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American Life Lobby (1 of 4)
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135840634
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American Life Lobby (1 of 4)
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Morton Blackwell's Subject Files
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Ronald Reagan Presidential Library Digital Library Collections This is a PDF of a folder from our textual collections. Collection: Blackwell, Morton: Files Folder Title: American Life Lobby (1 of 4) Box: 1 To see more digitized collections visit: https://reaganlibrary.gov/archives/digital-library To see all Ronald Reagan Presidential Library inventories visit: https://reaganlibrary.gov/document-collection Contact a reference archivist at: [email protected] Citation Guidelines: https://reaganlibrary.gov/citing National Archives Catalogue: https://catalog.archives.gov/ ШИ Telegram western union NO. WDS. - CL. OF SVC. PD. OR COLL. CASH NO. C ARGE TO THE ACCOUNT OF THIS MESSAGE WILL BE SENT PRESS OVER NIGHT AS A TELEGRAM UNLESS IT IS DPR NPR TELEGRAM OTHERWISE INDICATED. Send the following message, subject to the Telegraph Company's conditions, rules and regulations, which are on file with regulatory authorities. December 7, 1982 TELEGRAM TO: All House Judiciary Committee Members We oppose any attempt to pass H.R. 3963 as amended by the Senate under a privileged motion without conference. The House disagreed to the Senate amendments on October 1. A formal conference to work out disagreements should be held unless the text of S2572 as amended by the Thurmond Amendment #1356 is adopted in toto particularly the makeup and mandate to the sentencing commission and the limit on the amount of any lien to assure payment of a fine. (Mrs.) Judie Brown American Life Lobby Mr. Lawrence D. Pratt Gun Owners of America WU 1211 (RI-70) AMERICAN LIFE LOBBY INC. NATIONAL FADQUARTERS MAILING ADDRE SS PO BOX 490 STAFFORD VA 22554 OFFICES ROUTE #6 BOX 162 STAFFORD VA 22554 (763) 659-4171 MI TRO DC 2049 GOVERNMENT LIAISON OFFICE 6B LIBRARY COURT St (CAPITOL HIL WASHINGTON, DC 20003 (202) 546-5550 ALERT ALERT ALERT ALERT ALERT December 7, 1982 IMMEDIATE ACTION NEEDED TODAY This week or early next week the Appropriation Committees of both the U.S. House of Representative and the U.S. Senate will meet to write the Fiscal Year 1983 Second Continuing Resolution. The First Continuing Resolution for Fiscal Year 1983 which was enacted as public Law 97-276 (and which expires on December 17, 1982) contains language which by reference made the Ashbrook Amendment banning taxpayers contribution to federal employees health insurance premiums for policies that pay for abortion illegal. During consideration of the Second Continuing Resolution by the Appropriation Committees, particularly in the Senate Committee there may be an attempt to change the language in the Second Contin- uing Resolution so that the Ashbrook Amendment is not carried forward (beyond December 17, 1982) into law. It is imperative that you contact the Representative(s) from your state on the Appropriation Committee (see enclosed list) AND the Senators from your state, particularly if they are on the Appropriation Committee (list enclosed) and urge them to "vote for language in the Second Continuing Resolution that carries forward into law the Ashbrook Amendment. You must call or telegram this message today. Congressional Action on Continuing Resolution is always very fast. Make these calls and/or send these telegrams NOW!! Tomorrow may be too late. Congressman Senator House Office Bldg. Senate Office Bldg. Washington, DC 20515 Washington, DC 20510 or call: (202) 224-3121 (Capitol Switchboard) and ask for the office of your choice URGENT URGENT URGENT A.L.L. for God, for Life, for the Family, for the Nation" U.S. HOUSE OF REPRESENTATIVES COMMITTEE ON APPROPRIATIONS MAJORITY MEMBERS MINORITY MEMBERS Jamie L. Whitten, Miss., Charles Wilson, Tex. Slivio O. Conte, Mass. Chairman Lindy Boggs, La. Ranking Minority Member Edward P. Boland, Mass. Adam Benjamin, Jr., Ind. Joseph M. McDade, Pa. William H. Natcher, Ky. Norman D. Dicks, Wash. Jack Edwards, Ala. Neal Smith, lowa Matthew F. McHugh, N.Y. John T. Myers, Ind. Joseph P. Addabbo, N.Y. Bo Ginn, Ga. J. Kenneth Robinson, Va. Clarence D. Long, Md. William Lehman, Fla. Clarence E. Miller, Ohio Sidney R. Yates, III. Jack Hightower, Tex. Lawrence Coughlin, Pa. David R. Obey, Wis. Martin Olav Sabo, Minn. C.W. Bill Young, Fla. Edward R. Roybal, Calif. Julian C. Dixon, Calif. Jack F. Kemp, N.Y. Louis Stokes, Ohio Vic Fazio, Calif. Ralph S. Regula, Ohio Tom Bevill, Ala. W.G. (Bill) Hefner, N.C. Clair W. Burgener, Calif. Bill Chappell, Jr., Fla. Les AuCoin, Ore. George M. O'Brien, III. Bill Alexander, Ark. Daniel K. Akaka, Hawaii Virginia Smith, Nebr. John P. Murtha, Pa. Wes Watkins, Okla. Eldon Rudd, Ariz. Bob Traxler, Mich. William H. Gray III, Pa. Carl D. Pursell, Mich. Joseph D. Early, Mass. Bernard J. Dwyer, N.J. Mickey Edwards, Okla. Robert L. (Bob) Livingston, La. Bill Green, N.Y. Tom G. Loeffler, Tex. Jerry Lewis, Callf. Carroll A. Campbell, Jr., S.C. John Edward Porter. in U.S. SENATE COMMITTEE ON APPROPRIATIONS MAJORITY MEMBERS MINORITY MEMBERS Mark O. Hatfield, Ore., William Proxmire, Wis., Chairman Ranking Minority Member Ted Stevens, Alaska John C. Stennis, Miss. Lowell P. Weicker, Jr., Conn. Robert C. Byrd, W. Va. James A. McClure, Idaho Daniel K. Inouye, Hawaii Paul Laxalt, Nev. Ernest F. Hollings, S.C. Jake Garn, Utah Thomas F. Eagleton, Mo. Harrison (Jack) Schmitt, N.M. Lawton Chiles, Fla. Thad Cochran, Miss. J. Bennett Johnston, La. Mark Andrews, N.D. Walter D. Huddleston, Ky. James Abdnor, S.D. Quentin N. Burdick, N.D. Robert W. Kasten, Jr., Wis. Patrick J. Leahy, Vt. Alfonse M. D'Amato, N.Y. James R. Sasser, Tenn. Mack Mattingly, Ga. Dennis DeConcini, Ariz. Warren B. Rudman, N.H. Dale Bumpers, Ark. Arlen Specter, Pa. AMERICAN LIFE LOBBY INC. NATIONAL HEADQUARTERS MAILING ADDRESS P O BOX 490 STAFFORD VA 22554 OFFICES ROUTE #6 BOX 162-F ORD. VA 22554 (763) 659-4171 MI TRO DC 690 2049 GOVERNMENT LIAISON OFFICE 6B LIBRARY COURT SE (CAPITOL HILL) WASHINGTON, DC 20003 (202) 546-5550 HIGHLIGHTS OF DRAFT PROPOSED U.S. DHHS GUIDELINES DESIGNED TO MEET CRITICISMS OF GAO REPORTS HRD 81-68 AND HRD 81-106 1. A Title X grantee that runs an abortion clinic will have to seperate it from the family planning clinic. (i.e. seperate entrances and exits, seperate personnel, seperate medicine and supplies and must do nothing to give the impression that the Title X grant is in any way supporting the abortion clinic. Response: This perpetuates the improper reading of Section 1008 of the Public Health Service Act which was explained in Congressional debate by Congressman Dingell as follows: "With the 'prohibition of abortion amend- ment--TITLE X, SECTION 1008--the committee members clearly intend that abortion is not encouraged or promoted in any way through this legislation. Programs which include abortion as a method of family planning are not eligible for funds allocated through this act." 2. Nothing may be done by the Title X grantee that "potentially may give the impression that Title X funds support the abortion activities." Response: Does this cover counselling in favor of abortion? What about lobbying? Doesn't the fact that the same entity gets Title X funds and performs or refers for abortion encompass giving the impression that Title X funds support the abortion activities? 3. Referral will be limited to giving a list of names, addresses and phone numbers of "approved", "high quality" abortion clinic but only to those family planning clinic patients who request information on abortion clinics. Response: Referral is inconsistent with other parts of the pro- posed guidelines. How is such a referral consistent with "not giving the impression that Title X funds support abortion activities." General Response: These guidelines do nothing to address the GAO Report HRD 81-68 identification of waste and abuse through: A.L.L. fr God, for Life, for the Family, for the Nation" Page 2 a) too much and wrong kind of education b) too many patient visits-in excess of A.C.O.G. standard c) too much V.D. testing d) too much anemia screening e) non-collection of fees Further these proposed guidelines make no effort to specifically stop the use of clinics for lobbying even though every clinic visited by GAO for Report HRD 82-106 had at least a technical violation of the lobbying prohibitions. ACTION ITEM: Write and tell the following officials your views on the proposed guidelines. Honorable Richard S. Schweiker Secretary Department of Health & Human Services 615F - HHH Building 200 Independence Ave., S.W. and Dr. Robert Gramm, Administrator Health Resources and Services Administration U.S. DHHS Room 1405 5600 Fishers Lane Rockville, MD 20857 AMERICAN LIFE LOBBY INC. NATIONAL HEADQUARTERS: MAILING ADDRESS: P.O. BOX 490, STAFFORD, VA 22554 OFFICES: ROUTE #6, BOX 162-F, STAFFORD, VA 22554 (703) 659-4171 METRO DC 690-2049 GOVERNMENT LIAISON OFFICE 6B LIBRARY COURT SE (CAPITOL HILL) WASHINGTON, DC 20003 (202) 546-5550 October 15, 1982 Ms. Abigail Cummings Office of the General Counsel Inspector-General's Division 5541 DHHS - North 330 Independence Ave., S.W. Washington, D. C. 20201 Dear Ms. Cummings: I was pleased to learn in our telephone conversation last night that the Inspector- General's Division of U.S. DHHS now realizes that the infor- mation on approximately 16,240 containers of fetuses and fetal material has not been transferred to any ledger or in any way preserved and that the Department is "responding" to this information. We would appreciate knowing exactly how DHHS intends to respond. Will you intervene in District Attorney Van De Kamp's court action to delay or stop his attempt to obtain court permission to bury potential- ly critical evidence until all relevant data from these 16,240 containers can be preserved? I would appreciate a prompt response to this letter and my letter of October 7 on the same subject. CC: Juan del Real Sincerely, Richard P. Kusserow Bryan Mitchell Gary L. Curran Legisiative Consultant P.S. Following up our conversation this morning I cannot understand how DHHS investigators in approximately 48 hours have independently determined that all of the data contained on the approximately 16,240 containers proposed for burial is preserved. This is particularly true when it took the County Health Department and District Attorney's of- fice weeks to just count and sort the 16,390 containers. Again we reiterate that DHHS should independently determine that all data to be buried is preserved seperate from the container to be buried. A.L.L. for God, for Life, for the Family, for the Nation" ШИ western union Telegram NO. WDS.- CL. OF SVC. PD OR COLL CASH NO. CHARGE TO THE ACCOUNT OF THIS MESSAGE WILL BE SENT PRESS OVER NIGHT AS A TELEGRAM UNLESS IT IS DPR NPR TELEGRAM OTHERWISE INDICATED. Send the following message, subject to the Telegraph Company's conditions, rules and regulations, which are on file with regulatory authorities. COPY TO: Richard S. Schweiker Richard P. Kusserow Secretary of Health and Human Services Inspector General 200 Independence Avenue SW HHS North Room 5250 Washington, DC 20201 33u Independence Avenue SW Washington, DC 20201 Mr. Secretary: Our information is that information attached to the 16,390 containers of fetuses and fetal material referred to in the July 29, 1982 memorandum of Los Angeles County Director of Health Services has not been transferred to files or otherwise preserved in any form outside of the large shipping container discovered in February, 1982. Although some of this information may have been preserved outside the container, not all the information for all the 16,390 individual containers has been preserved. Without all the information form each of the 16,390 individual containers preserved we feel it will be impossible for HHS to conduct a thorough investigation of possible Medicaid fraud or other violations of laws, rules and regulations administered by the U. S. Department of Health and Human Services. We therefore call on you to intervene to stop District Attorney Van de Kamp's state court action to obtain permission to bury what could be critical evidence. We demand you petition to intervene in this court action, a hearing on which is scheduled for October 18, 1982. Respectfully, Dr. Robert L. Sassone Attorney at Law and National Advisory Board Legal Affairs Committee, American Life Lobby Law Offies: 900 No. Broadway; Suite 725; Santa Ana, CA 92701 PHONE: 714-547-5611 American Life Lobby offices; 6 Library Court SE; Washington, DC 20003 PHONE: 546-5550 Confirmation copies to: Senators Jesse Helms, Jeremiah Denton, Orrin Hatch and Roger Jepsen WU 1211 (R1-70) OF 131 COUNTY OF LOS ANGELES DEPARTMENT OF HEALTH SERVICES blis CALWOURIA 313 NORTH FIGUERCA STREET LOS ANGELES, CALIFORNIA 90012 (213) 974-8101 July 29, 1982 TO: Michael D. Antonovich, Supervisor Fifth Supervisorial District FROM: Robert Director W. of White SUBJECT: CATALOGING AND SORTING OF FETAL MATERIAL On June 15, on your Motion, this Department was ordered by the Board to assist the District Attorney in cataloging and sorting the contents of the shipping container seized by the County District Attorney and secured at the Mechanical Department Eastern Avenue headquarters. We have provided manpower to assist the District Attorney in this task and have completed the work under his direction as of this morning. The bin contained 16,390 individual plastic cartons of fetuses and fetal material. 150 of these were of a sufficient size to indicate that they might have been in excess of 20 weeks of gestational age. These were segregated and transferred to the office of the Chief Medical Examiner-Coroner for such additional processing as may be determined necessary by the District Attorney. These are in addition to the 43 fetuses transferred to the Coroner and autopsied following the discovery of this shipping container last February. The individual plastic containers were repackaged in cardboard boxes and the boxes were placed back in the shipping container, which has been resecured at Eastern Avenue and remain in the custody of the District Attorney. RWW:pv CC: Each Supervisor Chief Administrative Officer County Counsel District Attorney AMERIC LIF LOBBY INC. NATIONA MA ING ADDR III VA 4 #6 BOX IF. M RT SE October 7, 1982 Ms. Abigail Cummings 9 Office of the General Counsel Inspector General's Division 5541 DHHS - North 330 Independence Ave., S.W. Washington, D. C. 20201 Dear Ms. Cummings: This will follow up on our telephone conversation of this date and the telegrams of October 2, 1982 to Secretary Schweiker and Inspector-General Kusserow from Judie Brown. The hearing on the Los Angeles County District Attorney's court action for permission to bury the 17,000 aborted babies found in February is, I am informed, October 18, 1982. Unless the DHHS investigators are absolutely certain that the bodies proposed for burial will not ever be needed as evidence in any possible prosecution of violations of laws, rules or regulations administered by DHHS (such as Medicaid billing for tests or proceedures on these bodies that were never actually performed) we feel it is incumbent upon DHHS to intervene in the District Attorney's action to prevent the burial of potential evidence. We believe that if there is even the slightest question about the need for this evidence to remain available the Department should intervene to prevent burial. D Sincerely, Gary Gamy L. Curran Humon Legislative Consultant GLC/sm A.L.L. fo: fe fc he Nation" THE SECRETARY OF HEALTH AND HUMAN SE RVICES WASHINGTON DC 20201 Mrs. Judie Brown President American Life Lobby, Inc. P. O. Box 490 Stafford, Virginia 22554 Dear Mrs. Brown: I deeply share your concern over the recent discovery of aborted fetuses in a shipping container owned by Medical Analytical Laboratories, Inc. (MAL). I assure you that the Department of Health and Human Services (HHS) is conducting a thorough review of the situation to determine whether there has been any violation of Department rules or regulations. This Department will also closely follow the exhaustive California State investigation and will lend assistance to the State if Federal programs are implicated. The United States Department of Justice has already initially reviewed the matter and concluded that there are no Federal statutes prohibiting the use or interstate transportation of human fetuses for experi- mental purposes. However, I have directed various components of this Department to fully review Department policies to ensure that no violation has occurred. I appreciate your bringing this matter to my attention. Sincerely, Richard S. Schweiker Secretary AMERICAN LIFE OBBY INC. MAILING ADDRE #6 BOX 162 4171 ME LIAISON Any COURT SE (CAP November 24, 1982 Office of General Counsel Legal Services Corporation 733 15th St., N.W. Washington, D. C. 20005 Dear Sir: These comments are the official comments of the American Life Lobby, Inc., the biggest pro-life organization in the United States, representing over 100,000 persons. Our comments will be limited to the proposed changes concerning class action litigation by Legal Services Corporation (LSC) grantees Part 1617 as proposed to be amended at pages 50663 - 50665 of the Federal Register of Mon- day, November 8, 1982 (Vol. 47 No. 216). Neither the staff proposal nor the Harvey-Olson alternative go far enough. All LSC grantees should be barred from engaging in any class action litigation and all fees for class action litigation now in progress should be remitted to the U.S. Treasury. The reasons for this are very simple. 1. With the vast expansion of court awarded fees under the Civil Rights Attorneys Fee Recovery Act and the Equal Access to Justice Act there is no need for LSC grantees to take time and resources away from solving the individual problems of individual poor people so they can engage in time consuming class action litigation. Please note the enclosed story from the November 20, 1982 New York Times in which private attor- neys received $1.71 million in court awarded fees in a class action con- cerning prison conditions. Further LSC involvement in class action suits is duplicative and wasteful. 2. Class action suits are a back door method of financing Legal Services grantees. To our knowledge no one at the Legal Services Corporation in Washington knows the amount of income to each LSC grantee or in ag- gregate the amount of fees awarded to all grantees. Please note there is supposedly a statutory prohibition on LSC grantees taking fee gen- erating cases. The taxpayer is financing the costs of the LSC grantee lawyers salary. The taxpayer should not be required to finance a "pro- fit" to LSC grantees. To the extent that there is a massive profit to the grantees it provides a major incentive for LSC grantees to neglect -1- A.L.L. for for Life, for the for the Nation" individual problems for the more "ideological" and profitable class actions which may not relate to the pressing individual needs of poor people. Please note the enclosed article from the March 15, 1981 Phil- adelphia Bulletin in which it is reported that the local LSC grantee filed for $4.5 million in fees for just one case. At $100 per hour that that is 45,000 hours of legal work or the equivalent of 24 lawyers work- ing full time for a whole year on this one case. $4.5 million is the equivalent of the entire work load of the Philadelphia LSC grantee for almost two years. This of course means many individual cases were not worked on in order to pursue this one case. I also call your attention to the enclosed Orlando Sentinel-Star editorial of January 27, 1981 that states that the local LSC grantee is pursuing only two class action cases out of 4000 but states that more time and money is spent on the two class action cases than all the others combined. Note that one case has to do with whether the city of Orlando should build a downtown parking garage - a question that is at best tangential to the legal problems of the poor. 3. On June 17, 1981 the U.S. House of Representatives by a vote of 241 to 167, a 74 vote margin, added the following language to the LSC Re- authorization Bill, H.R. 3480: "Sec. 6. Section 1006(d) (5) of the Legal Services Corp- oration Act (42 U.S.C 2996e(d) (5)) is amended by adding at the end thereof the following: 'No class action suit may be brought against the Federal Government or any State or local govern- ment. For the above reasons we urge the Board of Directors of the Legal Ser- vices Corporation to repeal Part 1617 and replace it with the following: "No class action suit may be brought against the Federal Government or any State or local government." With God For Life, (Mrs.) Judie Brown President cc: All LSC Board Members Marion Edwyn Harrison, Esq. Honorable Charles Wilson NOV 19 REC'D MES AMERICAN LIFE LOBBY INC. NATIONAL HEADQUARTERS ADDRES OFFICES ROUTH dell' (703) 559-41 GOVERNMENT LIAISON OFFICE 681188ARY November 15, 1982 Honorable Ronald Reagan The President of the United States The White House Washington, DC 20500 Dear President Reagan: This is in further regard to my letter of October 4, 1982 in which I forwarded to you an analysis of the report "Deciding to Forego Life-Sustaining Therapy" of the June 10-11, 1982, Report of Presi- dent's Commission for the Study of Ethical Problems in Medicine and Bio-Medical and Behavioral Research. This analysis was done by Dr. Robert L. Sassone, Esq., at our request. We were hopeful that you would give this analysis your careful review before sharing it with those members of your staff who are directly concerned with this Commission and its output. The report contains any number of vitally pertinent comments and criticisms that are important to the continuing work of this Commission. We stand ready to assist you in any way possible in this matter. Please do not hesitate to call on me and my staff at any time in this regard. Again, on behalf of our board and our thousands of supporters from all across the country, we thank you and commend you for your continu- ing courage and outspoken support for the all-important issue of life. With God for Life, (Mrs.) Judie Brown President enc CC Elizabeth Dole Richard Schweiker Morton Blackwell David B. Swoap A.L.L. for God, for ife, for the Family, for the Nation" REVIEW OF "DECIDING TO FOREGO LIFE-SUSTAINING THERAPY" JUNE 10-11, 1982 BY THE PRESIDENT'S COMMISSION FOR THE STUDY OF ETHICAL PROBLEMS IN MEDICINE AND BIOMEDICAL AND BEHAVIORAL RESEARCH The format of this review is to first analyze the intro- duction and the various chapters and conclude with a summary analysis. Introduction The introduction summarizes changes now taking place in the dying process, including changes in patient attitudes. The statements made are general enough so that they could be true, although if interpreted in a certain way, certain of the state- ments could be considered to be incorrect or unfortunate. Among the major changes considered are that the time and manner of death are now more frequently known than previously, many patients are not averse to the prospect of death, yet these patients receive care in settings where death is not seen as a good outcome. Death is frequently seen as a failure of medical science. Physicians until recently systematically excluded dying patients from serious involvement in planning their own care by denying them information. Such practices are changing. Social attitudes about and interest in death and dying is changing. The patient wants to be protected against eh course of death that is too easy and quick as much as from one that is too agonizing and prolonged. The golden mean is sought. In summary, the introduction is not offensive to the right to life, although some of its statements skirt the use of terminology which is offensive to the right to life. Chapter 1 - The Dying Patient A. Characterization In general, the characterization of the dying patient is good. It is stated that: "People are too varied in their responses to death for arbitrary definitions. The dying patient is one with definite signs and symptoms that imply a prognosis of life sufficiently short that attention to completing life is a more realistic response than setting more open-ended goals. Dying frequently entails suffering. Suffering is subjective .... Dying people are generally confronted with powerful emotions. " The section concludes, "The various reform movements in dying éducation have recently been addressing these problems and have demonstrated that much can be done to facilitate the tasks of dying persons and their survivors." In general the preceding section is satisfactory. B. Therapeutic Possibilities This section is excellent. It indicates that the lot of the dying patient can be greatly improved by good medical and nursing care and simple attention to details such as proper positioning. "Medical management of symptoms has recently demonstrated that no patient need be terrified of pain. ... Other symptoms such as nausea ... usually respond reasonably well. The anguish of one who is grappling with the issue of his, or her own mortality is less susceptible to a technologic cure. ... Adequate care requires attention to the spiritual, emotional, financial, and other needs of the person who is dying." C. Components of Quality Care This section is excellent. It states in part, "Teachers of the art of managing dying patients point out the central role of involved and careful listening ... Patients who live angry or insecure or isolated lives are fairly likely to die angry, afraid, or lonely. Reasonable goals originate in helping the person to use his strength and to avoid his weaknesses in confronting the prospects of an impending end to life Until the evidence is quite clear that the patient is making an informed, deliberate, and autonomous decision to forego one or more specific life-sustaining interventions, wise health care pro- viders seek out and enhance those parts of the patient's person that are not yet ready to acquiesce to death. The individual provider care can accomplish much by insuring support for the persons who will be bereaved by the patient's death. # - 2 - D. "Death with Dignity" This topic is handled well. The report states in part: "Much can and should be done to insure that patients are treated with respect and concern throughout life. Insofar as 'Death with Dignity' means that he decisions of dying patients are solicited and respected, that much is probably achievable. However, many proponents seem to go well beyond that to a vision of guaranteeing each person a peaceful and aesthetically appealing death. This is clearly beyond reach. ... Insuring comfort at the end of life sometimes requires some mechanical and artificial assistance. For these reasons the best care of dying patients is not always aimed to achieve a 'natural death' or tranquil an appealing death scene." Chapter 2 - Possible Constraints On Acceptable Decisions A. Ethical Analysis and Public Policy "All persons have a duty to refrain from taking the life of another. However, this duty is often difficult to interpret when seriously ill patients and their families and health care providers face decisions that are likely to affect the span of the patient's life. For some patients, the conditions of shorter life and the satisfactions that it is expected to afford outweigh the appeal of a longer life under more severely constrained conditions. The commission believes that wise public policy would aim to allow such a choice but also to limit the likelihood of untimely death being chosen because of erroneous information, temporary depres- sion of the patient, or other flaws in the functioning of the decision making process." The application of general rules is discussed. The pro- blem of the "slippery slope" is defined and discussed. B. Voluntariness "An important distinction between voluntary and involuntary decisions to forego life-sustaining therapy. Good medical practice requires that a competent and and informed patient's refusal of a - 3 - particular, or even all, medical treatment be respected. The moral basis of 'Living Wills' derives from the importance of honoring a competent patient's advance decisions. ... Reflecting the importance of self- determination, the commission endorses a strong pre- sumption in favor of honoring an informed patient's competent and voluntary decision concerning life- sustaining therapy. Voluntary foregoings require: The patient be competent to make this decision, that he understand the nature and expected consequences of available alternative courses of action, and that the consent be given without coercion or manipulation. In- voluntary foregoings are made against the expressed and competent decision of the patient. Non-voluntary foregoings take place when the patient gives neither effective consent nor refusal for termination. Permitting others to make a decision to forego a therapy that is reasonably likely to extend the life of competent patient without informing or involving the patient is wrong, since the patient is being treated as if you are not capable of self-determination. Many persons believe there are additional limits on the ethical acceptability of treatment refusal or termination, or other actions in the medical context that bring about death. For example only passive means, the death may only be indirectly incurred, or only extraordinary therapy may be foregone. Distinc- tions such as these impose additional moral limits on voluntary foregoings of life-sustaining therapy." The difference between active killing and allowing to die is discussed philosophilically and morally. The distinction between stopping and not starting treatment is discussed. D. Intended Outcomes or Merely Foreseen Consequences Pain relievers can sometimes increase a patient's chance of death from infection or other causes. The doctrine of double effect is discussed. Lives' by the administration of a lethal injection. The difference between acting and refraining when each results in death are discussed. The commission concludes after a sophisticated discus- sion that both the nature and moral importance of the differ- ence between direct and indirect killing, as marked by the distinction between what a person intends to do and the foreseen but unintended consequences of what he does, are sufficiently problematic to warrant great caution in placing important - 4 - weight on this difference in public policy. The preceding statement if implemented in the wrong way could cause serious problems. The commission goes on to state, "Considerable caution is warrantêd about substantially weakening these safeguards, despite the doubtful moral importance of the distinctions on which they rely. The commission also ... finds it possible that the value of respecting a competent patient's voluntary choice might be sufficiently important in at least some cases ethically to justify allowing the patient actively or intentionally to terminate his own life." (Suicide) Here the commission's analysis is very weak though subtle. The arguments against the conclusion are not really analyzed. E. Ordinary and Extraordinary Treatment "The commission can find no basis for holding that whether a treatment is common or unusual, or simple or complex, is in itself morally important in deciding whether the treatment is obligatory." The ordinary-extraordinary distinction of Catholic theology is discussed. The commission concludes that public policy should avoid the use of the terms ordinary/extraordinary because the distinction plays no role in the ethical analysis, yet invites confusion. Here again the commission could have done a better job of analyzing the conclusion of the commission can be supported only if it is interpreted in a particular way as in the preceding case (D. Intended Outcomes Or Merely Foreseen Consequences) F. Summary The commission concludes that of all the distinctions that have been opposed to demarcate acceptable from unacceptable actions, only the voluntary-involuntary one is clearly morally relevant in itself and usually capable of unambiguous applica- tion in actual cases. This appears to be a dangerous conclu- sion in that the distinctions which the commission would avoid can shed substantial light on what should be the particular action in a particular case. The commission utilizes the so called "hard cases" to show that there are problems in the application of moral guidelines, and reasons from the problems in particular hard cases that the guidelines themselves are valueless. It appears to me that this is faulty reasoning ón the part of the commission which could have severe adverse effects. - 5 - Chapter 3 - Patients who Make Their Own Decisions Most patients in most situations can make their own assess- ments and health care professionals should enhance the ability of patients to exercise this self-determination. Considering the effect of decisions involving life-sustaining therapy, we must be certain the patient has made a valid consent. The patient's emotions must also be considered. A. What the Patient Would Consider This section indicates what information the patient should have in reaching decisions relating to care such as life- sustaining therapy. B. The Involvement of Others The involvement of family, health care professionals, institutions, and society are discussed. C. Additional considerations by Agents for the Patient When a patient makes a decision that involves others, the agent involved faces decisions as a result. Patients who claim to want to discontinue a life-sustaining therapy frequently do not do so when they have the chance. A person acting for the patient should consider this. In all this chapter's analysis, as noted previously, is not really favorable toward right to life, but it is not too bad. Chapter 4 - Decision Making When The Patient Cannot Decide (This chapter is Chapter 4 of "Consent" and "DFT".) A. Which Patient's Lack Decision Making Capacity Patients lacking decision making capacity lack the ability to communicate with other people or to comprehend their situation and its potential impact upon their lives or patients who are coerced or manipulated also lack decision making capacity. It - 6 - includes children, those with mental and physical deficits, those who are incapable of deciding at the time the decision must be made though competent at other times. "Health care providers should recognize that the only necessary implication of a determination of incapacity to make a decision is that the patient's decision, if any, may be overruled." (This could certainly be stated more precisely.) "The patient may be able to participate in the decision even though unable to make it." (Good point.) A check list is given to determine the patient's decision making capacity. The patient who had some ability to comprehend, communicate, and form a preference is discussed. B. Goals of Decision Making For Incompetent Patients The two chief goals are (1) promoting patient welfare and (2) respecting patient self-determination by implementing the patient's values and preferences expressed when the patient was competent. When recovery of decision making capacity is a reasonable prospect, enhancing this prospect is also a goal of decision making. C. Substantive Principles for Decision Making Full respect for the principle of self-determination implies that the former wishes of an incapacitated patient be followed. This is called the rule of "substituted judgment". Examples are "living wills" and durable powers of attorney. The "living will" was developed in 1938. Beginning in 1976, a number of states adopted statutes intended to give legal force to "living wills" under specified conditions. Doubt may remain as to whether the advanced directive or past preference was based on a sufficient appreciation of the relevant facts or as to whether some shift in the individual's preferences or values may have occurred. Notwithstanding this inherent limitation, the Commission believes that carefully prepared advance written directives can provide a useful way of facilitating respect for patient self- determination and for advancing the patient's welfare on his or her own terms. (This statement appears to favor the "living will" concept. None of the disadvantages of living wills are discussed. It should be noted that the language chosen is more broad and yet more narrow than a mere expression of approval of the concept of "living wills. In non-emergency situations the family should be the principle decision maker for the incompetent patient under most circumstances. A sound institutional policy should include a designated staff person or committee to determine when to seek court appointment of a legal guardian for the incompetent patient who lacks a suitable surrogate. The staff person or committee may serve as a temporary surrogate. The committee believes this approach is better than letting the provider in charge be the principle decision maker because of his medical expertise or letting treatment decisions be made by the courts. The surrogate should be a genuine decision maker, not a passive witness to decisions made by the medical team. The surrogate's decision making authority is not as broad as the competent patient's right of self-determination particularly in cases of refusal of treatment. A hospital ethics committee may also shed light on certain types of cases. Policy should be set up for those cases requiring special scrutiny, especially cases involving procedures primarily beneficial to others, not the patient, procedures expected to produce irreversable changes such as sterilization or psychosurgery, and decisions to forego life-extending procedures. The Commission advises a procedure for deciding close cases or cases where there are disagreement and believes that certain patient groups require especially rigorous safeguards. Among these are incompetent long-term inmates of total institutions and patients in newborn intensive care units. The Commission recommends 10 elements for a sound institutional policy for decision making for incompetent patients. CONCLUSION This report is generally fairly good. There are some areas where, as noted previously, it can be criticized, but overall it appears to be a reasonable effort by conscientious staff to do a fair exploration of the difficult areas relating to foregoing life-sustaining therapy. While we could live with this report, improvements are possible, and if we can request them at no great cost, we should so request. These areas of weakness in the report have been noted previously. Robert Sassone ROBERT L. SASSONE - 8 - 10 THE NEW YORK TIMES, SATURDAY, NOVEMBER 20, 1982 U.S. Judge Awards $1.71 Million In Legal Fees in Texas Prison Case By STUART TAYLOR Jr. Special to The New York Times WASHINGTON, Nov. 19- A Federal various kinds of cases are now author- district judge in Texas ordered the state ized by the civil rights laws and dozens today to pay $1.71 million in fees and ex- of other Federal statutes for the pur- penses to the attorneys for prisoners pose of encouraging lawsuits that Con- who won a lawsuit challenging condi- gress deemed to serve the public inter- tions in the state prison system, the na- est. tion's largest. Judge Justice, long a favorite of civil The fees, awarded by Judge William rights lawyers and a nemesis of state Wayne Justice of Tyler, Tex., to Wil- officials, has presided over the prison liam Bennett Turner of San Francisco case since 1972. In 1980, he found that and other lawyers representing a state- conditions throughout the system wide class of prisoners, were the big- amounted to unconstitutional "cruel gest ever in any lawsuit brought pri- and unusual punishment" and Issued a marily under the civil rights laws, ac- sweeping prison-reform decree. cording to legal experts. His central holding that the condi- The fees were more than double the tions were unconstitutional and some of largest previously awarded in a prison his remedial orders were upheld, while conditions case. other particularly costly remedial or- The judge's action drew an immedi- ders were reversed in June by the ate denunciation from the Texas Attor- United States Court of Appeals for the ney General, Mark White, the Gover- Fifth Circuit. nor-elect, who has strenuously opposed Judge Justice specified in his latest the prison litigation. He said that Judge opinion, dated Wednesday and filed Justice "has again fallen into error with today in Federal District Court in Hous- an excessive award," which he prom- ton, that the total of $1,662,683 in attor- ised to appeal. neys' fees and $51,844 in expenses were Case Spanned a Decade to be divided between Mr. Turner, the chief counsel, 11 other lawyers, one The size of the award reflects the large law firm and assorted paralegals view that the decade-long lawsuit, in- and law clerks. volving more than 30,000 inmates in 22 He said the lawyers had employed un- institutions, was "unprecedented in its usual skill and dedication, in a "compli- scope and complexity," as Judge Jus- cated and unprecedented" case, to win tice put it. The judge was also unusually a "priceless" victory for prisoners that generous in upholding almost all "should dramatically alter" the over- aspects of the fee application. crowding and brutality he had found to But he asserted in his 58-page opinion pervade the prison system. that the time and expense the state had The judge praised Mr. Turner, a San invested in is defense of the lawsuit Francisco lawyer whom he awarded "dwarfs the time spent by plaintiffs' more than $700,000, at $300 an hour, as counsel," and that much larger fees "probably the foremost practitioner in had been awarded in antitrust and other the field of prisoners' rights in this na- business lawsuits that were no more tion." complex than the prison case. He computed the fees by multiplying Large fee awards to lawyers repre- the number of hours' work each lawyer senting plaintiffs in civil rights, envi- had documented, discounted by 5 per- ronmental and other lawsuits against cent to allow for possible duplication of state and Federal Governments have efforts, by hourly rates ranging from increasingly become the focus of politi- $150 for Mr. Turner to $75 for "inexperi- cal controversy. enced or subordinate attorneys." The Reagan Administration is The judge then doubled the fees, on preparing legislation to sharply limit the ground that the attorneys "have pri- the judicial power to award fees to law- vately enforced crucial social objec- yers who prevail in suits against gov- tives which might otherwise be ig- ernmental units, according to an article nored," and had worked for years with- to be published in the next edition of The out any assurance of compensation be- National Law Journal. cause of the risk that they would lose Fee awards to prevailing plaintiffs in the case. 18E THE NEW YORK TIMES, SUNDAY, DECEMBER 5, 1982 ARTHUR OCHS SULZBERGER, Publisher A. M. ROSENTHAL, Executive Editor SEYMOUR TOPPING, Managing Editor ARTHUR GELB, Deputy Managing Editor JAMES L GREENFIELD, Assistant Managing Editor The New York Times LOUIS VERSTEIN, Assistant Managing Editor MAX FRANKEL, Editorial Page Editor JACK ROSENTHAL, Deputy Editorial Page Editor Founded in 1851 CHARLOTTE CURTIS, Associate Editor ToM WICKER, Associate Editor ADOLPH 8. OCHS, Publisher 1896-1935 ARTHUR HAYS SULZBERGER, Publisher 1935-1961 JOHN D. POMFRET, Exec. V.P., General Manager ORVILE DRYPOOS, Publisher 1961-1963 DONALD A. NIZEN, Sr. V.P., Consumer Marketing LANCE R. PRIMIS, Sr. V.P., Advertising J. A. RIGGS JR, Sr. V.P., Operations JOHN M. O'BRIEN, V.P., Controller ELISE J. ROSS, V.P., Systems More Legal Insults for the Poor What would you think of a law that gave you the maladministered school lunch program without the right to sue the Government for depriving you of advance consent of every affected family. Even the your rights - provided only that no public funds be courts have no right to require litigants, rich or poor, used to redress the grievance if you win? No one to run that obstacle course. even dreams of such a law for suits by those who can A staff lawyer who so misread the commission's afford a lawyer, but President Reagan's appointed purpose and the law's intent ought to be sent to re- guardians of the national poverty law program want take the bar exam. But these guidelines were writ- just such a rule for the poor. ten not by staffers or clerks but by directors named Their proposal takes the form of draft guide- by the President: Chairman William Harvey, a law lines for the Legal Services Corporation, the feder- professor in Indianapolis, and William Olson, a ally funded system for helping the poor in civil Washington attorney. Both share Mr. Reagan's hos- cases. Congress told the corporation to write rules tility to legal services. for class actions, which are lawsuits filed on behalf of large groups of people who share a legal griev- ance. But instead of regulating class lawsuits, the Congress tried mightily in 1974 to nourish legal new proposal would eliminate them for the poor services by creating an independent corporation and only the poor. that would foster competent, fearless legal repre- Class actions are useful tools in business litiga- sentation free from political meddling. The White tion and other cases involving persons too numerous House has frustrated this system by nominating di- to sue individually. A unanimous Supreme Court rectors, notably Mr. Harvey and Mr. Olson, who are praised the device in a complicated 1979 Social Se- unacceptable to Senate friends of the program but curity case because it "saves the resources of both serve under recess appointments. Required by the the courts and the parties by permitting an issue 1974 law to appoint some directors who are eligible potentially affecting every Social Security benefici- clients, the Administration picked a 23-year-old son ary to be litigated in an economical fashion. The of middle-class parents who is working his way device gives the plaintiffs the strength of numbers, through college. if they can afford to sue. Such parodies of poverty law are ridiculous but The idea of banning awards from public funds is not amusing. They not only cheat but insult the poor. only the most blatant discrimination against the Congress has little time to rescue this program from poor. The other proposed technical hurdles are daz- the Reagan wrecking crew. The Senate can begin by zling. For example, a legal services program could voting promptly to reject the Harvey and Olson not sue in the name of all injured families over a nominations. bits AMERICAN LIFE LOBBY INC. NATIONAL ITERS MAILING ADDRESS P O HD 22554 ROUTE #6 BOX 162.F STATE 659-4171 METRO DC GOVERNMENT LIAISON BRARY COURT SE (CAPITOL HII 20003 (202) 546-5550 December 7, 1982 Editor New York Times 229 W. 43rd St. New York, NY 10036 Dear Sir: I have just read your editorial "More Legal Insults For The Poor" (December 5, 1982). I am afraid that the Times has not studied the background for the proposal to ban Legal Services Corporation (LSC) lawyers from class action cases because if you had you would find that such a restriction will eliminate a) duplication and waste, b) will actually increase the amount of Legal Ser- vices provided to the poor and c) an even stronger ban than that proposed by LSC Chairman Harvey which was adopted by the U.S. House of Represent- atives on June 17, 1981 by an overwhelming vote of 241 to 167. A). With the vast expansion of court awarded fees under the Civil Rights Attorneys Fee Recovery Act and the Equal Access to Jus- tice Act there is no need for LSC grantees to take time and re- sources away from solving the individual problems of individual poor people so they can engage in time consuming class action litigation. For example on November 20, 1982 the Times reported that private attorneys received court awarded fees totaling $1.71 million for a class action relating to conditions of prisoners - pro- bably the poorest of the poor. Since Legal Services lawyers sal-i aries are 100% subsidized by the taxpayer there is no need for them them to engage, in class actions which result in large fees. To do so makes the taxpayer pay for the litigation twice. This a- mounts to institutional ideological amulance chasing. B). Because of the prospect of large fee recoveries class action cases divert Legal Services lawyers from providing help for in- dividual poor people. For example in 1981 the LSC organization in Philadelphia filed in Federal court for $4.5 million in fees for what is known as the Whitman Park case. Eyen at the rate of $100 per hour this means that Legal Services lawyers spent 45,000 hours on that one case, or 24 lawyers working full time for a whole year. $4.5 million is equal to two years worth of grants to this organization from LSC. In order to spend this much time on one case many individual poor people must have been denied legal assistance. -1- A.L.L. for for Life, for the for the Nation" page two Also in 1981 the LSC grantee Greater Orlando Legal Services had about 4000 cases only two of which were class actions however the Orlando Sentinel-Star on January 27, 1981 reported "but the financial and manpower costs of those two class action suits, are far greater than those of the individual cases.". In other words the organization could handle at least 8000 individual poor people's cases if the LSC lawyers weren't pursuing just two class actions. C). On June 17, 1981 the U.S. House of Representatives by a 74 vote margin adopted the following amendment to the LSC Re-author- ization Dill, H.R. 3480: "No class action suit may be brought against the Federal Government or any State or local government." 1 The ban on class actions is sound policy that will save taxpayers money and at the same time increase legal services to the poor. Sincerely, Gony berron Gary LI Curran Legislative Consultant GLC/sm AMERICAN LIFE LOBBY INC. NATIONAL HEADQUARTERS: MAILING ADDRESS: P.O. BOX 490, STAFFORD, VA 22554 OFFICES: ROUTE #6, BOX 162-F, STAFFORD, VA 22554 (703) 659-4171 METRO DC 690-2049 GOVERNMENT LIAISON OFFICE: 6B LIBRARY COURT SE (CAPITOL HILL) WASHINGTON, DC 20003 (202) 546-5550 January 21, 1983 PROPOSED ACTION ITEMS FOR PRESIDENTIAL CONSIDERATION A) Please issue a 1984 Budget Proposal Amendment now to cut $50,000,000 from Title X - PHS based upon GAO Report HRD 81-68's findings of fund mismanagement. B) Please veto any relevant appropriations bill that comes to the White House without specific language prohibiting the use of tax-payer dollars for abortion and abortion-related services. C) Please be certain that the public and the Congress understand that the veto was used specifically because of the absence of restrictive abortion language. (See B above) D) Since Mrs. Margaret Heckler, Secretary Designate for the DHHS, is already on record as an opponent of parental notification and parental consent when dealing with unemancipated minors, will you instruct her to see that the new minimal parental notification regulation is enforced? E) Will you please require that all recipients of Title X (Public Health Service Act - birth control program) funds be required to abide by the strict letter of the law and Section 1008 of Title X; and further, that those agencies who do not comply be immediately defunded? F) Will you enforce this request (D) with the Department of HHS with adequate follow-up in place? G) Will you work with Secretary Designate Heckler to see that she immediately begins a vigorous implementation policy with regard to the Handicapped Persons Provisions of the law in such a way that government funded hospitals can no longer take the lives of newborn infants as was the case in the Infant Doe matter of April, 1982. H) Will you work with Secretary Designate Heckler in her efforts to vigorously review all grant applications for research on human subjects to make certain that no fetal experimentation is taking place in any project funded in any way with tax payer monies? I) ALL proposes that the Reagan Administration establish a Study Committee for the purpose of investigating the impact which the taking of the lives of 1.5 million Americans each year by abortion has had on the Social Security System and what the eventual impact of this tragedy will have on the elderly of our nation. American Life Lobby appreciates the opportunity to share these proposals, requests and comments with the President of the United States, Ronald W. Reagan. On behalf of our entire constituency, and in complete faith that the Lord will guide your actions, I am, respectfully, JodenBrown (Mrs.) Judie Brown, President JB:pgd A.L.L. " for God, for Life, for the Family, for the Nation" "Give me a place to stand and I will move the earth." OF -Archimedes Contraception POWER and Abortion Does Planned Parenthood Prevent Abortion? There are at least four authoritative sources A well-publicized theme of Planned Parent- with Planned Parenthood credentials that con- hood proponents starting with foundress Mar- tradict the for-public-consumption-claim regard- garet Sanger in 1916 and continuing to the pres- ing contraceptives preventing abortion. ent has been that abortion could be prevented by A study of this matter was undertaken by birth control. Dr. Raymond Pearl, a member of Planned Par- A July 1951 Readers Digest article portrayed enthood in the 1930s (i.e., The American Birth Margaret Sanger as a "little red-headed, dedi- Control League). The study. "The Natural History cated nurse and faithful mother of three children of Population," utilized information collected from the obstetrical wards of 139 first class hos- who consecrated her life to alleviating the suffer- ings of poor tenement women burdened by the pitals in 14 states and Washington, D.C., involv- ing cases of 26,316 white and 5,633 black women tragedy of abortion and unwanted children." The Planned Parenthood Federation of who had delivered babies in the participating hospitals. America published a brochure in 1943 which Dr. Pearl concluded, "The number of abor- stated "Therapeutic abortion or abortion neces- tions per 100 pregnancies experienced, and the sary to save the life of the mother is a medical percentages of total reproductive wastage due to procedure which can be resorted to by the physi- induced abortion, are from three to four times cian with complete legality. All other abortions greater, generally speaking. among contraceptors are illegal. Their toll in death, sterility and than among non-contraceptors The results illness is appalling. The public is confused about are based upon the women's own admission of the two types of abortion, and about the connec- the extent to which they have resorted to tion of either with birth control. Obviously the induced abortion. They probably understate the only connection is that proper accessibility of true facts these data came from families liv- birth control information to married women ing together in wedlock." through physicians would reduce the large pro- Two other supporters and contemporaries of portion of abortions that occur among married Margaret Sanger, Regina R. Stix, M.D., and women." Frank Notestein, studied women attending Mar- More recently, in the Sunday, May 17, 1981, garet Sanger's own Clinical Research Bureau. Washington Post, a full-page Planned Parent- Their 1940 book, Controlled Fertility, noted hood Federation of America (PPFA) ad touted that of 991 women studied there were 3,255 federal birth control programs in bold letters. pregnancies. Of the contracepting women, 41 "Our Country Has a Program That Reduces percent of the pregnancies were ended by illegal Teenage Pregnancies, Reduces the Need for abortion, while only 3.5 percent of the non- Abortion, Saves Taxpayers Money. The 'Moral contracepting women had illegal abortions. Majority' Wants It Abolished." Illegal abortion involved other than a life- Additionally, a May/June 1981 Planned Par- threatening circumstance. Contraceptives used in- enthood Family Planning Perspectives article cluded condoms, diaphragms and spermicides. claimed that for the $285 million spent in 1979 During April 1955 PPFA sponsored a confer- on birth control by the federal and state govern- ence on abortion in America dealing with the ments, about 695,000 pregnancies were averted contraception/abortion relationship. The famed sex researcher Alfred E. Kinsey among low and marginal income women of said, "Al the risk of being repetitious, I would which 370,000 would have been aborted. These remind the group that we have found the highest programs saved 109.5 million tax dollars for frequency of induced abortion in the group, abortions at $295 each. which, in general, most frequently uses Apprently these claims are believed by many contraception." Americans. But are they based on fact? Take a The concluding statement of the conference, look. signed by Planned Parenthood notables Allen F. R.G.M. Guttmacher. John Rock, Abraham Stone, Chris- Levers of Power A topher Tietze and others, stated, "It was recog- the Supreme Court's pro-abortion decision. nized by conference participants that no scien- Planned Parenthood president Dr. Alan Cutt- tific evidence has been developed to support the macher and others had helped devise the hospital claim that the increased availability of contra- abortion committee system during the World ceptive services will clearly result in a decreased War 11 era, which democratized the abortion illegal abortion rate." decision and by the early fifties apparently had All of the illegal reasons for abortion in 1955 increased somewhat the abortion rates. were legal indications for abortion after Jan. 22, Proceeding further, the 1955 Planned Par- 1973. enthood Abortion Conference recommended that In 1972, Malcolm Potts, then medical direc- "A model abortion law should be drawn up and tor of the International Planned Parenthood Fed- offered to the states to replace present statutes." eration, wrote that birth controllers in the 1930s Note that statutes at that time had either no denied the relationship between contraception exception or life of the mother only. and abortion "possibly because its recognition By 1959 the American Law Institute (ALI), n would have discredited their own fragile claims private organization, did draw up a model sta- to respectability Evidence of rising abortion tute with the help of some Planned Parenthood rates with the expanding use of contraceptives is associates. The ALI proposal was substantially now available from Korea, India, Taiwan, Iran, adopted by Colorado in 1967, New York, Hawail Turkey, Egypt and some parts of Latin America." and Alaska soon followed with similar statutes, Planned Parenthood and Abortion A "Right" of Privacy Writing in 1971, George Langmyhr, M.D., of During this period Planned Parenthood affil- Planned Parenthood-World Population observed, iates cooperated, according to Dr. Langmyhr, "It goes without saying that Planned Parenthood with various ad hoc abortion law repeal commit- Affiliates have long been involved in programs lees. Planned Parenthood also helped prepare of abortion information, counselling and referral. various legal briefs on cases that would lead to Before the recent change in abortion laws, these or involved liberalization of abortion laws. activities were necessarily unpublicized Two of the more important cases were Gris- Dr. Langmyhr also indicated that "most pro- wold V. Connecticut (381 U.S. 479) and Eizenstadt fessionals and volunteers associated with V. Baird (405 U.S. 438). Planned Parenthood have accepted for a long In the 1965 Griswold case the U.S. Supreme time the necessity of abortion as an integral part Court struck down a Connecticut law forbidding of any complete or total family planning the use of contraceptive drugs by married cou- program." ples because of a constitutionally protected right This acceptance goes back to Planned Par- of privacy. enthood foundress Margaret Sanger who as pub- In the 1972 Eizenstadt case the Supreme Court lisher in 1914 of a radical feminist newsletter, struck down a Massachusetts law forbidding the Woman Rebel, ran articles in support of free sex sale of contraceptives for use by the unmarried. and abortion. According to Sanger biographer The Planned Parenthood Federation of Madeline Gray, English sex writer Havelock America and the American Association of Ellis convinced Margaret Sanger to de-emphasize Planned Parenthood Physicians filed a friend of the abortion side of her crusade and establish the court brief (Oct. 12, 1971) and supplemental contraception first, Abortion would then follow, brief (Sept. 15, 1972) in the Doe V. Bolton Geor- he assured. gia abortion case decided on Jan. 22, 1973. In 1933 Margaret Sanger wrote a somewhat Planned Parenthood attorneys including subtle letter to her clinic director, Dr. Hanna Harriett Pilpel stated, "The right of a woman to Stone, that she wanted the clinic to develop a choose whether or not to bear a child is an aspect regular program whereby "overdues," i.e., of her right of privacy and liberty and, we sub- women, could be directed toward a doctor or mit, a fundamental right hospital that would help the woman in question. "Similarly, the right to marry, the right James Reed, in From Private Vice to Public to have possession of pornography in the privacy Virtue, wrote, "The law did not catch up with of one's own home, have all been held to be fun- Margaret Sanger's vision until 1973," i.e., with damental rights under the Constitution." "We believe that the right of privacy recog- By Robert C. Marshall. Mr. Morshall is director nized by this Court in Griswold V. Connecticut of public relations for American Life Lobby and included the right of a woman to decide not director of education for American Life Educa- only when, but also whether to bear a child tion and Research Trust. "Moreover, the right to abortion must be B Levers of Power viewed MS a corollary of the right to control fer- tility which was recognized in Griswold "This court has now on several occasions Action You Can Take: indicated its view that a woman has a fundamen- 1. Thomas Jefferson wrote in 1787 that "the tal constitutional right to decide whether or not basis of our government being the opinion of the to have a child. Most recently in Eizenstadt people, the very first object should be to keep the Court said, 'if the right of privacy means that right anything, it is the right of the individual, married Because it is up to you to shape public opin- or single, to be free from unwarranted govern- ion, copy this article for your representatives in mental intrusion into matters so fundamentally Congress, state legislators and city or county affecting a person as the decision whether to councils who underwrite PP tax-supported birth bear or beget a child.' control programs. "The Baird decision followed logically from 2. Obtain copies of the Food and Drug Ad- the decision of this court in Griswold V. ministration-required patient package inserts Connecticut." (PPI) for the birth control pill and the IUD from Additionally, Harriett Pilpel testified on your pharmacist or physician. Read the sections March 10, 1975, before a U.S. Senate subcommit- designated "Mode of Action." Note that while the tee in opposition to a human life amendment to Pill and IUD PPI's indicate that implantation is the U.S. Constitution. She said, "However, affected, this is not called an abortion. Because nowhere in our constitution, or in any amend- the Pill and IUD inserts are required by the fed- ment adopted to date, is there any reference to, eral Food and Drug Administration, which is or indeed any guarantee of, a right to life for any controlled by the Congress, ask your U.S. con- one gressman and senators why the FDA does not Ms. Pilpel would write in the May 1975 require Pill and IUD manufacturers to explicitly Journal of Sex Research that the abortion deci- identify the abortion-inducing properties of the sions of 1973 were correctly derived from the Pill and IUD in the PPI. right of privacy established by the 1965 Supreme 3. Obtain Pill and IUD manufacturers' pro- Court Griswold birth control decision which cli- motional literature from your pharmacist and maxed "over a quarter of a century of efforts to physician. achieve a decision of the Court that reproductive Write to IUD and Pill manufacturers and ask freedom was indeed a guaranteed basic them their polícy on your rights as a consumer to freedom." be well informed. After they answer you, write How the same Constitution which Ms. Pilpel to them again and ask them if they apply their indicated did not guarantee anyone's right to life own policy to their Pill or IUD promotional liter- could at the same time guarantee everyone's- ature. Follow a similiar procedure with your but mainly a woman's-right to privacy is not ex- local pharmacist and physician. plained in the rest of Ms. Pilpel's article. 4. Share the results of your letter-writing Ms. Pilpel's elaboration of the true nature of with your neighbors, friends at church and birth control or reproductive freedom is at var- American Life Education and Research Trust iance with an earlier public position she took in a (see address at bottom of next page). 1939 co-authored article where she referred to a legal case that provided an opening for contra- ception in the Comstock anti-birth control era of tional right of privacy for pornography also American History, 1873-1936. included the right of privacy for abortion. She wrote, "Oddly enough, the first ray of light filtered through in a case involving abor- Does Contraceptive Abortion tion, which is of course the antithesis of contra- Prevent Abortion? ception, but which was lumped together with it In 1963 a U.S. Department of Health, Educa- in the Comstock laws." tion and Welfare public health service publica- Yet recall that it is Planned Parenthood tion, number 1066, page 27, stated that abortion which admits the linkage of contraception with comprised all the measures which impair abortion. It was Planned Parenthood's friend of the viability of the zygote (individual formed at the court brief which relied upon Stanley V. fertilization-ed.) at any time between the instant Georgia (394 U.S. 557, 1969)-a Supreme Court of fertilization [union of male and female seed- pornography case establishing the constitutional ed.) and the completion of labor constitute, in the right "to have possession of pornography in the strict sense, procedures for inducing abortion." privacy of one's home." The brief used Stanley to That stage of development after fertilization support their thesis that the so-called constitu- most susceptible to interference is implantation Levers of Power c of the individual into the uterine wall of the possible side-effect of preventing implantation in mother's womb. Since women do not normally some cases notice this event when it occurs, a birth control "Although life begins at conception, the drug or device which prevents implantation can application of a criminal penalty in any case be pushed on the public as a contraceptive and before the law requires proof that an individual not an abortion-inducing item. has suffered as a result of another's actions. At a 1964 Population Council International Such proof is impossible in the case of pre- Conference, a physician participant pointed out implantation drugs or devices, because preg- the following: "In a Moslem country such as Paki- nancy is not detectable until after implantation." stan, if it's considered that the intrauterine There are four points to note: device is an abortifacient, this obviously would First: Recently America saw the withdrawal have a bearing on national acceptance or from drugstore shelves across the nation millions rejection." of Tylenol bottles because of seven deaths that Dr. Tietze, associated with both the Popula- resulted from criminal tampering in one part of tion Council and Planned Parenthood, suggested the country. as an answer to this so-called dilemma not to Because of the deaths all three major TV "disturb those people for whom this is a question news networks devote major coverage, a nation- of major importance." wide manhunt ensues, detectives are working Tietze also stated, "If a medical consensus overtime and the FBI is thrown into action. develops and is maintained that pregnancy, and But contrast that proper concern with the therefore life, begins at implantation, eventually societal tolerance for a vastly greater number of our brethren from the other faculties will listen" deaths among pill- and IUD-using women and (i.e., theology and law-ed.). their unborn offspring at the implantation stage Almost as proof of Tietze's claim, Dr. Gutt- of development. macher pointed out to conference participants Second: Calling the contraceptive effect of an that a 1962 British Council of Churches pamphlet anti-implantation drug or device "valid or help- concluded that biological life began at conception ful" is either to accept the erroneous while human life began at implantation. contraception-prevents-abortion argument or In The pamphlet stated, "We see no objections identify artificial contraception as good in to the use of a technique which could prevent itself-a very curious position for Catholic implantation. Such a method could also quite bishops. properly be called contraception." Third: There are some sensitive medical More recently, a publication copyrighted in tests which are capable of detecting pregnancy 1981 by the National Conference of Catholic prior to implantation. And if they become suffi- Bishops, entitled "The Human Life Amendment: ciently available to the public, what becomes of Realities and Myths," if not materially accepting the bishops conference argument-Irom-ignorance the beginning-of-life-finesse proposed by Dr. doctrine? And in any case, with the current con- Tietze, has provided one of its own in an inept cern about drugs and alcohol affecting the course attempt to deal with the circumstances of of a pregnancy, isn't there some duty incumbent Planned Parenthood's somewhat confused and upon a doctor to see whether he has one or two belated admission that the Pill and IUD can and patients? do cause abortion early in pregnancy because Fourth: Abortionists, under the Catholic they can and do prevent implantation. bishops conference ignorance-position, would The publication states, "If abortion became simply return to their pre-1973 mode of opera- illegal, then drugs marketed for their abortifa- tion by performing abortion within four to ten cient effect as well as surgical abortions would weeks of the last menses without performing a be illegal. But this does not apply to drugs or pregnancy test. Such techniques were called devices that have a valid or helpful effect as well menstrual regulation and endometrial operation. as a potentially dangerous side-effect. The latter A rose by any other name remains the same, situation would apply to chemicals or devices no matter who claims otherwise. which have a contraceptive effect as well as a This series, Levers of Power, is provided by American Life Education and Research Trust, Route 6 Box 162F, Stafford, VA 22554. It is to be freely copied and used. This publication will enable all pro-life and pro-family people to better exert the influence they have over those who would force our nation to continue destroying human life. 1982 American Life Education and Research Trust. Reprint permission for Levers of Power granted: Please send our flice copies of items used from this publication. Levers of Power is provided to American Life Lobby for use in A.L.L. About Issues as a service to the pro-family movement. D Levers of Power AMERICAN LIFE LOBBY INC. NATIONAL HEADQUARTERS: MAILING ADDRESS: P.O. BOX 490, STAFFORD, VA 22554 OFFICES: ROUTE #6, BOX 162-F, STAFFORD, VA 22554 (703) 659-4171 METRO DC 690-2049 GOVERNMENT LIAISON OFFICE: 6B LIBRARY COURT SE (CAPITOL HILL) WASHINGTON, DC 20003 (202) 546-5550 October 19, 1982 Mr. Morton Blackwell Ms call. ask worts until Special Assistant to the President 191 Old Executive Office Building if Washington, D. C. 20500 Dear Morton: to Judie + STATE tal This will follow up our meeting this morning. 1 would greatly appreciate it if you could arrange a meeting with DHHS Deputy Secretary David Swoap and DHHS Assistant Secretary Dale Sopper to discuss initiatives for incremental gains for the pro-life move- ment. I would suggest the following items be discussed: 1. Title X - FY1984 funding cut. 2. Planned Parenthood referral statistics. 3. Title X appropriation language to prevent referral or counselling for abortion with Title X funds. 4. Fetal research information at N.I.H. as requested by Congressman Dannemeyer. 5. Support the text of the Dannemeyer amendment as an amendment to S2311. 6. Medicare abortion statistics (3 states way out of line). Thank you in advance for your assistance in this request. GuiBe With For Life, (Mrs. Brown President JB/sm A.L.L. " for God, for Life, for the Family, for the Nation" AMERICAN LIFE LOBBY INC. NATIONAL HEADQUARTERS: MAILING ADDRESS: P.O. BOX 490, STAFFORD, VA 22554 OFFICES: ROUTE #6, BOX 162-F, STAFFORD, VA 22554 (703) 659-4171 METRO DC 690-2049 GOVERNMENT LIAISON OFFICE: 68 LIBRARY COURT SE (CAPITOL HILL) WASHINGTON, DC 20003 (202) 546-5550 November 15, 1982 Mr. Morton Blackwell Special Assistant to the President 191 Old Executive Office Building Washington, D. C. 20500 Dear Morton: This will follow up my letter of October 19, 1982 requesting that you try to put together a meeting with DHHS Deputy Secretary David Swoap and DHHS Assistant Secretary for Management Dale Sopper to discuss the Title X Public Health Service Act Program in light of critical GAO Reports HRD 81-68 and HRD 82-106 about this program. Any luck in setting up such a meeting time is of the essence be- cause the department and OMB will be putting the final touches on the FY84 Budget for this program within a week or so if it has not already been "put to bed" so to speak. With kind regards. Sincerely, 12/1 back -245-7431 Carl Gary Curran Legislative Consultant will an set derson up 12/6 meeting with Dr. Brandt GLC/sm Edwin Dr Brandt anst See for Health A.L.L. for God, for Life, for the Family, for the Nation" AMERICAN LIFE LOBBY INC. NATIONAL HEADQUARTERS: MAILING ADDRESS: P.O. BOX 490, STAFFORD, VA 22554 OFFICES: ROUTE #6, BOX 162-F, STAFFORD, VA 22554 (703) 659-4171 METRO DC 690-2049 GOVERNMENT LIAISON OFFICE: 6B LIBRARY COURT SE (CAPITOL HILL) WASHINGTON, DC 20003 (202) 546-5550 June 2, 1982 Morton Blackwell Special Assistant to the President The White House Washington, D.C. 20501 Dear Mr. Blackwell: Last year nearly 300 leaders of the pro-life, pro-family movement gathered in Washington, D.C. for the historic "UNITY '81", the First Annual Grass- roots Pro-Life Education Conference. The 23 workshops and general sessions included presentations by such notables as yourself, Congressman Henry Hyde and Senator Jeremiah Denton, and selected from topics ranging from "How to Fight Secular Humanism" to "How to Promote Chastity Among Adolescents." Plans are already well underway to make "UNITY '82" even bigger and better. It will be held at the Marriott Gateway Hotel in Crystal City, Va., November 11 - 14, 1982. The program will again include a wide variety of "How-To" sessions on topics of concern to the pro-life movement and will feature a diverse array of notable speakers including Evangelist James Robison and Bishop Welsch of the Diocese of Arlington. The American Life Lobby and the American Life Education and Research Foundation, primary sponsors of the 1982 conference, would be delighted and honored to have you attend. We have invited the President, and should he not be able to come we want to make sure the White House is represented. Could we count on you to be a "guaranteed back-up person?" Needless to say we would appreciate hearing from you as soon as possible so that we can make arrangements for publicizing your appearance. Please call me, or Mr. Jim Kappus of my staff, if you have any further questions or need additional details. With God for Life. Julier (Mrs.) Judie Brown President JB/cbm Jime 6/11 Coppus call Juliet with + time e A.L.L. for God, for Life, for the Family, for the Nation" Legal Lobbyrig Education Unity '82 Grassroots Pro-Life Education Conference Politics Service November 11-14, 1982 Marriott Gateway Hotel, Crystal City, Virginia PO Box 190, Garrisonville, VA (703) 659-4171 or Metro DC 690-2049 October 29, 1982 Co-Sponsored by: (Mrs.) Judie Brown American Life Lobby Howard Phillips MEMO TO: ALL SPEAKERS AND PRESENTORS FOR UNITY '82 The Conservative Caucus FROM: JUDIE BROWN (Mrs.) Karen Davis Christian Women's National Concerns RE: CANCELLATION OF UNITY '82 Elasah Drogan Catholics United for Life Liz Sadowski First Women's Conference Edward E. McAteer Religious Roundtable Dear Friend: Joe Scheidler Pro-Life Action League Due to circumstances totally beyond our control, we have Paul A. Brown been forced to cancel the Unity '82 Grassroots Pro-Life Life Amendment Political Action Committee Education Conference which had been scheduled for November 11-14, 1982. You are herewith asked to clear your calendar to avoid any additional confusion. We apologize for any difficulties or distress this decision may cause you. We simply feel that we can more effectively get the same message to the grassroots by redirecting our resources. Each speaker will be individually contacted in the near future with respect to the reshaping of their presentation into another format for distribution. I thank you for your understanding and your patience under these difficult circumstances. Please do not hesitate to call or write if you have any further questions. With God for Life, (Mrs.) Judian Judie Brown P.S. NOTE that this does not affect the Symposium sponsored by Human Life International, which will proceed as scheduled. Primary sponsor American Life Education and Research Trust (ALERT) Legal Lobbying Education Unity '82 Grassroots Pro-Life Education Conference Politics Service November 11-14, 1982 Marriott Gateway Hotel, Crystal City, Virginia PO Box 190, Garrisonville, VA (703) 659-4171 or Metro DC 690-2049 FOR IMMEDIATE RELEASE: OCTOBER 29, 1982 Co-Sponsored by: (Mrs.) Judie Brown American Life Lobby AMERICAN LIFE LOBBY CANCELS UNITY '82 Howard Phillips The Conservative Caucus (Mrs.) Karen Davis Christian Women's National Concerns (Mrs.) Judie A. Brown, President of both the American Life Elasah Drogan Catholics United for Life Lobby and the American Life Education and Research Trust, today Liz Sadowski First Women's Conference announced that the UNITY '82 Grassroots Pro-Life Education Edward E. McAteer Religious Roundtable Conference had been cancelled II due to circumstances totally Joe Scheidler beyond our control." Pro-Life Action League Paul A. Brown Mrs. Brown noted that registrations were lower this year Life Amendment Political Action Committee than last, probably due to the upcoming elections. "We simply had to make a judgement call," she added. "We feel that we can more effectively get our message out to more people by redirecting our limited resources." All speakers and registrants will be contacted directly with further details. Speakers will be asked to refashion their presentations into articles for future publication. # # # P.S. NOTE THIS DOES NOT AFFECT THE SYMPOSIUM SPONSORED BY HUMAN LIFE INTERNATIONAL WHICH WILL PROCEED AS SCHEDULED. Primary sponsor American Life Education and Research Trust (ALERT) noull /:30 Legal Education Unity '82 Lobbying Grassroots Pro-Life Education Conference Politics Service November 11-14, 1982 Marriott Gateway Hotel, Crystal City, Virginia PO Box 190, Garrisonville, VA (703) 659-4171 or Metro DC 690-2049 October 15, 1982 Co-Sponsored by: (Mrs.) Judie Brown American Life Lobby Howard Phillips The Conservative Caucus (Mrs.) Karen Davis Mr. Morton Blackwell Christian Women's National Concerns Special Assistant to the President Elasah Drogan The White House Catholics United for Life Washington, DC. 20500 Liz Sadowski First Women's Conference Dear Morton: Edward E. McAteer Religious Roundtable Per your request, we have moved back your scheduled appearance atUNITY '82 until 1:30 p.m. on Thursday, Joe Scheidler November 11th. Pro-Life Action League Paul A. Brown I hopethis works into your schedule better. Life Amendment Political Action Committee With God for Life, (Mrs.) Judie Brown President Primary sponsor American Life Education and Research Trust (ALERT) Legal Lobbying Education Unity '82 Grassroots Pro-Life Politics Service Education Conference November 11-14, 1982 Marriott Gateway Hotel, Crystal City, Virginia PO Box 190, Garrisonville, VA (703) 659-4171 or Metro DC 690-2049 Co-Sponsored by: August 19, 1982 (Mrs.) Judie Brown American Life Lobby Howard Phillips The Conservative Caucus (Mrs.) Karen Davis Christian Women's National Concerns Morton Blackwell Special Assistant to the President Elasah Drogan Catholics United for Life The White House Washington, D.C. 20501 Liz Sadowski First Women's Conference Dear Mr. Blackwell: Edward E. McAteer Religious Roundtable This is to confirm your appearance at "UNITY '82." Joe Scheidler Pro-Life Action League Your appearance as a speaker at our conference is scheduled for Thursday, November 11th from Noon - Calindared Paul A. Brown Life Amendment Political Action Committee 1:15 p.m., on the topic "Administration Progress 8/22 Carely On Pro-Life Issues." we can change to If you would send to us your biographical sketch and appreciated. photo some time next week it would be greatly sent 8/23 from stating :2 nook time carolyn I am enclosing some of our first promotional flyers on 1.15 the conference for your use. Please pass the word and let me know if you need more flyers; ad slicks and press releases will be provided as theyare available. Thank you for your help in making UNITY '82 an unequal- ified success! With June God for Life. (Mrs Brown President, A.L.E.R.T. JB/cbm Primary sponsor American Life Education and Research Trust (ALERT) Legal Lobbysis Education Unity '82 Grassroots Pro-Life Education Conference Politics Service November 11-14, 1982 Marriott Gateway Hotel, Crystal City, Virginia PO Box 190, Garrisonville, VA (703) 659-4171 or Metro DC 690-2049 Co-Sponsored by: INFORMATION FOR SPEAKERS (Mrs.) Judie Brown American Life Lobby In order to avoid confusion or misunderstandings, we want to : ward Phillips The ative Caucus set forth the procedures and related information for speakers at our upcoming "UNITY '82" Conference. (Mrs.) Karen Davis Christian Women's National Comerns WASHINGTON, D.C., BASED SPEAKERS: TRAVEL Elasah Drogan Catholics United for Life Speakers will be reimbursed for carfare and/or cabfare Liz Sadowski from their home or office to and from the Conference site. First Wr.men's Conference Edward E. McAteer Religious Roundtable OUT-OF-TOWN BASED SPEAKERS: TRAVEL Joe Scheidler Pro-Life Action League Speakers will be reimbursed for round-trip airfare, coach class, from the city of residence to Washington, D.C.; ground Paul A. Brown transportation, if necessary, to and from the airport will be Life Amendment Political Action Committee reimbursed. [The Marriott Shuttle Bus will provide ground trans- portation between Washington National to the hotel.] We ask that you provide us with your schedule as soon as possible so that we can take advantage of any "special fares" or advance reservation discounts that may be available. When you know your schedule, please call Mr. Jim Kappus; we will have your ticket prepared and mailed to you. Speakers will be provided with one night's stay at the Conference hotel at the "double occupancy" rate. Speakers will be "doubled up" where possible, unless the speaker wishes to pay the difference in rate for single occupancy. Any "incidental" room charges are the responsibility of the speaker. ALL SPEAKERS; CONFERENCE REGISTRATION All speakers will be provided with a name badge allowing them to attend all of the Conference meetings and entitling them to refreshments during the coffee breaks. Primary sponsor American Life Education and Research Trust (ALERT) american Life THE WHITE HOUSE WASHINGTON Labby September 30, 1981 The Speaker of the House of Representatives Sir: I ask the Congress to consider amendments reducing requests for appropriations for fiscal year 1982 by $18,070,934,000 and an off-budget request in the amount of $3,217,991,000 for the Strategic Petroleum Reserve. These requests would implement the fall budget program proposals that I announced to the Nation on September 24. The details of these proposals are set forth in the enclosed letter from the Director of the Office of Management and Budget. I concur with his comments and observations. Respectfully, Ronald Bagan Enclosures ASSISTANT SECRETARY FOR HEALTH 1982 1982 Budget 1982 March September 1982 Appendix Heading January Amendment Amendment Revised Page Request Pending Request Request I-K39 Health block grants -- -- $1,216,072,000 $1,216,072,000 (Insert the above heading and the appropriation language that follows immediately after the material under the heading "Health Services Management":) For monthly payments to States as authorized bv Title XIX of the Public Health Service Act and Title 7 OT the Social Security Act $83,600,000 for Preventive Health and Health Services Block Grant, $432,080,000 for Alconol and Drug Abuse and Mental Health Services Block Grant, $2,200,000 for Primary Care Block Grant, and $291,280,000 for Maternal and Child Health Services Block Grant: Provided, That up to ten percent of the amount provided for nealth block grants for any State or territory may be used for Federal administration until that State or territory has assumed administra- tion of the health block drants. 1982 1982 Budget 1982 March September 1982 Appendix Heading January Amendment Amendment Revised Page Request Request Request Request - For expenses necessary to carry out Sections 318, 329, 330, 340, and Title X of tne Public Health Service ACT, Section 427(a) or the Federal Mine Safety and Health Act OT 1977, Section 311 of the Comprenensive Alconol Abuse and Alcoholism Prevention, Treatment, and Rehabilitation Act of 1970, and Section 410 of the Drug Abuse Prevention, Treatment, and Renabilitation Act $406, 912, 000: Provided, That not to exceed $98, 000, 000 shall be available for Title X of the Public Health Service Act. This amendment establishes the account for health block grants. The reduction for health block grants is part of the Administration's proposed pro-rata 12% reduction and would reduce 1982 outlays by $59.1 million. OCT 7 RECD MB AMERICAN LIFE LOBBY INC. NATIONAL HEADQUARTERS: MAILING ADDRESS: P.O. BOX 490, STAFFORD, VA 22554 OFFICES: ROUTE #6, BOX 162-F, STAFFORD. VA 22554 (703) 659-4171 METRO DC 690-2049 GOVERNMENT LIAISON OFFICE 6B LIBRARY COURT SE (CAPITOL HILL) WASHINGTON, DC 20003 (202) 546-5550 October 4, 1982 A Honorable Ronald Reagan The President of the United States The White House Washington, D.C. 20500 Dear President Reagan: Enclosed for your perusal and implementation is an analysis of the report "Deciding to Forego Life-Sustaining Therapy" of the June 10- 11, 1982, Report of President's Commission for the Study of Ethical Problems in Medicine and Bio-Medical and Behavioral Research. The analysis was done by Dr. Robert L. Sassone, Esq., at our request. It would be greatly appreciated if you would give this analysis your careful review before sharing it with those members of your staff who are directly concerned with this Commission and its output. The report contains any number of vitally pertinent comments and criti- cisms that are important to the continuing work of this Commission. It is our continuing hope that you will make every effort to insure that Presidential Commissions of this type are made up of individuals representing many aspects of the issue so that their reports, which carry your name and the prestige of your high office, are balanced. My office will be more than able to provide you with the names of a host of qualified experts in the fields of brain death, suicide, euthanasia, fetology, etc. Please do not hesitate to call on us for any assistance we might render. On behalf of our board and our thousands of supporters from all across the country, we thank you and commend you for your continuing courage and outspoken support for the all-important issue of life. With God for Life, President (Mrs.) Judie Sen Brown Enclosure A.L.L. for God, for Life, for the Family, for the Nation" REVIEW OF "DECIDING TO FOREGO LIFE-SUSTAINING THERAPY" JUNE 10-11, 1982 BY THE PRESIDENT'S COMMISSION FOR THE STUDY OF ETHICAL PROBLEMS IN MEDICINE AND BIOMEDICAL AND BEHAVIORAL RESEARCH The format of this review is to first analyze the intro- duction and the various chapters and conclude with a summary analysis. Introduction The introduction summarizes changes now taking place in the dying process, including changes in patient attitudes. The statements made are general enough so that they could be true, although if interpreted in a certain way, certain of the state- ments could be considered to be incorrect or unfortunate. Among the major changes considered are that the time and manner of death are now more frequently known than previously, many patients are not averse to the prospect of death, yet these patients receive care in settings where death is not seen as a good outcome. Death is frequently seen as a failure of medical science. Physicians until recently systematically excluded dying patients from serious involvement in planning their own care by denying them information. Such practices are changing. Social attitudes about and interest in death and dying is changing. The patient wants to be protected against eh course of death that is too easy and quick as much as from one that is too agonizing and prolonged. The golden mean is sought. In summary, the introduction is not offensive to the right to life, although some of its statements skirt the use of terminology which is offensive to the right to life. Chapter 1 - The Dying Patient A. Characterization In general, the characterization of the dying patient is good. It is stated that: "People are too varied in their responses to death for arbitrary definitions. The dying patient is one with definite signs and symptoms that imply a prognosis of life sufficiently short that attention to completing life is a more realistic response than setting more open-ended goals. Dying frequently entails suffering. Suffering is subjective .... Dying people are generally confronted with powerful emotions. " The section concludes, "The various reform movements in dying éducation have recently been addressing these problems and have demonstrated that much can be done to facilitate the tasks of dying persons and their survivors." In general the preceding section is satisfactory. B. Therapeutic Possibilities This section is excellent. It indicates that the lot of the dying patient can be greatly improved by good medical and nursing care and simple attention to details such as proper positioning. "Medical management of symptoms has recently demonstrated that no patient need be terrified of pain. Other symptoms such as nausea ... usually respond reasonably well. ... The anguish of one who is grappling with the issue of his or her own mortality is less susceptible to a technologic cure. ... Adequate care requires attention to the spiritual, emotional, financial, and other needs of the person who is dying." C. Components of Quality Care This section is excellent. It states in part, "Teachers of the art of managing dying patients point out the central role of involved and careful listening ... Patients who live angry or insecure or isolated lives are fairly likely to die angry, afraid, or lonely. Reasonable goals originate in helping the person to use his strength and to avoid his weaknesses in confronting the prospects of an impending end to life Until the evidence is quite clear that the patient is making an informed, deliberate, and autonomous decision to forego one or more specific life-sustaining interventions, wise health care pro- viders seek out and enhance those parts of the patient's person that are not yet ready to acquiesce to death. ... The individual provider care can accomplish much by insuring support for the persons who will be bereaved by the patient's death. - 2 - D. "Death with Dignity" This topic is handled well. The report states in part: "Much can and should be done to insure that patients are treated with respect and concern throughout life. Insofar as 'Death with Dignity' means that he decisions of dying patients are solicited and respected, that much is probably achievable. However, many proponents seem to go well beyond that to a vision of guaranteeing each person a peaceful and aesthetically appealing death. This is clearly beyond reach. ... Insuring comfort at the end of life sometimes requires some mechanical and artificial assistance. For these reasons the best care of dying patients is not always aimed to achieve a 'natural death' or tranquil an appealing death scene." Chapter 2 - Possible Constraints On Acceptable Decisions A. Ethical Analysis and Public Policy "All persons have a duty to refrain from taking the life of another. However, this. duty is often difficult to interpret when seriously ill patients and their families and health care providers face decisions that are likely to affect the span of the patient's life. For some patients, the conditions of shorter life and the satisfactions that it is expected to afford outweigh the appeal of a longer life under more severely constrained conditions. The commission believes that wise public policy would aim to allow such a choice but also to limit the likelihood of untimely death being chosen because of erroneous information, temporary depres- sion of the patient, or other flaws in the functioning of the decision making process." The application of general rules is discussed. The pro- blem of the "slippery slope" is defined and discussed. B. Voluntariness "An important distinction between voluntary and involuntary decisions to forego life-sustaining therapy. Good medical prac ice requires that a competent and and informed tient's refusal of a - 3 particular, or even all, medical treatment be respected. The moral basis of 'Living Wills' derives from the importance of honoring a competent patient's advance decisions. Reflecting the importance of self- determination, the commission endorses a strong pre- sumption in favor of honoring an informed patient's competent and voluntary decision concerning life- sustaining therapy. Voluntary foregoings require: The patient be competent to make this decision, that he understand the nature and expected consequences of available alternative courses of action, and that the consent be given without coercion or manipulation. In- voluntary foregoings are made against the expressed and competent decision of the patient. Non-voluntary foregoings take place when the patient gives neither effective consent nor refusal for termination. Permitting others to make a decision to forego a therapy that is reasonably likely to extend the life of competent patient without informing or involving the patient is wrong, since the patient is being treated as if you are not capable of self-determination. Many persons believe there are additional limits on the ethical acceptability of treatment refusal or termination, or other actions in the medical context that bring about death. For example only passive means, the death may only be indirectly incurred, or only extraordinary therapy may be foregone. Distinc- tions such as these impose additional moral limits on voluntary foregoings of life-sustaining therapy." The difference between active killing and allowing to die is discussed philosophilically and morally. The distinction between stopping and not starting treatment is discussed. D. Intended Outcomes or Merely Foreseen Consequences Pain relievers can sometimes increase a patient's chance of death from infection or other causes. The doctrine of double effect is discussed. Lives' by the administration of a lethal injection. The difference between acting and refraining when each results in death are discussed. The commission concludes after a sophisticated discus- sion that both the nature and moral importance of the differ- ence between direct and indirect killing, as marked by the distinction between what a person intends to do and the foreseen but unintended consequences of what he does, are sufficiently problematic to warrant great caution in placing important - 4 - weight on this difference in public policy. The preceding statement if implemented in the wrong way could cause serious problems. The commission goes on to state, "Considerable caution is warrantêd about substantially weakening these safeguards, despite the doubtful moral importance of the distinctions on which they rely. ... The commission also finds it possible that the value of respecting a competent patient's voluntary choice might be sufficiently important in at least some cases ethically to justify allowing the patient actively or intentionally to terminate his own life." (Suicide) Here the commission's analysis is very weak though subtle. The arguments against the conclusion are not really analyzed. E. Ordinary and Extraordinary Treatment "The commission can find no basis for holding that whether a treatment is common or unusual, or simple or complex, is in itself morally important in deciding whether the treatment is obligatory." The ordinary-extraordinary distinction of Catholic theology is discussed. The commission concludes that public policy should avoid the use of the terms ordinary/extraordinary because the distinction plays no role in the ethical analysis, yet invites confusion. Here again the commission could have done a better job of analyzing the conclusion of the commission can be supported only if it is interpreted in a particular way as in the preceding case (D. Intended Outcomes Or Merely Foreseen Consequences) F. Summary The commission concludes that of all the distinctions that have been opposed to demarcate acceptable from unacceptable actions, only the voluntary-involuntary one is clearly morally relevant in itself and usually capable of unambiguous applica- tion in actual cases. This appears to be a dangerous conclu- sion in that the distinctions which the commission would avoid can shed substantial light on what should be the particular action in a particular case. The commission utilizes the so called "hard cases" to show that there are problems in the application of moral guidelines, and reasons from the problems in particular hard cases that the guidelines themselves are valueless. It appears to me that this is faulty reasoning on the part of the commission which could have severe adverse effects. - 5 Chapter 3 - Patients who Make Their Own Decisions Most patients in most situations can make their own assess- ments and health care professionals should enhance the ability of patients to exercise this self-determination. Considering the effect of decisions involving life-sustaining therapy, we must be certain the patient has made a valid consent. The patient's emotions must also be considered. A. What the Patient Would Consider This section indicates what information the patient should have in reaching decisions relating to care such as life- sustaining therapy. B. The Involvement of Others The involvement of family, health care professionals, institutions, and society are discussed. C. Additional considerations by Agents for the Patient When a patient makes a decision that involves others, the agent involved faces decisions as a result. Patients who claim to want to discontinue a life-sustaining therapy frequently do not do so when they have the chance. A person acting for the patient should consider this. In all this chapter's analysis, as noted previously, is not really favorable toward right to life, but it is not too bad. Chapter 4 - Decision Making When The Patient Cannot Decide (This chapter is Chapter 4 of "Consent" and "DFT".) A. Which Patient's Lack Decision Making Capacity Patients lacking decision making capacity lack the ability to communicate with other people or to comprehend their situation and its potential impact upon their lives or patients who are coerced or manipulated also lack decision making capacity. It - 6 - includes children, those with mental and physical deficits, those who are incapable of deciding at the time the decision must be made though competent at other times. "Health care providers should recognize that the only necessary implication of a determination of incapacity to make a decision is that the patient's decision, if any, may be overruled." (This could certainly be stated more precisely.) "The patient may be able to participate in the decision even though unable to make it." (Good point.) A check list is given to determine the patient's decision making capacity. The patient who had some ability to comprehend, communicate, and form a preference is discussed. B. Goals of Decision Making For Incompetent Patients The two chief goals are (1) promoting patient welfare and (2) respecting patient self-determination by implementing the patient's values and preferences expressed when the patient was competent. When recovery of decision making capacity is a reasonable prospect, enhancing this prospect is also a goal of decision making. C. Substantive Principles for Decision Making Full respect for the principle of self-determination implies that the former wishes of an incapacitated patient be followed. This is called the rule of "substituted judgment". Examples are "living wills" and durable powers of attorney. The "living will" was developed in 1938. Beginning in 1976, a number of states adopted statutes intended to give legal force to "living wills" under specified conditions. Doubt may remain as to whether the advanced directive or past preference was based on a sufficient appreciation of the relevant facts or as to whether some shift in the individual's preferences or values may have occurred. Notwithstanding this inherent limitation, the Commission believes that carefully prepared advance written directives can provide a useful way of facilitating respect for patient self- determination and for advancing the patient's welfare on his or her own terms. (This statement appears to favor the "living will" concept. None of the disadvantages of living wills are discussed. It should be noted that the language chosen is more broad and yet more narrow than a mere expression of approval of the concept of "living wills.") In non-emergency situations the family should be the principle decision maker for the incompetent patient under most circumstances. A sound institutional policy should include a designated staff person or com determine when to seek court appointment of a legal guardian for the incompetent patient who lacks a suitable surrogate. The staff person or committee may serve as a temporary surrogate. The committee believes this approach is better than letting the provider in charge be the principle decision maker because of his medical expertise or letting treatment decisions be made by the courts. The surrogate should be a genuine decision maker, not a passive witness to decisions made by the medical team. The surrogate's decision making authority is not as broad as the competent patient's right of self-determination particularly in cases of refusal of treatment. A hospital ethics committee may also shed light on certain types of cases. Policy should be set up for those cases requiring special scrutiny, especially cases involving procedures primarily beneficial to others, not the patient, procedures expected to produce irreversable changes such as sterilization or psychosurgery, and decisions to forego life-extending procedures. The Commission advises a procedure for deciding close cases or cases where there are disagreement and believes that certain patient groups require especially rigorous safeguards. Among these are incompetent long-term inmates of total institutions and patients in newborn intensive care units. The Commission recommends 10 elements for a sound institutional policy for decision making for incompetent patients. CONCLUSION This report is generally fairly good. There are some areas where, as noted previously, it can be criticized, but overall it appears to be a reasonable effort by conscientious staff to do a fair exploration of the difficult areas relating to foregoing life-sustaining therapy. While we could live with this report, improvements are possible, and if we can request them at no great cost, we should so request. These areas of weakness in the report have been noted previously. Robert I lassone ROBERT L. SASSONE - 8 - ШО Telegram western union NO. WDS. - CL. OF SVC. PD. OR COLL CASH NO. CHARGE TO THE ACCOUNT OF THIS MESSAGE WILL BE SENT PRESS OVER NIGHT AS A TELEGRAM UNLESS IT IS DPR NPR TELEGRAM OTHERWISE INDICATED. Send the following message, subject to the Telegraph Company's conditions, rules and regulations, which are on file with regulatory authorities. Mr. James A. Baker III Chief of Staff The White House Washington, D. C. 20500 Mr. Edwin Meese III Counsellor to the President The White House Washington, D. C. 20500 Mr. Kenneth M. Duberstein Assistant to the President For Legislative Affairs The White House Washington, D. C. 20500 On behalf of the pro-life movement that is united in support of the Helms pro-life amendment to H.J. Res. 520, the Debt Limit Increase Bill, I respectfully request an appointment on September 7 or 8 to re- quest the active support and lobbying efforts of the Reagan Administra- tion to obtain the necessary votes in the U.S. Senate to impose cloture on the pro-abortion filibuster against the Helms amendment. The first vote on cloture will occur at 2:00 p.m., Thursday, September 9, 1982, I look forward to an expeditious reply to this re- quest. With God for Life, (Mrs.) Judie Brown President American Life Lobby Inc. 6 Library Court S.E. Washington, D. C. 20002 WU 1211 (RI-70) UP080 R BRORTION BY WESLEY G. PIPPERT WASHINGTON (UPI) -- NEW RIGHT GROUPS ARE PUTTING PRESSURE ON PRESIDENT REAGAN AND SENATORS TO SUPPORT ANTI-ABORTION LEGISLATION ON WHICH THE SENATE MAY VOTE IN EARLY SEPTEMBER. "IT I5 HARDLY R STATE SECRET THAT MANY OF YOUR MOST ARDENT SUPPORTERS GROW INCREASINGLY RESTLESS, H NATIONAL RIGHT TD LIFE NEWS SAID THIS WEEK IN RN EDITORIAL "OPEN LETTER" ADDRESSED TO REAGAN. "THE FACT OF LIFE I5, NITHOUT YOUR ALL-OUT, UP-FRONT, FULL-THROTTLED LEADERSHIP MR. PRESIDENT, OUR PROGRESS WILL BE EITHER AGONIZINGLY SLOW DR STOPPED IN ITS TRACKS,' THE EDITORIAL SAID AMERICAN LIFE LOBBY, IN AN "URGENT" MASS MAILING, TOLD SUPPORTERS TO GET IN TOUCH WITH THEIR SENATORS DURING THE LABOR DAY CONGRESSIONAL RECESS AND, TO GIVE THEM MORE LEVERAGE, IT INDICATED WHICH SENATORS ARE UP FOR RE-ELECTION THIS FALL. "YOU MUST CONTACT YOUR SENATOR DURING RECESS, WHICH WILL LAST UNTIL SEPT. 7," THE LETTER SAID. YOUR SENATOR MUST UNDERSTAND HIS SUPPORT FOR (SEN. JESSE) HELM'S SUPERBILL IS VITAL. WE NEED TO OBTAIN FROM 60 SENATORS R COMMITMENT TO DO FIVE THINGS.." IT LISTED VDTING FOR CLOTURE SEPT. TO STOP THE FILIBUSTER AGRINST HELMS' AMENDMENT TO BAN FEDERAL FUNDING OF ABORTIONS) VOTING FOR THE ANTI-ABORTION AMENDMENT; VOTING FOR CLOTURE, IF NECESSARY, AGRINST ANY FILIBUSTER ON HELMS! VOLUNTARY SCHOOL PRAYER AMENDMENT; VOTING FOR THE PRAYER AMENDMENT, AND VOTING FOR THE DEBT CEILING BILL WITH THE AMENDMENTS ATTACHED. "CONTRARY TO PRESS REPORTS EMANATING FROM PRO-ABORTION -- ANTI-PRAYER SENATORS, THE SOCIAL ISSUES OF SCHOOL PRAYER AND ANTI-ABORTION LEGISLATION ARE VERY MUCH ALIVE AND SEN. HELM'S STRATEGY FOR THEIR ENACTMENT INTO LAW IS EXACTLY ON SCHEDULE," THE LETTER SAID. SENATE REPUBLICAN LEADER HOWARD BAKER OF TENNESSEE INTRODUCED R CLOTURE PETITION LAST FRIDAY. HE ALSO GOT PERMISSION FOR THE SENATE TO DEBATE SEPT. B A FEDERALISM CONSTITUTIONAL AMENDMENT PROPOSED BY SEN. ORRIN HATCH, R-UTAH, TO GIVE CONGRESS AND THE STATES AUTHORITY TO RESTRICT OR BAN ABDRTION. THE AMENDMENT PROPOSED BY HELMS, R-N.C., WOULD BAN FEDERAL FUNDING AND FEDERAL INSURANCE COVERAGE OF ABORTIONS AND ABORTION RESEARCH AND GIVE STATES DIRECT ACCESS TO THE SUPREME COURT ON ABORTION SUITS -- R MOVE INTENDED TO ENCOURAGE QUICK REVIEW OF THE 1973 DECISION LEGALIZING ABORTION. UPI 08-27-82 02:51 PED american Life THE PROCTER & GAMBLE COMPANY Labley PUBLIC AFFAIRS DIVISION P. O. BOX 599 CINCINNATI. OHIO 45201 July 23, 1982 Mr. Edwin J. Feulner, Jr. President The Heritage Foundation 513 C Street, N.E. Washington, D.C. 20002 Dear Ed: In our telephone conversation last week about the American Life Lobby, I told you that we were writing Judie Brown about the statements being made by her organization in calling for a boycott of Procter & Gamble products. We also discussed an exchange of correspondence which I had with Judie Brown at the end of last year. You asked that I send you copies of this correspondence, and they are attached. We did not answer Judie Brown's December 4, 1981 reply to my letter of November 30 for reasons I think you will understand when you read her letter. The most recent letter to Judie Brown, dated July 16, from our Associate General Counsel is, I believe, self-explanatory. If there is any further information you would like on this situation, please give me a call. My phone number is (513) 562-6182. Your help on this is really appreciated, and we thank you for it. Sincerely, T. C. Collins Director, Corporate Relations and Contributions Attachments TCC:1sl cc: Mr. G. S. Gendell 2756E THE PROCTER & GAMBLE COMPANY LEGAL DIVISION P.O. BOX 599 CINCINNATI, OHIO 45201 July 16, 1982 Mrs. Judie Brown, President American Life Lobby P. O. Box 490 Stafford, Va. 22554 Dear Mrs. Brown: We have been advised from several sources that the American Life Lobby is distributing, throughout the country, a leaflet calling for the boycott of Procter & Gamble products (sample attached). We would like to comment on the four reasons which the American Life Lobby provides in calling for this boycott: 1. "Between 1972-79, the P&G Fund gave $70,000 to Planned Parenthood, the nation's top promoter of abortion." What is not said is that the contributions over this period to Planned Parenthood were restricted to a health education program. When Planned Parenthood took a leading position on the abortion rights issue, we withdrew our support -- and have not supported Planned Parenthood since 1979. Frankly, we are perplexed why the American Life Lobby would condemn this rather than applaud the action taken in 1979. 2. "The P&G Fund is a major contributor to the Rockefeller Trilateral Commission - a promoter of world wide population control." Procter & Gamble supported the Trilateral Commission with a contribution of $10,000 per year for a three-year period which ended over a year ago. The contribution which we made was directed towards international economic and trade studies, since we have substantial business in Japan and Western Europe. We discontinued financial support of the Trilateral Commission when it became apparent that the economic and trade studies produced were not beneficial to us. We are not aware that the Trilateral Commission has been involved in any issues relating to abortion or population control -- but this is an academic matter since the Company is not involved with the Trilateral Commission in any manner. 3. "The P&G Corporation sponsors six major t.v. soaps which act as a transmission belt for anti-family and anti-life values." This assertion is as surprising as it is untrue. The issues depicted in our programs are treated with a clear moral perspective. Good is admired and rewarded; evil is disliked and punished. With respect to television programming, it is also appropriate to say that Procter & Gamble has brought the American public some of the most uplifting and worthwhile TV programs in recent years. We were the sole sponsor of such outstanding programs as "Jesus of Nazareth", "Peter and Paul", "Marco Polo", "The Corn is Green", "The Patricia Neal Story", and "Son just few THE PROCTER & GAMBLE COMPANY -2- 4. "The Gamble Family of Boston, heirs to a fraction of P&G's billion dollar corporation sales, are key abortion promoters and funders of pro-abortion candidates." We believe this must refer to your 1981 publication dealing with the Pathfinder Fund and the involvement of people named Gamble in that organization. We wrote you on this subject in November 1981 and would remind you again of the following facts: - The people named Gamble involved with the Pathfinder Fund played no active role in the affairs of The Procter & Gamble Company, and they do not today. - The Procter & Gamble Company has never supported the Pathfinder Fund. - The Company has about 100,000 shareholders and, according to our records, shares held by people with the name of Gamble represent less than 1.5% of the shares outstanding. Further, our records indicate that no individual holds more than 0.2% of our stock. - The views and actions of the Company's shareholders are beyond the control of the Company and can in no way be interpreted as reflecting the position of the Company In short, the reasons given for a boycott of Procter & Gamble products are either half-truths or untruths. We must assume that this action was undertaken without full knowledge of the facts -- and that is why we want you to have the facts in this letter. This is to notify you that we would view as a matter of great seriousness the continued knowing spreading of half-truths or untruths designed to do damage to our Company. Such action would be malicious and could give rise to vicious rumors which unfairly disparage the Company and its employees. We trust this is something you will not want to do. Sincerely, R. J. Watkins Associate General Counse]. RJW:bkm AMERICAN LIFE LOBBY INC. NATIONAL MEADORARTERS MAILING ADDRESS "O HAV 430 STAFF M.D 22554 OFFICES Route of BOX 1621 STAFFORD VA 2354 MI PHODE 2049 6 WERNMENT TAISON OFFICE GULLINARY COURT St (CAPITOL 11111 WASHINGTO 00:20003 (202) 546 SSSU RE: FOREIGN AID UPDATE May 28, 1982 In our recent mailing on Foreign Aid, we inadvertantly failed to include the "Four Good Reasons to Boycott P&G." We apologize for this oversight. and enclosed is thematerial. 1879 - Ivory Soap 1959 - Duz detergent (orginally 1911 - Crisco shortening introduced as a 1919 - Ivory Flakes granulated soap/1929) 1926 - Camay 1959 - Thrill liquid detergent 1928 - Lava Soap 1960 - Puffs facial tissue* 1930 - Ivory Snow 1960 - Salvo detergent 1933 - Dreft detergent 1960 - Downy fabric softener 1945 - Spic and Span household cleaner 1960 - Crisco Oil 1946 - Prell shampoo 1961 - Pampers disposable diapers 1946 - Tide detergent 1961 - Head & Shoulders shampoo 1949 - Joy liquid detergent 1963 - Folger's vacuum packed coffee 1950 - Cheer detergent 1963 - Instant Folger's coffee 1952 - Gleem toothpaste 1963 - Safeguard deodorant soap 1952 - Oxydol detergent (originally introduced as 1963 - Top Job liquid cleaner a granulated soap/1928) 1965 - Bounty paper towels* 1953 - Fluffo shortening* 1965 - Bold detergent 1954 - Dash detergent 1965 - Scope mouthwash 1955 - Crest toothpaste 1965 - Bonus detergent 1955 - Cascade automatic dishwasher detergent 1966 - Gain detergent 1955 - Zest deodorant beauty bar 1967 - Biz enzyme laundry pre-soak 1956 - Duncan Hines mixes 1968 - Pringle's Newfangles potato 1956 - Jif peanut butter chips 1956 - Secret deodorant 1972 - Sure anti-perspirant 1957 - Charmin bathroom tissue 1972 - Era liquid laundry detergent 1957 - Ivory Liquid detergent 1972 - Bounce fabric softner 1958 - White Cloud bathroom tissue *Not distributed throughout U.S. 1958 - Mr. Clean liquid cleaner FOUR GOOD REASONS TO BOYCOTT P&G 1. Between 1972-79, the P&G Fund gave $70,000 4. The Gamble Family of Boston, to Planned Parenthood, the nation's top heirs to a fraction of P&G's promoter of abortion. billion dollar corporation sales, are key abortion pro- 2. The P&G Fund is a major contributor to the moters and funders of pro- Rockefeller Trilateral Commission - a abortion candidates. ++ promoter of world wide population control. * Your Pro-Life Shopper's Guide 3. The P&G Corporation sponsors six major t.v. is published by the U.S. soaps which act as a transmission belt for Coalition For Life, Export, Pa. anti-family and anti-life values. 15632. ++ i.e. Pathfinder Fund, among others " THE PROCTER & GAMBLE COMPANY GENERAL OFFICES P.O. BOX 599 CINCINNATI, OHIO 45201 November 30, 1981 Mrs. Judie Brown, President American Life Lobby P.O. Box 490 Stafford, VA 22554 Dear Mrs. Brown: We have just become aware of an article written by Joe Garvey on page 7 of the September, 1981 issue of A.L.L. About Issues. This article states that Clarence Gamble founded the Procter & Gamble Company. It then states that Clarence Gamble founded the Pathfinder Fund, an organization alledgedly involved in pro-abortion activities around the world. It then insinuates that there is a connection between The Procter & Gamble Company and the Pathfinder Fund. Further, it creates the impression that use of Procter & Gamble products is the equivalent of supporting pro-abortion activities. We would appreciate your help concerning this article. First, some background for your information: 1. The Procter & Gamble Company has never contributed to the Pathfinder Fund. 2. The Procter & Gamble Company supports no organization engaged in pro-abortion activities. 3. Clarence Gamble was not the founder of the Procter & Gamble Company. The business was established in 1837 -- almost 60 years before Clarence Gamble was born. The last member of the Gamble family to serve as an officer of the company died in 1932 at the age of 96. Dr. Clarence Gamble was never an employee of the company, and he played no role in the direction of the business. 4. While some people named Gamble do own shares of Procter & Gamble stock, that ownership is minimal. The company has about 100,000 shareholders and, according to our records, shares held in the name of people named Gamble represent less than 1.5% of the shares outstanding. Further, our records indicate that no individual holds more than 0.2% of our stock. Further, the Pathfinder Fund itself owns no shares of Procter & Gamble stock. 5. The views and actions of the company's shareholders, whether share ownership is a result of purchase or inheritance, are beyond the control of the company and can in no way be interpreted as reflecting the position of the company. With the above facts in mind, I am sure you can appreciate why we are concerned about the inferences which the average reader would draw from Mr. Garvey's article. We have to believe that, had the facts been known, Mr. Garvey's article would never have been written -- let alone printed. THE PROCTER & GAMBLE COMPANY -2- Your help on this matter would be much appreciated. First, would you please bring the facts in this letter to the attention of the individual (or individuals) directly responsible for editorial decisions for publications of the American Life Lobby. Second, would you please let us know what Mr. Garvey's address is so that we can communicate directly with him (we have written him in care of the U.S. Coalition For Life, but would like to be certain that he has the benefit of the facts in this letter). Thank you for your cooperation. Sincerely, T. C. Collins Director Corporate Relations & Contributions TCC/mra 0578D/2 September 1981 ALL About Issues Page 7 Bringing It All Back Home By Joe Garvey Hey there, all you pro-lifers plus" children, by any and all had come before "birth control", Clarence died in 1966. out there! I'll bet there is NO means. and the government initiated the Between 1967 and 1976, USAID WAY that you could ever be According to Randy Engel, latter to 'substitute contraception (U.S. Agency for International caught contributing to the inter- Director of the U.S. Coalition for for abortion", Mrs. Engel relates. Development) paid $2.6 million of national population control Life, in a USCL White Paper "Instead, the massive birth limita- our tax dollars to the machine, that peddler of death the prepared for the Conference on tion drive set off even MORE PATHFINDER FUND in direct world over, right? Never con- Alternatives to Planned abortions. By 1969, Japan's birth grants. Last year alone, 1980, $7 sciously would you give a penny to Parenthood last October, the rate dropped so low that Prime million went for salaries, rent, any organization which fosters PATHFINDER FUND is now a Minister Eisaker Sato warned of utilities, supplies, Travel, plus abortion, correct? major recipient of Title x (Foreign the dire consequences of a rapidly costs for spreading the new anti- Check this daily routine. Assistance Act) funds. It attained aging population and the need to life philosophy. Did you, after rising this this status by adroit political bring the medium and large size We're still buying soap, etc., morning, brush your teeth with manipulation of Congress, and family back into vogue in Japan." and PAMPERing the babies we're CREST or GLEAM? Follow that the exploitation of the myth of The pattern of contraception and lucky to have, while working to with a shower using IVORY, population "explosions". Sangerian "family planning" is- stop the killing of those we don't. CAMAY, ZEST, or How insidious this manipula- niting abortion explosions is now Lest anyone be naive and SAFEGUARD, and for sham- tion, and how successful, by world-wide. think that I'm saying there's a pooing, PRELL or HEAD AND Sangerites realizing Margaret's After helping to set into direct and casual connection SHOULDERS? Finish your racist and culturally imperialistic motion the Japanese anti-life between PROCTOR AND GAM- ablutions by applying anti- goal of "more children from the policies, Gamble in the fifties BLE and the PATHFINDER perspirants SECRET or SURE? fit, less from the unfit", is careful- decided he needed his own FUND, let me hasten to say in Possibly you then donned ly documented by Mrs. Engel in operational framework, and the hese most nit-picking of times garments dutifully laundered in her brilliant paper, The Inter- PATHFINDER was established that I am NOT. I know full well BLZ, BOLD, CHEER, DASH, national Population Control (1957) as a non-private tax- that there's absolutely no proof; DREFT, DUZ, ERA. SALVO, Machine and the Pathfinder exempt family foundation, and there will be instant denials, DOWNY, or that single product Fund" chartered in the District of of such a connection. I also know dominating the detergent market In her words, "The social Columbia. that there's no absolute proof that (54%), TIDE the intensified, from justification for population The Gamble Family, eager to cigarettes cause cancer of the which dirt cannot hide? control domestic and foreign keep America clean by its soap ungs, and that there's no scien- Chances may be that you had been discovered (at the products, decided to help the rest tific proof sedentary habits and then prepared the kids' lunches advent of the 70's) in the so-called of the world cleanse itself of the poor diet lead to heart diseases, with BIG TOP or JIF PEANUT 'population explosion' and in the "unfit". By 1961, PATHFINDER and that there's no scientific way BUTTER sandwiches, and added desire to reduce welfare rolls by had spread into Central and South to determine when human life some PRINGLE'S POTATO reducing the number of children America, Spain, Italy, Malta, begins. CHIPS or a slice of the DUNCAN born into recipient families." Jordan, Israel, Oceania, Malaya, And I know that there's a HINE'S cake you had for Financed increasingly by tax Indonesia, West Africa, and other stork flying around somewhere somebody's birthday party dollars, which are "laundered" parts of Western Europe and Asia, with every one of my kids's names recently? Put a fresh PAMPERS through various dummy spreading the eugenic gospel of on it, and I know that the tooth diaper on the baby? organizations, such as the IPAS, Malthus and Sanger. fairy will never let anybody die- Not yet ready to take on the the International Pregnancy Ad- And all of LES were buying cover where the stork got the world, battling to save unborn visory Services, and using new soap, brushing after meals, and diapers the babies were delivered babies, did you then settle down mass media propaganda techni- wiping up spills. in. for a cup of FOLGERS COFFEE, ques, the anti-natalist movement in Its own words, a descrip- By the way, there are two wiping the saucer with BOUNTY has mushroomed into the multi- Son of the PATHFINDER FUND: products I missed naming. TOP PAPER TOWELS, checking that million dollar conglomerate tt is "Many of the PATHFINDER JOB and its "rival" MR. CLEAN. razor cut doctored with today, standing ready to control programs are ploneering and at They, like the others, are no aqueezable CHARMIN TISSUE, the populations of the world, with times controversial on the longer in my home. I have found loading CASCADE into the dis- or without consent, using the fringe of what is currently social- other products, and there are hwasher? coercive presence of the U.S. ty acceptable or even legally quite a few, but I have a special If any or all of this is familiar Government and its foreign and permissable, (emphasis mine) be penchant for home delivered, to you, as it is to many of us, pro- domestic policies. It family planning as was often personally guaranteed AMWAY life people are feeding the hand Promoting Death the case in the past, or today's products. They are superior, and that bites them everyday. Prior to founding the efforts on behalf of abortion, they don't have any fatal connec- These are all products of PATHFINDER FUND, Clarence women's rights, explicit popule- tions at home or abroad. PROCTOR AND GAMBLE, Gamble used his fortunes ex- tion control and even steriliza- 1.8. whose founder, Clarence Gamble, perimenting on North Carolinian, tion." ABOUT THE AUTHOR: Joe created the PATHFINDER and Japanese, as well as Puerto And we bought more soap, Garvey is a writer and teacher, FUND, a million-dollar U.S. AID- Rican women, funneling money brushed harder after meals, and currently serves as an Alternate funded complex dedicated to the through deceptively named wiped up more spills with the Representative to the United elimination of the world's "sur- organizations. In Japan, abortion quickerpickerupper. Nations for U.S. Coalition for Life well TCC 10/81 ALL AMERICAN LIFE LOBBY INC. NATIONAL HEADQUARTERS: MAILING ADDRESS: P.O. BOX 490. STAFFORD. VA 22554 OFFICES ROUTE #6. BOX 162-F. STAFFORD. VA 22554 (703) 659-4171 METRO DC 690-2049 GOVERNMENT LIAISON OFFICE: 6B LIBRARY COURT SE (CAPITOL HILL) WASHINGTON. DC 20003 (202) 546-5551 December 4, 1981 T. C. Collins Director Corporate Relations and Contributions The Procter & Gamble Company PO Box 599 Cincinnati, OH 45201 Dear Director Collins: Thank you for your letter regarding the relationship between the Procter and Gamble Company and the Pathfinder Fund. Regarding your points of information numbered one and two: you provide no means of verifying your statements. In order for us to accept these points we would require a complete list of your corporate donations as well as a itemized list of receipts from the Pathfinder Fund. On behalf of the author and our editor, we stand corrected with regard to your point three. The original source document quoted by Mr. Garvey does not cite Clarence Gamble as the "founder" of Procter and Gamble; this reference inadvertantly slipped into a draft of the article and was not subsequently corrected. Since this is a legitimate error, it will be noted in a future issue of our newsletter. Points four and five are moot. In closing, I would like to quote from Mr. Garvey's article: "Lestanyone be naive and think that I'm saying there's a direct and casual connection between PROCTOR AND GAMBLE and the PATHFINDER FUND, let me hasten to say in these most nit-picking of times that I am NOT." A.L.L. for God, for Life, for the Family, for the Nation" T. C. Collins Page #2 If you have any information or materials regarding the corporate giving policies, internal or public policies which you feel should be shared with our readers as being more representative of your company or which demonstrate your company's "good corporate citi- zenship," we will review them for publication. With God for Life, (Mrs.) June Judie Brown President Enclosure: "The International Population Control Machine and The Pathfinder Fund" by Randy Engel cc: Mr. Joe Garvey 1779 Second Ave. # 5 F New York, NY 10028