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[HRC Daily File] May 18, 1994
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Records of the First Lady's Office (Clinton Administration)
Elizabeth "Liz" Bowyer's Files
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Withdrawal/Redaction Sheet
Clinton Library
DOCUMENT NO.
SUBJECT/TITLE
DATE
RESTRICTION
AND TYPE
001. schedule
Schedule for Hillary Rodham Clinton, Final [partial] (1 page)
5/18/94
b(6)
002. schedule
Schedule for Hillary Rodham Clinton, Draft #2 [partial] (2 pages)
5/17/94
b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Liz Bowyer
OA/Box Number: 3986
FOLDER TITLE:
[HRC Daily File] May 18, 1994
2014-0483-S
sb422
RESTRICTION CODES
Presidential Records Act - [44 U.S.C. 2204(a)]
Freedom of Information Act - 15 U.S.C. 552(b)]
P1 National Security Classified Information [(a)(1) of the PRA]
b(1) National security classified information |(b)(1) of the FOIA]
P2 Relating to the appointment to Federal office |(a)(2) of the PRA]
b(2) Release would disclose internal personnel rules and practices of
P3 Release would violate a Federal statute |(a)(3) of the PRA]
an agency |(b)(2) of the FOIA]
P4 Release would disclose trade secrets or confidential commercial or
b(3) Release would violate a Federal statute [(b)(3) of the FOIA|
financial information [(a)(4) of the PRA
b(4) Release would disclose trade secrets or confidential or financial
P5 Release would disclose confidential advice between the President
information |(b)(4) of the FOIA]
and his advisors, or between such advisors [a)(5) of the PRA]
b(6) Release would constitute a clearly unwarranted invasion of
P6 Release would constitute a clearly unwarranted invasion of
personal privacy [(b)(6) of the FOIA]
personal privacy [(a)(6) of the PRA]
b(7) Release would disclose information compiled for law enforcement
purposes [(b)(7) of the FOIA]
C. Closed in accordance with restrictions contained in donor's deed
b(8) Release would disclose information concerning the regulation of
of gift.
financial institutions [(b)(8) of the FOIA]
PRM. Personal record misfile defined in accordance with 44 U.S.C.
b(9) Release would disclose geological or geophysical information
2201(3).
concerning wells [(b)(9) of the FOIA]
RR. Document will be reviewed upon request.
66/81/9
PHOTOCOPY
PRESERVATION
U.S. Department of Justice
United States Attorney
Southern District of California
Alan D. Bersin
United States Attorney
United States Counhouse
(619) 557-5690
940 Front Street, Room 5152
San Diego, California 92101-8800
Fax (619) 557-5782
April 20 1994
Ms. Anne Bartley
Assistant to the First Lady
Office of the First Lady
18th
White House - (OEOB) Room 100
Washington, D.C. 205009
Re: Request For Videotape Acceptance of
Distinguished Service Award
By The First Lady
Dear Anne:
Enclosed for your information is the letter I sent today to
Lisa Caputo as you suggested. I have also enclosed all attachments
including the proposed acceptance remarks and our prior
correspondence. I am sending the Award in a large box to you in a
separate package.
I sincerely appreciate your efforts in having the videotaped
acceptance made.
Please call me at (619) 557-5690 if you need any further
information.
Han Very truly yours,
ALAN D. BERSIN
United States Attorney
Enclosures
CC: Ms. Lisa Caputo
Press Secretary
to the First Lady
Ms. Maria T. Arroyo-Tabin
President, San Diego
Volunteer Lawyer Program
SAN DIEGO VOLUNTEER LAWYER PROGRAM
1305 Seventh Avenue. Suite 100. San Diego. CA 92101
(619) 238-8100 FAX: (619) 238-8145
MARIA T. ARROYO-TABIN. Esq.
President
CARL R. POIROT. Esq.
Executive Director
First Lady Hillary Rodham Clinton
The White House
Washington, D.C.
Re: 1994 DISTINGUISHED PRO BONO SERVICE AWARD
Dear Mrs. Clinton,
On behalf of more than 2,500 San Diego Volunteer Lawyer
Program volunteers and the 10,000 poor people served annually by
our program, we are proud to present you with our 1994
Distinguished Pro Bono Service Award, in recognition of your
dedication and leadership over two decades in bringing equal justice
to the poor and disadvantaged.
Your commitment to pro bono work was demonstrated beginning
as a law student at Yale, through your work as a legal intern with
the New Haven University Legal Services Program. The commitment
continued with your work for the Children's Defense Fund first
during law school summer months and then as a Staff Attorney.
As a faculty member at the University of Arkansas School of Law,
you established the Ozark Legal Services Program and served on the
Arkansas State Advisory Committee for the Legal Services
Corporation. In 1977, you were appointed to the Board of Directors
of the Legal Services Corporation by President Carter and served as
its Chair from 1978 to 1981. Under your leadership, legal resources
for the poor in this nation almost tripled. You also served as Chair
of the Board of the Children's Defense Fund from 1986 to 1991, as
well as the Chair of the American Bar Associations's Commission on
Women in the Profession from 1987 to 1991.
Sin Diep Vom. "er Lawyer Program 15 sponsored by
The San Diego County Bur Association: Lawvers Club of Sun Diego: Legal Aid Society of San Diego: Bar Association of Northern Sun Diego County
Throughout your career, you have provided dedicated and
effective leadership in expanding equal access to the justice system
for the poor. The legal profession and the community at large are
indebted to you for your many significant accomplishments.
For these reasons, the San Diego Volunteer Lawyer Program
could find no person more deserving of our "1994 Distinguished Pro
Bono Service Award", which will be recognized at our annual
"Justice For All" dinner on June 10, 1994.
Sincerely yours,
Maria T.Arrgo-Jabin
Carl Poirot
MARIA T. ARROYO-TABIN
CARL R. POIROT
President
Executive Director
SAN DIEGO VOLUNTEER LAWYER PROGRAM
1305 Seventh Avenue, #100
San Diego, CA 92101
(619) 238-8100
The San Diego Volunteer Lawyer Program (SDVLP) is a private, non-profit, charitable corporation
established in 1983 to provide pro bono legal services to the County's indigent residents. It has since
evolved into San Diego's primary resource for pro bono legal services. Utilizing a panel of more than
2,500 volunteers from the legal and other professions, SDVLP assists 10,000 indigent and needy
individuals and families each year. Its priority areas for service are designed to address the most
pressing legal concerns of vulnerable client groups, including victims of domestic violence, abused and
dependent children, the physically and mentally challenged, persons living with HIV and AIDS, and
the growing number of destitute and homeless men, women and children.
DOMESTIC VIOLENCE PREVENTION PROJECT
Services to victims of domestic abuse are accomplished through the Domestic Violence
Prevention Project. This Project is a clinic program sponsored and operated by SDVLP in
coordination with local bar associations, the San Diego Superior Court, the Office of the County
Clerk, and the YWCA Battered Women's Services. It provides on site legal assistance and
referralsfor psychosocial and other support services to over 6,000 clients annually from locations
throughout the County, including the YWCA, Union of Pan Asian Communities and the downtown,
Vista and El Cajon branches of the San Diego Superior Court.
CHILDREN AND YOUTH LAW PROJECT
SDVLP services for abused and neglected children are offered through its Children and Youth Law
Project. Working in collaboration withthe County Department of Social Services, and St. Vincent
de Paul Toussaint Teen Center, the SDVLP staff and volunteers provide representation to
children and minors in guardianship actions, immigration law matters, and in initial and
appellant filings for SSI benefits.
JOINT AIDS LEGAL SERVICES PROJECT
The Joint AIDS Legal Services Project is the County's sole pro bono legal resource for persons
living with HIV and AIDS. Activities include a weekly legal clinic, follow-up signature session
and home and hospital visits. Operated and coordinated by the Project's sponsoring agencies
which include SDVLP, the Legal Aid Society of San Diego and the AIDS Foundation San
Diego, the project serves over 1,000 clients each year from sites located in the South Bay, North
County and metropolitan San Diego areas.
FEDERAL CIVIL RIGHTS PROJECT
The Federal Civil Rights Project provides legal representation to a limited number of indigent
plaintiffs seeking civil remedies for alleged discrimination and violations of theircivil rights. It is
sponsored by SDVLP in collaboration with the Federal District Court, which provides financial
support and generates referrals for this model program.
LEGAL ASSISTANCE TO VICTIMS OF HATE VIOLENCE
SDVLP's recently established program to assist indigent persons harmed by hate-based criminal acts is
another successful collaboration involving the State Bar of California, the City of San Diego's
Human Relations Commission, and local and minority Bar Associations. Through this partnership,
meritorious cases are identified, assessed, and referred to a trained panel of volunteer
attorneys who provide the necessary legal counsel on a pro bono basis.
DEBTOR RELIEF PROGRAM
Destitute individuals and families in danger of losing their homes and possessions are afforded legal
assistance through SDVLP's Debtor Relief/Bankruptcy Program. Service delivery is accomplished
through a monthly legal clinic in which eligible applicants receive information, advice, and referrals to
pro bono attorneys who provide representation in the Chapter 7 Bankruptcy filings.
POLITICAL REFUGEE PROJECT
A collaboration of SDVLP and the Legal Aid Society of San Diego, the Political Refugee Project
is designed to assist undocumented immigrants eligible for legal status in the United States under the
asylum provisions of the immigration statutes. Over 100 clients from countries including
Honduras, Guatemala, El Salvador, Somalia and the former Soviet Socialists Republics have
been granted political asylum in the United States as a result of the pro bono efforts of this
panel's attorneys.
LEGAL CLINIC PROGRAM
The Legal Clinic Program provides on-site legal assistance at community-based agencies and
programs throughout San Diego County. Although the majority of the clients' concerns are focused
in family law, all legal areas are addressed and referrals to SDVLP or other legal resources are
provided as necessary. SDVLP has established clinics at the downtown San Diego YWCA, the
Options for Recovery and Crash Options Programs, Children's Hospital's Family Violence
Project, and the Vista Veterans Center.
WOMEN'S RESOURCE FAIR
Jointly sponsored by SDVLP, the San Diego County Bar Association, the Lawyers Club of
San Diego, and the Legal Aid Society of San Diego, the Women's Resource Fair is a day-long
community event held annually to assist homeless and battered women and their children.
During 1993, over 300 volunteers from public and private agencies and heath care facilities
participated in the event which served over 600 women and children. Assistance was provided in
a variety areas including medical and mental health care, dental, legal (civil and criminal),
employment training and information, shelter and housing, and public benefits. In addition, fair
organizers arranged for free transportation to and from the event; a lunch and late afternoon meal,
complete with entertainment during the noon break; childcare for infants and toddlers; children's
activities for older children and youth; make overs; haircuts; and the distribution of donated
clothing and personal hygiene items.
CHARITABLE AGENCIES AND ORGANIZATIONS
Legal assistance is provided to nonprofit agencies and organizations serving the poor in matters
relating to incorporation, tax-exempt status, personnel policies and related corporate matters.
U.S. Department of Justice
United States Attorney
Southern District of California
United States Courthouse
(619) 557-5690
940 Front Street, Room 5152
San Diego, California 92101-8800
Fax (619) 557-5782
March 1, 1994
Ms. Anne Bartley
Assistant to the First Lady
Office of the First Lady
White House - (OEOB) Room 100
Washington, D.C. 20500
Dear Anne:
This shall follow-up on my request that the First Lady arrange, by
means of a pre-recorded video taped message of several minutes, to
accept the 1994 Distinguished Pro Bono Service Award from the
San Diego Volunteer Lawyer Program (SDVLP). The Award would be
given (in absentia) at the SDVLP's annual Justice For All Dinner,
scheduled on June 10, 1994
As we have discussed, I commend the SDVLP highly to the First Lady.
It is San Diego County's primary pro bono legal services
organization and is celebrating its tenth anniversary this year.
SDVLP has established an extraordinarily successful record of
service to the poor, receiving acknowledgement of that fact from
the American Bar Association, the State Bar of California, and the
National Association of Pro Bono Coordinators among other
organizations and agencies. With some 2,500 volunteers, composed
of lawyers serving the public in federal, state and local law
offices as well as attorneys from the private sector, SDVLP served
more than 10,000 indigent clients in each of the last two years.
It has designed and implemented model programs to serve victims of
domestic violence, dependent and disabled children and youth,
persons living with AIDS and HIV infection, the homeless, mentally
ill and disabled veterans, persons whose civil rights have been
violated, refugees seeking asylum, families in economic distress
due to loss of employment, nonprofit charitable organizations
serving the poor and numerous other needy families and individuals
needing legal assistance.
The First Lady's long standing dedication to the delivery of legal
services to indigent persons makes her a primary role model for
attorneys in our community who are called upon to donate their time
and talent as a matter of community obligation. Her availability
(by videotape) to help mark the tenth anniversary of the SDVLP
would result in an honor to the organization that is well deserved.
Ms. Anne Bartley
Assistant to the First Lady
March 1, 1994
Page 2
I am enclosing, for your information and reference, descriptive
material pertaining both to the San Diego Volunteer Lawyer Program
as well as to past annual dinners. Included among the materials
are the proposed texts of the award presentation and of suggested
"acceptance remarks" to be videotaped by the First Lady for
delivery at the June 10th dinner.
Please call me at (619) 557-5690 in the event additional
information concerning this matter is needed. Thank you for your
help.
Yours sincerely
LanBersin
United States Attorney
ADB:rkh
Enclosures
cc: Maria T. Arroyo-Tabin - President
Carl R. Poirot - Executive Director
SAN DIEGO VOLUNTEER LAWYER PROGRAM
1305 Seventh Avenue, Suite 100, San Diego, CA 92101
(619) 238-8100 FAX: (619) 238-8145
MARIA T. ARROYO-TABIN. Esq.
President
CARL R. POIROT. Esq.
Executive Director
HILLARY RODHAM CLINTON
1994 DISTINGUISHED PRO BONO SERVICE AWARD PRESENTATION
The San Diego Volunteer Lawyer Program is proud to present to First
Lady Hillary Rodham Clinton its 1994 Distinguished Pro Bono Service
Award.
This Award is bestowed in recognition of The First Lady's
dedication and leadership over two decades in bringing equal
justice to the poor and disadvantaged.
The First Lady began her involvement with pro bono legal services
as a law student at Yale University, working as a legal intern with
the New Haven University Legal Services Program and, during the
summer months, with the Children's Defense Fund in Washington, D.C.
Upon graduation from Law School, she became a Staff Attorney for
the Children's Defense Fund.
In 1974, She joined the faculty at the University of Arkansas
School of Law in Fayettville where she helped establish the Ozark
Legal Services Program and served in the Arkansas State Advisory
Committee for the Legal Services Corporation.
In 1977, She was appointed to the Board of Directors of the Legal
Services Corporation by President Carter, serving as its Chair from
1978 until 1981. Under her leadership, legal resources to the poor
throughout the nation almost tripled.
The First Lady served as Chair of the Board of the Children's
Defense Fund from 1986 until 1991 and Chair of the American Bar
Association's Commission on Women in the Profession from 1987 until
1991.
Throughout her distinguished legal career, The First Lady has
provided dedicated and effective leadership in expanding equal
access to the justice system for the poor. She has worked to
create the national system of legal services and to ensure the
quality of such services.
The legal profession and the indigent community are indebted to her
for her many significant accomplishments.
With this award, the San Diego Volunteer Lawyer Program honors and
commends The First Lady for her leadership and commitment to the
principles of Equal Justice For All.
San Diego Volunteer Lawyer Program is sponsored by
The San Diego County Bar Association: Lawyers Club of San Diego: Legal Aid Society of San Diego: Bar Association of Northern San Diego County
SAN DIEGO VOLUNTEER LAWYER PROGRAM
1305 Seventh Avenue. Suite 100, San Diego, CA 92101
(619) 238-8100 FAX: (619) 238-8145
MARIA T. ARROYO-TABIN. Esq.
President
CARL R. POIROT. Esq.
Executive Director
1994 DISTINGUISHED PRO BONO SERVICE AWARDS
FIRST LADY'S ACCEPTANCE REMARKS
The need for indigent legal services has never been greater,
as the nation's economic, social and legal systems become more
complex.
I am pleased with the President's recent appointments to the
Legal Services Corporation Board, because they are individuals who
are truly committed to the premise that greater access to justice
requires a strong and stable legal services delivery system. I am
confident that the new Board will bring vitality and creativity to
a long-neglected program.
I am struck, however, by the reality that the legal needs of
the poor will never be fully met 'by governmental programs. The
private bar must play a crucial role in meeting this need through
local, organized pro bono programs like the San Diego Volunteer
Lawyer Program. Such programs have the capacity to generate
millions of dollars worth of legal services through the volunteer
participation of law firms, lawyers, law students and other legal
workers. The growth of pro bono programs across the nation is the
most significant development in legal services in a decade.
I commend the American Bar Association's adoption of revised
Rule 6.1 of the Model Rules of Professional Conduct, setting a
standard of at least 50 hours of pro bono publico legal services
each year for all lawyers. I call on local bar associations to
promote that standard among your memberships and to support your
local programs.
It is only through the generous donation of your time and your
expertise to supplement the legal services programs that the goal
of equal access to justice can be reached.
I am honored by this award and I thank you. My best wishes to
all of you celebrating the San Diego Volunteer Lawyer Program's
Justice For All Awards Dinner. I am with you in spirit and
congratulate all of you for your excellent pro bono program.
156
room
Sun Diego Volunteer Lawyer cogram is sponsored by
The San Diego County Bu. Association: Lawyers Club of San Diego: Legal Aid Society of San Diego: bar Association of Northern San D'ego County
WELCOME
April 21-23, 1994
Magazine
AMERICAN BAR ASSOCIATION
1994 PRO BONO CONFERENCE
First Lady to be recognized
with pro bono award
F
irst Lady Hillary Rodham Clinton is to receive the 1994 Distin-
guished Pro Bono Service Award from the San Diego Volunteer
Lawyer Program.
This award is bestowed in recognition of the First Lady's dedication
and leadership in bringing equal justice to the poor and disadvantaged
over the past two decades.
The First Lady began her involvement with pro bono legal services as
a law student at Yale University, working as a legal intern with the New
Haven University Legal Services Program and, during the summer
months, with the Children's Defense Fund in Washington, D.C. Upon
graduation from Law School, she became a Staff Attorney for the
Children's Defense Fund.
In 1974, she joined the faculty at the University of Arkansas School of
Law in Fayettville where she helped establish the Ozark Legal Services
Program and served in the Arkansas State Advisory Committee for the
Legal Services Corporation.
In 1977, she was appointed to the Board of Directors of the Legal
Services Corporation by President Carter, serving as its Chair from 1978
until 1981. Under her leadership, legal resources to the poor throughout
the nation almost tripled.
The First Lady served as Chair of the Board of the Children's Defense
Fund from 1986 until 1991 and Chair of the American Bar Association's
Commission on Women in the Profession from 1987 until 1991.
Throughout her distinguished legal career, the First Lady has provided
dedicated and effective leadership in expanding to the disadvantaged
equal access to the justice system. She has worked to create the national
system of legal services and to ensure the quality of such services. The
legal profession and the indigent community are indebted to her for her
many significant accomplishments.
The San Diego Volunteer Lawyer Program honors and commends the
First Lady for her leadership and commitment to the principles of Equal
Justice For All.
05-13-94 04:42PM FROM SEN. RIEGLE DC
TO 94562239
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WH Conference
Cosl
on Aging
Tela
238
8160
(703) $25
FACSIMILE COVER SHEET
9829
OFFICE OF UNITED STATES
SENATOR DONALD W. RIEGLE, JR.
DATE: 5/13/94
(202) 224-4822 C
TO:
Liz Boyer
FROM: Debbine Chang
RE: Senior Power Day
NUMBER OF PAGES (Including cover sheet): 7
COMMENTS/INSTRUCTIONS:
05-13-94 04:42PM FROM SEN. RIEGLE DC
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Recommended Key Points
Senior Power Day, May 18th, with Chairman Riegle
Acknowledgements
o
Thank Organizers of Senior Power Day. This is the 20th Anniversary
of Senior Power Day.
o
Commend members for their strong support of reform and Clinton's 6
principles in their Senior Power Day Platform. (Members would be
extremely pleased to know First Lady had read their platform since one
purpose of the Platform is for "officials" to read.)
O
Thank Riegle for inviting First Lady.
Riegle chairs Subcommittee on Health for Families and the Uninsured
on the Finance Committee and is a key player. Has supported reform
for over a decade and deserves credit for early recognition of the
problems in our health care system.
Policy Focus for Speech
Senior Power Day Platform (attached) supports the six principles in the
Clinton plan but ultimately they think that single payer is the way to
structure.
Key concerns include universal coverage, comprehensive benefits including
prescription drugs and long-term care, system-wide cost controls, red tape and
waste, and fraud and abuse.
Questions that Senator Riegle may ask Hillary Clinton
Many people are concerned that health care reform would create new,
unmanageable federal government bureaucracy. How would you respond to
this?
Many seniors are concerned about cuts in Medicare and the impact of these
cuts on Medicare beneficiaries, particularly if private health care costs
continue to grow unrestrained?
Everyone agrees that Long-term Care is important. How would you respond
to people who say that Long-term care is a benefit that we can not afford to
provide when the country is facing a budget deficit?
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WH on Aging
SENIOR POWER DAY--BACKGROUND
SENIOR POWER DAY, INC.
Senior Power Day is meeting for the 20th consecutive year. The
organization is incorporated under the name Senior Fower Day. They
have an annual budget of approximately $35,000 all directed toward this
gathering.
20yrs.
Senior Power Day started in Lansing with a group of seniors. The
Board includes at least one representative from each Area Agency on
Aging (14) several senior groups such as AARP, union retiree groups,
board
representatives from each state legislative caucus and the full-time
Executive Director (Jane Schoneman).
Senior Power Day gathers in mid-May every year. The audience
is approximately 80 to 90% senior citizens. There are usually a
large contingent of unions members present. The crowds have
averaged around 7-8000 people although this year's crowd will
likely be closer to 4000 as a result of format/location changes.
CHANGES IN 199 SENIOR POWER DAY include a different and
smaller hall (Lansing Center instead of the Civic Center). After the
address of the First Lady, several events will take place at the same
time including the Aging Committee hearing.
POLICY THEME OF SENIOR POWER DAY
Day
The theme for 1994 is "Senior Power Celebrating 20 Years of
Effective Advocacy".
The Senior Power Day Platform is central to Senior Power Day.
The board meets every month to debate a platform. The main goal of past?
SPD is to have elected officials address the issues raised by
their platform.
An
Over the last several years, the SPD platform has emphasized the
need for a national/universal health care plan. The platform
endorses the six principles of the Clinton plan.
Over the last several years, the SPD platform has also placed an
emphasis on the intergenerational approach to issues. They
want to emphasize that senior are not "out for themselves" or "greedy
geezers" or any other anti-elderly sentiments.
05-13-94 04:42PM FROM SEN. RIEGLE DC
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FORMAT:
An on-going "consumer fair" from 8:00-1:00 in a separate wing of
the center. These are tables rented by companies, office-holders,
interest groups that provide free brochures, give aways, etc.
8:30 and 9:30 am a "public hearing" by the Commission on Aging.
This is an open-mike format where seniors have a few minutes to
talk about anything.
8:45-9:45 entertainment in the main hall--the hall the First Lady
will be addressing.
9:45 the main hall ceremonies begin. After intro and comments
by the Chair, the Mayor and the anthem, at 10:05 the Senator
introduces the First Lady.
hominats
10:30-12:30 the Senate Aging Committee Hearing (Events
continue in the main hall including a key note speaker and
to
possibly John engler--the Governor)
10:15-11:00 Workshops start (the time could be slightly changed
due to First Lady's address). The workshops are: 1) reducing
phone bills by Ameritech, 2) reducing utilities by Michigan
Consolidated Gas, 3) AARP and Mayor Hollister on senior
advocacy, 4) FBI on scams targeted toward seniors.
11:15-12:00 Workshops repeat.
11:15-12:15 The Gubernatorial Candidate Forum
12:15-1:00 Lunch
1:00-2:00 Workshops start, The workshops are: 1)Peer Prevention
Players with a skit on mental health and aging, 2)MI
Pharmaceutical Association on the use of drugs and medication.
1:00-1:15 March to the steps of the State Capitol.
1:15-1:30 Address by Republican Chair of House Senior
Committee, Democratic Senate Minority Leader
2:00 Departure if you arrived by bus.
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05/11/94 17:28 517 377 1544
RIEGLE LANSING
WASHINGTON
002
Senior Power Day Platform
RESOLUTION
NATIONAL HEALTH CARE REFORM
WHEREAS, Over the next two years, one out of four Americans will
be without health coverage at SQIAR point, and there are currently
over 34 million without coverage in the U.S., of which 9 million
are children; there are 1 million without coverage in Michigan,
of which 300,000 are children; and
WHEREAS, Today's system discribinates against families and small
businesses. Insurance companies pick and choose whom they cover.
Those with pre-existing conditions can't get any Insurance at
all; and
WHEREAS, only 20% of Americans over 55 can afford long term care
insurance) and only 16% of those age 65-79 can afford long term
care insurance; and
WHEREAS, The cost of lifesaving prescription drugs has been
rising faster than any other component of the medical price
index, and over half of those 65+, and one-quarter of those under
65, must pay for prescription drugs on their own; and
WHEREAS, Insurance companies charge small businesses as much as
35% more than large corporations. only 3 of every 10 employers
with fewer than 500 employees offer any choice of health plan.
Millions of Americans have no choice today; and
WHEREAS, 25 cents out of every dollar of a hompital bill goes to
bureaucracy and paperwork - - not patient care; and
WHEREAS, Fraud and abuse are exploding, costing at least $80
billion a year. That's a dime of every dollar spent on health
care; and
WHEREAS, Our nation's health costs have nearly quadrupled since
1980. Without reform, by the year 2000, one of every B dollars
spent in America will go to health care; therefore be it
RESOLVED, That the federal govermment must guarantes that all
individuals have access to affordable, high-quality health and
long term care; and be it further
RESOLVED, That a plan be developed which includes:
. System-wide cost containment that eliminates cost-shifting and
slows the explosive growth in health spending; and
. Comprehensive benefits that include preventive and mental
health care, prescription drugs, home and community-based long
term care, nursing home care; and
Senior Power Day 1994 Platform
and
1
517 377 1544
05-11-94 04:12PM P002 #45
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MNC
05/11/94 17:29 517 377 1544
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003
a Health delivery reforms that increase access to care in
undersarved areas and reward efficient, high-quality care; and
be it further
RESOLVED, That Senior Power Day supports the six principles of
President Clinton's HEALTH SECURITY proposal:
Security,
Simplicity,
savings,
Choice,
Quality, and
Responsibility, and, be it finally
RESOLVED, That a single payer approach for the state and nation
be enacted in 1994 with broad-based, fair and affordable
financing, so that government, businesses, and individuals all
pay their share and everyone is protected against the high cost
of care.
RESOLUTION
NURSING HOMES
WHEREAS, There have been notable improvements in the quality of
life and care in nursing homes in recent years through the
efforts of committed nursing home owners and staff, state
regulatory agencies and better federal minimum standards; and
WHEREAS, 50,000 people are living in Michigan's 480 nursing
homes, county medical care facilities and hospital long term care
units and should be treated with dignity and respect by all; and
WHEREAS, 43% of the people who became 65 in 1990 will need
nursing home care; and
WHEREAS, Many people have difficulty in finding quality nursing
home care in their community because they do not have the money
to pay for care for as much as three years; and
WHEREAS, Some mursing homes refuse to fully participate in the
Medicaid program and attempt to evict residents once their money
is gone; and
WHEREAS, Michigan nursing homes earn about $1.2 Billion a year
including incomes 9800 million from the Medicaid program; and
WHEREAS, The quality of nursing home para is dependent on the
number of staff members providing care, and
WHEREAS, The staffing requirements in Michigan nursing homes
have not changed since 1978; and
Senior Power Day 1994 Platform
2
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FROM SEN. RIEGLE DC
TO 94562239
WASHINGTON
004
RIEGLE LANSING
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17:30
517 377 1544
WHEREAS, and Some homes do not meet minimum standards of quality,
WHEREAS, The measure of a great society is how It cares for its
weakest citizens and how it regulates service providers to insure
the highest quality of care and services; therefore be it
RESOLVED. That Senior Power Day supports state policy changes to
require every nurwing home which participates in Medicaid to open
all of its bads to Medicaid certification; and be it further
RESOLVED, That Sanior Power Day supports state legislation to
require that nursing homes admit people from a single list of
applicants on a first-come, first-serve basis without regard to
the applicant's wealth; and be it further
RESOLVED, That Senior Power Day supports state policy changes
and implementation of a system of sanotions to ensure that
mursing homes comply with government standards. These sanctions
should include fines which increase with severity and repetition,
bans on admissions, monitors to evaluate performance, temporary
managers or receivers to operate a home, and transfer of the home
to owners capable of operating it according to governmental
standards. closing or terminating governmental funding of a home
should only be used as a last resort, and be it finally
RESOLVED, That Senior Power Day supports the enactment of
proposed state legislation to increase the mumber of nursing care
staff in nursing homes.
RESOLUTION
IN-HOME HEALTH CARE SERVICES
WHEREAS, The aged and disabled largely prefer the conforts of
home to any health care or residential facility; and
WHEREAS, This state has developed and implemented two programs,
care management and a Medicaid home cate waiver program, which
assist aged and disabled people to live independently and safely
in their own homes and apartments; and
WHEREAS, The care management and Medicaid waiver programs insure
that aged and disabled people have personal health care needs met
as well as home delivered neals and a clean, comfortable living
environment with home-cleaning and hone-maintenance assistance;
and
WHEREAS, These two programs also address the nauds of family
caregivers with respite services and other supports ED as to
continue family caregiving; and
WHEREAS, These two programs of in-home health care services are
Senior Power Day 1994 Platform
3
05-11-94 04:12PM P004 #45
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05-13-94 04:42PM FROM SEN. RIEGLE DC
TO 94562239
P008/006
5/11/94
17:30
517 377 1544
RIEGLE LANSING
WASHINGTON
005
a necessary part of a full, efficient and humans health and human
services delivery system which guarantees options to the aged and
disabled and their families) and
WHEREAS, Care management is available in only 57 out of 83
counties, and the waiver program serves the aged and disabled
residents of only 13 counties; therefore be it
RESOLVED, That the care management and Medicaid univer programs
must be expanded statewide to secure the complete range of health
care options.
RESOLUTION
HOME-DELIVERED MEALS
WHEREAS, Mutritionally balanced meals are vital to good health;
and
WHEREAS, There are 201 Michigan municipalities (counties,
cities, townships, villages) or parts of municipalities that do
not have home delivered reals; and
WHEREAS, It is estimated that 1/3 of the current home delivered
meal clients need an additional meal daily, and
WHEREAS, Although the 1994 increases in funding for home
delivered meals are a step in the right direction, state and
federal funds have not kept pace with increasing demand and
increasing costs; therefore be it
RESOLVED, That home delivered meal funding be increased by $5.5
million to meet the needs of these municipalities and clients.
We call on both the state and federal governments to appropriate
the funding for these meal services.
RESOLUTION
TRANSPORTATION
WHEREAS, Accessible and affordable transportation is necessary
for premotion of an independent lifestyle for all, so that
individuals can meet their health, financial and social needs;
and
WHEREAS, Agencies and all levels of government who provide some
transportation services and in particular special transportation
services need to coordinate those services in order to most
effectively utilize taxpayer dollars; and
WHEREAS, Transportation has become cost prohibitive for the
older citizen of low income status who must depend on public or
voluntear services; therefore, be it
Senior Power Day 1994 Platform
4
517 377 1544
05-11-94 04 12PM P005 #45
American Diabetes Association
Position Statement on National Health Care Reform
February 1, 1994
Consistent with our mission -- to prevent and cure diabetes and to improve the lives of
all people affected by diabetes -- the American Diabetes Association views the current health
care reform discussion as an important and perhaps unique opportunity to advance the impa t
of our guiding principle: to do what is best for people with diabetes. In this spirit, 1 le
Association developed its Principles on Health Care Reform. which we believe must x
incorporated in any proposal under consideration.
The Principles seek to:
1.
Ensure universal access to quality diabetes treatment.
II.
Prohibit pre-existing condition exclusions.
III.
Provide coverage for prescription drugs and insulin, as well as for diabet S-
related supplies, equipment and education.
IV.
Achieve a mandate for community rating, a process that bases premiums on be
number of people - not the type of health claims - in a group (eg., a large C ty
or metropolitan area).
These Principles defined the scope of our evaluation of the various health care reform propos als
now under discussion and served as objective criteria for comparison. The leadership of he
Association reviewed analyses of the various health care reform proposals pending in Congr :ss
and, acting in the best interests of people with diabetes, endorsed the Clinton Health Seca ity
American Diabetes Association
Health Care Reform Position Statement
Page 3
The Association will urge lawmakers to define quality diabetes care as treatment to it
incorporates the Association's clinical practice guidelines. We will also present to legislato $
and policymakers information supporting the importance of self-management training for people
with diabetes in helping them prevent the costly, long-term complications of the diseas:,
including kidney disease, beart disease, stroke, blindness and nerve damage leading o
amputations. In addition, we view a continuing commitment to basic and clinical research LS
an important element of quality care, since research forms the basis of such care.
As an Association, we are committed to informing and mobilizing our constituencies o
ensure that people with diabetes receive the best care possible. We also will take a leadership
role in building coalitions with other groups that deal with chronic diseases to ensure that II
people with long-term illnesses receive the best care possible.
In conclusion, the American Diabetes Association supports the Clinton Health Secur ty
Act as best incorporating its Principles of Health Care Reform. We will continue to advoc. te
strongly on behalf of people with diabetes to ensure that our Principles are included in @ LY
health care reform legislation enacted by Congress.
** TOTAL PAGE. 005 **
American Diabetes Association
Health Care Reform Position Statement
Page 2
Act as the current plan best incorporating our Principles of Health Care Reform. T7 IS
endorsement necessarily relates only to those elements of the Act that are relevant to 0 IT
Principles. inasmuch as we do not have expertise in issues pertaining to financing.
The Association cited the Clinton Administration's sensitivity to the health care needs of
people with diabetes as important to its decision to support the Clinton Health Security Act; it
applauded the Act as the proposal that most specifically addresses the imperatives outlined in IS
Principles of Health Care Reform. The Clinton Health Security Act provides universal acce SS
to care; prohibits pre-existing condition exclusions; mandates for community rating: and prov id es
coverage for insulin, blood glucose meters and test suips, and nutrition counseling.
The Association has acknowledged that there are elements of the Clinton Administrati on
proposal that should he improved. Specifically, two crucial items consistent with our Princip es
remain, as yet, inadequately defined: 1) ensuring e quality of diabetes care; and 2) speci ic
coverage for diabetes self-management training. As a national organization, we are commet :d
to advocating for these improvements and will work with the Clinton Administration ani 1 ey
Members of Congress to advocate our position.
THE 1994 COMMITTEE
PATRONS
Chairman: Mrs. Bob (Mary) Clement, Tennessee
Co-Chairman: Mrs. E. Clay (Emilie) Shaw, Florida
Amiel and Elaine Cueto
Mrs. Bill Archer, Texas
Mrs. Norman Lent, New York
Archer Daniels Midland
Mrs. Joe Bartlett, Ohio
Mrs. Tom Lewis, Florida
AROMATIQUE, Inc.
Mrs. Herbert Bateman, Virginia
Mrs. Glenard Lipscomb, California
Ashland Oil
Mrs. James Battle, Alabama
Mrs. Robert Livingston, Louisiana
BellSouth
Mrs. Laurie Battle, Alabama
Mrs. Robert McClory, Illinois
Bristol-Myers Squibb Co.
Mrs. Tom Bevill, Alabama
Mrs. Louise McKenzie, Pennsylvania
Chicago Mercantile Exchange
MAY 17 '94 04:37PM LBC/OMNI SHOREHAM
Mrs. James Bilbray, Nevada
Mrs. Alex McMillan, North Carolina
Dow U.S.A.
Mrs. Bill Brewster, Oklahoma
Mrs. John Myers, Indiana
Grocery Manufacturers of America, Inc.
Mrs. William Broomfield, Michigan
Mrs. Ralph Regula, Ohio
Hecht's and Co.
Mrs. John W. Bryant, Texas
Mrs. Jay Rhodes, Arizona
Jeanette C. Rudy
Mrs. Jim Bunning, Kentucky
Mrs. Pat Roberts, Kansas
Limited, Inc.
Mrs. Elford A. Cederberg, Michigan
Mrs. J. Roy Rowland, Georgia
McDonald's Corporation
Mrs. Jim Chapman, Texas
Mrs. Martin 0. Sabo, Minnesota
NYNEX
Mrs. Thomas Coleman, Missouri
Mrs. Neal Smith, Iowa
RJR Nabisco
Mrs. Jerry Costello, Illinois
Mrs. Peter Smith, Vermont
The Tobacco Institute
Mrs. Calvin Dooley, California
Mrs. Mick Staton, West Virginia
Mrs. John Foley, Maryland
Mrs. Al Swift, Washington
Mrs. Tony Hall, Ohio
Mrs. John Tanner, Tennessee
HOSTS
Ms. Carrie Hamburg, California
Mrs. Richard Thompson, New York
George Mason University Scholars
Mrs. Jimmy Hayes, Louisiana
Mrs. Ray Thomton, Arkansas
Martin Haley, Virginia
Jeffrey Shen, New Jersey
P.2
Mrs. Steve Horn, California
Mrs. Tim Valentine, North Carolina
Peter Morton, Virginia
Kenneth Stockard, Virginia
Mrs. Marvin Leath, Texas
Mrs. Harold Volkmer, Missouri
Michael Whitlock, Virginia
Lis
CONTRIBUTORS
Accessory Network
American Airlines
American Greetings
AT&T
Avon
Judy Collins
Decorating Den Systems, Inc. - tablecloths
Many people have contributed to the
Delta Airlines
Enesco Corporation
success of The First Lady's Luncheon.
Federal Express
We have tried to thank each one
Chef Rupert Froehlich
Hecht's and Co.
individually and acknowledge them
Homestead Gardens, Inc.
MAY 17 '94 04:37PM LBC/OMNI SHOREHAM
Ivana Trump
here publicly. To those whom we
Lydia de La Vina de Foley
Maybelline
may have inadvertently overlooked,
National Soft Drink Association
our sincere apologies and thanks.
Ms. Denise Offray
Paul Pincus, Landscape Architect
Procter and Gamble Cosmetic and Fragrance Products Co.
Mrs. Kathleen Randall, Omni Shoreham
Reception Music, Mrs. Tom Bevill, and Mrs. John Grotberg
Revlon, Inc.
St. John
Carol Stoessinger
Summitville Tiles
The centerpiece is lovely
Swank Audio Visuals, Inc.
As each lady sees
The Ann Hand Collection
The Flower Council of Holland, Gordon L. Smith and Co.
Let us all enjoy its beauty
The Omni Shoreham Hotel
But then, kindly leave it please!
The Wine Institute
Time Warner Inc.
U.S. Botanical Gardens
Vera Bradley Designs
P.1
Russell Walden, Accompanist
Cover Art Design by Mrs. Mary Bunning.
Waverly
Collage Art by Mrs. Sallie Smith.
0.01
MAY 17 04 TUC 12:04
Post-It" Leand
Fax Transmittal Memo 7672
No. of Pugge
/
5/17/94 Time 12:20 pm
To Liz Boyer
Company From Gail Jong
Commany Office of the first hady
Location The White House
Location Wellesley College
Dup Charge
Fax # 202-456-2239
Telephone 4
Fax
617-283-3635
Tolephone 617.283.2225
Comments
Orginal
Disposition:
Destroy
Rolun
Call for olukup
This is a preliminary program as requested by Alan Schechter
Please call if you have any further questions.
952
8911
The Washington Wellesley Club Annual Meeting and
50th Anniversary of the Washington Internship Program
Program of Events
ANNUAL MEETING
WINE RECEPTION
OF THE
WASHINGTON
WELLESLEY CLUB
ANNUAL REPORT and ELECTION OF BOARD OFFICERS
Jean Seibert Stucky 73
President, Washington Wellesing Club
GOTH ANNIVERSARY
FACULTY AND FORMER INTERNS
OF THE
of the WASHINGTON INTERNSHIP PROGRAM
WASHINGTON
and INTRODUCTION OF FORMER DIRECTORS
INTERNSHIP PROGRAM
Edward A. Stettner
Professor of Political Science at Wellesley College
FRIDAY, JUNE 10, 1994
und Director of the Washington Internship Program
Sherley Heidenberg Koteen '40
Art Consultant/President, Sherley Koteen Assoc lates
Mary Lyndon Shanley '66,
Professor of Political Science at Vassar College
Janice Krigbaum Piercy '69
U.S. Executive Director Designate, World Dank
A video message from
Hillary Rodham Clinton '69
First Lady, The White House
Tina Chol
Class of 1994
Diana Chapman Walsh 66
Twelfth President of Wellesky College
with introduction by Virginia Guild Watkin 46
Trustee
American
Diabetes
Association.
National Center
1660 Duke Street
Alexandria, Virginia 22314
(703) 549-1500
Telex: 901132
Fax: (703) 336-7439
March 1, 1994
TO:
Paul Spagnoletti
Office of Public Liaison
The White House
FROM:
Jerry Franz 8
Vice President of Communications
RE:
American Diabetes Association's Position Statement on National
Health Care Reform
Thank you for your interest in reviewing the American Diabetes Association's Position Stateme it
on National Health Care Reform.
The leadership of our organization is committed to doing what is best for people with diabet $
and is desirous of helping achieve real reform in health care to improve the lives of people wi h
diabetes.
We are interested in discussing any ways that we might work with your office to advance: 0 If
mutual interests. Ideally, we would like to meet with you before close-of-business this Fria,
March 5, in advance of our Board of Directors meeting on March 6.
Once you have had a chance w review this information, please give me a call at 703-549-5C),
ext. 291.
Officers
Office of the Exec tive
Michael A. Greene
Douglas E. Lund
Dav H. McClare
Sara Noles
John H. Grahan. V
Chair of the Board
Chair of he Boo-d-Elect
vice Chair of the Board
Secretary
Chief Executive City, "
James R. Cavin III MD. PhD
Kathleen L Wishner, PbD. MD
Frank Vinicor. MU
Stephen J. Security
Richard Kann. 10
President
President
vice President
Treaswer
Chiej Scientific and fedical Officer
Patricia D Sterger. RN. CDE
Linds M. Siminario. RN. MS. CDE
Davide r. Kruger, MSN. C RN. CDE
Caroline Stevers
Senior Visa President
Senior VRE Presidert-Elect
Vice President
Chief Operation: 0,4 "er
Member of: International Number National Health Council Combined Have
March 24, 1994
Publication: SR-35-Health
Filmay
dnc
Stu
May
.5,
Sen to
Sevior power
Health Care Through
Shared Responsibility
Mishia
Building on an American
Working Tradition
probably Melanne not
DPC Staff Contact: Sean Kelly; Rindy O'Brien (202-224-3232)
weshld
DPC Media Contacts: Debra Silimeo (202-224-3232); Mary Ann Hill (202-224-2939)
tugtods
todo
dpc
Democratic Policy Committee
George J. Mitchell, Chairman
United States Senate
Thomas A. Daschle, Co-Chairman
Washington, D.C. 20510
Introduction
President Clinton's health care reform plan proposes guaranteed private
health insurance for all Americans. This plan proposes to build upon our
current system under which employers and families contribute toward the
purchase of health insurance. A system of shared responsibility makes
sense. It is the best way to provide universal coverage without placing an
undue burden on either American families or American business.
IT BUILDS ON A SYSTEM THAT WORKS,
AND ENJOYS PUBLIC SUPPORT
Currently, more than 80 percent of Americans with private
insurance get health care coverage through a workplace. We
should build on a system that works for many American
families, rather than shift the entire burden for health coverage
onto families. The American public overwhelmingly supports a
system of shared responsibility.
IT WILL REDUCE COST SHIFTING
Those employers who now provide health care benefits also
pay a staggering amount for the health care of employees who
work for employers who do not provide insurance coverage for
their workers. They pay billions in increased insurance premiums
to cover the uncompensated care of the employees of others.
And, they pay even more to provide insurance for working
spouses of their employees. Requiring all employers to share
the responsibility will put an end to this type of cost-shifting.
DPC Special Report - Health Care Through Shared Responsibility
p. 1
March 24, 1994
Publication: SR-35-Health
Filmay
dnc
Stu
.5,
May
Sen to
Sevior Power
Health Care Through
Shared Responsibility
Mishigan
Building on an American
not
Working Tradition
beneck
DPC Staff Contact: Sean Kelly; Rindy O'Brien (202-224-3232)
DPC Media Contacts: Debra Silimeo (202-224-3232); Mary Ann Hill (202-224-2939)
subtots
dpc
Democratic Policy Committee
George J. Mitchell, Chairman
United States Senate
Thomas A. Daschle, Co-Chairman
Washington, D.C. 20510
Introduction
President Clinton's health care reform plan proposes guaranteed private
health insurance for all Americans. This plan proposes to build upon our
current system under which employers and families contribute toward the
purchase of health insurance. A system of shared responsibility makes
sense. It is the best way to provide universal coverage without placing an
undue burden on either American families or American business.
IT BUILDS ON A SYSTEM THAT WORKS,
AND ENJOYS PUBLIC SUPPORT
Currently, more than 80 percent of Americans with private
insurance get health care coverage through a workplace. We
should build on a system that works for many American
families, rather than shift the entire burden for health coverage
onto families. The American public overwhelmingly supports a
system of shared responsibility.
IT WILL REDUCE COST SHIFTING
Those employers who now provide health care benefits also
pay a staggering amount for the health care of employees who
work for employers who do not provide insurance coverage for
their workers. They pay billions in increased insurance premiums
to cover the uncompensated care of the employees of others.
And, they pay even more to provide insurance for working
spouses of their employees. Requiring all employers to share
the responsibility will put an end to this type of cost-shifting.
DPC Special Report - Health Care Through Shared Responsibility
p. 1
PRESIDENTIAL APPOINTMENTS
5/2/94
Discard previous editions
APPOINTEE
POSITION
STATUS
DIVERSITY
TERMS
TRACKING
Public
TBD
Holdever
Last Name
Designation
edig
Leval/Grade
First Name
Title
Dept/Agency
Notes/Comments
FTP-T
States
Term
For Date
Demicle
Base
Sex
Disabled
Ausg
If Pol
Remainder
Start
I
Counsel Pre-
Sensts
Mome
Search
Approve
Anne'd
Senate Nom
Cent
Appt Date
Metzler
Cynthia A
3
Asst Secretary
Administration & Management
Labor, Department of
New Position
PAS
FT
N
POP
DC
W
F
D
N
N
2/4/94
3/4/94
3/11/94
4/14/94
Lewis
Anne
3
Asst Secretary
(Public Affairs)
Labor, Department of
PAS
FT
A
POP
MD
W
F
N
N
4/29/93
4/26/93
5/17/93
7/29/83
10/8/93
alorated from SES det fruity Labor Might
Manley
Martin J
3
Asst Secretary
(American Workplace
Labor, Department of
Standards
PAS
FT
A
POP
CA
W
M
N
N
7/14/93
9/7/93
11/
McAteer
J Devitt
3
Asst Secretary
Mine Safety & Health
Labor, Department of
PAS
FT
A
POP
WV
W
M
N
N
7/13/93
8/31/93
10/13/93
2/9/94
Palast
Geri D
3
Asst Secretary
(Cong & Intergovt Relations)
Labor, Department of
PAS
FT
A
POP
CA
W
F
N
N
1/21/93
1/21/93
2/22/93
2/23/93
4/2/83
5/24/93
5/25/93
Ross
Douglas
3
Asst Secretary
(Employment & Training)
Labor, Department of
PAS
FT
A
POP
MI
W
M
D
N
N
3/22/93
3/22/93
4/19/93
6/7/93
8/6/93
Teylor, Jr
Preston M
3
Asst Secretary
Veterens Empl & Treining
Labor, Department of
PAS
FT
A
POP
NJ
AA
M
N
N
7/22/93
8/31/93
10/25/93
11/22/93
11
Abrahem
Ketherine
4
Commissioner
Bureau of Labor Statistics
Labor, Department of
PAS
FT
A
4
IA
W
F
N
N
5/28/93
6/25/93
8/8/93
10/8/93
Echaveste
Maria
4
Administrator
Wage & Hour Division
Labor, Department of
PAS
FT
A
POP
NY
H
F
D
N
N
3/22/93
3/25/93
4/5/93
4/28/93
6/25/93
6
Nussbeum
Karen B
4
Director
Women's Bureeu
Labor, Department of
PAS
FT
A
POP
OH
W
F
#
N
3/22/92
3/22/93
4/20/93
5/7/93
6/25/93
6
Williamson, Jr
Thomes S
4
Solicitor
Labor, Department of
PAS
FT
A
POP
CA
AA
M
D
N
N
1/21/93
1/21/93
2/22/93
2/23/93
4/27/93
5/24/93
5/25/93
Masten
Charles C
6
Inspector General
Labor, Department of
PAS
FT
A
POP
VA
AA
M
N
N
7/13/93
8/10/93
10/1/93
11/22/93
11/
4
Jordan
Berbare
1
Chair
Legal Immig Reform, Comm on
else 4 appt by Congress
PA
PT
A
TX
AA
F
D
N
N
12/15/93
12/14/93
12/1
4
Askew
Hulett H
1
Mbr, Bd of Dirs
Legal Services Corporation
Corp Pres mbr BX officio
PAS
PT
A
3
7/13/95
9A
W
M
D
B
Y
Y
5/11/93
8/6/93
8/6/93
10/21/93
10/22/93
Battle
La Veeda M
1
Mbr, Bd of Dirs
Legal Services Corporation
PAS
PT
A
3
7/13/95
AL
AA
F
D
B
Y
Y
5/11/93
8/6/93
8/6/93
10/21/93
10/22/93
Broderick
John T
1
Mbr, Bd of Dirs
Legal Services Corporation
PAS
PT
A
3
7/13/96
NH
W
M
0
B
Y
Y
5/11/93
8/6/93
8/6/93
10/21/93
10/22/93
Brooks
John G
1
Mbr, Bd of Dirs
Legal Services Corporation
PAS
PT
A
3
7/13/95
MA
W
M
R
B
Y
Y
5/11/93
8/6/93
8/6/93
10/21/93
10/22/93
Eakley
Douglas
I
Mbr, Bd of Dire
Legal Services Corporation
PAS
PT
A
3
7/13/96
NJ
W
M
D
B
Y
Y
5/11/93
8/6/93
8/6/93
10/21/93
10/2
Fairbanke Williams
Edne
I
Mbr, Bd of Dire
Legal Services Corporation
PAS
PT
A
3
VT
W
F
B
Y
Y
7/22/93
8/6/93
9/7/83
10/21/93
10/22/93
McCalpin
F William
1
Mbr, Bd of Dire
Legal Services Corporation
PAS
PT
A
3
7/13/96
MO
W
M
R
B
Y
Y
5/11/93
8/8/93
8/6/93
10/21/93
10/22/93
Mercado
Marie L
1
Mbr, Bd of Dire
Legal Services Corporation
PAS
PT
A
3
7/13/96
TX
H
F
0
B
Y
Y
5/11/93
8/6/93
8/6/93
10/21/93
10/22/93
Rogers
Nancy H
1
Mbr, Bd of Dirs
Legal Services Corporation
PAS
PT
A
3
7/13/95
OH
W
F
R
B
Y
Y
5/11/93
8/6/93
8/6/93
10/21/93
10/2
Smegel
Thomas
1
Mbr, Bd of Dire
Legal Services Corporation
PAS
PT
A
3
7/13/98
CA
W
M
R
B
Y
Y
5/11/93
8/6/93
8/6/93
10/21/93
10/22/93
Watlington
Emestine P
1
Mbr, Bd of Dire
Legal Services Corporation
PAS
PT
A
3
PA
AA
F
B
Y
Y
7/2/83
8/6/93
9/7/93
10/21/93
10/22/93
2
Simon
Jeenne H
1
Chair
Libraries & Info Sci, Nati Comm
PAS
PT
A
5
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Shirley
2
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librery/info specialist)
Libraries & Info Sci, Netl Comm
PAS
PT
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7/19/96
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Casey, Jr
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7/19/94
NY
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DiPrete
Carol
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library/info specialist)
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Libraries & Info Sci, Nati Comm
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7/18/95
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OFFICE OF PRESIDENTIAL PERSONNEL
OEOB Rm. 131, ext. 62966
74
DETERMINED TO BE AN
PRIVATE AND CONFIDENTIAL
ADMINISTRATIVE MARKING
INITIALS: ADB DATE: 4/14/14
2014-0483-5
Sm
To: First Lady Scheduling
From: Walter Zelman
RE: Meeting with Clinic Directors
Heads of some of the nation's most prominent specialty
clinics will be coming to D.C. on May 18 for a meeting with me
the
and others from the policy unit.
Their meeting with us will be scheduled from about 10 er 11
A.M. until about 2:30 or 3. As discussed yesterday with your
office we will expect the First Lady to drop in around 2.
Present will be directors or assistants to directors of some
or all of the following clinics: Mayo, Cleveland, Geisinger,
Scrippts, Kaiser and others.
Their association meets in early June. It is my hope that
the May 18 meeting may pave the way to a positive public
statement in June
More detail to follow.
Melanne
American
Diabetes
Patti
this partant tohem
®
Association.
National Center
1660 Duke Street
Alexandria, Virginia 22314
(703) 549-1500
Telex: 901132
Fax: (703) 836-7439
April 14, 1994
Hillary Rodham Clinton
what's
Mis
Minh
mis
Old Executive Office Bldg.
I
Some
shred
Room 287
Washington, DC 20200
do
Dear Mrs. Clinton:
We are in receipt of your March 22 letter and are disappointed that you will
not be able to come to our annual meeting to receive the American Diabetes
Association's 1994 C. Everett Koop Medal for Health Promotion and Awareness.
As you know, this award is given annually to honor individual excellence in
wellness promotion and disease prevention. As chair of the President's Task
Force on Health Care Reform, you have made an outstanding contribution to the
health and well-being of all Americans by making health care reform a priority
for the Clinton Administration, the Congress and the country.
While you are not able to actually be present to receive this award, we would
very much like to have you address our members via a pre-taped video
We
would anticipate working with your staff to create a short two to three minute
video for this purpose.
As you can imagine, the outcome of the health care reform debate is crucial to
the almost 14 million Americans with diabetes. The American Diabetes
Association developed its Principles on Health Care Reform to clarify and
focus our advocacy efforts nationwide. A copy of these Principles is
enclosed. After evaluating each of the health care reform proposals, the
association has now developed a position statement supporting the Clinton
health care plan, your health care plan, as the one that best incorporates our
Principles.
The American Diabetes Association is the nation's leading voluntary health
association serving people with diabetes. Our membership includes people with
diabetes, as well as the health care professionals who serve them.
The effects of diabetes on our nation's people and our economy are staggering.
Diabetes is the fourth leading cause of death by disease in this country and
kills 150,000 Americans every year. The complications of diabetes
blindness, kidney disease, amputations, heart disease, and birth defects
cost our nation in excess of $91 billion a year. The results of a 10-year
clinical trial conducted by the National Institutes of Health indicated that
many of these complications are largely preventable with appropriate health
care.
Officers
Office of the Executive
Michael A. Greene
Douglas E. Lund
David H. McClure
Sara Nolen
John H. Graham IV
Chair of the Board
Chair of the Board-Elect
Vice Chair of the Board
Secretary
Chief Executive Officer
James R. Gavin III. MD. PhD
Kathleen L. Wishner. PhD. MD
Frank Vinicor, MD
Stephen J. Satalino
Richard Kahn. PhD
President
President-Elect
Vice President
Treasurer
Chief Scientific and Medical Officer
Patricia D. Stenger. RN. CDE
Linda M. Siminerio. RN. MS. CDE
Davida F. Kruger. MSN, C. RN, CDE
Caroline Stevens
Senior Vice President
Senior Vice President-Elect
Vice President
Chief Operating Officer
Member of: International Diabetes Federation
Independent Sector
National Health Council
Combined Health Appeal
For these reasons, the Association has worked for many years to ensure access
to health care for people with diabetes and our membership is committed to
making it happen this year.
We applaud you for your personal expertise, deep dedication and outstanding
leadership on health care reform. We hope you agree that addressing our
membership through a video is worthwhile as we move forward in our efforts
together to accomplish meaningful health care reform.
If you have any questions, you may wish to contact John H. Graham, IV, Chief
Executive Officer of the American Diabetes Association. Mr. Graham can be
reached at (703) 549-1500, extension 298.
We look forward to your favorable response.
Sincerely,
Michael Sreene A. Greene James James R. Gavin Marin III, MD,
Patricia Stenger
PhD
Patricia D. Stenger, RN, CDE
Chair of the Board President
Senior Vice President
VIDEO?
American Diabetes Association
Position Statement on National Health Care Reform
April 11, 1994
Consistent with our mission -- to prevent and cure diabetes and to improve the lives of
all people affected by diabetes -- the American Diabetes Association views the current health
care reform discussion as an important and perhaps unique opportunity to advance our guiding
principle: what is best for people with diabetes. In this spirit, the Association developed its
Principles on Health Care Reform, which we believe must be incorporated in any proposal under
consideration.
The Principles seek to:
I.
Ensure universal access to quality diabetes treatment.
II.
Prohibit pre-existing condition exclusions.
III.
Provide coverage for prescription drugs and insulin, as well as for diabetes-
related supplies, equipment and education.
IV.
Achieve a mandate for community rating, a process that bases premiums on the
number of people -- not the type of health claims -- in a group (eg., a large city
or metropolitan area).
These Principles defined the scope of our evaluation of the various health care reform proposals
now.under discussion and served as objective criteria for comparison. The leadership of the
Association reviewed analyses of the various health care reform proposals pending in Congress
and, acting in the best interests of people with diabetes, has recognized the Clinton Health
American Diabetes Association
Health Care Reform Position Statement
Page 2
Security Act as the current plan best incorporating our Principles on Health Care Reform. The
Association strongly supports those elements of the Act that are relevant to our Principles.
The Clinton Health Security Act provides universal coverage; prohibits pre-existing
condition exclusions; mandates community rating; and provides coverage for insulin, blood
glucose meters and test strips, and nutrition counseling. The Association cited the Clinton
Administration's sensitivity to the health care needs of people with diabetes and applauded the
Act as the proposal that currently most specifically addresses the imperatives outlined in its
Principles on Health Care Reform.
However, the Association also acknowledges that there are elements of the Clinton
Administration proposal that must be improved. Specifically, four crucial items consistent with
our Principles must be adequately addressed in any final health care reform package approved
by Congress: 1) means to ensure the quality of diabetes care, including appropriate access to
specialists; 2) specific coverage for diabetes self-management training; 3) specific coverage for
disposable syringes; and 4) expanded funding for basic and clinical research. As a national
organization, we are committed to advocating for these improvements and will work with the
Clinton Administration and key Members of Congress to advocate our position.
American Diabetes Association
Health Care Reform Position Statement
Page 3
The Association will urge lawmakers to define quality diabetes care as treatment that
incorporates the Association's clinical practice guidelines. Based on these guidelines, the
Association will seek legislative language that ensures appropriate access to specialists. We also
will present to legislators and policymakers information supporting the importance of self-
management training for people with diabetes to help them prevent the costly, long-term
complications of the disease, including kidney disease, heart disease, stroke, blindness and nerve
damage leading to amputations. We will seek specific coverage for disposable syringes to enable
people with diabetes to appropriately treat their disease and prevent or delay its complications.
In addition, we view a continuing commitment to basic and clinical research as an important
element of quality care, since research forms the basis of such care.
As an Association, we are committed to informing and mobilizing our constituencies to
ensure that people with diabetes receive the best care possible. We also will take a leadership
role in building coalitions with other groups that deal with chronic diseases to ensure that all
people with long-term illnesses receive the best care possible.
In conclusion, the American Diabetes Association recognizes that the Clinton Health
Security Act is the health care reform proposal that currently best incorporates the Association's
Principles on Health Care Reform. The Association will work closely with the Administration
to improve the Act's appropriateness for people with diabetes and other chronic diseases.
American Diabetes Association
Health Care Reform Position Statement
Page 4
Equally important, the Association will continue to carefully evaluate all other health care reform
legislation and work with Congress to ensure that the final package includes those provisions that
best meet the needs of people with diabetes. As the primary advocate for people with diabetes,
the Association intends to ensure that our Principles are included in any health care reform
legislation enacted by Congress.
###
American
Diabetes
video
Association.
5/18
National Center
1660 Duke Street
Alexandria. Virginia 22314
(703) 549-1500
Telex: 901132
Fax: (703) 836-7439
May 11, 1994
Ms. Patti Solis
Special Assistant to the President
up fafe dated to for 6/10/94/event
Director of Scheduling for the First Lady
The White House
Washington, D.C. 20500
Dear Patti:
Thank you for your call yesterday and for your help with the First Lady's video. Mrs.
Clinton's taped massage will mean a great deal to the nearly 1,000 doctors, nurses, diabetes
educators and other medical professionals, and laypersons -- all actively involved in our
mission to prevent and cure diabetes and improve the lives of all people affected by diabetes
-- who will attend our 54th Annual Meeting next month in New Orleans. Please thank the
First Lady on behalf of the Association for taking the time to tape this important message.
As we discussed, we will be honoring Mrs. Clinton with the C. Everett Koop Medal for
Health Promotion and Awareness during our Volunteer Recognition Luncheon, 12:15 p.m. to
2:00 p.m., Friday, June 10. Please see the attached timeline for the exact presentation time.
Roz Lasker, MD, Special Assistant to the Assistant Secretary for Health, will accept the
award on Mrs. Clinton's behalf and introduce the video.
The Koop Medal honors excellence in wellness promotion and disease prevention. All past
recipients, which include the first recipient, Former Surgeon General of the United states C.
Everett Koop, MD; Ted Turner; Delaware Governor Michael N. Castle; and Connecticut
Governor Lowell P. Weicker, have made significant contributions to increasing the public's
awareness regarding health-related issues that pose a potential hazard to the general health
and well being of the American public. The award was inaugurated in 1990 during the 50th
Anniversary of the American Diabetes Association.
In light of Mrs. Clinton's efforts to reform the American health care system and provide
insurance coverage for all Americans, we can think of no one more deserving of this award.
Officers
Office of the Executive
Michael A. Greene
Douglas E Lund
David H. McClure
Sara Nolen
John H. Graham IV
Chair of the Board
Chair of the Board-Elect
Vice Chair of the Board
Secretary
Chief Executive Officer
James R. Gavin III. MD. PhD
Kathleen L. Wishner. PhD. MD
Frank Vinicor. MD
Stephen J. Satalino
Richard Kahn, PhD
President
President-Elect
Vice President
Treasurer
Chief Scientific and Medical Officer
Patricia D. Stenger. RN. CDE
Linda M. Siminerio. RN. MS. CDE
Davida F. Kruger. MSN. C. RN. CDE
Caroline Stevens
Senior Vice President
Senior Vice President-Elect
Vice President
Chief Operating Officer
Member of: International Diabetes Federation
Independent Sector
National Health Council
Combined Health Appeal
I have attached some suggested talking points for you to use in preparing the script. Please
feel free to call me at 703.549.1500, x292, if you have any questions. Thanks again for all
of your help.
Sincerely,
Chi Whom
Christopher S. McNamara
Director of Communications
Encls.
SESSION 4: VOLUNTEER RECOGNITION LUNCHEON
FRIDAY, JUNE 10, 1994
12:15pm - 2:00pm
BALLROOMS A - D
12:00pm
Doors Open
12:00pm - 12:15pm
Walk-In Music
12:15pm - 12:17pm
Opening Comments/Intro Upjohn Rep.
Michael A. Greene, Presiding
Chair of the Board
12:18pm - 12:19pm
Upjohn Rep. Comments
12:19pm - 12:29pm
Partners for a Cure Awards (Gavin)
Summit Circle Awards (Gavin)
12:29pm - 12:30pm
Transition to Lunch (Greene)
12:30pm - 1:00pm
Lunch
1:00pm - 1:01pm
VOG Intro Mark Fruiterman
1:02pm - 1:04pm
Intro Awards Presentation (Fruiterman)
1:04pm - 1:29pm
Affiliate Voluntary Research Contributions (Greene)
Outgoing Regional Team Members (Greene)
Outgoing Committee, Council and Task Force Chairs (Stenger
Outgoing Members, Board of Directors
1:30pm - 1:32pm
Fruiterman Intros Greene, Greene Intros C. Everett Koop
Award/Lasker Intro
1:33pm - 1:38pm
C. Everett Koop Award Acceptance/Hillary Clinton Video
(Lasker)Intro Health Care Reform Keynote Speaker
1:39pm - 1:54pm
Health Care Reform Keynote
1:55pm - 1:56pm
Intro Fund-Raising Update (Fruiterman)
1:56pm - 1:58pm
Fund-Raising Update
1:59pm - 2:00pm
Closing Comments (Fruiterman)
American Diabetes Association
Position Statement on National Health Care Reform
April 11, 1994
Consistent with our mission -- to prevent and cure diabetes and to improve the lives of
all people affected by diabetes -- the American Diabetes Association views the current health
care reform discussion as an important and perhaps unique opportunity to advance our guiding
principle: what is best for people with diabetes. In this spirit, the Association developed its
Principles on Health Care Reform, which we believe must be incorporated in any proposal under
consideration.
The Principles seek to:
I.
Ensure universal access to quality diabetes treatment.
II.
Prohibit pre-existing condition exclusions.
III.
Provide coverage for prescription drugs and insulin, as well as for diabetes-
related supplies, equipment and education.
IV.
Achieve a mandate for community rating, a process that bases premiums on the
number of people -- not the type of health claims -- in a group (eg., a large city
or metropolitan area).
These Principles defined the scope of our evaluation of the various health care reform proposals
now under discussion and served as objective criteria for comparison. The leadership of the
Association reviewed analyses of the various health care reform proposals pending in Congress
and, acting in the best interests of people with diabetes, has recognized the Clinton Health
American Diabetes Association
Health Care Reform Position Statement
Page 2
Security Act as the current plan best incorporating our Principles on Health Care Reform. The
Association strongly supports those elements of the Act that are relevant to our Principles.
The Clinton Health Security Act provides universal coverage; prohibits pre-existing
condition exclusions; mandates community rating; and provides coverage for insulin, blood
glucose meters and test strips, and nutrition counseling. The Association cited the Clinton
Administration's sensitivity to the health care needs of people with diabetes and applauded the
Act as the proposal that currently most specifically addresses the imperatives outlined in its
Principles on Health Care Reform.
However, the Association also acknowledges that there are elements of the Clinton
Administration proposal that must be improved. Specifically, four crucial items consistent with
our Principles must be adequately addressed in any final health care reform package approved
by Congress: 1) means to ensure the quality of diabetes care, including appropriate access to
specialists; 2) specific coverage for diabetes self-management training; 3) specific coverage for
disposable syringes; and 4) expanded funding for basic and clinical research. As a national
organization, we are committed to advocating for these improvements and will work with the
Clinton Administration and key Members of Congress to advocate our position.
American Diabetes Association
Health Care Reform Position Statement
Page 3
The Association will urge lawmakers to define quality diabetes care as treatment that
incorporates the Association's clinical practice guidelines. Based on these guidelines, the
Association will seek legislative language that ensures appropriate access to specialists. We also
will present to legislators and policymakers information supporting the importance of self-
management training for people with diabetes to help them prevent the costly, long-term
complications of the disease, including kidney disease, heart disease, stroke, blindness and nerve
damage leading to amputations. We will seek specific coverage for disposable syringes to enable
people with diabetes to appropriately treat their disease and prevent or delay its complications.
In addition, we view a continuing commitment to basic and clinical research as an important
element of quality care, since research forms the basis of such care.
As an Association, we are committed to informing and mobilizing our constituencies to
ensure that people with diabetes receive the best care possible. We also will take a leadership
role in building coalitions with other groups that deal with chronic diseases to ensure that all
people with long-term illnesses receive the best care possible.
In conclusion, the American Diabetes Association recognizes that the Clinton Health
Security Act is the health care reform proposal that currently best incorporates the Association's
Principles on Health Care Reform. The Association will work closely with the Administration
to improve the Act's appropriateness for people with diabetes and other chronic diseases.
American Diabetes Association
Health Care Reform Position Statement
Page 4
Equally important, the Association will continue to carefully evaluate all other health care reform
legislation and work with Congress to ensure that the final package includes those provisions that
best meet the needs of people with diabetes. As the primary advocate for people with diabetes,
the Association intends to ensure that our Principles are included in any health care reform
legislation enacted by Congress.
###
APR 8 '94 17:36 FROM A.D.A. 4TH FLOOR
TO 2024562317
PAGE. 002
American
Diabetes
Association.
National Center
1660 Duke Street
Alexandria, Virginia 22314
(703) 549-1500
Telex: 901132
Fax: (703) 36-7439
18th
April 8, 1994
Ms. Patti Solis
Uelanne
Special Assistant to the President
Director of Scheduling for the First Lady
Old Executive Office Building
Room 287
The White House
Video?
Washington, DC 20200
Dear Ms. Solis:
Thank you for your call today. Attached is the letter to Mrs. Clinton from our senior volunteer
officers that we discussed.
As I mentioned, the American Diabetes Association would like to honor Mrs. Clinton with our C.
Everett Koop Medal for Health Promotion and Awareness at our Annual Meeting in early June. We
present this award to recognize individual excellence in wellness promotion and disease prevention.
All past recipients, which include, of course, C. Everett Koop. MD, Ted Turner, Delaware Governc
Michael N. Castle and Connecticut Governor Lowell P. Weicker, have made significant contribution
to increasing public awareness about lifestyles and activities that pose potential hazards to the genera
good health and well being.
In light of Mrs. Clinton's efforts to reform the American health care system and provide insurance
coverage for all Americans, we can think of no one more deserving of this award.
We do understand that she will not be able to attend our June Annual Meeting in New Orleans.
However, we would greatly appreciate a brief videotaped message from the First Lady accepting the
award and offering this group of more than 1,000 Association volunteers and staff a few words of
encouragement. We would be happy to assist with any scripting. Thank you for your help.
Sincerely,
Clin Whom
Christopher S. McNamara
Director of Communications
Officers
Office of the EXCEL live
Michael A. Greene
Douglas E. Lund
David H. McClure
Sara Nolen
John H. Graham .V
Chair of the Board
Chair of the Board-Elect
Vice Chuir of the Board
Secretary
Chief Executive Opier
James R. Gavin III. MD. PhD
Kathleen L. Wishner. PhD. MD
Frank Vinicor, MD
Stephen J. Satalino
Richard Kahn. PHD
President
President-Elect
Vice President
Treasurer
Chief Scientific G.v. A adical Officer
Patricia D. Stenger, RN. CDE
Linda M. Siminerio, RN. MS. CDE
Davida F. Kruger, MSN. C, RN. CDE
Caroline Stevens
Senior Vice President
Senior Vice President-Elect
Vice President
Chief Operating Dific
Member of: International Diabetes Federation Independent Sector National Health Council Combined Health Appoal
APR 8 94 17:37 FROM A.D.A. 4TH FLOOR
TO 2024562317
PAGE. 003
American
Diabetes
Association.
National Center
1660 Duke Street
Alexandria. Virginia 22314
(703) 549-1500
Telex: 901132
Fax: (702) 836-7439
March 28, 1994
Hillary Rodham Clinton
Old Executive Office Bldg.
Room 287
Washington, DC 20200
Dear Mrs. Clinton:
We are in receipt of your March 22 letter and are disappointed that you will
not be able to come to our annual meeting to receive the American Diabetes
Association's 1994 C. Everett Koop Medal for Health Promotion and Awareness
As you know, this award is given annually to honor individual excellence in
wellness promotion and disease prevention. As chair of the President's Tast
Force on Health Care Reform, you have made an outstanding contribution to the
health and well-being of all Americans by making health care reform a priority
for the Clinton Administration, the Congress and the country.
While you are not able to actually be present to receive this award, we would
very much like to have you address our members via a pre-taped video. Wes
would anticipate working with your staff to create a short two to three minute
video for this purpose.
As you can imagine, the outcome of the health care reform debate is crucial to
the almost 14 million Americans with diabetes. The American Diabetes
Association developed its Principles on Health Care Reform to clarify and
focus our advocacy efforts nationwide. A copy of these Principles is
enclosed. After evaluating each of the health care reform proposals, the
association has now developed a position statement supporting the Clinton
health care plan, your health care plan, as the one that best incorporates our
Principles.
The American Diabetes Association is the nation's leading voluntary health
association serving people with diabetes. our membership includes people with
diabetes, as well as the health care professionals who serve them.
The effects of diabetes on our nation's people and our economy are stagger: ng.
Diabetes is the fourth leading cause of death:by disease in this country and
kills 150,000 Americans every year. The complications of diabetes --
blindness, kidney disease, amputations. heartidisease, and birth defects -
cost our nation in excess of $91 billion a year. The results of a 10-year
clinical trial conducted by the National Institutes of Health indicated that
many of these complications are largely preventable with appropriate health
care.
Officers
Office of the E: ocutive
Michael A. Greene
Douglar E. Lund
David H. McClure
Sara Noten
John H. Graism V
Chair of the Board
Chair of the Board-Elect
Vice Chair of the Board
Secretary
Chief Executive fficer
James R. Gavin III. MD. PhD
Kathleen L. Wishner, PhD. MD
Frank Vinicor. MD
Stephen J. Sataline
Richard Kata. PI )
President
President-Elect
Vice President
Treasurer
Chief Scientif d Medical Officer
Patricia D. Stenger. RN. CDE
Linda M. Siminerio. RN. MS. CDE
Davida F. Kruger. MSN, C. RN. CDE
Caroline Stevens
Senior Vice President
Senior Vice President-Elect
Vice President
Chief Operating Officer
of:
al Diabetes Federation
Independent Sector
National Health Council
Combined Health Appeal
APR 8 '94 17:37 FROM A.D.A. 4TH FLOOR
TO 2024562317
PAGE. 004
American
Diabetes
Association.
For these reasons, the Association has worked for many years to ensure access
to health care for people with diabetes and our membership is committed to
making it happen this year.
we applaud you for your personal expertise, deep dedication and outstanding
leadership on health care reform. We hope you agree that addressing our
membership through a video is worthwhile as we move forward in our efforts
together to accomplish meaningful health care reform.
If you have any questions, you may wish to contact John H. Graham, IV, Chief
Executive Officer of the American Diabetes Association. Mr. Graham can be
reached at (703) 549-1500, extension 298.
We look forward to your favorable response.
Sincerely,
James R. Gavin III
Patricia stenger
Michael A. Greene James R. Gavin III, MD, PhD Patricia D. Stenger, RN; DE
Chair of the Board President
Senior Vice President
** TOTAL PAGE. 004 **
SCHEDULE FOR HILLARY RODHAM CLINTON
DATE: WEDNESDAY, MAY 18, 1994
FINAL
Scheduling Desk:
Sharon Kennedy/Julie Hopper
202-456-2922 or 7561
office
202-456-2317
fax
202-797-2145
home
1-800-528-7528
WHCA #4233
PREV RON
The White House
9:00 am -
9:25 am
DROP BY w/Sid Blumenthal
Diplomatic Reception Room
CLOSED PRESS
Contact: Nina Plankin
202-296-5840
9:30 am-
9:35 am
DROP BY w/Alex Forger, Pres. of the Legal
Services
Diplomatic Reception Room
CLOSED PRESS
Contact: Alex Forger
202-336-8800
Staff Contact: Melanne Verveer
456-2538
NOTE: White House Photographer will be present.
9:50 am
PROCEED to OEOB
10:00 am-
SATELLITE FEED TO SENIOR DAY [w/Sen. Riegle]
10:25 am
Room 459 OEOB
OPEN PRESS on site at event
NOTE: The satellite will be two way audio and one way video.
FORMAT:
10:05 am
*Intro. by Sen. Riegle (1 minute)
10:06 am
*HRC speaks (7-10 minutes)
10:16 am
*Q & A between HRC & Sen. Riegle (5-7 minutes)
10:23 am
*Closing comments by Sen. Riegle.
10:25 am
*End & next event.
SCHEDULE FOR HILLARY RODHAM CLINTON
WEDNESDAY, MAY 18, 1994
PAGE 2
PARTICIPANTS:Approx. 4,000 expected to be in
attendance.
(See briefing book for further info.)
Staff Contact: Debbie Chang
202-224-3612 (W)
703-525-8929 (H)
NOTE: The screen will fade to black at 10:30 am.
11:00 am
DEPART The White House South Portico
EN ROUTE Omni Shoreham Hotel
[Drive time: 10 minutes]
Traveling Staff:
-Julie Hopper or Capricia Marshall
-Melanne Verveer
-Doris Matsui
-White House Photographer
11:10 am
ARRIVE The Omni Shoreham Hotel
NOTE: Brian McPartlin will meet HRC curbside.
Greeters: Mary Clement, Co-Chairwoman, Congressional Club-First
Ladies Lunch
Emilie Shaw, Co-Chairwoman, Congressional Club-First
Ladies Lunch
Trish Lott, President, Congressional Club
11:15 am
VIP RECEPTION
Ambassador Room
CLOSED PRESS
PARTICIPANTS: Approx. 180 attending.
[See briefing book for more info.]
FORMAT: There will be a receiving line.
NOTE: A photographer from the Congressional
Club will be present.
NOTE: Head Table participants will hold in Ambassador's Room for
procession. HRC & Mrs. Gore will be presented last.
SCHEDULE FOR HILLARY RODHAM CLINTON
WEDNESDAY, MAY 18, 1994
PAGE 3
12:00 pm-
CONGRESSIONAL CLUB-FIRST LADIES LUNCH
Omni Shoreham Hotel
Regency Room
Holding Room - the President's Room
Phone: 202-234-0700
Attire: Business
CLOSED PRESS
PARTICIPANTS: Approx. 1200 to attend.
[See briefing book for more info.]
FORMAT:
12:00 pm
*Co-Chairwomen Mary Clement & Emilie Shaw intro.
runway participants, HRC will be presented last,
proceed down runway to headtable w/military escort.
(HRC will be seated next to Heather Foley.)
12:20 pm
*Trish Lott makes brief welcoming remarks, all stand
for the singing of the National Anthem & brief
invocation. (Invocation by Mrs. John Breaux)
12:30 pm
*Lunch
1:15 pm
*Trish Lott makes remarks & announces the charity that
will receive a gift from the Cong. Club.
1:23 pm
*Trish Lott intros HRC.
1:25 pm
*HRC makes brief remarks
*Trish Lott will present gift to HRC.
1:35 pm
*Barbara Valetine presents the Entertainment.
2:00 pm
*Depart from headtable (exit down runway, do not work
ropeline.)
Contact: Mary Clement
202-225-4311
2:00 pm
DEPART The Hotel
EN ROUTE The White House
NOTE: Mrs. Gore will ride back to the White
House w/HRC.
2:10 pm
ARRIVE The White House South Portico
2:20 pm
BRIEWING FOR EVENT (w/the President, the
Vice President, Mrs. Gore and Secretary
Shalala)
Red Room
2:30 pm-
HEAD START REAUTHORIZATION BILL SIGNING
3:30 pm
[w/The President]
East Room
OPEN PRESS
PARTICIPANTS: Approx. 380 to attend.
[See briefing book for more info.]
SCHEDULE FOR HILLARY RODHAM CLINTON
WEDNESDAY, MAY 18, 1994
PAGE 4
FORMAT:
HRC makes welcoming remarks and intros Mrs.
Gore.
--Mrs. Gore makes brief remarks and intros
Jeanne Kendall.
-Jeanne Kendall makes brief remarks and
intros Sec. Shalala.
--Sec. Shalala makes brief remarks and intros
the Vice President.
--The Vice President makes brief remarks and
intros Dr. Ansel Johnson.
--Dr. Johnson makes brief remarks and intros
the President.
The President delivers remarks, proceeds to
the signing table and asks Head Start Student
Brian Rivera to hand him the signing pen.
The President signs the bill.
--HRC makes remarks on the birthday cake and
the reception in the Grand Foyer and State
Dining Rooms.
--The President, HRC, the Vice President and
Mrs. Gore work ropeline and proceed to the
parlor rooms.
Event Coordinator: Lee Satterfield
456-2920
Staff Contact: Jennifer O'Connor
456-2572
3:45 pm-
DROP-BY w/Clinic Directors
4:00 pm
Room 100 OEOB, Conference Room
CLOSED PRESS
PARTICIPANTS: Approx. 15 expected to attend
(See briefing book for further info).
Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
SUBJECT/TITLE
DATE
RESTRICTION
AND TYPE
001. schedule
Schedule for Hillary Rodham Clinton, Final [partial] (1 page)
5/18/94
b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Liz Bowyer
OA/Box Number: 3986
FOLDER TITLE:
[HRC Daily File] May 18, 1994
2014-0483-S
sb422
RESTRICTION CODES
Presidential Records Act - [44 U.S.C. 2204(a)]
Freedom of Information Act - 15 U.S.C. 552(b)]
P1 National Security Classified Information |(a)(1) of the PRAJ
b(1) National security classified information [(b)(1) of the FOIA]
P2 Relating to the appointment to Federal office ((a)(2) of the PRA|
b(2) Release would disclose internal personnel rules and practices of
P3 Release would violate a Federal statute [(a)(3) of the PRAJ
an agency [(b)(2) of the FOIA]
P4 Release would disclose trade secrets or confidential commercial or
b(3) Release would violate a Federal statute [(b)(3) of the FOIA]
financial information |(a)(4) of the PRA]
b(4) Release would disclose trade secrets or confidential or financial
P5 Release would disclose confidential advice between the President
information [(b)(4) of the FOIA]
and his advisors, or between such advisors |a)(5) of the PRA|
b(6) Release would constitute a clearly unwarranted invasion of
P6 Release would constitute a clearly unwarranted invasion of
personal privacy |(b)(6) of the FOIA]
personal privacy |(a)(6) of the PRA]
b(7) Release would disclose information compiled for law enforcement
purposes [(b)(7) of the FOIA]
C. Closed in accordance with restrictions contained in donor's deed
b(8) Release would disclose information concerning the regulation of
of gift.
financial institutions [(b)(8) of the FOIA]
PRM. Personal record misfile defined in accordance with 44 U.S.C.
b(9) Release would disclose geological or geophysical information
2201(3).
concerning wells [(b)(9) of the FOIA]
RR. Document will be reviewed upon request.
SCHEDULE FOR HILLARY RODHAM CLINTON
WEDNESDAY, MAY 18, 1994
PAGE 5
FORMAT:
-Walter Zelman will brief HRC in Maggie
William's office.
-Walter intros HRC.
-HRC makes brief remarks.
Contact: Walter Zelman
456-5587
4:30 pm-
VIDEOS
4:50 pm
Room TBD teee Library
CLOSED PRESS
* American Diabetes (2-3 min.)
*
Wellesley Intern Program 50th Anniversary
(3-5 min.)
*
Service Award Acceptance (2-3 min.)
*
Maestro Mstislav Rostropovich (1 min.)
4:55 pm-
VIDEO (w/The President)
5:10 pm
Room TBD tuelibrary
CLOSED PRESS
*PSA - Partnership for a Drug-Free America
RON
The White House
(b)(6)
001
WEATHER FORECAST FOR WASHINGTON, DC:
--Mostly cloudy with a chance of afternoon thunderstorms. Wind
northwest to northeast at 12 to 20 knots. Low 50 to 55. High 67
to 72.
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POLSCIWELLESLEY
PAGE 02
Department of Political Science
UNIVERSITY
Wellesley College
106 Central Street
Wellesley, Massachusetts 02181-8256
(617) 283-2194
FAX (617) 283-3644
Video
5/18
May 9, 1994
Patty Solis
Scheduling Office
Office of the First Lady
Old Executive Office Building
Washington, D.C. 20500
Dear Patty,
I am sending this fax to give you some idea of the topics that might be covered on
the video that we hope Hillary will be able to make for the 50th anniversary of the
Wellesley Washington Internship Program on June 10th. Mrs. Clinton has already written a
brief memoir for the brochure that will be distributed to all of the former interns. Ideally,
the video should be about five minutes long,
- Regrets that she cannot be here that night and greetings to members of the
Washington Alumnae Club on the occasion of their annual meeting
- Welcome Diana Chapman Walsh to Washington
- Greetings to former interns assembled from around the country to celebrate the
50th anniversary of the program
- Hillary's personal reflections on her own internship in the summer of 1968 at the
House Republican Conference
- Importance of continuing the program and exposing students to the public service
sector
Patty, thanks for your help in this matter.
Sincerely,
Alan
Alan Schechter
Professor
Sm
To: First Lady Scheduling
From: Walter Zelman
RE: Meeting with Clinic Directors
Heads of some of the nation's most prominent specialty
clinics will be coming to D.C. on May 18 for a meeting with me
and others from the policy unit.
Their meeting with us will be scheduled from about 10 or 11
A.M. until about 2:30 or 3. As discussed yesterday with your
office we will expect the First Lady to drop in around 2.
Present will be directors or assistants to directors of some
or all of the following clinics: Mayo, Cleveland, Geisinger,
Scrippts, Kaiser and others.
Their association meets in early June. It is my hope that
the May 18 meeting may pave the way to a positive public
statement in June
More detail to follow.
Copyright 1994 PR Newswire Association, Inc.
PR Newswire
May 2, 1994, Monday
SECTION: Washington Dateline
DISTRIBUTION: TO NATIONAL, HEALTH/MEDICAL AND FOOD EDITORS
LENGTH: 511 words
HEADLINE: NEW PUBLICATION DECIPHERS NEW U.S. FOOD LABELS FOR
PEOPLE WITH DIABETES; NEW 'READING FOOD LABELS' AVAILABLE FROM
AMERICAN DIABETES ASSOCIATION
DATELINE: ALEXANDRIA, Va., May 2
BODY:
The American Diabetes Association announced today the availability of a
newpublication for people with diabetes (and their families) that will help them use
the federal government's new food labels - which must appear on most packaged
food products soon -- to choose healthy foods, plan nutritious meals and manage
their diabetes successfully. Association officials encouraged people with diabetes and
the health professionals who treat them to make the most of the informative new
labeling requirements by ordering a copy of "Reading Food Labels: A Handbook for
People with Diabetes."
American Diabetes Association President James R. Gavin III, M.D., Ph.D., praised
the new labels, saying, "Nutrition is one of the cornerstones of diabetes management.
These new labels essentially make nutrition easier for people with diabetes by
presenting nutritional information in a clear, truthful fashion. You no longer have to
be a detective to determine whether or not a particular food product is a healthy
choice." Gavin said the association's new publication would help people with diabetes
use the new labels as an integral tool in selecting foods that are good for them.
The association was one of many health organizations consulted by the Food and
Drug Administration (FDA) during the development of the new label. The
association has encouraged proper nutrition among people with diabetes for nearly
half a century. In recent years, it has published a number of articles for consumers
and health care professionals about the new labels which explained how the labeling
requirements could assist people with diabetes in managing their disease. The
association developed its 16-page, full-color "Reading Food Labels" handbook in
conjunction with the American Heart Association and the American Association of
Diabetes Educators. The publication was thoroughly tested among registered
dietitians and people with diabetes.
Consumers and health care professionals can order a copy of "Reading Food
Labels" by contacting their local American Diabetes Association affiliate listed in the
white pages of the telephone book.
Diabetes is a disease that affects the body's ability to produce or respond properly
to insulin, a hormone that allows blood glucose (blood sugar) to enter the cells of the
body and be used for energy. It can cause serious health complications, including
blindness, kidney disease, heart disease, stroke and nerve damage leading to
amputation. Diabetes is the fourth-leading cause of death by disease in the United
States. Currently there is no cure for diabetes.
The American Diabetes Association is the nation's leading nonprofit health
organization supporting diabetes research, advocacy and information for patients,
health professionals and the public. Founded in 1940, the association has an affiliate
office in every state and conducts programs in more than 800 communities
nationwide. CONTACT: Kathy Lowe of the American Diabetes Association,
703-549-1500, ext. 327
LANGUAGE: ENGLISH
LOAD-DATE-MDC: May 3, 1994
Copyright 1994 U.S. Newswire, Inc.
U.S. Newswire
March 18, 1994
SECTION: ASSIGNMENT DESK, DAYBOOK EDITOR
LENGTH: 400 words
HEADLINE: American Diabetes Association to Sound the Alert March 22; Nearly
Seven Million Americans Have Diabetes and Do Not Know It
CONTACT: Elizabeth Miller of the American Diabetes Association, 703-549-1500, ext.
338
BODY:
News Advisory:
What:
The American Diabetes Alert - a one-day call to action
sponsored by the American Diabetes Association to
encourage people to determine their risk for diabetes,
a serious disease for which there is no cure.
When:
Tuesday, March 22
Why:
Diabetes is a silent disease -- people can go for years
without any symptoms. Half of the nearly 14 million
people with diabetes don't even know it.
Without proper treatment, diabetes can lead to
blindness, kidney failure, amputations, heart attacks
and stroke. This year, more than 160,000 people will
die from diabetes and its complications.
Where: A brief written diabetes risk test will be available
free at special events nationwide. Possible Minority issues (African
Americans are nearly twice as
Story likely to have diabetes; one in four Hispanics over ageAngles: 45 has
diabetes).
Women's issues, including gestational diabetes.
The devastating complications of diabetes.
For the phone number of the American Diabetes Association in your area, contact
Elizabeth Miller at 703-549-1500 ext. 338. Interviews are also available with diabetes
experts and patients.
The American Diabetes Association is the nation's leading nonprofit health
organization supporting diabetes research, information and advocacy. Information is
targeted to patients, health professionals and the public. Founded in 1940, the
association has an affiliate office in every state and conducts programs in more than
800 communities nationwide.
LANGUAGE: ENGLISH
LOAD-DATE-MDC: March 18, 1994
Copyright 1994 Federal Document Clearing House, Inc.
Federal Document Clearing House Congressional Testimony
March 4, 1994, Friday
SECTION: CAPITOL HILL HEARING TESTIMONY
LENGTH: 4067 words
HEADLINE: TESTIMONY MARCH 4, 1994 JAMES E. GAVIN, III, M.D./PH.D.
PRESIDENT AMERICAN DIABETES ASSOCIATION SENATE
APPROPRIATIONS/LABOR, HHS, EDUCATION AND RELATED AGENCIES FY'95
LABOR, HHS, EDUCATION AND RELATED AGENCIES APPROPRIATIONS
BODY:
STATEMENT of the AMERICAN DIABETES ASSOCIATION by JAMES R. GAVIN
III, MD, PhD President on the FISCAL YEAR 1995 APPROPRIATION
for the NATIONAL INSTITUTES OF HEALTH and CENTERS FOR DISEASE
CONTROL AND PREVENTION March 4, 1994 9:30 a.m.
The American Diabetes Association is the nation's leading voluntary healthagency
serving the more than 14 million Americans with diabetes. The association is
comprised of more than 275,000 lay and professional members and has affiliate
associations and more than 800 chapters in all 50 states. The association has a
particular interest in the diabetes-related research supported by the National
Institutes of Health and the prevention and control activities supported by the
Centers for Disease Control and Prevention. We appreciate the opportunity to
present testimony before the subcommittee on the Fiscal Year 1995 funding of these
vital health care programs.
Diabetes is a metabolic disorder that affects the body's ability to produceor
effectively use insulin, a hormone that helps convert blood sugar into energy. There
are two forms of diabetes, type I (insulin-dependent) and type 11 (non-insulin
dependent). Type I diabetes is characterized by the body's inability to produce
insulin, usually strikes before the age of 20 and requires daily injections of insulin.
Type 11 diabetes is characterized by the body's inability to effectively use the insulin
it produces. Individuals diagnosed with type 11 diabetes can initially regulate their
blood sugar levels through diet, exercise and oral medication. Daily injections of
insulin may eventually be required.
Individuals with both type I and type 11 diabetes are at great risk fordeveloping
the disease's life-threatening complications: blindness, end-stage kidney disease,
damage of the nervous system, cardiovascular disease and leg, toe and foot
amputations. These complications result in the deaths of more than 160,000
Americans each year, thereby making diabetes the seventh leading cause of death in
America. It is estimated that diabetes will cost our nation over $92 billion in direct
and indirect medical costs in 1994.
The support of federally-funded diabetes research, aimed at finding a curefor the
disease, is one of the American Diabetes Association's primary interests. The
association is also very supportive of federally-funded prevention and control
programs that greatly improve the lives of people with diabetes.
RESEARCH
For years, political leaders have recognized the importance of improving thelives
of their constituents through advances in biomedical research. It is also clear that a
majority of Americans support federal funding of biomedical research. A recently
conducted Harris Poll found that 91 % of Americans support increased federal
funding of medical research. More than 75 % of the people surveyed indicated that
they would be willing to pay higher taxes, insurance premiums or prescription drug
fees if the money was to be spent on medical research.
Much of this support stems from advances in modem medicine that have
greatlyimproved the lives of Americans. Diabetes-related research has yielded
tremendous advances and has greatly improved the lives of Americans afflicted with
the disease. Prior to the discovery of insulin in the 1920's, type I diabetes was fatal.
Prior to the development of kidney dialysis machines and lasers for eye surgery, the
complications of type 11 diabetes were far more pervasive and severe. But insulin is
not a cure for diabetes. And the complications of diabetes still claim over 150,000
lives each year. It is readily apparent that biomedical research must continue to
search for a cure for diabetes and for more effective ways to limit the disease's
complications,
Research supported by the federal government is coming ever closer toattaining
these goals. The following initiatives exemplify the diabetes-related biomedical
research currently supported by the federal government. Major support for these
initiatives has been provided by the National Institutes of Health, particularly the
National Institute of Diabetes and Digestive and Kidney Diseases.
The Diabetes Control and Complications Trial -- This ten-year study focusedon the
relationship between the effect of blood glucose control on reducing diabetes-related
complications. Researchers found that intensive treatment (an effort to stabilize
blood glucose levels at normal levels) reduced the risk of developing the disease's
life- threatening complications. The risk to patients following an intensive treatment
of developing blindness decreased by 76 percent, nerve damage decreased by 60
percent and kidney disease decreased by 54 percent. The study is the first to prove
that intensive therapy effectively delays the onset and slows the progression of these
life- threatening complications. Originally published in the New England Journal of
Medicine, September 30, 1993.
Diabetes Prevention in Laboratory Animals - Scientists in two independentstudies
discovered a cause of type I diabetes in mice and a way to prevent the disease in the
animals. Investigators found that injections of glutamic acid decarboxylase (GAD), a
naturally occurring pancreatic enzyme, prevented onset of type I diabetes in mice.
Mice genetically prone to diabetes were injected with GAD when three weeks old,
prior to the attack on their pancreas. All of the treated mice escaped the onset of
type I diabetes, suggesting that such treatments might one day be useful for humans
prone towards acquiring the disease. Originally published in Nature, November 4,
1993.
Diabetes and End-stage Kidney Disease - This study demonstrated that
aparticular ACE inhibitor, Captopril, can slow or halt the progression of diabetic
kidney disease (nephropathy) by 50 % in some people with insulin-dependent
diabetes who had signs of kidney disease. The study found that people treated with
Captopril, originally developed as an antihypertensive medication, could cut in half
their risk of dying or needing dialysis or a kidney transplant to stay alive. As
diabetes is the single leading cause of new cases of end-stage renal disease, the
research offers hope for a longer and better quality of life for those suffering from
diabetes-related kidney complications. Originally published in the Journal of the
American Medical Association, November 11, 1993.
Diabetes and Eve Examinations -- This survey found that only 49% of alladults
with diagnosed diabetes in the United States had a dilated eye examination in the
past year, as recommended. Of patients who had a dilated eye exam within the last
year, 57% had type I diabetes, 55% had insulin-treated type 11 diabetes and 44% had
type II diabetes not treated with insulin. The survey also found that the probability
of having a dilated eye examination among individuals with type 11 increased with
older age, higher socioeconomic status and having attended a diabetes education
class. The survey concluded that widespread interventions, including patient and
professional education, are needed to ensure that people with diabetes receive a
dilated eve examination annually to detect retinopathy in order to prevent vision
loss. Originally published in the Journal of the American Medical Association,
October 13, 1993.
The ramifications of these groundbreaking studies are staggering.
Medicalprofessionals now have conclusive evidence that intensive treatment
diminishes diabetes-related complications. People with diabetes have access to a new
drug which curtails the progression of kidney disease. And researchers searching for
a cure for diabetes can prevent the disease in laboratory animals.
In addition to these groundbreaking initiatives, hundreds of investigatorsin all 50
states are making progress in the fight against diabetes. Diabetes-related research is
currently being supported by more than 10 institutes of the NIH. This research has
focused on many aspects of the disease. Researchers supported by the National
Cancer Institute (NCI) have examined the regulation of cell growth and metabolism
and how it affects the development of diabetes. The National Heart Lung and Blood
Institute (NHLBI) has focused on diabetes' role as a risk factor for cardiovascular
disease and its effects on the cardiovascular system. And the National Institute of
Neurological Disorders and Stroke (NINDS) has supported a long-term study to
probe the frequency, severity and symptoms of diabetes- related nerve damage over
time. It is critical that these efforts also continue to be supported by the federal
government.
The American Diabetes Association recognizes, however, that the
federalgovernment cannot bear sole responsibility for our nation's biomedical
research. As part of its mission to prevent and cure diabetes and improve the lives of
all people affected by diabetes, the association makes a significant contribution to
diabetes research efforts. In 1993, the association provided almost $9 million in
funding for diabetes research projects nationwide. We plan to increase this amount
in 1994. This funding provides critical support to young diabetes investigators and
allows for the development of innovative research projects. Major research projects
planned by the association include the GENNID Project, which will investigate the
genetic causes of type 11 or non-insulin dependent diabetes, and a joint type I
prevention project with the NIDDK.
Unfortunately, despite the commitment of all parties involved, hundreds
ofmeritorious research proposals are being rejected due to funding limitations at the
NIH, particularly at the NIDDK. In Fiscal Year 1993, the NIDDK received a 3 percent
increase over the previous year's appropriation. Given a biomedical research
inflation rate of 5.2 percent that year, the Institute actually lost money in real terms.
The NIDDK did not fare much better in Fiscal Year 1994. President Clinton's budget
included a reduction in funding. But Congress, recognizing the importance of the
NIDDK's mission, added a much appreciated increase of 4.7 percent. However, more
aggressive support for the NIH, and the NIDDK in particular, is required if a cure is
to be found for diabetes and if the negative impact of the disease's complications are
to be minimized.
PREVENTION AND CONTROL
The Centers for Disease Control's (CDC) Division of Diabetes Translation(DDT) is
the lead federal agency concerned with preventing and controlling the complications
of diabetes. The CDC's diabetes program was initiated in 1977 and in 1988 was
directed by Congress to be responsible for coordinating the efforts of federal health
agencies and other entities to translate diabetes research into widespread clinical and
public health practice.
The national measures formulated by the CDC to reduce the burden of diabetesin
the United States have included 1) defining in creative, effective programs and
policies that reduce the nature, extent, causes and distribution of the burden of
diabetes; 2) develop ing creative, effective programs and policies that reduce the
burden of diabetes; 3) ensuring implementation of these programs and policies,
particularly through CDC's partnership with state health departments; and 4)
coordinating these efforts with other governmental,
voluntary, professional and academic institutions. In each of these areas, emphasis
has been placed on communities and populations at particular risk for diabetes and
its life-threatening complications.
These preventive health measures have been carried out primarily through
thestate-based Diabetes Control Programs. Technical and financial assistance have
been provided to the various states health departments to conduct a wide range of
preventive services. These programs have provided eye and foot examinations,
education on the importance of diet and exercise and prenatal care to prevent
diabetes- related infant deaths. These programs have been very successful in
lessening the impact of diabetes in the communities in which they operate.
The changing face of health care in America is necessitating changes in theway the
CDC provides these diabetes-related prevention services. Emphasis on quality
assurance, public information and education, social marketing, assuring appropriate
utilization of available care, assessment of health outcomes, community based
interventions and development of effective public policy will characterize public
health activities in the coming years. The Division of Diabetes Translation plans to
incorporate these aggressive new strategies in their prevention and control efforts.
The state-based Diabetes Control Programs will reflect this changing natureof
public health in America. These programs will begin to move away from the highly
localized care and the direct delivery of services which currently characterize the
program. Instead, they will provide leadership and coordination of the
diabetes-related preventive services of a state's health department. By assuming this
greater role in coordinating diabetes-related prevention activities, the CDC can
expand its services to reduce the impact of diabetes in America without
compromising quality of care.
Recognizing the prevalence of diabetes and the effectiveness of the Divisionof
Diabetes Translation, Congress provided for a generous increase in funding for the
program's Fiscal Year 1994 operation. This increase in funding will allow the
Division of Diabetes Translation to expand their prevention and control efforts into
35-40 states, up from the twenty-six it funded in Fiscal Year 1993.
It is the goal of the American Diabetes Association to see the Division ofDiabetes
Translation operate on a national level. It is critical that this program operate in all
states and territories at a funding level that will allow each state health department
to adequately tackle the problem of diabetes in its communities. Current grants to
the states for these critical prevention and control programs average approximately
$200,000 each. It has been estimated that in order for most states to adequately
address the problem of diabetes, funds approximating $500,000 will be required. For
larger states, funds approximating $1,000,000 will be required.
RECOMMENDATIONS
The American Diabetes Association recommends a Fiscal Year 1995appropriation
of $798 million for the NIDDK. This will allow researchers to fully explore a
substantial portion of promising new and ongoing diabetes research opportunities
while taking budgetary constraints into consideration. The American Diabetes
Association also recommends a Fiscal Year 1995 appropriation of $11.95 billion for
the NIH. This will allow researchers supported by other NIH Institutes to continue
their valuable cross-cutting and primary research into diabetes.
The American Diabetes Association also recommends an FY 1995 appropriationof
$69.5 million for the CDC's Division of Diabetes Translation, an increase of $51.6
million. This will allow the Division of Diabetes Translation to fully fund diabetes
prevention and control programs in all states and territories. In addition to the
American Diabetes Association, this level of funding has been endorsed by the
Juvenile Diabetes Foundation and the American Public Health Association's CDC
Coalition.
The American Diabetes Association appreciates the opportunity to
presenttestimony to the subcommittee. We owe much of this country's progress in
diabetes research and treatment to this subcommittee which has recognized the
benefits, in human and economic terms, of a strong federal investment in diabetes
research and prevention programs.
LANGUAGE: ENGLISH
LOAD-DATE-MDC: March 4, 1994, Friday
Copyright 1993 PR Newswire Association, Inc.
PR Newswire
November 15, 1993, Monday
SECTION: Domestic News
DISTRIBUTION: TO NATIONAL AND HEALTH/MEDICAL EDITORS
LENGTH: 465 words
HEADLINE: AMERICAN DIABETES ASSOCIATION URGES HEALTH
SUBCOMMITTEE TO DEFINE FULL RANGE OF DIABETES CARE AS BASIC
BENEFITS IN HEALTH CARE REFORM
DATELINE: ALEXANDRIA, Va., Nov. 15
BODY:
Citing the promising prevention results of a flurry of recent federallyfunded
diabetes research, the American Diabetes Association today called on the Health
Subcommittee of the House Ways and Means Committee to include the full range of
supplies and care required to treat diabetes every day in the basic benefits package of
any health care reform bill enacted by Congress.
"We are pleased that recent clinical trials and research studies have clearly shown
that diabetes complications can be prevented or delayed by proper treatment,"
testified American Diabetes Association President James R. Gavin III, M.D., Ph.D.
"Thus, we feel that it is the association's obligation to ensure that the basic benefits
package is defined to include access to appropriate diabetes treatment and
management."
In his testimony, Gavin requested the subcommittee consider the association's four
principles of health care reform when creating the legislation:
-- Principle I: Ensure universal access to quality diabetes
treatment.
-- Principle II: Prohibit pre-existing condition exclusions.
-- Principle III: Provide coverage for prescription drugs and
insulin, diabetes-related supplies, equipment and education.
- Principle IV: Mandate community rating.
In addition, Gavin asked the subcommittee to specifically address the following in
reform coverage:
- All supplies necessary for the proper function and maintenance
of equipment included in the definition of durable medical
equipment (e.g., blood glucose meters) be included in the basic
benefits package. These would include test strips and lancets.
-- Insulin, syringes, infusion pumps and tubing be included in the
basic benefits package and the new Medicare benefits section.
- Education or self-management training be a required component
of all health plans.
-- Services provided by dietitians and nurses be included in the
basic benefits package.
Diabetes is a disease that affects the body's ability to produce or respond properly
to insulin, a hormone that allows blood glucose (blood sugar) to enter the cells of the
body and be used for energy. Diabetes will kill more people than AIDS this year.
For every women who dies from breast cancer this year two will die from diabetes.
Currently there is no cure for diabetes.
The American Diabetes Association is the nation's leading non-profit health
organization supporting diabetes research, advocacy and information for health
professionals, patients and the public. Founded in 1940, the association has an
affiliate office in every state and conducts programs in more than 800 communities
nationwide. CONTACT: Jerry Franz (ext. 291) or Chris McNamara (ext. 292) of the
American Diabetes Association, 703-549-1500
LOAD-DATE-MDC November 16, 1993 DC004
Copyright 1993 PR Newswire Association, Inc.
PR Newswire
November 12, 1993, Friday
SECTION: Domestic News
DISTRIBUTION: TO NATIONAL AND HEALTH/MEDICAL EDITORS
LENGTH: 454 words
HEADLINE: AMERICAN DIABETES ASSOCIATION URGES AMERICANS TO
TAKE CHARGE OF THEIR HEALTH ON WORLD DIABETES DAY
DATELINE: ALEXANDRIA, Va., Nov. 12
BODY:
The American Diabetes Association (ADA) issued a challenge today to
allAmericans to take charge of their health on World Diabetes Day, Nov. 14.
Americans should take this opportunity to find out if they are at risk for diabetes or,
if they already have the disease, to learn more about it.
The number of people with diabetes around the world is rising at startling levels; it
has more than tripled since 1987. The International Diabetes Federation now
estimates that 6 percent of the world's population is affected by diabetes - between
100 and 200 million people and the costs can take up as much as 10 percent of
national health budgets. In the United States alone, more than 13 million people
have the disease, which has a yearly economic cost of nearly $92 billion.
"Most people don't realize how serious diabetes is," said Kathleen L. Wishner,
Ph.D., M.D., president-elect of the American Diabetes Association. "Treating patients
with diabetes, I know the importance of taking charge of your health. Not doing so
can bring dire consequences. It's imperative that people at a high risk for diabetes get
tested. And if you or someone in your family has diabetes, knowing the most
current standards for treatment is essential. World Diabetes Day is a perfect time to
make a commitment to learn more about this disease."
Individuals are at a high risk if they have a family history of the disease, are
overweight or if they have experienced symptoms, including excessive thirst, extreme
fatigue, blurry vision, unexplained weight loss and frequent urination. African
Americans, Native Americans and Hispanics are especially at risk.
Diabetes is a disease that affects the body's ability to produce or respond properly
to insulin, a hormone that allows blood sugar to enter cells and be used for energy.
According to the American Diabetes Association, more than half of those affected
by diabetes do not know they have this serious disease. Many will first learn that
they have diabetes when treated for one its complications - heart disease, kidney
disease, loss of vision, nerve damage and amputation. In the United States, more
than 650,000 people will be diagnosed with diabetes this year; 160,000 will die.
The American Diabetes Association is the nation's leading nonprofit health
organization supporting diabetes research, advocacy and information for health
professionals, patients and the public. Founded in 1940, the association has an
affiliate office in every state and conducts programs in more than 800 communities
nationwide. CONTACT: Kathy Lowe, ext. 327, or Chris McNamara, ext. 292, both of
the American Diabetes Association, 703-549-1500
LOAD-DATE-MDC: November 13, 1993 DC038
Copyright 1994 The San Diego Union-Tribune
The San Diego Union-Tribune
January 3, 1994, Monday
SECTION: LOCAL; Ed. 1,2,3,4; Pg. B-1
LENGTH: 2626 words
HEADLINE: High legal fees do little justice to many in U.S.
BYLINE: LORIE HEARN
Staff Writer
BODY:
Legions of middle-class Americans walk into courthouses each year, lugging with
them life's worst problems. Some have been fired. Others have been injured. Many
risk eviction from their homes or have crumbling marriages.
But for too many, this walk is without a lawyer.
While there are no recent figures documenting the legal crisis of the middle class,
stories abound from speaker's podiums in Washington to the halls of San Diego
County's courthouses about workaday folks who need a lawyer or legal advice but
just can't afford fees ranging from $100 to $250 an hour.
The need is so pervasive that some legal observers only half-jokingly suggest that
as soon as the Clinton administration has finished expanding access to health care, it
will come after legal services.
The American Bar Association (ABA) is soon to release results of an extensive
survey on the subject that may shore up, with statistics, anecdotal speculation that
the civil justice system is beyond the grasp of most citizens.
If the situation hasn't been bad enough for years, the sagging economy is making
matters worse.
Those involved in the system point out that when times are tough, people have
more legal problems - more workers' compensation claims and wrongful termination
lawsuits and bankruptcies, more evictions and divorces.
And the business of law itself is depressed.
Firms with high overhead are not hiring new associates, who usually are
encouraged to help the poor for free or for reduced fees. Lawyers in practice alone
are struggling to make ends meet and can't afford to take many cases that don't
generate big fees.
Directors of some lawyer referral services report that many experienced, highly
qualified attorneys, who in the past have had plenty of business from
word-of-mouth, have asked to be put on their lists.
Through it all, lawyers, judges and politicians are putting the public's legal needs
at the top of their agendas with proposals for making legal help more affordable and
the system easier for do-it-yourselfers.
"In this economy," said H. Ronald Domnitz, presiding judge of San Diego
Municipal Court, "there will be good attorneys available for lower fees."
Margaret Morrow, a Los Angeles lawyer who is president of the State Bar of
California, has made improving access to legal advice a major goal for the year.
"It's an issue we believe is very important," Morrow said. "It is something the
organized bar has been talking about for many years, but we haven't really
developed the best solutions yet."
More do it themselves County, the needs are plain:
O Court officials are seeing an increasing number of people representing
themselves in lawsuits.
O Some two-thirds of the people who call the San Diego Volunteer Lawyer
Program, which offers certain free legal services to the poor, are turned away, often
because they make more than the limit of $17,438 a year for a family of four.
() The San Diego County Bar Association's Lawyer Referral and Information
Service referred 192 people to lawyers on a single record-breaking day in October.
O The number of lawsuits over auto accidents filed in San Diego Superior Court
dropped about 15 percent from 1992 to 1993, leading to speculation that the "smaller"
lawsuits -- for damages in the $25,000 to $50,000 range - simply are not being filed
because lawyers won't take them.
O At least one party had no lawyer in about 65 percent of the family court battles
waged in 1992 over property, child custody and money, the supervising judge said.
On two recent days in family court, at least one party in half the cases heard in one
courtroom had no lawyer.
One such litigant was Jonathon McEwen, a Vistan recently out of the Navy, who
rustled up a well-worn suit for the first court appearance in the dissolution of his
four-year marriage.
Representing himself against his wife's lawyer, McEwen said little at the hearing,
and when he did, he was barely audible.
McEwen said afterward that he had felt "very lost." He had asked a couple of
retired military lawyers about taking his case, but McEwen said he couldn't afford
the $1,000 or $1,500 they wanted in advance.
The whole court experience, he said, "made me wish I would have had a lawyer."
Judge Wesley Mason, who presides in family court, sees cases like McEwen's every
day. He said simply, "The need is incredible."
Mason said when he sees people fighting in court over their financial and
emotional futures and those of their children without a lawyer's help, he often urges
them to find some way to get an attorney.
"I tell them this is the most critical time in your life," Mason said. "If you have
relatives that can lend you some money to get through this, now is the time to do it.
It is the best loan you'll ever get."
But at the same time, Mason has empathy for legal practitioners. Many lawyers
help the poor for free, cut their fees, allow clients to make payments and volunteer to
fill in as judges in swamped courts, he said.
User-friendly courts of problems in mind, lawyers, judges, legislators, academics
and legal-services activists are looking for ways to make changes in both the courts
and in the business of law.
There is a move across the country to make the courts more user-friendly, so that
hiring a lawyer would be necessary only in complicated cases.
San Diego attorney Charles Bird thinks the legal system should do more to help
citizens handle their own straightforward legal matters.
"I would expect the average citizen is perfectly competent to fill out a form that
says, 'I want a divorce,' " Bird said.
Indeed, legal minds are paying attention to the growing numbers of people who
handle cases themselves, either because they can't afford a lawyer or chose not to
deal with one.
The ABA recently reported that in 90 percent of divorce cases in MaricopaCounty,
Ariz., three years ago, at least one side did not have an attorney. This number was
up from 24 percent a decade earlier.
In a statistic that seems to verify a wave toward voluntary self-help, the report said
72 percent of those people said they would do it again if they had to.
Since that survey, Maricopa County (which includes Phoenix) has set an example
for the nation with its "QuickCourt," a do-it-yourself computer kiosk - it looks like
an ATM machine -- installed in three courthouses.
A person punches some buttons and there appears the image of an actor, recorded
on laser disk. The man answers questions, explains forms and even calculates child
support, all in either English or Spanish.
When an inquiry is finished, completed forms pop out, ready to file - all without a
lawyer. And it's free.
Mary Budinger, spokeswoman for the Maricopa County Superior Court, calls the
$119,000, 5-month-old project a success, saying about 200 people a month use it at the
Mesa, Ariz., courthouse alone.
At that rate, court officials figure the device can handle one-quarter of the divorces
filed each year in which the parties choose not to use attorneys.
Morrow said California bar officials are looking at QuickCourt with an eye toward
duplicating it on an experimental basis.
QuickCourt is not under serious consideration in San Diego, though officials say
the county hopes to expand its mediation services by copying another progressive
Maricopa County family court project in which a team of professionals help people
mediate their money disputes outside of court.
Alternatives to court
Across the street from the downtown county courthouse, librarians at the San
Diego Law Library are on the self-help front lines.
They say increasing numbers of people who say they can't afford or don't want
lawyers are asking for information about court forms and appeals. The demand is so
great that the library produces research guides.
Meanwhile, self-help law book publishers, like Nolo Press, report burgeoning sales,
especially in books on divorce, estate planning, tenants' rights and business law --
and on small-claims cases, in which people traditionally represent themselves.
Another ABA study due for release soon takes a broader look at the places across
the nation where people represent themselves in court the most to see how they dealt
with their cases without lawyers.
The study is to touch on California's laws, which do not even require court
appearances in uncontested divorces; Florida's model divorce filing forms and the
Arizona bar's how-to video for divorces.
When talk turns to justice for all, fingers always point to what lawyers themselves
can do to counter criticism that they have priced themselves - and access to the
courts -- out of the average American's budget.
Prepaid legal plans, which are available mostly through employers or labor unions,
have gained popularity. And the hotly contested idea of allowing paralegals or legal
technicians to perform certain legal tasks otherwise handled by lawyers promises to
be renewed again next year in the California Legislature.
As for lawyers themselves, Morrow and other state and local bar leaders encourage
pro bono work, the term for free or discounted legal service.
In San Diego County alone, some 2,000 attorneys out of the county's more than
9,000 take part in the Volunteer Lawyers program, which provides free service in a
variety of areas, particularly legal aid to battered women.
Some judges say these depressed economic times offer lawyers an opportunity to
make a living while helping working-class litigants.
"The time is ripe to get into practice specializing in small (personal injury) cases,"
said Arthur Jones, the presiding judge of the county's Superior Court.
Adrienne Orfield, the new County Bar Association president, said the bar needs to
do a better job telling the public what's already available.
Already, various local bar associations sponsor legal clinics and law school-type
community programs to tell people about their rights and guide them in finding a
lawyer, or to offer them tips on how to handle their cases themselves.
As an extension of its Lawyer Referral and Information Service, the county bar
runs a Modest Means program in the family law courts in which people who are
above the poverty level are paired with attorneys who charge $65 an hour. This
well-used program may be expanded.
Although some lawyers grouse that theirs is the only profession constantly needled
to work for free, state bar president Morrow thinks that as long as access to the
courts -- a constitutional right -- is a problem, lawyers have an obligation to respond
with services people can afford.
"We are expected to be gatekeepers of the system," she said, "We are part of the
societal-dispute-resolution system that is bigger than the business of law."
THE SAN DIEGO COUNTY LAW LIBRARY a wealth of legal information, though
its librarians cannot provide legal advice. These are its branch locations:
O San Diego County Law Library, 1105 Front Street, San Diego
0 East County branch, 250 E. Main St., El Cajon
() North County branch, 325 S. Melrose Dr., Vista
O South Bay branch, 500 Third Ave., Chula Vista
ATTORNEY REFERRAL SERVICES IN SAN DIEGO COUNTY
These referral services have been certified by the State Bar of California:
O Attorney Referral Service of San Diego County, Orange County and Inland
Empire, 295-1654
O Attorney Referral Service of the San Diego Trial Lawyers Association, 696-6200
() East San Diego Lawyer Referral Service, 588-1936
O Experienced Attorneys Referral Service, 800-397-3743
O Lawyer Referral and Information Service of the San Diego County Bar
Association, 231-8585
() Lawyer Referral Service of the Bar Association of Northern San Diego County,
758-4755
O Pacifica Attorney Referrals, 698-7777 Personal Injury Attorneys Referral Service,
599-3615, 753-0695
O South Bay Lawyer Referral Service, 422-5377
() South Bay Lawyer Referral Service, 422-5377
GRAPHIC: 3 PHOTOS 2 CHARTS; 1. Case study: An innovative kiosk in Mesa, Ariz.,
helps people find their way through the legal system in Maricopa County; the
QuickCourt terminal can substitute for a lawyer in some cases. (B-4) 2.
MargaretMorrow: State bar leader seeks solutions. (B-4) 3. Keeps own counsel: Like a
growing number of Americans, Jonathon McEwen felt forced to go to court without a
lawyer. (B-4) 4. THE SAN DIEGO COUNTY LAW LIBRARY (B-4) 5. ATTORNEY
REFERRAL SERVICES IN SAN DIEGO COUNTY (B-4)
LANGUAGE: ENGLISH
LOAD-DATE-MDC: January 6, 1994
Copyright 1993 UMI/Data Courier;
Copyright San Diego Daily Transcript 1993;
Business Dateline;
San Diego Daily Transcript
May 25, 1993
SECTION: Sec A; Pg 1
LENGTH: 1242 words
HEADLINE: Volunteer lawyer program hungry; Clients aplenty
BYLINE: Pamela Wilson
DATELINE: San Diego; CA; US; Pacific
BODY:
Private firms and public agencies are not the only branches of the legal world hurt
by the slow economy; charitable groups providing legal help to the poor also have
been hit.
Carl Poirot has seen the toll declining resources has taken on his organization, the
San Diego Volunteer Lawyer Program, which had to cutback telephone intake
sessions from 35 hours a week to one this year.
"It's like trying to get a tee time at Torrey Pines," Poirot said of the dialing frenzy
prospective clients must make to get to see a volunteer lawyer.
SHORTER HOURS
The group, which just celebrated its 10th year of service, was forced to adopt the
decreased intake hours to cope with a smaller bankroll, despite an ever-increasing
population of needy clients.
Last year SDVLP helped almost 10,000 people, closing 8,100 cases. But that was
down more than 1,000 from 11,300 people the group helped in 1991.
"You are really counting paper clips," Poirot said of the budget squeeze. "The
impact is, we have been able to serve fewer people."
The biggest hit to SDVLP's $ 614,000 budget was caused by a $ 91,000 cut in funds
from the State Bar, from $ 255,000 in 1992 to $ 163,000 this year. The 33 percent
reduction was on top of a 15 percent cut between 1990 and 1991.
ACCOUNTS SHRUNK
In years past, the State Bar had more than $ 20 million to donate annually to legal
service groups. The funds were "found money" in a way, because the sums were
gathered from interest earned on client funds kept in lawyer trust accounts until they
are paid out. Thousands of tiny trust accounts in banks statewide, funds that may be
held only a few days, generated millions for legal service groups.
But the recession shrunk the sums held in client trust accounts and drastically
reduced the interest paid on them, from 6 to 8 percent years ago to as little as .5
percent to 2 percent now.
Just between 1992 and 1993, interest collected on client trust accounts for
distribution to legal service providers declined from $ 22 million to $ 15 million.
That drop means San Diego Volunteer Lawyer Program isn't the only agency
feeling the pinch. The Legal Aid Society of San Diego Inc. is expecting a 10 percent
cut in its State Bar grant, and legal service providers statewide are suffering.
Reducing intake to limit the number of cases SDVLP accepts wasn't the only step
Poirot was forced to take to cope with shrinking revenues. He also allowed attrition
to cut his staff from 16 to 12-1/2. Attorneys, paralegals and intake workers who quit
have not been replaced.
The agency also had to pare down services to core areas. The group's three
domestic violence restraining-order clinics are still operating at their previous levels,
and a program providing legal services to people with HIV or AIDS is still intact.
But services to people with divorce, family support and child custody problems
have been reduced.
"We have really had to cut back," Poirot said. "We turn away eight out of 10
requests."
The agency reduced the number of disabled people it could help who are seeking
Social Security Insurance benefits.
"Many of these applicants are mentally impaired," Poirot said. "The forms are very
complicated. They may not have the background, and many can't do it."
So even though SDVLP has a 70 percent success rate at winning SSI benefits for
people who were turned down initially, the group drastically cut back the number of
SSI appeals handled.
Services to refugees seeking political asylum also have been curtailed, as well as
help for people facing bankruptcy and foreclosure because of layoffs.
"If one or both family members lose their job, because of the recession," Poirot said,
"within a matter of months, they are in deep, deep trouble."
VOLUNTEERS EXIST
Ironically, Poirot believes there are more volunteer lawyers willing to do the pro
bono work than his staff can distribute cases to.
"It's like an hourglass; the little tiny space where the sand goes through is my
staff."
One of the reasons the sand goes through so slowly: It takes an average of 30
telephone calls to volunteer lawyers to find an attorney ready, willing and able to
take a case.
That's because few attorneys can even be reached on the first phone call. Once a
live one is on the phone, he or she may be reluctant to take a case if it concerns an
area with which the lawyer isn't familiar.
Staff volunteers help with some of those calls, Poirot said, but they get "real tired"
of making 30 calls to place just one case.
The group's telephone lines, which used to be open seven hours a day, are now
only open twice a week. Once staffers accumulate the week's caseload total of 30
clients, the answering machine goes on.
That drastic cut in telephone hours was required for efficiency, Poirot said. Before,
his staff spent scarce time processing clients who turned out not be ineligible. In
addition, the volume of eligible clients outpaced his staffs ability to distribute cases to
volunteer lawyers.
Now staffers open the phones for only about a half-hour, twice a week. Staffers ask
a brief series of questions to determine whether the caller is eligible for services. If so,
they are scheduled for a comprehensive intake appointment at SDLVP's offices.
Despite the cuts, the picture isn't totally gloomy. On the statewide level, a State Bar
committee is meeting with bank representatives to convince them to increase interest
rates paid on client trust accounts.
Locally, Poirot knew in advance that SDVLP's grant from the State Bar would be
cut and began an aggressive campaign to make up the shortfall.
Lawyers Club promised to contribute $ 15,000 and ended up raising $ 31,000. The
San Diego County Bar Foundation gave an emergency grant of $ 10,000, as did the
County Bar Association, which promised an additional $ 30,000 for fiscal 1993.
"That's made up a large portion of the deficit," Poirot said. "But costs are still going
up."
Most recently, a fund-raising dinner this month raised $ 41,800. Poirot also has
launched some new service areas, which he believes will benefit the group and the
community by attracting new volunteer lawyers.
NEW AREAS
Those include plans to develop panels of attorneys who will help hate-crime
victims sue for civil damages, and another panel to help parents collect unpaid child
support payments.
A program launched in February and supported by an outside grant will assist
children and youth. Key efforts include helping children to leave foster care by
arranging legal guardianships with relatives or emancipations, assisting the guardians
of disabled children to apply for under-used SSI benefits, and helping immigrant
foster children to apply for legal residency under a little-known immigration law.
Poirot said SDVLP also has begun sending volunteer lawyers to the Children's
Hospital and Health Center each week, to assist abused and neglected children and
their guardians with legal problems.
Despite the group's fiscal problems Poirot said, "We constantly need help from pro
bono lawyers, paralegals and law students.
"Even though we are having all these difficulties financially," he added, "I have this
philosophy that we can still increase the opportunities for lawyers to get involved by
increasing the menu of services we provide.
"If you offer a new set of services, people will come forward who haven't in the
past. We already have 100 to 150 new volunteers signed up for the children's
programs."
LANGUAGE: ENGLISH
LOAD-DATE-MDC: January 25, 1994
Copyright 1992 The Times Mirror Company
Los Angeles Times
September 5, 1992, Saturday, San Diego County Edition
SECTION: Metro; Part B; Page 1; Column 2; Metro Desk
LENGTH: 1346 words
HEADLINE: DROP IN VOLUNTEERS CURTAILS LEGAL AID FOR NEEDY;
JUSTICE: MODEL PROGRAM HAS BEEN FORCED TO STOP TAKING CERTAIN
NEW CASES BECAUSE FEWER LAWYERS ARE VOLUNTEERING FREE SERVICES.
BYLINE: By ALAN ABRAHAMSON, TIMES STAFF WRITER
BODY:
Donna, a 20-year-old Carlsbad woman, has a 7-month-old daughter and a broken
marriage. She fears her husband. She desperately wants a divorce.
Donna has no job and gets by on welfare. With no extra money to hire a lawyer to
file the divorce papers, she paid a visit earlier this summer to the San Diego
Volunteer Lawyer Program, the agency that matches people in need of legal aid with
lawyers willing to help for free. Two months have passed, going on three - and still,
Donna doesn't have an attorney.
"Things are getting desperate," Donna said, asking that her last name not be used.
"My husband, when he comes over once a week to see (the baby), he comes over
when he's been drinking and he makes comments about (the girl) sexually. It makes
me really uncomfortable. I need a divorce, and I need it immediately."
For the first time in years, the Volunteer Lawyer Program finds itself unable to
help. Hit hard by the recession and abandoned by attorneys, the program has
stopped taking certain new cases - a move that essentially denies legal help to poor
people facing marital or child support problems, needing disability benefits or coping
with AIDS or the HIV virus.
The number of people needing legal attention has so greatly outstripped the supply
of lawyers willing to donate their time that the program shut its doors in mid-July,
officials said. It still is not yet clear when business will return to normal, officials
said.
"I feel so desperate to get these cases out," said Carl R. Poirot, executive director of
the program. "But we can't do it."
The move marks the first time the Volunteer Lawyer Program has had to close its
doors for an extended period, an unexpected setback for an agency that has become
well known for its remarkable success.
Poirot arrived in San Diego six years ago. Since then, the Volunteer Lawyer
Program has earned a reputation as a model program, an always-ready provider of
free legal services for the needy. "It is not only known statewide but nationally," said
John Seitman, a San Diego lawyer and current president of the State Bar of California.
"It's a wonderful program."
All lawyers are supposed to volunteer their time, efforts lumped under the label
pro bono, shorthand from the Latin phrase meaning "for the public good." The
private bar has a long and distinguished tradition of working for free - though it's
an ongoing sore spot with bar leaders that most lawyers don't do pro bono work
because they are motivated mainly by money.
For years, however, Poirot has been able to wheedle lawyers to help out, stressing
the notion that doing good is its own reward. He also reminds newer attorneys that
the program offers practical experience not available to most young lawyers, who
rarely see the inside of a courtroom.
The program takes in about 10,000 cases a year, most of which require only a
one-time visit with a lawyer, Poirot said.
About 8,000 lawyers practice in San Diego County, according to the State Bar of
California. About 1,300 lawyers volunteer their time, 1,000 regularly, Poirot said.
About 500 paralegals, secretaries and law students also pitch in, he said.
This summer, however, the number of attorneys actually volunteering diminished
sharply, Poirot said. It had become routine to average 30 to 35 phone calls just to
place a case with a willing attorney, Poirot said.
"In some instances," Poirot said in a memorandum that circulated last month
among San Diego lawyers, "attorneys are even asking us to take back cases they have
already agreed to handle."
When the program's backlog of pending cases grew to about 150, Poirot said,
officials decided in mid-July to close the intake doors.
Still open is the program's domestic violence prevention project, which accounts for
some 70% of the workload. The service runs clinics at the Family Court in downtown
San Diego and at county courthouses in El Cajon and Vista.
But, in July, the program stopped taking three categories of new cases.
Particularly "painful," Poirot said, was the decision to turn away people infected
with the HIV virus, with legal needs ranging from will-writing to insurance coverage
disputes.
The HIV-related caseload this year had been running markedly higher than last
year, Poirot said.
For instance, in April, 1992, the program served 101 clients, up 18 from April, 1991.
In July, 1992, even though the doors were closed mid-month to new cases, the
HIV-related caseload hit 112. That was a 34% hike over July, 1991, when the count
was 83.
Beginning in July, the program also opted to begin turning away social security
appeals for the disabled. It actually had to send 26 social security cases back to the
county Department of Social Services, saying no lawyers could be found.
The program also stopped taking family law cases, meaning child support,
paternity suits and divorces.
"These are compelling situations for people in dire need of legal assistance," Poirot
said in the memo. "If we do not help them, they have no other legal resources to turn
to."
He added in an interview: "Some of the (lawyer) volunteers on our register, we
need to get out there and pump them up."
Why the program has suddenly run into trouble remains unclear.
"We don't know whether this is a function of vacation, the fact that it's
summertime or whether it's something else going on, something that might be related
to the recession," Poirot said.
Bar leaders said the culprit is the recession.
"It's a tough business climate," said Anthony J. Battaglia, president of the San Diego
County Bar Assn. "There are lawyers out of work. For those working, their offices
have been impacted by the financial strain. Sometimes attention has to be devoted to
making the overhead, meaning time for volunteer functions is less."
It's abundantly clear that the recession is the reason why the Volunteer Lawyer
Program's funding is down sharply.
The program relies, in large part, on federal and state funds to pay for staff and
overhead, but federal funding this year is likely to be flat and the state is giving it
less money.
In fiscal 1992, the federal government allocated the Volunteer Lawyer Program
$209,845, its share of a huge pot doled out to legal aid groups around the nation. In
fiscal 1993, though rent is up and the cost of malpractice insurance is up, the federal
government is once again projecting a grant of $209,845, according to program
documents.
State funds come via the State Bar of California, which allocates money to pro
bono programs around the state from the interest-bearing client trust account each
California lawyer is required to maintain.
Because of complicated revenue sharing formulas and because banks have lowered
interest rates dramatically, the State Bar's fiscal 1993 grant to the San Diego program
is down 15% from 1992, from $261,716 to $224,128.
Other funding sources remain uncertain, and the San Diego program's projected
fiscal 1993 revenue total, $495,728, is down 12% from the 1992 total, $561,646,
according to program figures.
To compensate, Poirot said he has made the rounds in recent weeks, seeking
corporate and charitable help. The San Diego County Bar Foundation, the local bar
association's charitable arm, is due this month to consider a $20,000 or $30,000 grant,
officials said.
Until more money comes through, Poirot said, the program will be unable to fill
two staff positions. One is a paralegal slot. The other, an "intake and referral
specialist," works at the heart of the program, assigning clients needing help to
volunteer attorneys.
The 12 people still on staff - 11 plus Poirot - are eager for relief. "God, do we ever
need help," staffer Carol Rogers said.
So, said 20-year-old Donna, does she. And she's not sure what to do.
"I'm just stuck all the way around," Donna said. "But I think I'm in a lot of
company. I think there are a lot of people in my situation and, probably, situations a
lot worse than mine. Financially, we can not afford to pay a lawyer. I know I can't.
But believe it - we need the help."
LANGUAGE: ENGLISH
Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
SUBJECT/TITLE
DATE
RESTRICTION
AND TYPE
002. schedule
Schedule for Hillary Rodham Clinton, Draft #2 [partial] (2 pages)
5/17/94
b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Liz Bowyer
OA/Box Number: 3986
FOLDER TITLE:
[HRC Daily File] May 18, 1994
2014-0483-S
sb422
RESTRICTION CODES
Presidential Records Act - |44 U.S.C. 2204(a)|
Freedom of Information Act - 15 U.S.C. 552(b)|
P1 National Security Classified Information |(a)(I) of the PRA
b(1) National security classified information |(b)(1) of the FOIA]
P2 Relating to the appointment to Federal office [(a)(2) of the PRA|
b(2) Release would disclose internal personnel rules and practices of
P3 Release would violate a Federal statute [(a)(3) of the PRA]
an agency [(b)(2) of the FOIA]
P4 Release would disclose trade secrets or confidential commercial or
b(3) Release would violate a Federal statute [(b)(3) of the FOIA]
financial information |(a)(4) of the PRA|
b(4) Release would disclose trade secrets or confidential or financial
P5 Release would disclose confidential advice between the President
information [(b)(4) of the FOIA]
and his advisors, or between such advisors [a)(5) of the PRAJ
b(6) Release would constitute a clearly unwarranted invasion of
P6 Release would constitute a clearly unwarranted invasion of
personal privacy |(b)(6) of the FOIA]
personal privacy |(a)(6) of the PRA]
b(7) Release would disclose information compiled for law enforcement
purposes |(b)(7) of the FOIA]
C. Closed in accordance with restrictions contained in donor's deed
b(8) Release would disclose information concerning the regulation of
of gift.
financial institutions |(b)(8) of the FOIA]
PRM. Personal record misfile defined in accordance with 44 U.S.C.
b(9) Release would disclose geological or geophysical information
2201(3).
concerning wells |(b)(9) of the FOIA]
RR. Document will be reviewed upon request.
SCHEDULE FOR HILLARY RODHAM CLINTON
DATE: TUESDAY, MAY 17, 1994
DRAFT: #2
Scheduling Desk:
Julie Hopper
202-456-7561
office
202-456-2317
fax
202-544-4223
home
1-800-528-7528
WHCA #4096
PREV RON
The White House
9:30 am-
10:30 am
(b)(6)
00 2
NOTE: Maggie Williams and Julie Hopper will meet with HRC at this
time.
10:30 am-
PRIVATE MEETING W/Prime Minister Gro Harlem
11:00 am
Brundtland
Yellow Oval Room
CLOSED PRESS
Format: Meeting and coffee.
Participants:
- HRC
- Prime Minister Brundtland
- Ambassador Kjeld Vieb; Norweigan Ambassador
to the United States
- Inger Elise Birkeland; Political Advisor
- Melanne Verveer
NSC Contact: Brenda Hilliard
395-7357
Staff Contact: Sarah Ryan
NOTE: The President meets with Prime Minister Brundtland at
10:00 am in Oval Office.
11:00 am-
VISIT w/Haynes Johnson
11:30 am
Diplomatic Reception Room
CLOSED PRESS
SCHEDULE FOR HILLARY RODHAM CLINTON
TUESDAY, MAY 17, 1994
PAGE 2
Format:
- Informal meeting
Participants:
- HRC
- Haynes Johnson
- Lisa Caputo ?????
Staff Contact: Lisa Caputo 456-2960
11:30 am-
11:50 am
MEETING
HRC's Office
CLOSED PRESS
Participants:
- HRC
(b)(6)
002
Format:
- Informal meeting
(b)(6)
002
12:00 pm-
1:00 pm
PRIVATE MEETING
HRC's Office
CLOSED PRESS
Format:
- Informal meeting
Participants:
- HRC
- Melanne Verveer
- Ira Magaziner
- Harold Ickes
Staff Contact: Melanne Verveer
1:00 pm-
LUNCH
1:30 pm
1:30 pm-
OFFICE/PHONE TIME
5:00 pm