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F TO: Hillary Rodham Clinton FROM: Jennifer Klein J.K. DATE: 3/25/96 RE: Teen Pregnancy You had asked for a critique of the manuscript by Lainie Friedman Ross that Dr. Koop forwarded to you. Attached please find a short critique by Dr. Felicia Stewart, Deputy Assistant Secretary for Population Affairs at HHS. I have also attached an article by the Council on Scientific Affairs of the American Medical Association on the same subject. Dr. Ross uses this article to support her claim that "most adolescents do discuss these issues with their parents." The article actually concludes that confidential care is critical for adolescents and cites data showing that adolescents are more likely to seek care if they can do so confidentially. It also recommends that physicians involve parents in the medical care of an adolescent patient when it is in the best interest of the patient.