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FOIA Number: 2006-0770-F FOIA MARKER This is not a textual record. This is used as an administrative marker by the William J. Clinton Presidential Library Staff. Collection/Record Group: Clinton Presidential Records Subgroup/Office of Origin: Policy Development Series/Staff Member: Ira Magaziner Subseries: OA/ID Number: 10020 FolderlD: Folder Title: First Lady Briefings [1] Stack: Row: Section: Shelf: Position: 100 2 1 3 Withdrawal/Redaction Sheet Clinton Library DOCUMENT NO. SUBJECT/TITLE DATE RESTRICTION AND TYPE 001. list List of NBC News Personnel (partial) (1 page) nd P6/b(6) 002. memo From ABC News to Neel Lattimore re: Health Care briefing with Mrs. 09/13/93 P6/b(6) Clinton (partial) (1 page) 003. list List of CBS News Personnel (partial) (1 page) nd P6/b(6) 004. resume Resume of Lisa Barker (partial) (1 page) nd P6/b(6) 005. list List of NBC News Personnel (partial) (1 page) nd P6/b(6) 006. memo From ABC News to Neel Lattimore re: Health Care briefing with Mrs. 09/13/93 P6/b(6) Clinton (partial) (I page) 007. list List of CBS News Personnel (partial) (1 page) nd P6/b(6) 008. resume Resume of Lisa Barker (partial) (1 page) nd P6/b(6) COLLECTION: Clinton Presidential Records Policy Development Magaziner, Ira (Subject Files) OA/Box Number: 10020 FOLDER TITLE: First Lady Briefings [1] 2006-0770-F rv5l8 RESTRICTION CODES Presidential Records Act - \44 U.S.C. 2204(a)] Freedom of Information Act - |5 U.S.C. 552(b)] PI National Security Classified Information 1(a)(1) ofthe PRA| b(l) National security classified information 1(b)(1) ofthe FOIA] P2 Relating to the appointment to Federal office 1(a)(2) ofthe PRA| b(2) Release would disclose internal personnel rules and practices of P3 Release would violate a Federal statute 1(a)(3) of the I'KA] an agency 1(b)(2) of the FOIAj P4 Release would disclose trade secrets or confidential commercial or b(3) Release would violate a Federal statute ((b)(3) ofthe FOIA| financial information 1(a)(4) of the PRA| b(4) Release would disclose trade secrets or confidential or financial P5 Release would disclose confidential advice between the President information 1(b)(4) of the FOIAj and his advisors, or between such advisors |a)(5) ofthe PRA| b(6) Release would constitute a clearly unwarranted invasion of P6 Release would constitute a clearly unwarranted invasion of personal privacy ((b)(6) ofthe FOIAj personal privacy 1(H)(6) ofthe PRA| b(7) Release would disclose information compiled for law enforcement purposes 1(b)(7) ofthe FOIAj C. Closed in accordance with restrictions contained in donor's deed b(8) Release would disclose information concerning the regulation of of gift. financial institutions 1(b)(8) of the FOIAj PRM. Personal record misfile defined in accordance with 44 U.S.C. b(9) Release would disclose geological or geophysical information 2201(3). concerning wells 1(b)(9) ofthe FOIAj RR. Document will be reviewed upon request. September 2, 1993 MEMORANDUM FOR HILLARY RODHAM CLINTON FROM: IRA C. MAGAZINER LYNN MARGHERIO SUBJECT: PROVIDER FORUMS PURPOSE As an integral part of the "national discussion" on health reform, we propose a series of interdisciplinary provider forums in which nationally respected physicians, nurses, deans of medical and nursing schools, hospital and health plan administrators come together to discuss specific aspects of health reform. The acceptance of the health reform proposal faces major challenges — it represents major change, it affects a large segment of the economy and it's complicated. In addition, it's an issue that's central to the lives of individuals and families. The American public will need to be reassured that their relationship with their doctor, the care that they are used to receiving and the availability of services will not be disrupted due to reform. They will naturally look to their own physician for this reassurance. By convening nationally recognized providers to discuss how the President's health reform plan will affect the delivery of health care and how it will impact patients will both build credibility for the plan as well as reassure the American public, the Congress, governors and others. KICKOFF FORUM To underscore the importance the Administration places on health reform, we would propose the first forum to take place in the White House (possibly the East Room) on September 20th. Format: The President will make introductory comments about the need for health reform and the principles to which he is committed. C. Everett Koop, chair of the provider forums, will follow the President's remarks with a statement in support of the need for health reform and how the President's commitment to health reform over the past six months alone has done more to change health reform than any legislative effort in the past twenty years. The President will participate in a 1-hour discussion with 6-10 panelists and the panel will take questions for 45 minutes from an invited audience of 50 practicing physicians, deans, nurses, hospital and health plan administrators Topic: The problems with the current system and the necessary principles for health reform Goal: To publicly associate Dr. Koop and other opinion leaders with the President's plan and with the principles the President has committed to. Building a network of very visible supporters of the plan will provide invaluable outreach and will hopefully succeed in neutralizing those who may otherwise speak out against the plan. Similar to the economic summit during the Transition, this type of forum highlights the President's knowledge and passion for the issues. The forum would be open to the press (C-SPAN, network news, paper media) but would not be a press conference. Because the Administration has had a rocky relationship with Koop, it is very important that we structure Dr. Koop's role so that he becomes invested in the success of our plan. He needs to feel that his role is not simply as a mouthpiece, but rather that it is helping to frame the national discussion. If we push him too fast to endorse the plan, we may lose him. SUBSEQUENT FORUMS During the months of October through January, we would propose continuing a series of forums around critical components of the plan from the provider perspective. These are examples of topics the group might discuss: Improving quality Doctor-patient relationship Technology and information in health care Rural and urban issues Public health/prevention New system organization There are a number of key events being sponsored by interest groups — the subject will naturally be health reform and the various plans being proposed. If we piggyback the forums on these key events, with a built-in audience of key players in the industry, we will be able to influence the agenda and the outgoing message from these events. Dr. Koop will be a constant presence as the chair of each of these forums, moderating the panels and taking questions from the audience. Depending upon the schedule and the prominence of the event, the President and/or the First Lady could either drop in to introduce the panel and/or participate in the panel. PLANNING: September 2 - 10: Identify panelists and audience with input from Congressional Relations, Intergovernmental Affairs, Public Liaison Discuss press strategy and format with Communications September 13 - 17: Invite the panelists to review the health plan, followed by a discussion with Ira. If possible, arrange for a drop by from the First Lady or the President. If not possible, invite these panelists to the September 18/19th reception with the President. September 20: Breakfast panel with the President September 7, 1993 MEMORANDUM FOR HILLARY RODHAM CLINTON FROM: Kim Tilley, Amy Nemko SUBJECT: Briefings for Wednesday, September 8th American Hospital Association Briefing - "Reform Could Limit Charity Care/ USA Today, August 25, 1993 - "Health Debated on Radio," Sacramento Bee, August 22, 1993 [NOTE: AHA made the following comments after their time today in the reading room today: 1. Where was the chapter on doctor's choice? 2 They were concerned how the numbers would work. 3. How would hospitals survice in this system?] DARE Photo-Op Briefing Blue Cross/Blue Shield Briefing AFL-CIO Briefing - AFL-OO Press Summary - Health Care Reform Today (for talking points) - "Health Care Reform Plan to Propose Federal Coverage for Early Retirees/ Washington Post September 7, 1993 [NOTE: Marilyn Yager feels that this article is relevant to the Business Roundtable as well.] Democratic Policy Council Meeting Agenda Business Roundtable Briefing - Concerns and Responses - Talking Points - Participants List September 7, 1993 AMERICAN HOSPITAL ASSOCIATION DATE: September 8, 1993 LOCATION: HRCs Office TIME: 9:00 am FROM: Kim Tilley, Amy Nemko L PURPOSE To close the deal with American Hospital Association (AHA) leadership. IL BACKGROUND As you may know, AHA represents 5,300 health care institutions. We have had a good relationship with the leadership of AHA throughout the process with frequent communication (including a meeting with you and your speech to their convention) and strong response to their concerns on the package. They badly want to support the administration, but they face complicated internal politics with their membership. This meeting is in large part to give AHA leadership the needed assurances and enthusiasm to aggressively sell the plan to their membership. Their main issues of concern are: 1. Antitrust regulations 2 Size of regional alliances (they would like more businesses to be able to opt out so that alliances have a weaker negotiating business) 3. Toughness of cost controls HL PARTICIPANTS James Bentley, Ph.D. Richard Davidson, President, AHA Richard Pollack, Senior VP for Federal Relations Mike Lux Melanne Verveer IV.
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