June 8, 2004 CONGRESSIONAL RECORD — SENATE S6623 from the astounding change in world have done a great deal to educate the games that exist today. Even with affairs that began while he was in of- country about this horrible affliction. those people whom he had genuine ide- fice: the collapse of the U.S.S.R. and They have also helped to spur govern- ological differences, President Reagan the end of the Cold War. President ment investment in the research need- always showed a level of respect and Reagan spoke frankly and frequently ed to find a cure, and to raise aware- acknowledged that we are all Ameri- about the bankruptcy—both moral and ness of the need for long-term care cans and we are in this together. economic—of the Soviet regime. His services for those suffering from Alz- Years ago, President Reagan and words and actions energized dissidents heimer’s. Speaker of the House Tip O’Neill used and activists struggling for change and President Ronald Wilson Reagan to joke that, ‘‘between 9 and 5 we are for justice in the face of Communist re- helped to transform America and the enemies, but at 5 o’clock let’s go have pression and tyranny. His optimism world. He and his achievements will a cocktail together.’’ To truly honor helped to give them confidence that forever be honored and remembered. and remember President Reagan—this they were, indeed, on the right side of Mr. PRYOR. Mr. President, the Cap- man of great accomplishment, opti- history. itol today is overflowing with visitors, mism, and oratory—perhaps we could President Reagan not only recog- flags stand at half-staff, and the Nation find ways to work better together for a nized the monstrous nature of Com- has collectively stopped this week—all better tomorrow. munist totalitarianism, but he also un- to honor a remarkable man who ac- I extend my deepest sympathies to derstood the horror of a geopolitical re- complished remarkable things during a the Reagan family in their time of sor- ality that made the entire world hos- remarkable time. row, and I hope it is of some comfort tage to the threat of nuclear annihila- President Ronald Reagan gave his that Americans and many others tion. He had the courage to act, to life to public service and has left a leg- throughout the world mourn by their reach out to the Soviet leadership and acy of leadership that will always be side. to craft landmark arms control agree- remembered. I suggest the absence of a quorum. ments, including one that, for the first We remember President Reagan’s The PRESIDING OFFICER. The time, eliminated a class of nuclear strong vision for political and eco- clerk will call the roll. weapons. nomic freedom which was instrumental The legislative clerk proceeded to On the domestic front, it was under in the fall of communism and the call the roll. the leadership of President Reagan spread of democracy in Eastern Eu- Mr. COLEMAN. Mr. President, I ask that the solvency of the Social Secu- rope. The world held its breath as unanimous consent that the order for rity program was extended through re- America stared communism in the the quorum call be rescinded. forms to the existing program. Al- face, but in the end we peacefully won The PRESIDING OFFICER. Without though modest in their overall scope, over the respect and cooperation of our objection, it is so ordered. those reforms were seen by many as po- enemy. Less than a year after Reagan f litically risky, and President Reagan left office, Mr. Gorbachev stepped GEORGE TENET provided critical leadership that helped down, the Berlin Wall fell and the cold assure both a reluctant Congress and war ended. Mr. INOUYE. Mr. President, we all an uncertain public. Today, we should I will never forget President Rea- learned recently that an outstanding build on the Reagan reforms, and gan’s historic speech on June 12, 1987, public servant, the Director of Central strengthen the existing program, as he in front of the Brandenburg Gate near Intelligence, George Tenet, has decided did. the Berlin Wall when he called on Mi- to step down. I am personally saddened Another significant domestic policy khail Gorbachev to ‘‘Open this gate! by this announcement because I believe challenge that President Reagan tack- Mr. Gorbachev, tear down this wall.’’ the country has been well served by led was the simplification of our tax Today, the United States is working Mr. Tenet. code. In the face of special interest with Russia to replace tyranny and George Tenet started his career in pressures, and under the leadership of fear in Iraq with peace and stability. public service as part of the Senate his Secretary of Treasury, Donald Of President Reagan, Gorbachev said, family working for the late Republican Regan, as well as a bipartisan group of ‘‘A true leader, a man of his word and Senator John Heinz. He served on the members of the House and Senate, an optimist, he traveled the journey of professional staff of the Senate Intel- President Reagan was able to push his life with dignity and faced coura- ligence Committee rising to become through the last significant reforms to geously the cruel disease that darkened the committee staff director for my our increasingly complex tax code in his final years. He has earned a place in good friend Senator David Boren. 1986. history and in people’s hearts.’’ I was the chairman of the Senate Ap- At the time, I was the Chairman of We also remember Dutch, the Great propriations Defense Subcommittee the Taxation Committee in the Wis- Communicator, the Gipper as a man of during that period. Our committee consin State Senate and we were hold- great optimism and humor. My kids’ works closely with the Intelligence ing a variety of hearings around the history books recall the dates and facts Committee in determining the funding State, addressing parallel reforms. of this time, but they do not convey for our classified programs. So I be- These hearings and reforms were driv- this Hollywood actor turned Presi- lieve I can speak with some authority en by President Reagan’s proposal. dent’s good-natured spirit or genuine in saying that George was a top-notch Though far from perfect, that reform optimism for a better tomorrow. Nor staff director. And, I believe his tenure effort is another model for action we can they express his unyielding dedica- in the Senate prepared him well for the need to undertake again. And policy- tion and love for our country. However, position of Director of Central Intel- makers in Congress and the executive I believe the outpouring of respect and ligence. branch would do well to follow Presi- affection shown by the American pub- I have known every CIA Director dent Reagan’s example in this matter. lic this week says we will forever re- since Allen Dulles. I have worked Of course, no review of President member his character and personality. closely with each Director for the past Reagan’s legacy would be complete Finally, we remember a man who 30 years. All of them have been honor- without acknowledging his Alzheimer’s never stopped believing, never stopped able men, well-meaning and decent disease which, sadly, defined the last 10 advocating America’s ability to suc- public servants, but none was a better years of his life as well as the lives of ceed and prosper. He stuck to his con- Director of Central Intelligence than his family. As the author of Wiscon- victions and his visions for America, George Tenet. sin’s Alzheimer’s program, I have be- whether popular or not. Intelligence is a critical part of our come all too aware of the heart- Ronald Reagan’s initiatives didn’t national security. Obviously it does breaking tragedy that this dread dis- please all Americans and Democrats not get the public scrutiny that most ease brings to a family. and Republicans did not always agree Government functions receive. To do so President Reagan’s brave, public ac- on President Reagan’s foreign policy or would jeopardize the lives of countless knowledgment of the disease, and the domestic agenda, but he never encour- agents and analysts who serve this Na- wonderful efforts of his wife Nancy, aged or played the biting partisan tion. We limit the number of people

VerDate Mar 15 2010 21:48 Jan 29, 2014 Jkt 081600 PO 00000 Frm 00029 Fmt 4624 Sfmt 0634 E:\2004SENATE\S08JN4.REC S08JN4 mmaher on DSKCGSP4G1 with SOCIALSECURITY S6624 CONGRESSIONAL RECORD — SENATE June 8, 2004 who receive sensitive information to sial and highly classified issues in de- ceive such care from specifically lessen the chance that it will be inad- tail. At times he would direct his asso- trained physicians in an office-based vertently disclosed and harm our na- ciates in the community to be more setting. tional security. As such, much of the forthright in their responses when he DATA limits qualified individual good news in intelligence is never felt they might be holding back. physicians to treating no more than 30 brought to light. George Tenet trusted the Congress patients at a time. This same 30-pa- When the CIA breaks up a terrorist with the Nation’s secrets as partners in tient limit applies to medical groups as cell in Albania or Egypt it cannot be national security, not adversaries or to individual physicians. For example, disclosed. When critical information is impediments. the physician members of the Duke discovered by our intelligence commu- I know the Director has his critics, University Medical School faculty nity about weapons trafficking on the but they do not come from the Defense practice plan may treat only 30 pa- high seas, the weapons can be con- Subcommittee. I think I can speak for tients at one time, even though they fiscated, but the American people are my chairman when I tell you we both may have 10 individual physicians not told. had the utmost confidence in George trained and willing to treat patients Unfortunately, only the operations Tenet. And, no one in the Senate or the and more than 30 patients would ben- that fail become public. So our CIA Di- House has spent more years overseeing efit from newly available treatment. rectors are generally not known for the intelligence community than Ted The difficulties that have arisen, in- their successes, only for their failures. and I. cluding the dashed hopes for treatment It is an historical fact that there has George Tenet is depicted today by of many, due to the patient limitation been great temptation to use intel- some as the Director of Intelligence on group practices, are detailed in a ligence operations and analysis to who failed to stop the tragedy of 9/11 May 30 article in the Boston Globe, by achieve political objectives. and criticized for the description by au- Peter DeMarco. I would like to share a As most of my colleagues know, the thor Bob Woodward that the case for few excerpts from that article with my Senate established the Select Com- weapons of mass destruction in Iraq Colleagues, as follows: mittee on Intelligence in the mid-1970s was a ‘‘slam dunk.’’ Both of those miss When buprenorphine became available as a to review intelligence activities in re- the point. treatment for OxyContin and heroin addic- sponse to improprieties which occurred George Tenet should be remembered tion 18 months ago, many medical profes- in the 1960s and 1970s. During that pe- sionals and addicts hailed it as a miracle as one of the finest Directors in the drug, bringing addicts back from the brink riod, I was fortunate to serve as the history of Central Intelligence. He first Chairman of the Senate Intel- and helping them lead normal lives when all should be remembered as the most hon- ligence Committee. else had failed. But for many addicts, est and forthright of any CIA Director. There have been other unfortunate buprenorphine remains one of the hardest incidents when individuals in the exec- He should be thought of as the Director drugs to obtain. Approved by the Federal who took an agency from the cold war Food and Drug Administration in 2002, utive branch have circumvented the buprenorphine is an opiate like heroin or the law to further their objectives. We all mentality and started to reshape it for the 21st century. I know he will be re- painkiller OxyContin. Unlike those drugs or remember the Iran-contra scandal methadone, the prescribed drug it’s meant to when rogue elements ran an extra legal membered by the thousands of CIA em- replace, buprenorphine doesn’t cloud the operation out of the White House. ployees as a great leader who did his minds of patients, allowing them to work or Some have suggested that intel- very best to support them and the en- study as if they’re not on any drug at all. ligence was recently politicized to jus- tire intelligence community. Nearly all who take buprenorphine, mean- tify the war on Iraq. I will remember him as a tremendous while, say they lose all physical cravings for It is my view, and I think history public servant who served honorably, street drugs. But a combination of federal limits on the will one day prove that any effectively and tirelessly. Mr. President, someday when the distribution of buprenorphine, and reluc- politization of intelligence that might tance on the part of some physicians to offer have occurred on Iraq did not come records are declassified and the anal- it to patients has kept thousands of opiate from George Tenet. ysis is completed, historians will likely addicts from receiving the drug in Massachu- Those who are charged with over- remember George with great regard. It setts and across the country. At the heart of sight of intelligence for the Congress is my view that he should not have to the issue is federal legislation passed in have a difficult task. We must review wait. We should all thank him for his 2000—two years before the drug was approved intelligence activities and practices, dedication to duty and his service to by the FDA—that restricts individual clin- but the universe is truly enormous. our country. ical practices from treating more than 30 pa- tients with buprenorphine at a time. There are not enough hours of the day f While many substance-abuse experts say for us to know all the details of intel- ELIMINATION OF THE 30-PATIENT the 30-patient figure is too low for some ligence. We could never amass enough LIMIT FOR GROUP PRACTICES practices, their main quarrel with the Drug staff to monitor every action of the in- Addiction Treatment Act of 2000 is its failure telligence community. Therefore, we Mr. LEVIN. Mr. President, S. 1887, to differentiate single-physician practices, need to be able to trust our intel- which the Senate adopted yesterday, hospitals, and health care organizations. For ligence leaders. ensures that all appropriately trained example, all the doctors who work for Tufts The Senate could trust George Tenet group practice physicians may pre- Health Plan can treat a combined 30 pa- to tell the truth and be forthright with scribe and dispense certain recently ap- tients—the same total as can be seen by a physician practicing alone. this institution. Perhaps it was be- proved drugs for the treatment of her- Boston health officials, along with their cause of his background as a Senate oin addiction. It addresses the unin- counterparts in the State and Federal gov- staff member, but George was always tended effect of the Drug Addiction and ernments, say the Federal legislation erred eager to inform and consult with the Treatment Act of 2000, DATA, that on the side of caution, and needs to be Senate to share important information hinders access to new treatments for changed to allow wider access to regardless how sensitive it might have thousands of individuals who seek such buprenorphine. Boston Medical Center’s main practice has been. help. When Congress passed DATA as Title 200 or more general internal-medicine doc- My experience with the CIA has been tors, and within that practice, we can only that many past Directors were reluc- XXXV of the Children’s Health Act of treat 30 people. It’s the craziest loophole,’’ tant to provide detailed information to 2000, Public Law 106–310, it allowed for said Colleen Labelle, nurse-manager of the the Congress. Perhaps it was the in- the dispensing and prescribing of hospital’s Office-Based Opioid Treatment grained culture that protects secrets, Schedule III drugs, like buprenorphine/ Program. ‘‘We get 20 calls a day from across or perhaps it was the lack of trust be- naloxone, in an office-based setting, for the state. People are begging, desperate to tween the executive and legislative the treatment of heroin addiction. As a get treated, who we can’t treat.’’ result of DATA, access to drug addic- The Federal Substance Abuse and Mental bodies, but for whatever reason, they Health Services Administration has begun didn’t want to tell the Congress any tion treatment is significantly ex- an internal process to increase the 30-patient more than they had to. panded; patients no longer are re- cap. But because any proposed change would With George it was different. He stricted to receiving treatment in a be subject to the public-review process, ap- would take time to explain controver- large clinic setting, but now may re- proval could take as long as two years, said

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