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    "ocrText": "FOIA Number:\n2006-0810-F (2)\nFOIA\nMARKER\nThis is not a textual record. This is used as an\nadministrative marker by the William J. Clinton\nPresidential Library Staff.\nCollection/Record Group:\nClinton Presidential Records\nSubgroup/Office of Origin:\nFirst Lady's Office\nSeries/Staff Member:\nFirst Lady's Press Office\nSubseries:\nLisa Caputo\nOA/ID Number:\n10223\nFolderID:\nFolder Title:\nINTERVIEW WITH C-SPAN ON HEALTH CARE, WASHINGTON, DC, 8/12/94\nStack:\nRow:\nSection:\nShelf:\nPosition:\nS\n58\n7\n4\n1\nCLINTON LIBRARY PHOTOCOPY\nWithdrawal/Redaction Sheet\nClinton Library\nDOCUMENT NO.\nSUBJECT/TITLE\nDATE\nRESTRICTION\nAND TYPE\n001. paper\nRE: Jordan Video Taping (2 pages)\n08/11\nP6/b(6)\nCOLLECTION:\nClinton Presidential Records\nFirst Lady's Office\nLisa Caputo (First Lady's Press Office)\nOA/Box Number: 10223\nFOLDER TITLE:\nInterview with C-SPAN on Health Care, Washington, DC, 8/12/94\n2006-0810-F\ndb1732\nRESTRICTION CODES\nPresidential Records Act - |44 U.S.C. 2204(a)]\nFreedom of Information Act - [5 U.S.C. 552(b)|\nP1 National Security Classified Information [(a)(1) of the PRAJ\nb(1) National security classified information [(b)(1) of the FOIA]\nP2 Relating to the appointment to Federal office |(a)(2) of the PRAJ\nb(2) Release would disclose internal personnel rules and practices of\nP3 Release would violate a Federal statute [(a)(3) of the PRAJ\nan agency |(b)(2) of the FOIA]\nP4 Release would disclose trade secrets or confidential commercial or\nb(3) Release would violate a Federal statute [(b)(3) of the FOIA]\nfinancial information |(a)(4) of the PRA|\nb(4) Release would disclose trade secrets or confidential or financial\nP5 Release would disclose confidential advice between the President\ninformation [(b)(4) of the FOIA]\nand his advisors, or between such advisors |a)(5) of the PRA)\nb(6) Release would constitute a clearly unwarranted invasion of\nP6 Release would constitute a clearly unwarranted invasion of\npersonal privacy ((b)(6) of the FOIA]\npersonal privacy |(a)(6) of the PRA]\nb(7) Release would disclose information compiled for law enforcement\npurposes [(b)(7) of the FOIA]\nC. Closed in accordance with restrictions contained in donor's deed\nb(8) Release would disclose information concerning the regulation of\nof gift.\nfinancial institutions [(b)(8) of the FOIA]\nPRM. Personal record misfile defined in accordance with 44 U.S.C.\nb(9) Release would disclose geological or geophysical information\n2201(3).\nconcerning wells |(b)(9) of the FOIA]\nRR. Document will be reviewed upon request.\nAugust 11, 1994\nMEMORANDUM FOR HILLARY RODHAM CLINTON\nFROM:\nLiz Bowyer\nSUBJECT:\nBriefings for Friday, August 12\nC-SPAN Taping\n-Briefing\n-Message document\n-Talking points\\ Q & As on CNN ads\n-Hot Button Q & As\n-Talking points on the Leadership bills\n-Talking points on the Mitchell plan\n-Talking points on the Dole plan\nSwearing-In Ceremony of Justice Breyer\n-Briefing\n-Scenario\nVideo Taping for Ann and Vernon Jordan\n-Briefing (will be forwarded by Dave Anderson Friday morning)\n-Script\nTO: Hillary\nFR: Lisa\nRE: Interview with Steve Scully of C-Span\nDT: August 11, 1994\nYou are scheduled to do 20-25 minute one on one live to tape\ninterview with Steve Scully of C-Span tomorrow in the Map Room at\n1 pm for a show entitled \" A Conversation with the First Lady on\nHealth Care in America\". The show will air this Sunday morning\nas well as Sunday evening and will also be replayed Monday\nmorning.\nThe point of this show is to give you the opportunity to\nexplain the health care issue in simple terms. You will be asked\nto explain the Mitchell bill and what it will mean for people who\nare currently satisfied with their insurance, for people with\npre-existing conditions and for people with no insurance. He may\nask you what you have learned over the past 18 months and to look\nback on the process.\nThis should be a straight forward interview. Remember that\nthe best way to simplify this issue is to communicate to the\nviewers through stories.\nI have attached background information for you to review.\nNOTE PREPACED FOR VPOTUS\nMESSAGE DOCUMENT\nADMINISTRATION COMMITMENT TO FIGHTING FOR UNIVERSAL COVERAGE\nPresident Clinton yesterday put forth a call to action to his Cabinet. This Administration\nwill devote its every resource to fighting for guaranteed private insurance that can never be\ntaken away.\n*\nThe Cabinet will be involved in an unprecedented level of activity. They will be doing\nregional media every day - print, radio and satellite tv interviews, will meet with groups and\nmeet with members of Congress. Cabinet has already completed over 90 editorial board\nmeetings.\n*\nPresident, First Lady, Mrs. Gore and myself have and will continue to deliver the message\ndirectly to the American people that we are going to be working night and day to achieve\nuniversal coverage for hard working middle class Americans. We'll be participating in public\nevents, meeting with groups and make ourselves available to the media as we are doing\ntoday.\n*\nPresident will be speaking directly to the American people during the coming days on\nCNN to help them cut through the misinformation and confusion and understand what health\ncare reform will really mean for American families - they will have health care security, they\ncan keep their doctor and their plan and health care quality will be maintained.\nWHY UNIVERSAL COVERAGE?\n*\nWe have made extraordinary progress and stand ready for an historic debate.. The Senate\nand House are now poised to cast an historic vote in favor of hard working middle class\nAmericans. We have come this far and we cannot turn back.\n*\nDebate is going to be over whether we should guarantee every American health care\ncoverage that can never be taken away or whether we leave millions of middle class\nAmericans out in the cold.\n*\nWithout universal coverage we:\n*\ncover the poor, cover the rich, but leave middle class families without real health\nsecurity\ndo little to control costs\nThe President's second nightly address to the American people on health care\nwill be broadcast tonight on CNN at 7:50 p.m. Eastern time. The topic of tonight's\nOval Office address will be choice of doctor and health plan.\nCHOICE OF HEALTH PLAN AND DOCTOR\nUniversal Reform Will Mean More Choice\nUnder the House and Senate bills, all Americans will have a choice of insurance\nplan and doctor. People will be able to shop for the best coverage at the best\nrate - because there will be more competition in the marketplace.\nPeople who are happy with their current insurance plans and doctor can keep\nthem.\nUniversal reform will protect the doctor-patient relationship. That's one reason\nwhy groups such as the American Medical Association, the American Nurses\nAssociation, the American Academy of Family Physicians, the American\nAcademy of Pediatrics and the American Hospital Association - the nation's\nleading provider groups -- support a universal approach.\nToday, more and more Americans are being forced into insurance plans where\nthey are separated from their doctor. And most Americans have little or no\nchoice of insurance plan.\nThe Republican Alternatives Offer Some Unattractive Choices\nUnder the Dole plan, a family of four that makes $30,000 has the choice of\nspending nearly $6,000 -- 19% of their income - for health insurance or having\nno insurance at all. (National Journal, 7/16/94)\nThe insurance companies can choose to charge older workers as much as four\ntimes more than younger workers.\nEmployers can choose to drop employees' coverage or cut back benefits.\nQUESTIONS AND ANSWERS ON ADS\nO:\nWhy paid ads on CNN? Why not just a prime-time Oval Office address on the\nnetworks?\nA:\nThe White House asked ABC, NBC, CBS and Fox if they would broadcast an\naddress by the President to the American people on this critical issue of health\ncare. They all said no. The DNC then asked to pay for time on these networks to\nbroadcast a critical message on health care from the President. The networks\nsaid no. But the President strongly believes that the American people must have\nthe facts before Congress votes on this historic decision. That is why we decided\nto take this unprecedented step in paying for a series of broadcasts on CNN.\n[So far in 1994, the President has made no Oval Office addresses. In contrast,\nin the second year of his first term, President Reagan was able to make 6 Oval\nOffice addresses.]\na:\nIsn't this just a last minute attempt to save a dying bill?\nA:\nNot at all. Studies show that $50 million has already been spent to influence this\ndecision - most of it by opponents of reform. And millions more will be spent in\nthe coming weeks. The President wants to take his case directly to the American\npeople before this historic vote.\na:\nWhat is the President selling? Is it Mitchell? Is it Gephardt?\nA:\nThe President will be talking about key elements of reform that are contained in\nboth\napproaches. And he will be talking about the importance of universal coverage -\nthe\ncentral element in his original proposal, the House bill and the Senate bill.\nFROM IFLINOISE\nT.L: 202 STC 3428\nACG. 4.1354\nDemocratic National Committee\n\"Choose\"\nDNC - TV 2:00\nPresident Clinion:\nGood Evening:\nLast night, 1 talked with you about the historic health care vote that will be taken in Congress in\nthe coming days.\nTonight I want 10 .alk with you: about how the new legislation before Congress will give you\nmore choice, not less. in selecting your h eath insurance.\nFor example. under this new approach. almost all of you will be able to keep your doctor and\nyour present health insurance plan -- or e mose a new one if you prefer. The choice will be\nyours.\nThe reason 1 SEY almost all is that a few F copie in our country now have health insurance plans f\nthat are SO inacequate they won't neasure up under the quality standards. For those few of you,\nhealth reform will mean upgradec coverage at more affordable rates.\nI know the: the ability to choose the best doctor available in a time of illness can be literally a\nlife or death decision And as your President, I know how important that is to you. That's why\nwe've fcught so hard to make sure you will always have the right to decide on your own doctor.\nSo while the opponents of reform are trying to raise fears about this, they are trying to tell you\nthat you could lose what you now have, that things could get worse under reform --\nThe fact is at a minimum you keep the health insurance you already have -\nExcept that under thi I new approach, if you lose your job, you won't lose that health insurance;\nIt won't be canseled if you get sick --\nAnd your coverage can never run out or be cut off.\nAnd because you'll have more cho:ces, and will be able to shop for the best insurance at the best\nprice, there will be more competition in the marketplace - and that will finally put the brakes on\nthe skyrocketing COSIS of health care.\nAll of these elements are essential parts of an approach that will give you better health care, at a\nbetter cost .. private health insurance tha. can never be taken away.\nFROM : GRUNNALE EE-EW CONCEN\nTHE 222 977 9408\nACG. 4.1394 P I\nThis is a uniquely American approach 10 universal health coverage .. it keeps what is best in the\npresent system. relies on the private sector- will give you more choice not less and in the years\nto come will save your family money.\nThank you and I will talk to you again tomorrow night.\nTalking Points - August 4, 1994\nThe President said yesterday that he would sign the Mitchell bill. One of the\nAdministration's biggest health care reform supporters, the AFL-CIO, has said it cannot\nsupport the Mitchell bill and that the bill should be strengthened to assure universal\ncoverage.\nThe AFL-CIO supports the Gephardt bill and so does the President. The President is fighting\nfor universal coverage and he believes that bills unveiled by Gephardt and Mitchell achieve\nuniversal coverage and protect the health security of working middle class Americans.\nWon't this hurt chances of passing health care reform in the Senate?\nThe AFL-CIO wants the Senate bill to be strengthened and they will be working to make this\nhappen. They are committed to achieving universal coverage and that's a shared goal.\nDid the AFL-CIO bring this up at the meeting with the Chief of Staff yesterday?\nI don't know the details of the meeting. My understanding is that they discussed their\ncommitment to fight for universal coverage and real protection for working Americans.\nWhat about Senator Wellstone and others saying the Mitchell bill does not achieve\nuniversal coverage?\nMy understanding is that these Senators said that the Mitchell bill needs to be strengthened.\nThey also said that 95% is not universal. We agree and Senator Mitchell agrees that 95% is\nnot universal coverage and that's why he put mechanisms in his bill to go beyond and reach\nuniversal coverage.\nDoes the Administration think that the Mitchell bill needs to be strengthened?\nThe Administration wants universal coverage. That's our bottom line. We believe that the\nMitchell bill achieves universal coverage. If the Senate strengthens the Mitchell bill, that's\nfine. As the President said last night, he is not going to get into being a legislator. Congress\nwill make changes, that's part of the legislative process. Our bottom line is universal\ncoverage.\nSenator Dole says that his plan solves the problems of people like those at the press\nconference last night. Why not just enact the Dole plan?\nThat's just not true. As we've said all along, you can't solve the problems of portability or\npre-existing conditions without universal coverage. Unless coverage is universal, you'll still\nhave people like Mr. Cox, whose wife got care too late because they weren't covered, and\nwho had care denied because she had a pre-existing condition. The President said last night\nhe wants a plan that will work for Mr. Cox. and that means universal coverage.\nSenator Dole has said that there are 17 new taxes in the Mitchell bill. Secretary Shalala\ntoday said that there are not. How can the Administration call this bill an improvement if\nthere are 17 new taxes?\nThere are not 17 new taxes. Instead of issuing attacks, why don't they introduce their own\nbill? They put out a proposal weeks ago and they still don't have any legislation. It is easier\nfor them to attack than to be constructive.\nHot Button Health Care Qs and As - August 2, 1994\nWhat happens if the Mitchell bill does not achieve 95%\nIf 95% is not reached by 2000. employers and employees will split the cost of insurance\npremiums starting in 2002, unless Congress approves an alternative recommendation\ndeveloped by a national commission to bring us to universal coverage.\nWhat happens if 95% coverage is achieved by 2000, would that be acceptable?\nI want a guarantee in law that every American have health care coverage that can never be\ntaken away. Senator Mitchell has put us on the road to achieving this goal. If 95% is\nreached, a commission would issue recommendations to Congress to bring us the rest of\nthe way to achieve universal coverage. Let me be clear: my bottom line has always been\nand remains: universal coverage guaranteed health insurance that can never be taken\naway.\nBut Congress could reject these recommendations. Wouldn't that mean that we could\nend up with 95% of Americans covered?\nI think that members of Congress will want to make sure that hard working middle class\nAmericans have real health security and they will move forward to make this happen.\nIs 95% universal coverage?\nAs Senator Mitchell said 95% is not universal coverage. That is why he put mechanisms\nin his bill to move beyond 95%.\nWould you sign the bill put forth by Majority Leader Mitchell?\nThe bills put forth by the House and the Senate do protect the health security of hard\nworking middle class Americans by achieving universal coverage. But to discuss signing\nbills that have recently been introduced and have yet to be debated let alone go to\nconference seems to be premature.\nIsn't the Medicare Part C provision in the House bill simply a large government-run\nprogram? Haven't you consistently said that you reject a large government-run\nprogram?\nThe House leadership has chosen to adopt the method similar to that developed in the\nWays and Means Committee bill as one of the ways to cover those who are not employed\nand as an option for small firms. It helps achieve universal coverage. and, like many other\nissues. will be the subject to continuing debate.\nAbortion is in both the House and Senate bills, but is not expected to pass as introduced.\nYou had abortion coverage in your bill. Will you sign a bill without abortion coverage?\nMost plans cover abortions today. My bill included pregnancy-related services, including\nabortions. This is obviously a contentious issue that will play itself out on the House and\nSenate floors.\nBut would you sign a bill without abortion coverage?\nLet's let the legislative process work. I believe all pregnancy-related services should be\ncovered, just as they are today.\nIn your State of the Union Address you said that you would veto any bill that does not\nguarantee universal coverage. Does this still hold true?\nI think Congress will deliver a bill that achieves my bottom line of universal coverage. It's\nwhat the American people want and what they deserve.\nAdditional Health Care Qs and As - August 2, 1994\nHow do you define universal coverage? Is it 100%, 99%, 95%\nUniversal coverage is a guarantee in law that every American have health care coverage\nthat can never be taken away. It's what the overwhelming majority of the American people\nwant and deserve.\nIs it 100%, 99%, 95%?\nIt's a guarantee in law that every American have health care coverage that can never be\ntaken away. That's the only way the system will work.\nThe real question is what will happen if Congress fails to achieve universal coverage. Will\nmiddle class Americans be denied real health security and can health care costs be\ncontrolled.\nMany people are saying there just aren't the votes for an employer mandate. Can you\nget to universal without it?\nWe continue to believe that shared responsibility between employers and employees is the\nbest and fairest way to achieve universal coverage. It's the only way we know works. It's\nthe way that's been working in the State of Hawaii for 20 years, and it's the way that works\nfor most families now: health insurance on the job.\nYou know, we hear a lot from the businesses who don't want this plan because they don't\ncover their workers today. But the fact is, most companies do provide insurance to their\nemployees, and they are being forced to carry the extra burden for the people who now ride\nfree. If we ask everyone to pay their fair share, we can make health care affordable for all\nbusinesses.\nSenator Mitchell's plan has a 50/50 split on the mandate. Would you accept such a\nmandate?\nI have said all along that I would be flexible on how to get to universal coverage, but not\nwhether we get to universal coverage. Senator Mitchell has put forth legislation to bring us\nto universal coverage. Congressman Gephardt has put forth legislation to bring us to\nuniversal coverage. We have to see how the debate proceeds, but the bottom line is that it\nhas to bring us to universal coverage.\nDo you support the exemption for small business being put forth by Senator Mitchell?\nThe current health care system is stacked against small businesses. Many provide and\nthose that don't want to. I have said all along that I want to make sure that small\nbusinesses are protected - so that they can provide insurance and keep small businesses\nthriving.\nBut do you support such a concept?\nMy bottom line is universal coverage. I'm flexible on how you get there, but not whether\nyou get there.\nDo you have the votes for a mandate in the Senate?\nIt will be close, but we will prevail\nDo you have the votes now?\nThe bill was just introduced. It will be close. but we will prevail.\nThe American people want universal coverage. They understand that without it middle\nclass Americans will not have real health security. I think when the House and Senate\nengage in the health care debate on the floor, they will see that what we are talking about is\nwhether they turn their backs on hard working middle class Americans or not. I believe the\nAmerican people will be engaged in this debate and will be sending a strong message to\ntheir members of Congress that nothing less than universal coverage will be acceptable.\nIsn't it true that the House is afraid of being BTUed? If the mandate fails in the Senate,\nwon't that bring it down in the House as well?\nI think the Senate and House will both pass a bill with universal coverage. I understand the\nconcept of being BTUed, but I think members of Congress understand that a vote for\nuniversal coverage is a vote for the people that they represent. It's a vote for middle class\nAmericans who are one job loss or one illness away from losing their health care coverage.\nIt seems from this morning's papers that there is tension in the House given what is\nbeing introduced in the Senate. Won't this tension lead to a more moderate bill like that\nbeing proposed by Cooper?\nThis is a complicated issue and members of both Houses are trying to grasp all of the\ndetails of the two bills being put forth. I think as the debate proceeds and members focus\non the fight for health security for their constituent, for hard working middle class\nAmericans, the answer will be clear: we need universal coverage.\nThe Annenberg Public Policy Center said yesterday that the White House elevated the\neffectiveness of the Harry and Louise ads. Do you think the White House was mistaken\nin taking on Harry and Louise?\nThere has been tens of millions of dollars spent against the fight to protect the health\nsecurity of hard working middle class Americans. Obviously, this kind of money is going\nto have an impact on the public. But the bottom line is that the American people are\ncommitted to the President's bottom line of universal coverage. And that's what we're\nfighting for.\nTALKING POINTS: THE LEADERSHIP BILLS\nACHIEVE PRESIDENT'S GOAL OF UNIVERSAL COVERAGE:\nBoth the House and Senate bills achieve what the American people want -- Universal\nCoverage -- guaranteed health insurance that can never be taken away. The bills\nensure real health security for hard working middle class Americans who deserve\nnothing less.\nHouse Bill: By 1999, all Americans will be covered. Employers will be asked to\ncontribute 80% of the cost of insurance for their employees.\nSenate Bill: Should these voluntary efforts fail to cover 95% of the American\npeople by 2000, employers and employees will split the cost of insurance premiums\nevenly starting in 2002, unless Congress approves an alternative recommendation that\nachieves universal coverage developed by a national commission. Businesses with\nfewer than 25 employees would be exempt. If more than 95% are covered, the\nCommission will recommend how to cover those without insurance.\nELIMINATE ABUSIVE INSURANCE COMPANY PRACTICES:\nThe proposals embrace the consensus insurance reforms that enjoy overwhelming\nsupport in the Congress. They outlaw preexisting condition exclusions, lifetime limits,\nand the practice of dropping coverage or raising your rates if you get sick. They\nensure portability so that if you switch jobs or lose your job you can take your\ncoverage with you.\nSenate bill: Unlike bills which rely on incremental reforms alone, the Senate bill is\ndesigned to avoid any negative consequences of market reforms during the transition\nperiod, by incorporating strong protections that guard against premium increases and\nby specifying a date certain by which all Americans will be covered.\nFISCALLY SOUND WITH ADDED PROTECTION FOR FEDERAL BUDGET:\nTo provide ironclad protection to the federal budget, the plans contain fail-safe\nmechanisms to ensure that the cost of reform does not exceed the savings and\nrevenues.\nFINANCIAL SAFEGUARDS FOR FAMILIES AND BUSINESSES:\nThe proposals foster competition and harness market forces to keep costs down. Both\nplans call for careful monitoring of private health care costs and put the burden on\nCongress to take action if market competition fails to control costs adequately to\nprotect American families and businesses.\nALLOW PEOPLE TO KEEP WHAT THEY HAVE WHILE PROVIDING MORE\nCHOICES:\nPeople will be able to keep their current insurance plans and doctors that they are\nsatisfied with today.\nIn addition, through the creation of voluntary purchasing pools and the opportunity for\nprivate individuals to join the Federal Employees Health Benefits Program, the plans\ngive people new coverage options with more choices of plans.\nHouse Bill: The House bill also creates a new federal insurance program, Medicare\nPart C, to provide even greater choices for coverage.\nPRESERVE AND STRENGTHEN COVERAGE FOR SENIORS:\nMedicare is preserved and it will be expanded to include coverage for outpatient\nprescription drugs.\nIn addition, the House and Senate plans establish a new home and community-based\nlong-term care program to give older Americans and those with disabilities additional\noptions for care.\nENSURES HIGH-QUALITY COVERAGE AND CARE:\nThe benefits package in both bills emphasize preventive care and include coverage for\nprescription drugs to help keep people healthy, not just to treat them once they become\nsick.\nA portion of each premium will be earmarked for medical research to encourage the\ntechnological advancements and improvements that have made American medicine the\nfinest in the world.\nPROVIDES GREATER PROTECTION FOR SMALL BUSINESSES\nBoth bills give special protection to small businesses and enable small businesses to\njoin purchasing cooperatives so they can get affordable coverage.\nHouse Bill: The House bill provides discounts to small low-wage firms through a tax\ncredit; phases in the requirement to cover their workers; firms of 100 or fewer\nemployees are not required to contribute until 1999.\nSenate Bill: Exempts firms with fewer than 25 employees from the back-up\nemployer requirement to ensure universal coverage\nMAKE CHILDREN OUR NUMBER ONE COVERAGE PRIORITY:\nBoth proposals makes sure that the 9 million children in the United States who are\nuninsured will now be covered.\nHouse Bill: Covers all Americans by 1999.\nSenate Bill: Targets funds to ensure that coverage is extended to as many uninsured\nchildren as possible right from the start. Investing in these children will ensure that\nthey get off to a good start and come to school ready to learn.\nThe Mitchell \"You're Covered\" Plan\nIf you're looking for real insurance you can count on...you're covered.\nUnlike the Republican alternatives, the Mitchell bill has a simple purpose -- real, honest\ninsurance that you can depend on. It will guarantee that all Americans have secure, affordable\ninsurance they can depend on. It sets up a clear path to reach universal coverage -- ensuring\nhardworking middle class families that their health care will always be there for them no\nmatter how their personal circumstances may change.\nIn stark contrast to Republican proposals, the Mitchell bill guarantees real insurance without\nthe fine print. By banning fine print and deceptive practices -- guaranteeing that insurance\ncompanies can't drop your coverage, eliminating lifetime limits, limiting pre-existing\ncondition exclusions and making sure they can't jack up your rates -- the Mitchell plan\nguarantees that your health insurance won't cut out or disappear when you need it most.\nIf you're looking for health care you can afford, you're covered.\nThe Mitchell bill provides help to working families struggling to make ends meet -- so those\nfamilies can finally afford health insurance. It prevents the insurance companies from jacking\nup your rates when you get sick. And it stops them from charging older people four times as\nmuch as younger people. This guarantees that people have affordable insurance they can\ndepend on.\nIf you're a child with no insurance. you're covered.\nUnder the Mitchell bill, covering the 9 million children without insurance is the number one\ncoverage priority. By providing generous financial assistance toward private insurance for\nchildren, the Mitchell bill guarantees affordable coverage to middle-class and low-income\nworking families.\nIf you lose your job...you're covered.\nThe Mitchell bill guarantees affordable coverage for people who lose their jobs. When people\nare in between jobs and under the financial strain of being without a paycheck, they won't\nface the additional burden of bearing the entire cost of their premiums. Unlike incremental\nalternatives, your insurance will be secure -- something you can count on.\nIf you're trying to get off welfare...get a job and you're covered.\nFor working people who might otherwise have difficulty affording insurance, the Mitchell bill\nprovides financial help to guarantee affordable coverage. If you move off welfare, and take a\njob, you'll be protected.\nIf you're a small business you're covered\nThe Mitchell bill helps small businesses get affordable coverage for their families and\nemployees. It outlaws the insurance company practice of \"redlining\" -- where they refuse to\ncover certain small businesses just because they're not big enough or because an employee\nhas a pre-existing condition.\nThe Mitchell \"Real Protection From the Insurance Companies\" Plan\nBans Fine Print and Deceptive Practices\nThe Mitchell bill outlaws the most abusive insurance company practices -- making sure you\nhave real, honest insurance you can depend on. It prohibits insurance companies from\ndropping your coverage when you get sick or refusing to cover serious illnesses. And it\neliminates lifetime limits -- the fine print that the insurance companies now use to cancel your\ninsurance when they don't want to pay the bills. This proposal guarantees that your health\ncare won't cut out or disappear just when you need it most.\nThe bill also says to insurance companies: there are certain benefits which you must cover --\nlike preventive care, or cancer treatment. So insurance companies can't decide what to cover\nand when to cover it. They will no longer be calling the shots. They will no longer be in\ncharge. They cannot take away your coverage.\nPuts Consumers and Small Businesses in the Driver's Seat\nThe Mitchell bill creates purchasing pools to give individuals and smaller businesses (those\nwith fewer than 500 employees) bargaining power to get high quality coverage at affordable\nrates. Small businesses and individuals will be able to get coverage at the same rates as the\nbig guys.\nThe insurance companies will no longer have all the cards. They will no longer be able to\npick and choose who to cover. Insurance companies will be forced to compete for your\nbusiness -- and you will have a choice of insurance plans.\nProtects Small Businesses From the Insurance Companies\nSmall businesses will no longer be forced to pay 35% more than big businesses for the same\ninsurance. And the insurance companies will no longer be allowed to drop coverage for small\nbusinesses when an employee of that business gets sick -- or for any other reason.\nProtects Older Americans From the Insurance Companies\nIn today's system -- and under half-measures -- insurance companies can charge older people\nas much as four times as much as younger people. That will be illegal under the Mitchell bill.\nTaxes Insurance Companies to Help Pay For Coverage\nThe Mitchell plan protects people from insurance companies that try to jack up their rates and\ncharge too much. Under the plan, insurance companies with skyrocketing rates will be taxed\n25 percent on the difference between actual premium increases and a fair rate of return.\nAccording to CBO, the Mitchell bill pays for itself and the new coverage it achieves in part\nwith $146 billion from insurance companies.\nThe Mitchell \"Good For Older Americans\" Plan\nMakes Insurance Real For Senior Citizens\nIn today's system -- and under the Republican alternatives, insurance for seniors often doesn't\neven meet their most basic needs. The Mitchell proposal makes insurance real for senior\ncitizens by extending coverage to critical areas like prescription drugs and long-term care.\nProvides Prescription Drug and Long-Term Care Benefits to Seniors\nUnder the Mitchell plan, Medicare will be preserved and strengthened. For the first time,\nMedicare will cover the cost of out-patient prescription drugs, the leading out-of-pocket health\ncare cost for seniors. Older Americans will no longer be forced to choose between food and\nmedicine.\nThe Mitchell plan includes important new long-term care initiatives to begin to address this\nfinancially devastating problem for seniors and those with disabilities. It helps seniors get the\nhome and community-based care they need and helps cover the cost of extended nursing\nhome care.\nAARP Has Endorsed the Mitchell Bill\nThese important benefits of prescription drugs and long-term care are among the reasons that\nthe American Association of Retired Persons (AARP) recently endorsed the Mitchell proposal.\nThe AARP said that the Mitchell bill provides an \"historic opportunity to provide each of us\nwith affordable, high-quality health and long-term care.\"\nLimits How Much Insurance Companies Can Charge Seniors\nIn today's system -- and under haf-measures -- insurance companies can charge older people\nas much as four times as much as younger people. That will be illegal under the Mitchell bill.\nSo older Americans -- not just young, healthy Americans -- will have real, honest insurance\nthat you can depend on.\nSeniors Will Still Have Choice of Doctor\nMedicare will be protected, and older Americans will be able to choose their doctor /-- just as\nthey do today. People will be able to keep their doctor and receive all the benefits they get\nfrom Medicare today.\nThe Bob Dole \"You're Out Of Luck\" Plan\nIf you're looking for health insurance you can count on you're out of luck.\nUnlike Senator Mitchell's plan. which guarantees secure. affordable insurance. the Dole plan provides no\nguarantee of decent coverage. Millions would still have phony, fly-by-night insurance, and an estimated 30\nmillion Americans would have no coverage at all [Lewin-VHI, July 1994]\nIf you're looking for health insurance you can afford you're out of luck.\nThe Dole plan allows insurance companies to continue to raise rates higher and higher each year, and\nto charge older people three to four times more than younger people. Some small businesses will\ncontinue to pay more than others, and some families more than other families. You could still work\nhard, pay your premiums, and have medical bills sent back \"not covered\".\nAs his Republican Colleague John Danforth said of the Dole plan. \"It creates a new entitlement and\nit doesn't have any cost control I don't think we can do that. \"[AP, 8/10/94]\nNewsweek predicts the Dole plan \"will increase premiums for middle class people and could increase [the]\nnumber of uninsured.' [Newsweek, July 25. p. 19]\nIf you're a senior you're out of luck.\nThe Dole bill takes significant money out of Medicare and does little or nothing for seniors - no\nprescription drug coverage, and pitiful help with long-term care.\nIf you're a child with no insurance you're out of luck\nThe Dole plan will continue to leave an estimated 30 million people with no coverage, including 6.2\nmillion children. What does that mean? In means millions of kids will go without seeing the doctor,\nmillions will not get needed health care in time to prevent disabling illnesses. And under Dole's plan, even\nworkers who get coverage can find that their insurance policy covers them, but not their kids. Employers\nwill continue to drop back family coverage and offer bare-bones, worker-only policies -- leaving millions\nmore children at risk of losing the coverage they have now.\nIf you're a small business you're out of luck\nThe Dole bill continues to permit insurers to charge higher rates to small employers just because they're\nsmall [Dole Bill 9002(d)(1) p. 117] Small companies pay 35% more on average as it is, and this\ninsurance company abuse against smaller employers will mean the little guy still gets overcharged. And\nunlike the Mitchell proposal, there are no subsidies to help small businesses who can't afford coverage\ntoday afford it tomorrow.\nIf you lose your job you're out of luck\nThe Dole plan theoretically allows people to take their same insurance with them when they leave their job\nand go to a new one (portability), this only helps those who can pay the full premium themselves. That is\nnot realistic for most people, since they can't afford the full cost of coverage, especially if they are without\na job. In fact, most workers have that protection now, either through state insurance laws or through\nCOBRA coverage. But as a recent study by the Department of Labor shows, only one in five can take\nadvantage of it -- the rest can't afford it. Even Senator Chafee admits:' have great trouble seeing how you\nget portability without universal coverage.\"\nThe Bob Dole \"The Insurance Company Protection\" Plan\nInsurance Companies Can Still Deny Coverage Through Loopholes and Fine Print\nWhile the Dole plan describes a standard benefits package (called the FedMed package) and says that\nevery health plan has to offer that option. it also allows insurance companies to offer any benefits\npackage they want. [Dole Bill Sec. 21115 (a) p.85 I This allows insurance companies to effectively deny\ncoverage of certain illnesses by structuring benefits packages to not cover certain treatments. Millions\nof Americans will continue to-face the nightmare of insurance claims coming back: \"Sorry, not covered.\"\nFew People Will Benefit From the Community Rating Reforms\nMany of the insurance reforms in the Dole bill, modified community rating for example, apply only to\nthe \"community rated market\" but there is no \"community\" in the bill's reform. Any employer can\nself-insure, so employers with young, healthy employees will likely stay out of the community-rated\npool and provide insurance on their own. In addition. associations can opt out of the community-rated\npool and buy as a group, leaving even fewer people in the pool. This \"vicious spiral\" will lead to very\nhigh premiums in the community-rated market and will encourage healthier people to drop coverage.\nMid-Size Businesses Could Face Large Premium Increases\nUnder the Dole Bill, many small to medium-sized companies would be left between a rock and a hard\nplace -- too small to self-insure, but too large to get the benefits of insurance reform in the community-\nrated pool. An employer with 55 employees could have extremely high costs because of just one\nemployee with a history of illness. They could see their rates jacked up based on one worker with a\nserious medical condition. For most firms in this category, insurance costs will continue to be high and\nunpredictable.\nInsurance Companies Can Decide They Don't Want to Sell to Small Businesses\nInsurance companies can decide that they want to avoid the small business sector altogether and refuse\nto sell insurance to any small businesses. Under the Dole plan, they could continue to deny coverage to\nsmall businesses.\nInsurance Company Profits Protected, Middle Class Families Left Waiting\nThe Dole plan limits, but does not eliminate. the ability of insurance companies to deny\nor forestall coverage for \"pre-existing conditions\" [for six months to a year]. While all\nagree that pre-existing condition limitations are a necessary transition tool to universal\ncoverage, the Dole bill will never get there, so exclusions will never go away.\nInsurance Companies Could Charge You Three to Four Times More Because You're Older\nThe Dole plan allows insurance companies to charge older workers three to four times more for\ninsurance than younger workers, and twice as much as under Senator Mitchell's bill.\nAmericans with Insurance Would Still Be At Risk of Losing It\nThe real bottomline is that under the Dole plan. everyone remains at risk of losing the\ninsurance they have now -- because under a non-universal system, no one is guaranteed\nprotection. As Newsweek magazine reported last week, the Dole plan \"will increase premiums\nfor middle class people and could increase [the] number of uninsured.\" [Newsweek, July 25, p. 19]\nThe Bob Dole \"Cheating Seniors\" Plan\nRaids Medicare and Gives Seniors Nothing Back\nWhile other bills reduce the rate of growth in Medicare. the Dole Bill relies heavily on savings\nfrom the Medicare program to finance reform. The Dole bill gives nothing back to the older\nAmericans that Medicare was set up to serve. No help with prescription drugs. Nothing but lip\nservice on long-term care.\nForces Millions of Seniors to Choose Between Food and Medicine\nThe Dole plan does not add prescription drug coverage to Medicare -- giving millions of older\nAmericans no help paying for costly prescriptions. Prescription drug costs are the highest out-of-\npocket expense for three out of four seniors, and the Dole plan would provide no help, forcing\nmillions of older Americans to continue to choose between food and medicine. More than 31\nmillion Americans under age 65, and 18.5 million Americans over age 65 would be denied\nprescription drug coverage under the Dole bill. [NCSC, \"Six Reasons the Dole Bill is Bad for Seniors,\"\n7/94] That's just one reason the AARP calls the Dole bill \"a harmful prescription for òlder\nAmericans\"\nLeaves Older Americans in Need of Long-Term Care at Grave Risk\nUnlike Senator Mitchell's proposal. which invests $50 billion in a new home and\ncommunity-based long-term care program, the Dole bill does next to nothing for long-\nterm care. Older Americans in need of assistance will continue to face no choice but to\nenter nursing homes.\nDiscriminates Against Smail Companies With Older Workers\nSmall firms with more than 50 employees will remain at the mercy of insurance\ncompanies who charge higher rates for older workers, higher rates for sicker workers, and\nraise rates when even one employee gets sick. This means older workers will have their\njobs at risk when their employers look at their insurance premiums.\nInsurance Companies Could Charge Older Americans Three to Four Times More Than Those\nYounger, and Double What They'd Be Charged Under the Mitchell Plan\nThe Dole plan allows insurance companies to charge older workers three to four times more for\ninsurance than younger workers, and twice as much as under Senator Mitchell's bill.\nTHE WHITE HOUSE\nWASHINGTON\nSWEARING-IN OF STEPHEN G. BREYER AS\nASSOCIATE JUSTICE OF THE UNITED STATES SUPREME COURT\nDATE:\nAugust 12, 1994\nLOCATION:\nRose Garden/East Room\nTIME:\n2:30 p.m.\nCONTACTS:\nPreeta Bansal 6-7901\nJason Rapp 6-7901\nI. PURPOSE\nYou will be hosting the ceremony in which Justice Kennedy\nwill administer the Constitutional Oath to Stephen G.\nBreyer, who will then become the new Associate Justice of\nthe United States Supreme Court.\nII. BACKGROUND\nJudge Breyer, after having been confirmed by a vote of 87-9\nby the Senate on July 29, 1994, will be sworn in today.\nJudge Breyer has already taken the Judicial Oath from the\nChief Justice. Before Judge Breyer can begin work as a\nJustice, however, he must also take the Constitutional Oath,\nwhich is being administered in this White House ceremony as\nit has been routinely since the early 1980's.\nIII. PARTICIPANTS\nThere will be an estimated 250 guests, including:\nJudge Breyer and Family\nSupreme Court Justices Kennedy, Powell, Brennan, Burger\nMembers of the Cabinet and Cabinet-Level Officials\nMembers of Congress\nCivil Rights/ Women's/ Police Groups\nIV. PRESS PLAN\nThe swearing in will be covered with open photo and a print\npool. The reception following the ceremony will be closed.\nV. SEQUENCE OF EVENTS\n1.\n2:30 p.m. You and the First Lady will meet with the\nJustices and the Breyers in the Blue Room.\n2.\nThe First Lady will accompany Dr. Breyer to the East\nRoom.\nYou will accompany Justice Kennedy and Judge Breyer to\nthe podium in the East Room.\n3.\nYou will welcome the guests and introduce Justice\nKennedy.\n4.\nJustice Kennedy will thank you and administer the\nConstitutional Oath. (Mrs. Breyer will come to the\npodium to hold the Bible for the Judge.)\n5.\nThe new Justice will make brief remarks.\n6.\nYou will make brief remarks.\n7.\nYou will invite guests to a reception in the State\nDining Room.\n8.\nYou and the First Lady will proceed to the Blue room\nfor a photo with the Breyer Family:\n-Daughters Chloe, 25, and Nell, 22\nand Chloe's boyfriend, Greg Scholl\n-Dr. Breyer's brother and sister-in-law,\nThe Viscount and Viscountess Blakenham and their\nchildren: The Hon. Casper Hare and the Hon.\nCressida Hare\n-Justice Breyer's aunt, Ms. Shirley Black and\nher two grown daughters, Kristine and Barbara,\nand their husbands, Kenneth and Thomas\n9.\nBreyer family proceeds to Dining Room.\n10. You and the First Lady will begin receiving line in the\nBlue Room, as guests proceed from East Room through\nGreen Room, and ultimately to reception.\n11. Following receiving line, you, the First Lady, and\nJustice Breyer will take a group photo with the White\nHouse Confirmation Team.\nVI. REMARKS\nTo be provided by Alan Stone.\nTHE WHITE HOUSE\nWASHINGTON\nTO:\nTHE PRESIDENT\nTHE FIRST LADY\nDATE:\nFriday, August 12, 1994\nWHAT:\nJUDGE BREYER SWEARING IN CEREMONY & RECEPTION\nLOCATION:\nGreeting: Blue Room\nCeremony: East Room\nReceiving Line: Blue Room\nReception: State Dining Room\nViewing Area: Family Theater\nTIME:\n2:30 p.m.\n# of GUESTS:\n250/Open Press\nF ROM:\nAnn Stock, Sarah Farnsworth Ryan\n1:30 p.m.\nEast Visitor's Gate opens for guest arrival.\n2:00 p.m.\nThe Supreme Court Justices arrive at the\nDiplomatic Reception Room and are greeted by\nRobyn Dickey.\nMembers of the Cabinet and Members of Congress\narrive at the West Lobby and are escorted by\nCabinet Affairs and Legislative Affairs staff to\nreserved seats in the East Room. (Contact:\nCassie O'Neil, Shana Tessler)\nGuests for the viewing area arrive at the East\nAppts. Gate and are escorted to the Family\nTheater.\n2:15 p.m.\nThe Supreme Court Justices are escorted to the\nBlue Room by Robyn Dickey.\nJudge Breyer and Dr. Breyer arrive in the Blue\nRoom. (Contact: Jason Rapp)\nJUDGE BREYER CEREMONY\nPAGE 2\n2:30 p.m.\nThe PRESIDENT and the FIRST LADY arrive in\nthe Blue Room to greet the Justices, Judge\nBreyer and Dr. Breyer.\n2:35 p.m.\nThe Justices are announced and escorted to their\nseats in the East Room. (Enter: Cross Hall)\nThe FIRST LADY and Dr. Breyer are announced\nand escorted to their seats in the East Room.\nTHE PRESIDENT, Justice Kennedy and Judge\nBreyer are announced to Ruffles &\nFlourishes/Hail to the Chief and proceed on\nstage in the East Room.\nTHE PRESIDENT makes welcoming remarks and\nintroduces Justice Kennedy.\nJustice Kennedy makes brief remarks and asks\nDr. Breyer on stage to hold the Bible.\nJustice Kennedy administers the\nConstitutional Oath to Judge Breyer.\nJudge Breyer makes remarks.\nThe PRESIDENT makes remarks.\n3:00 p.m.\nAt conclusion of program, The PRESIDENT,\nJustice Kennedy and Judge Breyer proceed\ndirectly to Blue Room.\nThe FIRST LADY and Dr. Breyer are escorted to\nthe Blue Room.\nThe Justices are escorted to the State Dining Room\nfor reception.\nThe PRESIDENT and the FIRST LADY take a photo with\nThe Breyer Family:\n--Daughters Nell and Chole\n-- The Viscount Blakenham (Michael), brother\nof Dr. Breyer and the Viscountess\nBlakenham (Marcia)\n-- Ms. Shirley Black, aunt of Judge Breyer,\nand her two daughters, Kristine and Barbara\nJudge Breyer and his family proceed to the State\nDining Room for reception.\nJUDGE BREYER CEREMONY\nPAGE 3\nThe PRESIDENT and THE FIRST LADY begin\nreceiving line in the Blue Room.\nGuests proceed from Green Room through Blue Room\nto State Dining Room for reception.\nGuests in the Family Theater will be escorted to\nthe State Dining Room immediately following the\nCeremony. They will proceed to the receiving line\nafter the East Room has cleared.\n3:40 p.m.\nUpon conclusion of receiving line, The\nPRESIDENT and the FIRST LADY will take a\ngroup photo with the White House Counsel\nStaff in the Blue Room and then depart.\nWithdrawal/Redaction Marker\nClinton Library\nDOCUMENT NO.\nSUBJECT/TITLE\nDATE\nRESTRICTION\nAND TYPE\n001. paper\nRE: Jordan Video Taping (2 pages)\n08/11\nP6/b(6)\nCOLLECTION:\nClinton Presidential Records\nFirst Lady's Office\nLisa Caputo (First Lady's Press Office)\nOA/Box Number: 10223\nFOLDER TITLE:\nInterview with C-SPAN on Health Care, Washington, DC, 8/12/94\n2006-0810-F\ndb1732\nRESTRICTION CODES\nPresidential Records Act - [44 U.S.C. 2204(a)]\nFreedom of Information Act - 15 U.S.C. 552(b)|\nP1 National Security Classified Information [(a)(1) of the PRAJ\nb(1) National security classified information [(b)(1) of the FOIA|\nP2 Relating to the appointment to Federal office |(a)(2) of the PRA\nb(2) Release would disclose internal personnel rules and practices of\nP3 Release would violate a Federal statute [(a)(3) of the PRA|\nan agency [(b)(2) of the FOIA]\nP4 Release would disclose trade secrets or confidential commercial or\nb(3) Release would violate a Federal statute [(b)(3) of the FOIA]\nfinancial information |(a)(4) of the PRAJ\nb(4) Release would disclose trade secrets or confidential or financial\nP5 Release would disclose confidential advice between the President\ninformation ((b)(4) of the FOIA]\nand his advisors, or between such advisors [a)(5) of the PRA]\nb(6) Release would constitute a clearly unwarranted invasion of\nP6 Release would constitute a clearly unwarranted invasion of\npersonal privacy |(b)(6) of the FOIA]\npersonal privacy [(a)(6) of the PRA|\nb(7) Release would disclose information compiled for law enforcement\npurposes [(b)(7) of the FOIA)\nC. Closed in accordance with restrictions contained in donor's deed\nb(8) Release would disclose information concerning the regulation of\nof gift.\nfinancial institutions |(b)(8) of the FOIA|\nPRM. Personal record misfile defined in accordance with 44 U.S.C.\nb(9) Release would disclose geological or geophysical information\n2201(3).\nconcerning wells [(b)(9) of the FOIA]\nRR. Document will be reviewed upon request."
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