Presidency of Jimmy Carter
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|Presidency of Jimmy Carter|
|39th President of the United States|
January 20, 1977 – January 20, 1981
|Vice President||Walter Mondale|
|Preceded by||Gerald Ford|
|Succeeded by||Ronald Reagan|
|Born||James Earl Carter, Jr.
October 1, 1924
|Children||John William Carter, James Earl Carter III, Donnel Jeffrey Carter, Amy Lynn Carter|
|Alma mater||Union College
United States Naval Academy
|Profession||Farmer (peanuts), naval officer|
Jimmy Carter served as the 39th President of the United States from 1977 to 1981. His administration sought to make the government "competent and compassionate" but, in the midst of an economic crisis produced by rising energy prices and stagflation, met with difficulty in achieving its objectives. At the end of his administration, Carter had seen a substantive decrease in unemployment and a partial reduction of the deficit, but the recession ultimately continued. Carter created the United States Department of Education and United States Department of Energy, established a national energy policy and pursued civil service and social security reform. In foreign affairs, Carter strongly emphasized human rights throughout his career. He initiated the Camp David Accords, the Panama Canal Treaties and the second round of Strategic Arms Limitation Talks (SALT II). His work to return the Panama Canal Zone to Panama produced criticism at home for his decision, which was widely seen as yet another signal of U.S. weakness and of his own habit of backing down when faced with confrontation. The final year of his presidential tenure was marked by several major crises, including the 1979 takeover of the American embassy in Iran and holding of hostages by Iranian students, an unsuccessful rescue attempt of the hostages, serious fuel shortages, and the Soviet invasion of Afghanistan.
- 1 Inauguration
- 2 Domestic policies
- 3 Foreign policies
- 3.1 Cuba
- 3.2 South Korea
- 3.3 Indonesian occupation of East Timor
- 3.4 Arab–Israeli conflict/Camp David Accords
- 3.5 Rapid Deployment Forces
- 3.6 Human rights
- 3.7 People's Republic of China
- 3.8 Panama Canal Treaties
- 3.9 Strategic Arms Limitations Talks (SALT)
- 3.10 Afghanistan
- 3.11 Iran hostage crisis
- 3.12 Message to outer space
- 4 Pardons
- 5 1980 presidential election
- 6 Administration and cabinet
- 7 Allegations and investigations
- 8 Personal and family matters during presidency
- 9 See also
- 10 Notes
- 11 References
- 12 Further reading
In his inaugural address he said: "We have learned that more is not necessarily better, that even our great nation has its recognized limits, and that we can neither answer all questions nor solve all problems."
Carter had campaigned on a promise to eliminate the trappings of the "Imperial Presidency," and he began taking action according to that promise on Inauguration Day, breaking with recent history and security protocols by walking up Pennsylvania Avenue from the Capitol to the White House in his inaugural parade. His first steps in the White House went further in this direction: Carter reduced the size of the staff by one-third and also put the USS Sequoia, the presidential yacht, up for sale.
Carter's reorganization efforts separated the Department of Health, Education and Welfare into the Department of Education and the Department of Health and Human Services. He signed into law a major Civil Service Reform, the first in over 100 years.
The Head Start program was expanded, with the addition of 43,000 children and families, while the percentage of nondefense dollars spent on education was doubled. The Child Nutrition Amendments of 1978 introduced a national income standard for program eligibility based on income standards prescribed for reduced-price school lunches. The Act also strengthened the nutrition education component of the WIC program by requiring the provision of nutritional education to all program participants. A Fair Debt Collection Practices Act was also passed with the aim of prohibiting “abusive and unfair techniques of debt collection.” The Housing and Community Development Act of 1977 set up Urban Development Action Grants, extended handicapped and elderly provisions, and established the Community Reinvestment Act of 1978, which sought to prevent banks from denying credit and loans to poor communities. The Surface Mining Control and Reclamation Act of 1977 was passed with the intention of enabling the coal industry to develop coal resources without damaging other natural resources in the process, while the Federal Mine Safety and Health Act of 1977 was aimed at safeguarding mineworkers from harm in the workplace. Occupational Safety and Health Administration (OSHA) programs and women’s programs were also strengthened, and "common sense priorities" led to focus on major health problems. The Pregnancy Discrimination Act, passed in 1978, prohibited companies or organizations from discriminating against pregnant employees while providing protection in the areas of childbirth and medical conditions related to pregnancy or childbirth. The National Consumer Cooperative Bank Act of 1978 sought to put funds aside for low-interest loans to start cooperatives. Minimum wage coverage was extended to farmworkers, and the Age Discrimination in Employment Act Amendments of 1978 increased the upper age limit on coverage against age discrimination in non-federal employment and in the private sector from 65 to 70 as a means of extending safeguards against age discrimination. In addition, the purchase requirement for food stamps was abolished, and the Low Income Home Energy Assistance Program was introduced to assist families with their heating costs.
Also under Carter's watch, the Airline Deregulation Act of 1978 was passed, which phased out the Civil Aeronautics Board. He also enacted deregulation in the trucking, rail, communications, and finance industries.
Carter was the first president to address the topic of gay rights. He opposed the Briggs Initiative, a California ballot measure that would have banned gays and supporters of gay rights from being public school teachers. His administration was the first to meet with a group of gay rights activists, and in recent years he has acted in favor of civil unions and ending the ban on gays in the military. He has stated that he "opposes all forms of discrimination on the basis of sexual orientation and believes there should be equal protection under the law for people who differ in sexual orientation".
Despite calling for a reform of the tax system in his presidential campaign, once in office Carter did very little to change it. President Carter reduced the top tax rate on capital gains to 28% from as high as 98%.
The government was in deficit every year of the Carter presidency, with the national debt of the United States increasing by about $280 billion, from about $620 billion at the beginning of 1977 to $900 billion at the end of 1980. However, because economic growth outpaced the growth in nominal debt, the federal government's debt as a percentage of gross domestic product decreased slightly, from 33.6% at the beginning of 1977 to 31.8% at the end of 1980.
Carter successfully campaigned as a Washington "outsider", critical of President Gerald Ford, as well as the democratically-controlled U.S. Congress; as president, Carter continued this theme. It was this refusal to play by the rules of Washington, however, which contributed to the Carter administration's difficult relationship with Congress. From the start, Hamilton Jordan and Frank Moore feuded with leading Democrats like House Speaker Tip O'Neill. Unreturned phone calls, verbal insults, and an unwillingness to trade political favors soured many on Capitol Hill and affected the president's ability to enact his planned legislation as president.
During the first 100 days of his presidency, Carter wrote a letter to Congress proposing several water projects be scrapped. Among the opponents of Carter's proposal was Senator Russell Long, a powerful Democrat on the Senate Finance Committee. Carter's plan was overturned and bitter feeling became a problem for him.
A rift grew between the White House and Congress. Carter wrote that the most intense and mounting opposition to his policies came from the liberal wing of the Democratic Party, which he attributed to Ted Kennedy’s ambition to replace him as president.
A few months after his term started, and thinking he had the support of about 74 Congressmen, Carter issued a "hit list" of 19 projects that he claimed were "pork barrel" spending. He said that he would veto any legislation that contained projects on this list.
This list met with opposition from the leadership of the Democratic Party. Carter had characterized a rivers and harbors bill as wasteful spending. O'Neill thought it was unwise for the President to interfere with matters that had traditionally been the purview of Congress. Carter was then further weakened when he signed into law a bill containing many of the "hit list" projects.
Later, Congress refused to pass major provisions of his consumer protection bill and his labor reform package. Carter then vetoed a public works package calling it "inflationary", as it contained what he considered to be wasteful spending. Congressional leaders sensed that public support for his legislation was weak, and took advantage of it. After gutting his consumer protection bill, they transformed his tax plan into nothing more than spending for special interests, after which Carter referred to the congressional tax committees as "ravenous wolves."
In April 1976, Carter proposed health care reform that included key features of the bipartisan bill for universal national health insurance[a] sponsored by Senator Ted Kennedy (D-MA). In June 1979, Carter proposed more limited health insurance reform—an employer mandate to provide[b] private catastrophic health insurance[c] plus coverage without cost sharing for pregnant women and infants, federalization of Medicaid[d] with extension to the very poor[e] without dependent minor children, and the addition of catastrophic coverage to Medicare. In November 1979, Senator Russell Long (D-LA) led a bipartisan conservative majority of his Senate Finance Committee to support an employer mandate to provide[b] catastrophic-only coverage[f] and the addition of catastrophic coverage to Medicare, but abandoned efforts in 1980 due to budget constraints.
Some progress was made in the field of occupational health following Carter's appointment of Dr. Eula Bingham as Director of the Occupational Safety and Health Administration. Bingham drew from her experience as a physiologist working with carcinogens to raise and simplify standards, redirect the office's resources to industry groups with the worst records, while enacting occupational particulate, lead and benzene exposure standards and regulations on workers' right to know about workplace hazards, including labeling of toxic substances. Bingham enacted many of these provisions over the opposition of not only Republicans, but also some in the Carter Administration itself, notably Council of Economic Advisers Chairman Charles Schultze and her own boss, Labor Secretary Ray Marshall; ultimately, many of her proposed reforms were never enacted, or were later rescinded.
In 1973, during the Nixon Administration, the Organization of Petroleum Exporting Countries (OPEC) reduced supplies of oil available to the world market, in part because of deflation of the dollars they were receiving as a result of Nixon leaving the gold standard and in part as a reaction to America's sending of arms to Israel during the Yom Kippur War. This sparked the 1973 Oil Crisis and forced oil prices to rise sharply, spurring price inflation throughout the economy and slowing growth. The U.S government imposed price controls on gasoline and oil following the announcement, which had the effect of causing shortages and long lines at filling stations for gasoline. The lines were quelled through the lifting of price controls on gasoline, although oil controls remained until Reagan's presidency. Carter told Americans that the energy crisis was "a clear and present danger to our nation" and "the moral equivalent of war" and drew out a plan he thought would address it. Carter said that world oil supply would probably only be able to keep up with Americans' demand for six to eight more years.
In 1977, Carter convinced the Democratic Congress to create the United States Department of Energy (DoE) with the goal of conserving energy. Carter set oil and natural gas price controls, had solar hot water panels installed on the roof of the White House, had a wood stove in his living quarters, ordered the General Services Administration to turn off hot water in some federal facilities, and requested that all Christmas light decorations remain dark in 1979 and 1980. Nationwide, controls were put on thermostats in government and commercial buildings to prevent people from raising temperatures in the winter (above 65 °F (18 °C) = 18.33 °C) or lowering them in the summer (below 78 °F (26 °C) = 25.55 °C).
As reaction to the energy crisis and growing concerns over air pollution, Carter also signed the National Energy Act (NEA) and the Public Utilities Regulatory Policy Act (PURPA). The purpose of these watershed laws was to encourage energy conservation and the development of national energy resources, including renewables such as wind and solar energy.
However, during 1979 and 1980, Carter began a process of deregulation of the oil industry. Carter did this by phasing out government control of oil allocation. During his "malaise" speech he asked Congress to impose a "Windfall Profit Tax". One of the main reasons Carter called for the tax was due to the deregulation of the oil industry, which in the eyes of members of the Carter administration, would increase the profits of oil companies to an "undeserving" level. Enacted in 1980 on domestic oil production, the tax was repealed in 1988, as prices had collapsed in the 1980s oil glut.
When the energy crisis set in, Carter was planning on delivering his fifth major speech on energy; however, he felt that the American people were no longer listening. Carter left for the presidential retreat of Camp David. "For more than a week, a veil of secrecy enveloped the proceedings. Dozens of prominent Democratic Party leaders—members of Congress, governors, labor leaders, academics and clergy—were summoned to the mountaintop retreat to confer with the beleaguered president." His pollster, Pat Caddell, told him that the American people simply faced a crisis of confidence because of the assassinations of John F. Kennedy, Robert F. Kennedy and Martin Luther King, Jr.; the Vietnam War; and Watergate. On July 15, 1979, Carter gave a nationally-televised address in which he identified what he believed to be a "crisis of confidence" among the American people. This came to be known as his "malaise" speech, although Carter never used the word in the speech.
I want to talk to you right now about a fundamental threat to American democracy. . . . I do not refer to the outward strength of America, a nation that is at peace tonight everywhere in the world, with unmatched economic power and military might. The threat is nearly invisible in ordinary ways. It is a crisis of confidence. It is a crisis that strikes at the very heart and soul and spirit of our national will. We can see this crisis in the growing doubt about the meaning of our own lives and in the loss of a unity of purpose for our nation. . . .
In a nation that was proud of hard work, strong families, close-knit communities, and our faith in God, too many of us now tend to worship self-indulgence and consumption. Human identity is no longer defined by what one does, but by what one owns. But we've discovered that owning things and consuming things does not satisfy our longing for meaning....
I'm asking you for your good and for your nation's security to take no unnecessary trips, to use carpools or public transportation whenever you can, to park your car one extra day per week, to obey the speed limit, and to set your thermostats to save fuel.... I have seen the strength of America in the inexhaustible resources of our people. In the days to come, let us renew that strength in the struggle for an energy-secure nation. . . .
Carter's speech was written by Hendrik Hertzberg and Gordon Stewart. Though it is often said to have been ill-received, The New York Times ran the headline "Speech Lifts Carter Rating to 37%; Public Agrees on Confidence Crisis; Responsive Chord Struck" later that week.
Carter’s use of rhetoric was one of the main reasons that his speech was memorable. Specifically his use of juxtaposition in the line “It is a crisis of confidence”, which is the main line of the speech. Carter juxtaposed “crisis” and “confidence” to explain how overconsumption in the United States was leading to an energy crisis. Although at first this resonated with the public and he went up in the polls, there was a boomerang effect and the speech prompted the public to backlash against him. The "malaise" speech was criticized later on; many perceived Carter as too reliant on the American people, and as having announced little effort to fix the oil crisis himself. Carter mentioned energy so much that he may have overwhelmed the American public with it.
His later election loss may have discouraged future politicians from asking Americans to conserve energy in a similar way. Three days after the speech, Carter asked for the resignations of all of his Cabinet officers, and ultimately accepted those of five who had clashed with the White House the most, including Energy Secretary James Schlesinger and Health, Education and Welfare chief Joseph Califano, known as a supporter of Senator Ted Kennedy. After campaigning that he would never appoint a Chief of Staff, Carter appointed Jordan as a new White House Chief of Staff. Many in the administration chafed when Jordan circulated a "questionnaire" that read more like a loyalty oath. "I think the idea was that they were going to firm up the administration, show that there was real change by these personnel changes, and move on," remembers Mondale. "But the message the American people got was that we were falling apart." Carter later admitted in his memoirs that he should simply have asked only those five members for their resignations. In 2008, a U.S. News and World Report piece stated:
We would also do well to remember the sort of complexity and humility that Carter tried to inject into political rhetoric... Carter was unwilling to pander to the people... What Carter really did in the speech was profound. He warned Americans that the 1979 energy crisis – both a shortage of gas and higher prices – stemmed from the country's way of life. "Too many of us now tend to worship self-indulgence and consumption. Human identity is no longer defined by what one does but by what one owns", the president said. Consumerism provided people with false happiness, he suggested, but it also prevented Americans from re-examining their lives in order to confront the profound challenge the energy crisis elicited. Despite [some failures] Carter left behind a way of talking about the country's promise and its need to confront what is undoubtedly one of its biggest challenges – to solve the energy crisis in a way that takes seriously both our limits and our greatness.
Economy: stagflation and the appointment of Volcker
The economic history of the Carter Administration can be divided in two roughly equal periods. The first two years were a time of continuing recovery from the severe 1973–75 recession, which had left fixed investment at its lowest level since the 1970 recession and unemployment at 9%. The second two years were marked by double-digit inflation, coupled with very high interest rates, oil shortages, and slow economic growth. The nation's economy grew by an average of 3.4% during the Carter Administration (at par with the historical average). Each of these two-year periods, however, would differ dramatically.
The U.S. economy, which had grown by 5% in 1976, continued to grow at a similar pace during 1977 and 1978. Unemployment declined from 7.5% in January 1977 to 5.6% by May 1979, with over 9 million net new jobs created during that interim, and real median household income grew by 5% from 1976 to 1978. The recovery in business investment in evidence during 1976 strengthened as well. Fixed private investment (machinery and construction) grew by 30% from 1976 to 1979, home sales and construction grew another one third by 1978, and industrial production, motor vehicle output and sales did so by nearly 15%; with the exception of new housing starts, which remained slightly below their 1972 peak, each of these benchmarks reached record levels in 1978 or 1979.
The 1979 energy crisis ended this period of growth, however, and as both inflation and interest rates rose, economic growth, job creation, and consumer confidence declined sharply. The relatively loose monetary policy adopted by Federal Reserve Board Chairman G. William Miller, had already contributed to somewhat higher inflation, rising from 5.8% in 1976 to 7.7% in 1978. The sudden doubling of crude oil prices by OPEC, the world's leading oil exporting cartel, forced inflation to double-digit levels, averaging 11.3% in 1979 and 13.5% in 1980. The sudden shortage of gasoline as the 1979 summer vacation season began exacerbated the problem, and would come to symbolize the crisis among the public in general; the acute shortage, originating in the shutdown of Amerada Hess refining facilities, led to a lawsuit against the company that year by the Federal Government.
Carter, like Nixon, asked Congress to impose price controls on energy, medicine, and consumer prices, but was unable to secure passage of such measures due to strong opposition from Congress. One related measure approved by Congress during the presidency of Gerald Ford, the Energy Policy and Conservation Act of 1975, gave Presidents the authority to deregulate prices of domestic oil, and Carter exercised this option on July 1, 1979, as a means of encouraging both oil production and conservation. Oil imports, which had reached a record 2.4 billion barrels in 1977 (50% of supply), declined by half from 1979 to 1983.
Following an August 1979 cabinet shakeup in which Carter asked for the resignations of several cabinet members (see "Malaise speech" above), Carter appointed G. William Miller as Secretary of the Treasury, naming Paul Volcker as Chairman of the Federal Reserve Board. Volcker pursued a tight monetary policy to bring down inflation, which he considered his mandate. Volcker (and Carter) succeeded, but only by first going through an unpleasant phase during which the economy slowed and unemployment rose. Inflation did not return to low single-digit levels until 1982, during a second, more severe recession; President Reagan re-appointed Volcker to the post in 1983.
Led by Volcker, the Federal Reserve raised the discount rate from 10% when Volcker assumed the chairmanship in August 1979 to 12% within two months. The prime rate outstripped the Federal funds rate, reaching 20% in March 1980. Carter then enacted an austerity program by executive order, justifying these measures by observing that inflation had reached a "crisis stage"; both inflation and short-term interest rates reached 18 percent in February and March 1980. Investments in fixed income (both bonds held by Wall Street and pensions paid to retired people) were becoming less valuable in real terms, and on March 14, 1980, President Carter announced the first credit control measures since World War II.
The policy, as well as record interest rates, would lead to a sharp recession in the spring of 1980. The sudden fall in GDP during the second quarter caused unemployment to jump from 6% to 7.5% by May, with output in the auto and housing sectors falling by over 20% and to their weakest level since the 1975 recession. Carter phased out credit controls in May, and by July, the prime rate had fallen to 11%, with inflation breaking the earlier trend and easing to under 13% for the remainder of 1980. The V-shaped recession coincided with Carter's re-election campaign, however, and contributed to his unexpectedly severe loss.
Lower interest rates and easing of credit controls sparked a recovery during the second half of 1980, and although the hard-hit auto and housing sectors would not recover substantially, GDP and employment totals regained pre-recession levels by the first quarter of 1981. The S&P 500 (which had remained at around 100 since 1976), rose to nearly 140 by the latter part of the year. A resumption in growth prompted renewed tightening by the Fed, however, and the prime rate reached 21.5% in December 1980, the highest rate in U.S. history under any President. The Carter Administration remained fiscally conservative during both growth and recession periods, vetoing numerous spending increases while enacting deregulation in the energy and transportation sectors and sharply reducing the top capital gains tax rate. Federal budget deficits throughout his term remained at around the $70 billion level reached in 1976, while falling as a percent of GDP from 4% to 2.5% by the 1980–81 Fiscal Year.
A wide range of measures aimed at safeguarding the environment were introduced during the presidency of Jimmy Carter, who has been dubbed as the 'environmentally conscious' president. On December 11, 1980, he signed into law "Comprehensive Environmental Response, Compensation, and Liability Act of 1980 (CERCLA)" commonly known as Superfund, a United States federal law designed to clean up sites contaminated with hazardous substances.
On December 2, 1980, he signed into law Alaska National Interest Lands Conservation Act. The law provided for the creation or revision of 15 National Park Service properties, and set aside other public lands for the United States Forest Service and United States Fish and Wildlife Service. In all, the act provided for the designation of 79.53 million acres (124,281 square miles; 321,900 km²) of public lands, fully a third of which was set aside as wilderness area in Alaska.
The Mariel boatlift was a mass emigration of Cubans who departed from Cuba's Mariel Harbor for the United States, authorized by U.S. president Jimmy Carter, between April 15 and October 31, 1980. The event was precipitated by a sharp downturn in the Cuban economy which led to internal tensions on the island and a bid by up to 10,000 Cubans to gain asylum in the Peruvian embassy. The Cuban government subsequently announced that anyone who wanted to leave could do so, and an exodus by boat started shortly afterward. The exodus was organized by Cuban-Americans with the agreement of Cuban president Fidel Castro. The exodus started to have negative political implications for U.S. president Jimmy Carter when it was discovered that a number of the exiles had been released from Cuban jails and mental health facilities. The Mariel boatlift was ended by mutual agreement between the two governments involved in October 1980. By that point, as many as 125,000 Cubans had made the journey to Florida. About fifty percent of the Mariel immigrants decided to reside in Miami permanently and this resulted in a seven percent increase in workers in the Miami labor market and a twenty percent increase in the Cuban working population. Castro publicly stated "I have flushed the toilets of Cuba on the United States."
During his first month in office, Carter cut the defense budget by $6 billion. One of his first acts was to order the unilateral removal of all nuclear weapons from South Korea and announce his intention to cut back the number of US troops stationed there. Other military men confined intense criticism of the withdrawal to private conversations or testimony before congressional committees, but in 1977 Major General John K. Singlaub, chief of staff of U.S. forces in South Korea, publicly criticized Carter's decision to lower the U.S. troop level there. On March 21, 1977, Carter relieved him of duty, saying his publicly stated sentiments were "inconsistent with announced national security policy." Carter planned to remove all U.S. troops from South Korea by 1982, with the exception of 14,000 U.S. Air Force personnel and logistics specialists, but after cutting only 3,600 men, he was forced by intense Congressional pressure as well as strong opposition from the military generals to abandon the effort in 1978.
Indonesian occupation of East Timor
The Carter administration resumed and dramatically increased arms sales to the Indonesian Suharto government during its occupation of East Timor. In an interview, Carter's Assistant Secretary Richard Holbrooke described its interest to the United States: "Indonesia [...] is the fifth largest nation in the world, is a moderate member of the Non-Aligned Movement, is an important oil producer -- which plays a moderate role within OPEC -- and occupies a strategic position astride the sea lanes between the Pacific and Indian Oceans."
The Suharto regime invaded East Timor in 1975 to protest from the United Nations. Annual U.S. arms sales to Suharto, which began before shortly before the invasion, was around $11 million for Ford's last two years. "Roughly 90%" of the arms belonging to the Indonesian military at the time of East Timor's invasion were U.S. supplied, according to State Department Deputy Legal Advisor George H. Aldrich's testimony at the 1977 House International Relations Committee.
By 1977, the Indonesian government's occupation drained its army of the resources supplied by Ford. The next year, the Carter administration sold $112 million in arms to the Suharto government. American arms sales to the Suharto regime averaged about $60 million annually during Carter's term, more than double the figure of Ford's yearly sales. The pattern of arms sales to the Indonesian occupation regime continued under Reagan, Bush and Clinton and completely finished after the East Timorese independence referendum in 1999. According to the United Nations, 180,000 East Timorese civilians were killed during the occupation, by methods including forced starvation.
In a 2007 interview with Amy Goodman, Carter discussed the actions of his administration regarding East Timor: "I have to say that I was not, you know, as thoroughly briefed about what was going on in East Timor as I should have been. I was more concerned about other parts of the world then."
Arab–Israeli conflict/Camp David Accords
Carter's Secretary of State Cyrus Vance and National Security Advisor Zbigniew Brzezinski paid close attention to the Arab–Israeli conflict. Diplomatic communications between Israel and Egypt increased significantly after the Yom Kippur War and the Carter administration felt that the time was right for comprehensive solution to the conflict.
In mid-1978, Carter became quite concerned as there were only a few months left before the Egyptian-Israeli Disengagement Treaty expired. As a result, Carter sent a special envoy to the Middle East. The American Ambassador flew back and forth between Cairo and Tel Aviv in search of ways to narrow the disagreement between the two countries. It was then suggested that the foreign ministers meet at Leeds Castle, England where they could discuss the possibilities of peace. They tried to come to an agreement, but the foreign ministers failed. This led to the 1978 Camp David Accords, one of Carter's most important accomplishments as President. The accords were a peace agreement between Israel and Egypt negotiated by Carter, which followed up on earlier negotiations conducted in the Middle East. In these negotiations King Hassan II of Morocco acted as a negotiator between Arab interests and Israel, and Nicolae Ceauşescu of Romania acted as go-between for Israel and the Palestine Liberation Organization (PLO, the unofficial representative of the Palestinian people). Once initial negotiations had been completed, Egyptian President Anwar Sadat approached Carter for assistance. Carter then invited Israeli Prime Minister Menachem Begin and Anwar El Sadat to Camp David to continue the negotiations. They arrived on August 8, 1978. Upon their arrival, neither leader had addressed one another since the Vienna meeting. President Carter inevitably became the mediator between the two leaders. He spoke to each leader separately until an agreement was reached. Almost a month had passed, but no resolution had been reached. President Carter decided to take the two of them on a trip to Gettysburg, Pennsylvania to break this deadlock. He showed the two leaders the battlefield and gave them a history lesson about one of the battles that had taken place during the U.S. Civil War. Carter emphasized how important it was to have peace in order to bring prosperity to the people. A lesson was learned, and when Begin and Sadat returned to Camp David, they finally agreed that something had to be signed.
On September 12, 1978, President Carter suggested dividing the negotiations over the peace treaty into two frameworks: framework #1 and framework #2. Framework #1 would address the West Bank and Gaza. Framework #2 would deal with Sinai.
The first framework dealt with the Palestinian territories (the West Bank and Gaza). The first point stated that the election of a self-governing authority would be allowed to provide full autonomy to the inhabitants of the West Bank and Gaza. This government would be elected by the Palestinians and would only look after municipal affairs. The second step would be to grant Palestinians autonomy mainly on those municipal matters. Five years down the road after having gone through steps one and two, the status of Palestine could then be negotiated. Framework No. 1 was not very well received; the Palestinians and Jordanians were furious. They objected to the fact that Begin and Sadat were deciding on their ultimate destiny without consulting them or their leaders. Framework No. 1 for that reason was not going to work; it was essentially a dead end.
The second framework dealt with the Sinai Peninsula. This framework consisted of two points:
1. The two parties, Egypt and Israel, should negotiate a treaty over a period of six months based on the principle of Egyptian sovereignty over Sinai and the withdrawal of Israel from that region. 2. This treaty would be followed and included in it would be the establishment of diplomatic, political, economic, and cultural relations between Egypt and Israel.
President Carter admitted that "there's still great difficulties that remain and many hard issues to be settled." This would be a peace that would establish normal relations between the two states. This was the basis of the two frameworks, but it had yet to be approved.
The reaction to this proposal in the Arab world was very negative. In November 1978, there was an emergency meeting held by the Arab League in Damascus. Once again, Egypt was the main subject of the meeting, and they condemned the proposed treaty that Egypt was going to sign. Sadat was also attacked by the Arab press for breaking ranks with the Arab League and having betrayed the Arab world. Discussions pertaining to the future peace treaty took place in both countries. Israel insisted in its negotiations that the Israel-Egypt treaty should supersede all of Egypt's other treaties, including those signed with the Arab League and Arab states. Israel also wanted access to the oil discovered in the Sinai region. President Carter interjected and informed the Israelis that the U.S. would supply Israel with whatever oil it needed for the next 15 years if Egypt at any point decided not to supply oil to Israel.
While framework #1 was already approved by the Israeli Government, the second framework also needed approval. The Israeli Cabinet accepted the second framework of the treaty. The Israeli Parliament also approved the second framework with a comfortable majority. Alternatively, the Egyptian Government was arguing about a number of things. They did not like the fact that this proposed treaty was going to supersede all other treaties. Egyptians were also disappointed that they were unable to link the Sinai question to the Palestinian question.
On March 26, 1979, Egypt and Israel signed a peace treaty in Washington, D.C. Carter's role in getting the treaty was essential. Aaron David Miller interviewed many officials for his book The Much Too Promised Land (2008) and concluded the following: "No matter whom I spoke to — Americans, Egyptians, or Israelis — most everyone said the same thing: no Carter, no peace treaty."
Rapid Deployment Forces
|This section does not cite any references or sources. (June 2012)|
On October 1, 1979, Carter announced before a television audience the existence of the Rapid Deployment Forces (RDF), a mobile fighting force capable of responding to worldwide trouble spots, without drawing on forces committed to NATO. The RDF was the forerunner of CENTCOM.
Carter initially departed from the long-held policy of containment toward the Soviet Union. In its place, Carter promoted a foreign policy that put human rights at the forefront. This was a break from the policies of several predecessors, in which human rights abuses were often overlooked if they were committed by a government that was allied, or purported to be allied, with the United States.
He nominated civil rights activist Patricia M. Derian as Coordinator for Human Rights and Humanitarian Affairs, and in August 1977, had the post elevated to that of Assistant Secretary of State. Derian established the United States' Country Reports on Human Rights Practices, published annually since 1977, and made their findings a factor in military aid determinations, effectively ending such aid for five Latin American countries for the remainder of Carter's tenure. The Carter Administration ended support to the historically U.S.-backed Somoza regime in Nicaragua and gave aid to the new Sandinista National Liberation Front government that assumed power after Somoza's overthrow. However, Carter ignored a plea from El Salvador's Archbishop Óscar Romero not to send military aid to that country; Romero was later assassinated for his criticism of El Salvador's violation of human rights. Generally, human rights in Latin America, which had deteriorated sharply in the previous decade, improved following these initiatives; a publisher tortured during Argentina's Dirty War, Jacobo Timerman, credited these policies for the positive trend, stating that they not only saved lives, but also "built up democratic consciousness in the United States."
Many in his own administration were opposed to these initiatives, however, and the more assertive human rights policy of the Carter years was blunted by the discord that ensued between, on one hand, Derian and State Department Policy Planning Director Anthony Lake, who endorsed human rights considerations as an enhancement of U.S. diplomatic effectiveness abroad, and National Security Adviser Zbigniew Brzezinski, who held Cold War considerations as paramount. These policy disputes reached their most contentious point during the 1979 fall of Pol Pot's genocidal regime of Democratic Kampuchea following the Vietnamese invasion of Cambodia, when Brzezinski prevailed in having the administration refuse to recognize the new Cambodian government due to its support by the Soviet Union. Carter was also criticized by the feminist author and activist Andrea Dworkin for ignoring issues of women's rights in Saudi Arabia.
Carter continued his predecessors' policies of imposing sanctions on Rhodesia (later Zimbabwe Rhodesia, currently Zimbabwe), and, after Bishop Abel Muzorewa was elected Prime Minister, protested the exclusion of Robert Mugabe and Joshua Nkomo from participating in the elections. Strong pressure from the United States and the United Kingdom prompted new elections in Zimbabwe Rhodesia, which saw Robert Mugabe elected as Prime Minister of Zimbabwe; afterwards, sanctions were lifted, and diplomatic recognition was granted. Carter was also known for his criticism of Paraguay's Alfredo Stroessner, Augusto Pinochet (although both Stroessner and Pinochet, along with other Latin American dictators of whom Carter was critical, attended the signing of the Panama Canal Treaty), the apartheid government of South Africa, Zaire (although Carter later changed course and supported Zaire, in response to alleged – albeit unproven — Cuban support of anti-Mobutu rebels) and other traditional allies.
People's Republic of China
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- See also Sino-American relations
Carter continued the policy of Richard Nixon to normalize relations with the People's Republic of China. National Security Advisor Zbigniew Brzezinski and China expert Michel Oksenberg who was serving on the National Security Council, traveled to Beijing in early 1978, where they worked with Leonard Woodcock, head of the liaison office there, to lay the groundwork for granting the People's Republic of China full diplomatic and trade relations. In the Joint Communiqué on the Establishment of Diplomatic Relations dated January 1, 1979, the United States transferred diplomatic recognition from Taipei to Beijing. The U.S. reiterated the Shanghai Communiqué's acknowledgment of the Chinese position that there is only one China and that Taiwan is a part of China; Beijing acknowledged that the American people would continue to carry on commercial, cultural, and other unofficial contacts with the people of Taiwan. The U.S. unofficially recognized Taiwan through the Taiwan Relations Act.
Panama Canal Treaties
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Jimmy Carter's speech upon signing the Panama Canal treaty, September 7, 1977.
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One of the most controversial moves of Carter's presidency was the final negotiation and signature of the Panama Canal Treaties in September 1977. Those treaties, which essentially would transfer control of the American-built Panama Canal to the nation of Panama, were bitterly opposed by a majority of the American public and by the Republican Party. A common argument against the treaties was that the United States was transferring an American asset of great strategic value to an unstable and corrupt country led by an unelected but popularly supported General (Omar Torrijos). Those that supported the Treaties argued that the Canal was built within Panamanian territory therefore, by controlling it, the United States was in fact occupying part of another country and this agreement was intended to turn back to Panama the sovereignty of its complete territory. After the signature of the Canal treaties, in June 1978, Carter visited Panama with his wife and twelve U.S. Senators, amid widespread student disturbances against the Torrijos administration. Carter then began urging the Torrijos regime to soften its policies and move Panama towards gradual republicanism.
Strategic Arms Limitations Talks (SALT)
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A key foreign policy issue Carter worked laboriously on was the SALT II Treaty, which reduced the number of nuclear arms produced and/or maintained by both the United States and the Soviet Union. SALT is the common name for the Strategic Arms Limitations Talks, negotiations conducted between the US and the USSR. The work of Gerald Ford and Richard Nixon brought about the SALT I treaty, which had itself reduced the number of nuclear arms produced, but Carter wished to further this reduction. It was Carter's main goal (as was stated in his Inaugural Address) that nuclear weapons completely disappear from the world.
Carter and Leonid Brezhnev, the leader of the Soviet Union, reached an agreement to this end in 1979 – the SALT II Treaty, despite opposition in Congress to ratifying it, as many thought it weakened U.S. defenses. Following the Soviet invasion of Afghanistan late in 1979 however, Carter withdrew the treaty from consideration by Congress and the treaty was never ratified (though it was signed by both Carter and Brezhnev). Even so, both sides honored the commitments laid out in the negotiations.
In April 1978, the communist People's Democratic Party of Afghanistan (PDPA) seized power in Afghanistan in the Saur Revolution. Within months, opponents of the communist government launched an uprising in eastern Afghanistan that quickly expanded into a civil war waged by guerrilla mujahideen against government forces countrywide. The Pakistani government provided these rebels with covert training centers, while the Soviet Union sent thousands of military advisers to support the PDPA government. Meanwhile, increasing friction between the competing factions of the PDPA – the dominant Khalq and the more moderate Parcham – resulted in the dismissal of Parchami cabinet members and the arrest of Parchami military officers under the pretext of a Parchami coup. By mid-1979, the United States had started a covert program to assist the mujahideen.
In September 1979, Khalqist President Nur Muhammad Taraki was assassinated in a coup within the PDPA orchestrated by fellow Khalq member Hafizullah Amin, who assumed the presidency. Distrusted by the Soviets, Amin was assassinated by Soviet special forces in December 1979. A Soviet-organized government, led by Parcham's Babrak Karmal but inclusive of both factions, filled the vacuum. Soviet troops were deployed to stabilize Afghanistan under Karmal in more substantial numbers, although the Soviet government did not expect to do most of the fighting in Afghanistan. As a result, however, the Soviets were now directly involved in what had been a domestic war in Afghanistan.
At the time some believed the Soviets were attempting to expand their borders southward in order to gain a foothold in the Middle East. The Soviet Union had long lacked a warm water port, and their movement south seemed to position them for further expansion toward Pakistan in the East, and Iran to the West. American politicians, Republicans and Democrats alike, feared the Soviets were positioning themselves for a takeover of Middle Eastern oil. Others believed that the Soviet Union was afraid Iran's Islamic Revolution and Afghanistan's Islamization would spread to the millions of Muslims in the USSR.
After the invasion, Carter announced what became known as the Carter Doctrine: that the U.S. would not allow any other outside force to gain control of the Persian Gulf. He terminated the Soviet Wheat Deal in January 1980, which was intended to establish trade with USSR and lessen Cold War tensions. The grain exports had been beneficial to people employed in agriculture, and the Carter embargo marked the beginning of hardship for American farmers. That same year, Carter also made two of the most unpopular decisions of his entire Presidency: prohibiting American athletes from participating in the 1980 Summer Olympics in Moscow, and reinstating registration for the draft for young males. Following the Soviet invasion, the United States supported diplomatic efforts to achieve a Soviet withdrawal. In addition, generous U.S. contributions to the refugee program in Pakistan played a major part in efforts to assist Afghan refugees.
Carter and Brzezinski started a $3–4 billion covert program of arming insurgents in Afghanistan to foil the Soviets' apparent plans. Carter's diplomatic policies towards Pakistan in particular changed drastically. The administration had cut off financial aid to the country in early 1979 when religious fundamentalists, encouraged by the prevailing Islamist military dictatorship over Pakistan, burnt down a U.S. Embassy based there. The international stake in Pakistan, however, had greatly increased with the Soviet invasion of Afghanistan. The President of Pakistan, General Muhammad Zia-ul-Haq, was offered 400 million dollars to subsidize the anti-communist Mujahideen in Afghanistan by Carter. General Zia declined the offer as insufficient, famously declaring it to be "peanuts," and the U.S. was forced to step up aid to Pakistan.
Reagan would later expand this program greatly to combat Cold War concerns presented by the Soviet Union at the time. Critics of this policy blame Carter and Reagan for the resulting instability of post-Soviet Afghan governments, which led to the rise of Islamic theocracy in the region.
We immediately launched a twofold process when we heard that the Soviets had entered Afghanistan. The first involved direct reactions and sanctions focused on the Soviet Union, and both the State Department and the National Security Council prepared long lists of sanctions to be adopted, of steps to be taken to increase the international costs to the Soviet Union of their actions. And the second course of action led to my going to Pakistan a month or so after the Soviet invasion of Afghanistan, for the purpose of coordinating with the Pakistanis a joint response, the purpose of which would be to make the Soviets bleed for as much and as long as is possible; and we engaged in that effort in a collaborative sense with the Saudis, the Egyptians, the British, the Chinese, and we started providing weapons to the Mujaheddin, from various sources again – for example, some Soviet arms from the Egyptians and the Chinese. We even got Soviet arms from the Czechoslovak communist government, since it was obviously susceptible to material incentives; and at some point we started buying arms for the Mujaheddin from the Soviet army in Afghanistan, because that army was increasingly corrupt.
The supplying of billions of dollars in arms to the Afghan mujahideen militants was one of the CIA's longest and most expensive covert operations. The CIA provided assistance to the fundamentalist insurgents through the Pakistani secret services, Inter-Services Intelligence (ISI), in a program called Operation Cyclone. At least 3 billion in U.S. dollars were funneled into the country to train and equip troops with weapons, and there were similar programs run by Saudi Arabia, Britain's MI6 and SAS, Egypt, Iran, and the People's Republic of China. Pakistan's secret service, Inter-Services Intelligence (ISI), was used as an intermediary for most of these activities to disguise the sources of support for the resistance.
No Americans trained or had direct contact with the mujahideen. The skittish CIA had fewer than 10 operatives in the region. Civilian personnel from the U.S. Department of State and the CIA frequently visited the Afghanistan-Pakistan border area during this time.
The early foundations of al-Qaida were allegedly built in part on relationships and weaponry that came from the billions of dollars in U.S. support for the Afghan mujahadin during the war to expel Soviet forces from that country. However, scholars such as Jason Burke, Steve Coll, Peter Bergen, Christopher Andrew, and Vasily Mitrokhin have argued that Bin Laden was "outside of CIA eyesight" and that there is "no support" in any "reliable source" for "the claim that the CIA funded bin Laden or any of the other Arab volunteers who came to support the mujahideen."
Iran hostage crisis
The main conflict between human rights and U.S. interests came in Carter's dealings with the Shah of Iran. The Shah, Mohammad Reza Pahlavi, had been a strong ally of the United States since World War II and was one of the "twin pillars" upon which U.S. strategic policy in the Middle East was built (the other being Saudi Arabia). However, his rule was strongly autocratic, was seen as kleptocratic at home, and in 1953 he went along with the Eisenhower Administration in staging a coup to remove the elected Prime Minister, Mohammed Mossadegh.
On a 1978 state visit to Iran, Carter spoke out in favor of the Shah, calling him a leader of supreme wisdom, and a pillar of stability in the volatile Middle East.
When the Iranian Revolution broke out in Iran and the Shah was overthrown, the U.S. did not intervene directly. The Shah went into permanent exile in January 1979. Carter initially refused him entry to the United States, even on grounds of medical emergency.
Despite his initial refusal to admit the Shah into the United States, on October 22, 1979, Carter finally granted him entry and temporary asylum for the duration of his cancer treatment. The Shah left the U.S. for Panama on December 15, 1979. In response to the Shah's entry into the U.S., Iranian militants seized the American embassy in Tehran in November, taking 52 Americans hostage. The Iranians demanded:
- The return of the Shah to Iran for trial.
- The return of the Shah's wealth to the Iranian people.
- An admission of guilt by the United States for its past actions in Iran, plus an apology.
- A promise from the United States not to interfere in Iran's affairs in the future.
Though later that year the Shah left the U.S. and died in Egypt in July 1980, the hostage crisis continued and dominated the last year of Carter's presidency. The subsequent responses to the crisis – from a "Rose Garden strategy" of staying inside the White House, to the ill-prepared and unsuccessful attempt to rescue the hostages by military means (Operation Eagle Claw) — were largely seen as contributing to Carter's defeat in the 1980 election.
After the hostages were taken, Carter issued, on November 14, 1979, Executive Order 12170 – Blocking Iranian Government property, which was used to freeze the bank accounts of the Iranian government in U.S. banks, totaling about $8 billion U.S. at the time. This was to be used as a bargaining chip for the release of the hostages.
In the days before President Ronald Reagan took office, Algerian diplomat Abdulkarim Ghuraib opened negotiations between the U.S. and Iran. This resulted in the "Algiers Accords" one day before the end of Carter's Presidency on January 19, 1981, which entailed Iran's commitment to free the hostages immediately. Additionally, Executive Orders 12277 through 12285 were issued by Carter releasing all assets belonging to the Iranian government and all assets belonging to the Shah found within the United States and the guarantee that the hostages would have no legal claim against the Iranian government that would be heard in U.S. courts. Iran, however, also agreed to place $1 billion of the frozen assets in an escrow account and both Iran and the United States agreed to the creation of a tribunal to adjudicate claims by U.S. Nationals against Iran for compensation for property lost by them or contracts breached by Iran. The tribunal, known as the Iran – United States Claims Tribunal, has awarded over $2 billion to U.S. claimaints and has been described as one of the most important arbitration bodies in the history of international law. Although the release of the hostages was negotiated and secured under the Carter administration, the hostages were released on January 20, 1981, moments after Reagan was sworn in as President.
Message to outer space
We cast this message into the cosmos.... Of the 200 billion stars in the Milky Way galaxy, some – perhaps many – may have inhabited planet and space faring civilizations. If one such civilization intercepts Voyager and can understand these recorded contents, here is our message: We are trying to survive our time so we may live into yours. We hope some day, having solved the problems we face, to join a community of galactic civilizations. This record represents our hope and our determination and our goodwill in a vast and awesome universe.
Besides unconditional amnesty for Vietnam War era draft dodgers, issued in his first full day in office (January 21, 1977), President Carter used his power in other cases. In general, he issued 566 pardons or commutations as President, granting 20% of all requests that came before him.
Most notable cases:
- Oscar Collazo: Puerto Rican independence activist who in 1950 attempted to assassinate President Harry S. Truman. His original death sentence was commuted by Truman himself and Carter granted him full pardon.
- Irving Flores, Rafael Cancel Miranda and Lolita Lebrón: Puerto Rican independence activists involved in 1954 Assault on the House of Representatives.
- Peter Yarrow, singer-songwriter: clemency for a sexual offense in 1969.
- G. Gordon Liddy, chief operative for the White House Plumbers during Watergate: sentence commuted.
1980 presidential election
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Carter lost the presidency to Ronald Reagan in the 1980 election. The popular vote went 50.7 percent, or 43.9 million popular votes, for Reagan and 41 percent, or 35.5 million, for Carter. Independent candidate John B. Anderson won 6.6 percent, or 5.7 million votes. However, because Carter's support was not concentrated in any geographic region, Reagan won a landslide 91 percent of the electoral vote, leaving Carter with only six states and the District of Columbia. Reagan carried a total of 489 electoral votes compared to Carter's 49.
Carter's defeat marked the first time an elected president failed to secure a second term in a general election since Herbert Hoover in 1932. Furthermore, he was the first incumbent Democratic president to seek, but fail to achieve in a general election, re-election since Andrew Johnson (Grover Cleveland served two non-consecutive terms while Harry Truman and Lyndon Johnson served one full term in addition to taking over after the deaths of Franklin D. Roosevelt and John F. Kennedy respectively, and Truman did not seek re-election, although Johnson briefly was a candidate until the poor results of the 1968 New Hampshire primary persuaded him to withdraw).
While Carter kept his promise (all 52 hostages returned home alive), he failed to secure the release of the hostages prior to the election. While Carter ultimately won their release, Iran did not release the hostages until minutes after Reagan took office. In recognition of the fact that Carter was responsible for bringing the hostages home, Reagan asked him to go to West Germany to greet them upon their release.
Administration and cabinet
Carter had no opportunity to appoint any justices to the Supreme Court of the United States. Two of his Court of Appeals appointees – Stephen Breyer and Ruth Bader Ginsburg – were later appointed to the Supreme Court by Bill Clinton.
Other judicial appointments
Carter appointed 56 judges to the United States Courts of Appeals, and 203 judges to the United States district courts. Carter also experienced a small number of judicial appointment controversies, as three of his nominees for different federal appellate judgeships were not processed by the Democratic-controlled Senate Judiciary Committee before Carter's presidency ended.
Allegations and investigations
Resignation of Bert Lance
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Bert Lance, the Director of the Office of Management and Budget in the Carter administration, resigned his position on September 21, 1977, amid allegations of improper banking activities prior to his becoming Director. Lance was one of Carter's closest friends, and served as state highway director when Carter was Governor of Georgia. Carter supported Lance in his bid to succeed Carter as governor, but Lance was defeated in the primary. Lance was subsequently tried on various bank-related charges, but was acquitted. The Lance affair was an embarrassment to Carter, coming just a few years after the Watergate scandal.
Special counsel investigating campaign loans
In April 1979, United States Attorney General Griffin Bell appointed Paul J. Curran as a special counsel to investigate loans made to the peanut business owned by Carter by a bank controlled by Bert Lance, a friend of the president and the director of the Office of Management and Budget. Unlike Archibald Cox and Leon Jaworski who were named as special prosecutors to investigate the Watergate scandal, Curran's position as special counsel meant that he would not be able to file charges on his own, but would require the approval of Assistant Attorney General Philip Heymann. Carter became the first sitting president to testify under oath as part of an investigation of that president.
The investigation was concluded in October 1979, with Curran announcing that no evidence had been found to support allegations that funds loaned from the National Bank of Georgia had been diverted to Carter's 1976 presidential campaign.
Personal and family matters during presidency
Carter's youngest child Amy lived in the White House while her father served as president. She was the subject of much media attention during this period as young children had not lived in the White House since the early 1960s presidency of John F. Kennedy.
Carter's brother Billy generated a great deal of notoriety during Carter's presidency for his colorful and often outlandish public behavior. In 1977, Billy Carter endorsed Billy Beer, capitalizing upon his colorful image as a beer-drinking, Southern boy that had developed in the press during President Carter's campaign. Billy Carter's name was occasionally used as a gag answer for a Washington, D.C., trouble-maker on 1970s episodes of The Match Game. Billy Carter once urinated on an airport runway in full view of the press and dignitaries. In late 1978 and early 1979, Billy Carter visited Libya with a contingent from Georgia three times. He eventually registered as a foreign agent of the Libyan government and received a $220,000 loan. This led to a Senate hearing over alleged influence peddling, which some in the press dubbed "Billygate". A Senate subcommittee was called To Investigate Activities of Individuals Representing Interests of Foreign Governments (Billy Carter-Libya Investigation).
On May 5, 1979, Carter was the target of Raymond Lee Harvey, a mentally ill transient, who was found with a starter pistol awaiting the President's Cinco de Mayo speech at the Civic Center Mall in Los Angeles, and claimed to be part of a four-man assassination attempt. Charges against Harvey and an accused accomplice were ultimately dismissed for a lack of evidence.
- with no cost sharing
- pay 75% of the premium for
- after $2,500 cost sharing
- for Medicaid acute care; no change to Medicaid long-term care for elderly or disabled
- income below 55% of federal poverty level
- after $3,500 cost sharing
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