO)
READ: UNKNOWN
TO: Jonathan P. Gill
( GILL_J ) (WHO)
READ: UNKNOWN
TO: Jason S. Goldberg
( GOLDBERG_JS ) (WHO)
READ: UNKNOWN
TO: Ilizabeth S. Gonchar
( GONCHAR_I ) (WHO)
READ: UNKNOWN
TO: Sara Grote
( GROTE_S ) (WHO)
READ: UNKNOWN
TO: Marcia L. Hale
( HALE_M ) (WHO)
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TO: Bart Handford
( HANDFORD_B ) (WHO)
READ: UNKNOWN
TO: John P. Hart
( HART_J ) (WHO)
READ: UNKNOWN
TO: Christine M. Heenan
( HEENAN_C ) (OPD)
READ: UNKNOWN
TO: Alexis Herman
( HERMAN_A ) (WHO)
READ: UNKNOWN
TO: Nancy V. Hernreich
( HERNREICH_N ) (WHO)
READ: UNKNOWN
TO: Steven M. Hilton
( HILTON_S ) (WHO)
READ: UNKNOWN
TO: Julie Hopper
( HOPPER_J ) (WHO)
READ: UNKNOWN
TO: Katherine V. Houston
( HOUSTON_K ) (WHO)
READ: UNKNOWN
TO: Dana J. Hyde
( HYDE_D ) (WHO)
READ: UNKNOWN
TO: Carver, Holly D
( HOLLY D. CARVeR@EOP_OVP@CCGATE@EOPMRX ) (
READ: UNKNOWN
TO: Gloria P. Johnson
( JOHNSON_GP ) (WHO)
READ: UNKNOWN
TO: Joseph W. Cerrell
( JOSEPH W. CERRELL@EOP_OVP@CCGATE@EOPMRX )
READ: UNKNOWN
TO: Payne, Julia M
( JULIA M. PAYnE@EOP_OVP@CCGATE@EOPMRX ) (D
READ: UNKNOWN
TO: Sharon Kennedy
( KENNEDY_SM ) (WHO)
READ: UNKNOWN
TO: Joshua A. King
( KING_J ) (WHO)
READ: UNKNOWN
TO: David M. Kusnet
( KUSNET_D ) (WHO)
READ: UNKNOWN
TO: Van Giesen, Kris
( KRIs VAN GieSEN@EOP_OVP@CCGATE@EOPMRX ) (
READ: UNKNOWN
TO: Laurie L. Labuda
( LABUDA_L ) (WHO)
READ: UNKNOWN
TO: Philip Lader
( LADER_P ) (OMB)
READ: UNKNOWN
TO: G. N. Lattimore
( LATTIMORE_G ) (WHO)
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READ: UNKNOWN
TO: David Leavy
( LEAVY_D ) (WHO)
READ: UNKNOWN
TO: Christiana L. Lin
( LIN_C ) (WHO)
READ: UNKNOWN
TO: Gordon Li
( LI_G ) (WHO)
READ: UNKNOWN
TO: Sylvia M. Mathews
( MATHEWS_S ) (OPD)
READ: UNKNOWN
TO: Cathy R. Mays
( MAYS_C ) (OPD)
READ: UNKNOWN
TO: Floydetta McAfee
( MCAFEE_F ) (WHO)
READ: UNKNOWN
TO: Colleen A. McCarthy
( MCCARTHY_C ) (WHO)
READ: UNKNOWN
TO: Carola McGiffert
( MCGIFFERT_C ) (WHO)
READ: UNKNOWN
TO: Lorraine McHugh
( MCHUGH_L ) (WHO)
READ: UNKNOWN
TO: Kathy McKiernan
( MCKIERNAN_K ) (WHO)
READ: UNKNOWN
TO: APRIL K. MELLODY
( MELLODY_A ) (WHO)
READ: UNKNOWN
TO: Julia Moffett
( MOFFETT_J ) (WHO)
READ: UNKNOWN
TO: Linda L. Moore
( MOORE_L ) (WHO)
READ: UNKNOWN
TO: Lisa Mortman
( MORTMAN_L ) (WHO)
READ: UNKNOWN
TO: Alison Muscatine
( MUSCATINE_A ) (WHO)
READ: UNKNOWN
TO: Julie A. Nash
( NASH_J ) (DEFAULT)
READ: UNKNOWN
TO: Kathleen M. Neugold
( NEUGOLD_K ) (WHO)
READ: UNKNOWN
TO: Felton T. Newell
( NEWELL_F ) (WHO)
READ: UNKNOWN
TO: Wendy A. Nishikawa
( NISHIKAWA_W ) (WHO)
READ: UNKNOWN
TO: Erin A. O'Connor
( OCONNOR_E ) (WHO)
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READ: UNKNOWN
TO: Jennifer M. O'Connor
( OCONNOR_J ) (WHO)
READ: UNKNOWN
TO: Kathleen L. O'Neill
( ONEILL_K ) (WHO)
READ: UNKNOWN
TO: Cathleen L. O'Neil
( ONEIL_C ) (DEFAULT)
READ: UNKNOWN
TO: Antonella Pianalto
( PIANALTO_A ) (WHO)
READ: UNKNOWN
TO: Dianna A. Pierce
( PIERCE_D ) (WHO)
READ: UNKNOWN
TO: John Podesta
( PODESTA_J ) (WHO)
READ: UNKNOWN
TO: Jonathan M. Prince
( PRINCE_J ) (WHO)
READ: UNKNOWN
TO: Meeghan E. Prunty
( PRUNTY_M ) (WHO)
READ: UNKNOWN
TO: Ronald D. Lewis at PROFS
( PR_U=RLEWIS@PR_L=CPUB@MRP@EOPMRX ) (DEFAU
READ: UNKNOWN
TO: Jack Quinn
( QUINN_J ) (VPO)
READ: UNKNOWN
TO: Carol H. Rasco
( RASCO_C ) (OPD)
READ: UNKNOWN
TO: Bruce N. Reed
( REED_B ) (OPD)
READ: UNKNOWN
TO: Bruce Reed
( REED_B ) (OPD)
READ: UNKNOWN
TO: R. Paul Richard
( RICHARD_R ) (WHO)
READ: UNKNOWN
TO: Jeffrey L. Riley
( RILEY_J ) (WHO)
READ: UNKNOWN
TO: A. Victoria Rivas-Vazquez
( RIVASVAZQU_A ) (WHO)
READ: UNKNOWN
TO: Marla Romash
( ROMASH_M ) (VPO)
READ: UNKNOWN
TO: Kathryn G. Roth
( ROTH_K ) (WHO)
READ: UNKNOWN
TO: Jess Sarmiento
( SARMIENTO_J ) (WHO)
READ: UNKNOWN
TO: Lee A. Satterfield
( SATTERFIEL_L ) (WHO)
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READ: UNKNOWN
TO: Debra A. Schiff
( SCHIFF_D ) (WHO)
READ: UNKNOWN
TO: Marsha Scott
( SCOTT_M ) (WHO)
READ: UNKNOWN
TO: Ricki Seidman
( SEIDMAN_R ) (WHO)
READ: UNKNOWN
TO: Eric K. Senunas
(OHM) ( SYNONES)
READ: UNKNOWN
TO: Peter J. Shakow
( SHAKOW_P ) (WHO)
READ: UNKNOWN
TO: Richard L. Siewert
( SIEWERT_R ) (WHO)
READ: UNKNOWN
TO: Stephen B. Silverman
( SILVERMAN_S ) (WHO)
READ: UNKNOWN
TO: Patti Solis
( SOLIS_P ) (WHO)
READ: UNKNOWN
TO: Jason M. Solomon
(OHM) (INOWOTOS )
READ: UNKNOWN
TO: Elizabeth Spencer
( SPENCER_E ) (WHO)
READ: UNKNOWN
TO: Elizabeth Spencer
( SPENCER_E ) (WHO)
READ: UNKNOWN
TO: Gene Sperling
( SPERLING_G ) (DEFAULT)
READ: UNKNOWN
TO: Janine Stanzione
( STANZIONE_J ) (WHO)
READ: UNKNOWN
TO: George Stephanopoulos
( STEPHANOPO_G ) (WHO)
READ: UNKNOWN
TO: Todd Stern
( STERN_T ) (WHO)
READ: UNKNOWN
TO: Alan J. Stone
( STONE_A ) (WHO)
READ: UNKNOWN
TO: Richard Strauss
( STRAUSS_R ) (WHO)
READ: UNKNOWN
TO: Stephanie Streett
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TO: Donsia Strong
( STRONG_D ) (OPD)
READ: UNKNOWN
TO: Robert G. Sweeney
( SWEENEY_R ) (WHO)
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READ: UNKNOWN
TO: Aman, Sally J
( SALLy J. AMaN@EOP_OVP@CCGATE@EOPMRX ) (DE
READ: UNKNOWN
TO: Harris, Skila S
( SKILA S. HARRiS@EOP_OVP@CCGATE@EOPMRX ) (
READ: UNKNOWN
TO: Virginia M. Terzano
( TERZANO_V ) (WHO)
READ: UNKNOWN
TO: FAX (92600279, Kim Tilley)
( TLXA1MAIL_\F:92600279\C:Kim Tilley\\ ) (D
READ: UNKNOWN
TO: FAX (93956958, Tom O'Donnell)
( TLXA1MAIL_\F:93956958\C:TOM O'Donnell\\ )
READ: UNKNOWN
TO: FAX (96321096, Andrew Barrer)
( TLXA1MAIL_\F:96321096\C:ANDrew Barrer\\ )
READ: UNKNOWN
TO: FAX (93952560, Kristie Kenney)
( TLXA1MAIL_\F:93952560\C:KRIStie Kenney\\
READ: UNKNOWN
TO: FAX (96321096, Kristine Gebbie)
( TLXA1MAIL_\F:96321096\C:KRISTine Gebbie\\
READ: UNKNOWN
TO: Paul A. Toback
( TOBACK_P ) (WHO)
READ: UNKNOWN
TO: Georgia E. Trapp
( TRAPP_G ) (WHO)
READ: UNKNOWN
TO: Erich Vaden
( VADEN_E ) (WHO)
READ: UNKNOWN
TO: Christine A. Varney
( VARNEY_C ) (WHO)
READ: UNKNOWN
TO: Lorraine A. Voles
( VOLES_L ) (WHO)
READ: UNKNOWN
TO: Michael Waldman
( WALDMAN_M ) (WHO)
READ: UNKNOWN
TO: Ann F. Walker
( WALKER_A ) (WHO)
READ: UNKNOWN
TO: Anne Walley
( WALLEY_A ) (WHO)
READ: UNKNOWN
TO: Mitchell S. Warren
( WARREN_M ) (WHO)
READ: UNKNOWN
TO: Kathryn J. Way
( WAY_K ) (OPD)
READ: UNKNOWN
TO: Paul J. Weinstein, Jr
( WEINSTEIN_P ) (OPD)
READ: UNKNOWN
TO: Susannah B. Wellford
( WELLFORD_S ) (WHO)
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READ: UNKNOWN
TO: Carter Wilkie
( WILKIE_C ) (WHO)
READ: UNKNOWN
TO: Marilyn Yager
( YAGER_M ) (WHO)
READ: UNKNOWN
TO: Barry J. Toiv
( TOIV_B ) (OMB)
READ: UNKNOWN
TEXT:
PRINTER FONT 12_POINT_ROMAN
NEWS CALENDAR
WEEKLY EDITION
July 23, 1994
The information below is tentative and issued only for internal planning
purposes:
SAT
7/23
POTUS: High school reunion, Hot Springs, AR
RADIO ADDRESS
Nat'l Conf. of State Legislatures opens (thru 7/28), New Orleans
Association of Trial Lawyers of America Meeting (thru 7/28), Chicago
WORLD
St. Petersburg: Opening of 1994 Goodwill Games (thru 8/7)
ADMIN: Perry: travel to Italy
TV: Evans and Novak : King Hussein - Mideast Peace
Newsmaker: AID Dir. Atwood, CSIS' Shaun McCormick - Rwanda
SUN
7/24
Disability Independence Day
ADMIN
Reno: Nat'l Assn. of Senior Citizens
Cisneros: ACORN National Convention, DC
TV: David Brinkley: Sec. Christopher - Rwanda
Meet the Press: VP Gore, Sen. Mitchell, Rep. Gephardt - Health Care
Face The Nation: Lloyd Cutler - Whitewater
Late Edition: Sen. Dole, Rep. Gephardt - Health Care
C-Span Sunday Journal: Gene Sperling - Newspaper Roundtable
MON
7/25
PM Rabin & King Hussein meet at White House
POTUS: Meeting, Dinner w/ Rabin & Hussein
VP: Meet w/ Computer CEO's; Rabin/Hussein dinner
ACORN National Meeting, DC
Nat'l Urban League Conf., DC - Reich speaks
CONGRESS:
Joint session address by Rabin & Hussein
Ways & Means subcom. hearing on welfare reform (thru 7/29)
House Ag. Comm. mock mark-up of draft GATT legislation
ADMIN
Browner: NAFTA Comm. on Enviro. Cooperation Ministerial, D.C.
Pena: Amer. Assn. of Ariport Execs. meeting
R. Brown: New York - health care
Reich: Nat'l Urban League Conv.; Nat'l Council on Senior Citizens.
ECON STAT: June Existing Home Sales
TUE
7/26
House Banking opens Whitewater hearings
(Scheduled to testify: Fiske, Cutler, McLarty, Nussbaum, Betsy Pond,
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Steve Neuwirth, Williams, Thomasson)
Israel PM Rabin and Jordan King Hussein address Congress, D.C.
POTUS: Rabin/Hussein meeting/press statements, Cuomo Fundraiser
Mrs. Gore Nat'l Press Club luncheon speech
Nat'l Urban League Conf., DC
ADMIN
Browner: NAFTA Comm. on Enviro. Cooperation Ministerial, D.C.
L. Brown: ONDCP Prevention Conference
O'Leary: Nat'l Youth Leadership Council
Reich: Speech to Nat'l Conf. of State Legislators (satellite from DC)
Cisneros: New Orleans
ECON STAT: US Employment Cost Index for 2nd Qtr.; GDP revisions
WED
7/27
POTUS: ADA Health Care Event, CA Day, UNC Women's Basketball
VP: Clean Car symposium; ADA event
RNC Foreign Policy Forum w/ Kissinger, Baker, Kirkpatrick, Cheney
Nat'l Urban League Conf., DC
ADMIN: Browner: Testimony - House Science, Space & Tech Comm.
Reno: Addresses Nat'l Conf. of State Legislators, New Orleans
L. Brown: ONDCP Prevention Conference
Espy: Nat'l Future Farmers of America Presidents Meeting
O'Leary: Nat'l Petroleum Council
Shalala: WH Conf. on Aging
ECON STAT: June durable goods orders
THURS
7/28
Senate Banking begins Whitewater hearings
POTUS: CINC Meeting at Pentagon
ADMIN: Cisneros: Congressional Hispanic Caucus
ECON STAT: Labor Jobless Claims; Weekly Unemployment
FRI
7/29
OJ Simpson Hearings Scheduled
White House Conf. on Character Building & Education
Conf. of Nat'l Coalition Against Domestic Violence, St. Paul, MN
POTUS: Boys Nation, Satellite feed to Unity '94 Conv.
ADMIN: Pena: Nat'l Assn. of Latino Elected Officials, Chicago
R. Brown: Miller event in GA
Anniversary: NASA founded 1958
ECON STAT: 2nd Qtr GDP (4cast up 3.6%); June import/export prices
SAT
7/30
POTUS: Health Care bus tour kick-off, Independence, MO; Hyatt
Fundraiser, Cleveland
VP, First Lady, Mrs. Gore: Health Care bus tour, Independence
Anniversary: LBJ signs law establishing Medicare and Medicaid, 1965
KKK Rally, Dayton, OH
SUN
7/31
International Day of Prayer for Haiti
Deadline for Angola rebels to accept UN proposals
Baseball Hall of Fame Induction
VP: Depart for Poland
MON
8/1
VP: Poland
ADMIN:
Elders: Amer Heart Assn. conf on "Children's Heart Health," Chicago
ECON STAT: June personal income; June construction spending
TUES
8/2
Primaries in Kansas, Michigan, Missouri, Tennessee
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POTUS: DNC African-Amer Fundraiser
ADMIN
Bentsen: Travel to England
J. Brown: Polish Legion of Amer. Vets, Milwaukee
ECON STAT: June single-family home sales
WED
8/3
VP: GATT opinion leaders; science announcement
Parole hearing for RFK assassin Sirhan Sirhan
ECON STAT: June leading econ indicators; June factory orders; July
car sales
THUR
8/4
American Bar Association Annual Meeting (thru 8/11), New Orleans
ECON STAT: June housing completions; Weekly Unemployment
FRI
8/5
Deadline for Rostenkowski lawyers to file dismissal motions
ECON STAT: July unemployment
SAT
8/6
POTUS: Detroit, MI
Anniversary: LBJ signs the Voting Rights Act, 1965
SUN
8/7
INT'L CONFERENCE ON AIDS, JAPAN (thru 8/12)
ADMIN
L. Brown: Columbia - Presidential Inauguration
MON
8/8
POTUS: Medal of Freedom awards
AFL-CIO COPE meeting, Chicago
American Hospital Association Meeting (thru 8/10), Dallas
TUE
8/9
Anniversary: Nixon resigned, 1974
Colorado Primary
ECON STAT: 2nd Qtr productivity; June wholesale trade
WED
8/10
Anniversary: Budget Reconciliation Act of 1993 passed
Anniversary: US troops capture Guam, 1944
THURS
8/11
ECON STAT: July Producer Price Index; Weekly Unemployment; July
retail sales
FRI
8/12
SENATE AND HOUSE RECESS TARGET DATE
ECON STAT: July CPI; July Real Earnings
SAT
8/13
Woodstock 25th Anniversary concert begins
AMVETS Convention (thru 8/20), Buffalo
ADMIN
O'Leary: depart for China/Pakistan
Anniversary: construction begins on Berlin Wall, 1961
SUN
8/14
Anniversary: FDR signs Social Security Act, 1935
Anniversary: V-
J Day, 1945
Anniversary: FDR & Churchill sign the Atlantic Charter, 1941
MON
8/15
Space Shuttle Endeavor launch scheduled
VP: Postal workers event, Detroit; AFGE Conv., Chicago
ECON STAT: July Industrial Production
TUE
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8/16
Wyoming Primary
Fed's Open Market Committee meets
Youth Violence Conference
ECON STAT: July Housing Starts
WED
8/17
Youth Violence Conference
THUR
8/18
AMVETS 50th National Convention, Buffalo - J. Brown attends
VP & MEG: depart for TN vacation
ECON STAT: Weekly Unemployment; Goods & Services Trade
FRI
8/19
POTUS/Mrs. Gore Birthday
VFW Convention (thru 8/26), Las Vegas
SAT
8/20
DAV Convention (thru 8/25), Chicago
SUN
8/21
Mexico: Presidential Election
Jewish War Veterans Convention (thru 8/27), Dallas
TUE
8/23
Alaska Primary
Oklahoma Primary
PVA Convention (thru 8/27), Boston
THUR
8/25
Anniversary: US and French troops liberate Paris, 1944
SUN
8/28
Anniversary: MLK Jr. "I have a dream speech,' 1963
MON
9/5
LABOR DAY
U.N. Int'l Conference on Population & Development (thru 9/13), Cairo
TUE
9/6
Florida Primary
Nevada Primary
Rosh Hashanah
A/L Convention (thru 9/8), Minneapolis
WED
9/7
A/L Convention (thru 9/8), Minneapolis
THUR
9/8
A/L Convention (thru 9/8), Minneapolis
FRI
9/9
Anniversary: Civil Rights Act of 1957 signed
SAT
9/10
RADIO ADDRESS
Delaware Primary
MON
9/12
SENATE AND HOUSE RETURN FROM RECESS
Americorps Kick-off
TUE
9/13
Arizona Primary
Connecticut Primary
Maryland Primary
Minnesota Primary
New Hampshire primary
New York Primary
Rhode Island Primary
Vermont Primary
Wisconsin Primary
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WED
9/14
Reinventing Gov't Event
Society of Professional Journalism Meeting (thru 9/17), Nashville
THUR
9/15
Yom Kippur
SAT
9/17
Hawaii Primary
SUN
9/18
Sweden: Parliamentary elections
TUE
9/20
Massachusetts Primary
Washington Primary
Oklahoma runoff
Opening of UN General Assembly
WED
9/21
U.N. Gen. Assembly convenes, NYC
ANNIVERSARIES
National and Community Service Trust Act (1993)
MON
9/25
First Lady: UN Reception, New York
TUE
9/26
POTUS: UN General Assembly Address, UN Reception
WED
9/27
Yeltsin State Visit
THURS
9/28
Yeltsin State Visit
FRI
9/30
US MORATORIUM ON NUCLEAR TESTING EXPIRES
SAT
10/1
American Chamber of Commerce Executives Mtg. (thru 10/3), Memphis
Louisiana Primary
SUN
10/2
Magazine Publishers of America Mtg. (thru 10/3), Laguna Niguel, CA
THUR
10/6
German-American Day
FRI
10/7
CONGRESS TARGET ADJOURNMENT DAY
SAT
10/8
American Bankers' Association Annual Convention (thru 10/11), NYC
SUN
10/9
American College of Surgeons Meeting (thru 10/14), Chicago
Mortgage Bankers' Association of America (thru 10/12), Boston
MON
10/10
Columbus Day
THUR
10/13
Anniversary: Rabin & Arafat sign peace agreement at WH, 1993
TUE
10/18
Mandela Visit
SAT
10/22
American Academy of Pediatrics Meeting (thru 10/26), Dallas
MON
10/24
Florida runoff
MON
10/31
INTERNATIONAL UNICEF DAY
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SAT
11/5
Louisiana runoff
WOMEN VETERANS RECOGNITION WEEK
TUE
11/8
ELECTION DAY
FRI
11/11
VETERANS DAY -
75th ANNIVERSARY
SAT
11/12
RADIO ADDRESS
SUN
11/13
Gore/Chernomyrdin in Russia
THUR
11/17
NAFTA PASSED BY THE HOUSE (1993) : ANNIVERSARY
SUN
11/27
Hanukkah begins at sundown
National Home Care Week, November 27 - December 3, 1994
WED
11/30
BRADY LAW (1993) : ANNIVERSARY
THUR
12/1
WORLD AIDS DAY
Mexican Inauguration
SAT
12/10
RADIO ADDRESS
Nobel Prizes Awarded, Stockholm
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RECORD TYPE: PRESIDENTIAL (RECONSTRUCTED EMAIL)
CREATOR: Paul Meyer
( MEYER_P ) (WHO)
CREATION DATE/TIME:27-JUL-1994 11:30:00.00
SUBJECT: Accomplishments - thanks
TO: Paul J. Weinstein, Jr
( WEINSTEIN_P ) (OPD)
READ: UNKNOWN
TEXT:
PRINTER FONT 12_POINT_ROMAN
HOUSING
?
Passed the Housing and Community Development Act of 1993, a bill to reform r
for the disposition of HUD-owned multi-family property, enhance program flexibility
authorize a program to combat crime.
?
Reformulated mission and priorities of HUD, making a commitment to community
family support, economic improvement, individual rights and responsibilities, and
reduction of spatial separation by race and income.
?
Granted $300 million to the Urban Revitalization Demonstration Program (HOPE
revitalize the most severely distressed public housing developments in the nation.
?
Established partnership with the AFL-CIO, Fannie-Mae and Freddie-Mac to crea
investment trust fund that will provide an additional $600 million to rebuild and cr
affordable housing.
?
Created new partnerships with nonprofit organizations, the private sector,
foundations, and labor leaders to construct low-income housing and emergency
shelters and to invest in the National Community Development Initiative.
?
Announced funding of $109.6 million for economic development and production
low-income rental housing in California.
?
Extended low-income housing credit permanently, increasing opportunities for
housing development by the private sector.
?
Established the Innovative Homeless Initiative, allowing the Administration
undertake comprehensive strategies with cities committed to ensuring that homeless
persons receive the full range of services needed to move from shelters to
permanent housing. Implemented a pilot program, the "D.C. Initiative," to
address homelessness in the District of Columbia.
?
Announced a $412 million grant to homeless programs nationwide - the largest
homeless grant in federal history.
?
Issued an Executive Order establishing the President's Fair Housing Council,
level organization devoted to insuring fairness and non-discrimination against disab
and families with children in Federal housing programs.
?
Developed a USDA homeless assistance plan through which more than 2,600 home
families in nine states will be eligible to become homeowners.
URBAN DEVELOPMENT
?
Created nine Economic Empowerment Zones and 95 Enterprise Communities. The
local communities the incentives and regulatory flexibility to work with the private
sector in developing comprehensive economic development strategies.
?
Both Houses of Congress have passed the Community Development Banking Bill.
will provide support for community development financial institutions assisting dist
communities.
?
Delivered the Housing and Community Development Act of 1993 to Congress, sig
changing rent policy for public housing tenants and making home ownership easier for
income Americans.
?
Ordered reform and stricter enforcement of the Community Reinvestment Act to
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banks to reinvest and loan money in targeted neighborhoods.
?
Established the Community Enterprise Board to assist in the successful imple
the Administration's empowerment zone legislation.
WELFARE REFORM
?
Expanded the Earned Income Tax Credit by $21 billion over five years to lift
families out of poverty with incentives to work. This year, 14 million families wil
receive $13 billion in benefits from the EITC. When fully implemented, over 20 mill
households with incomes of $27,000 or less will benefit. By 1996, families earning
minimum wage could increase their wage rates by 38 percent.
?
Fully funded the special supplemental food program for Women, Infants and Ch
that, by the end of FY 1996, all eligible children between ages 1 and 4 will be serv
Funding was raised $350 million from FY 1993 to FY 1994, increasing average particip
by 300,000 families.
?
Enacted key provisions of the Mickey Leland Act, broadening food stamp assis
for poor families with children, and increased food stamp funding by $2.5 billion
over five years.
?
Achieved $1 billion in funding for the Family Preservation and Support Initi
five years which would help prevent child abuse and teach parents the skills and too
they need to raise their children.
?
Granted waivers to Wisconsin and Utah for pilot experiments in time-limited