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Blackwell, Lucien PHOTOCOPY PRESERVATION THE WHITE HOUSE March 16, 1993 Dear Representative Blackwell: Thank you for your thoughtful letter in support of my appointment as chair of the health care task force. I appreciate having your confidence. You know that I will do everything I can to rise to the challenge, as the health of so many Americans is at stake. You were kind to share your experiences working with your wife Jannie. I hope that I will have the opportunity to hear her insights about this one day. Again, thank you for writing. With best wishes, Sincerely, Hillary The Honorable Lucien E. Blackwell U.S. House of Representatives Washington, D.C. 20515 shilley - this sensitive was one of the time ] invitations. Path will call to decline I Pan NRN HOUSE OF REPRESENTATIVES WASHINGTON, D. C. 20515 LUCIEN E. BLACKWELL SECOND DISTRICT May 30, 1993 PENNSYLVANIA First Lady Hillary Rodham Clinton Office of the First Lady The White House Washington, D.C. 20500 Dear Mrs. Clinton: I write to invite you to address a Health Care Town Hall Meeting that is scheduled to take place in my Congressional District on Wednesday, June 23, 1993. I need not tell you of the importance and timeliness of the health care issue. The Meeting will begin at 7:30 p.m. and will take place in Philadelphia, Pennsylvania at the Childrens Hospital of Philadelphia, Stokes Auditorium, 1st Floor. Childrens Hospital is located at 34th and Civic Center Boulevard. I have taken the liberty of enclosing a recent flier, distributed by my office to every household in the Second Congressional District of Pennsylvania, which announces the Meeting and provides other health care related information. If you are able to attend, I would ask that you deliver the main address. In addition, if you are able to remain for a period of time and respond to questions, it would make the Meeting one from which my constituents can greatly benefit and will always remember. I hope you can join us on June 23rd. Should you have any inquiries, kindly feel free to call me or have your staff call my Chief of Staff, Mrs. Corliss Clemonts James at 225-4001. Thank you for your interest and your cooperation. Sincerely, for Lucien E. Blackwell Member of Congress Enclosure NOT PAID FOR AT GOVERNMENT EXPENSE Clinton Presidential Records Digital Records Marker This is not a presidential record. This is used as an administrative marker by the William J. Clinton Presidential Library Staff. This marker identifies the place of a publication. Publications have not been scanned in their entirety for the purpose of digitization. To see the full publication please search online or visit the Clinton Presidential Library's Research Room. Congressman Lucien El Blackwell's SPECIAL HEALTH CARE REPORT TO THE PEOPLE SECOND DISTRICT PENNSYLVANIA JUNE 1993 HEALTH CARE REFORM - AN URGENT NEED Work of Hillary Rodham Clinton Critical A little more than a decade ago, employers were mothers, with children, unable to ease their pain and the primary providers of health care for American suffering because the cost of prescription drugs has workers. While most American workers remain co- gone beyond their means to pay. This is a crisis we vered by employee health care plans, there has been can no longer ignore. a marked reduction in such coverage, especially Driven by seemingly uncontrollable Medicaid among medium-to-large business firms. and Medicare costs, federal spending for health care According to the Employee Benefits Research is one of the leading causes of the federal budget Institute, in 1979, ninety-seven percent of medium- deficit. According to the Congressional Budget to-large business firms provided health care cover- Office, Medicaid costs will increase from $68 bil- age to their workers. By 1991, that total had drop- lion in 1992 to $146 billion by 1998, and will com- ped to eighty-three percent, and the numbers con- prise about 9 percent of all federal spending in 1998, tinue to decline as health care costs soar out of compared with 3 percent in 1990. Medicare costs will control. increase by an average of 12 percent between 1994 The loss of high wages and low job growth have and 1998. Those increases are on top of the project- exacerbated the problem of disappearing benefits ed spending of $134.1 billion in 1993 for Medicare, among workers. It is for that reason that Congress- an amount that represents 9.2 percent of total fed- man Blackwell welcomes eral spending. Fraud, the appointment of the abuse and poor manage- First Lady, Hillary Rod- ment exacerbate the ham Clinton, to head the problem. Healthcare Task Force. The high cost is put- The Task Force was ting health care beyond charged with the responsi- the reach of more and bility of drafting the more Americans. Over the specifics of health care re- past three years, some 13 form legislation within the percent of employers with first 100 days of the Clin- 50 or fewer employees ton Administration. Its have eliminated health report is now expected in care coverage as a benefit mid-June. of employment. Current- Congressman Black- ly, some 35 million well's recent remarks on "There is an urgent need for national health care citizens, 14 percent of the reform, Congressman Blackwell shown here tell- the need for health care re- ing First Lady, Hillary Rodham Clinton. entire population, have no form are quite timely. The coverage, and the number remarks follow: is rapidly rising. Unless we do something about this "The American health care system is in deep problem, we will become a nation of sick people, trouble. Health care spending is out of control. As unable to produce and help the economy to grow. a result, millions of Americans with health care The linkage between health care and economic coverage are unable to afford any care beyond the recovery is clear and, it is grounded in more than bare essentials. Millions more go without coverage just dollars. altogether. The cost of providing health care to We must begin now to contain health care costs, America is expected to rise from $838 billion in 1992 to make long-term care affordable, to make a way to an estimated $939 billion in 1993, and to more for every person in need to be able to pay for medi- than $1.7 trillion by the year 2000. cation and to provide health care coverage for all. Of In my state, there are fathers with jobs, stand- these goals, cost containment is paramount. If we can ing in the soup lines, bent and broken because need- not contain costs, we can not have affordable health ed medical care cost fifty dollars, and they only had care and medication for all. More importantly, if we five. There are families, forced to make choices be- can not contain costs, we can not reasonably expect tween long-term care and college tuition. There are to have a deficit reduction program." 60206 / To Representative Lucien Blackwell with best wishes, and thanks ! Hillary Rodbam Clinton