Here is the well financed and thought out plan to to keep implants on the market, even though the manufacturers could not prove their safety.


BREAST IMPLANTS: Dow's Manipulation of Public Opinion and the Media

The following document was obtained in discovery in breast implant litigation. It contains a detailed proposal by Burson-Marsteller Public Relations of October 14, 1991 outlining Dow's public relations efforts prior to anticipated FDA hearings on the safety of breast implants.


BURSON-MARSTELLER PUBLIC RELATIONS
October 14, 1991 PRE-FDA HEARING MEDIA PLAN

Objectives:

Secure maximum exposure for key positive messages, primarily:
      -- Breast implants are safe
      -- Women need and value them
      -- Each woman has a right to make her own          informed decision
      Stimulate general public to contact Congress and the FDA
      Establish fair media climate for advisory panel hearing
      Lay groundwork for additional stories at time of hearing
      Audiences
      Women and the general public
      Washington opinion leaders
      The media itself

      Strategies:

      Use existing doctor and patient spokespersons wherever possible Work with patient support groups,       tying in to their activities
       Keep trying to obtain celebrity
spokesperson(s) for work with high-profile broadcast media

  Utilize Dow Corning events as pertinent.
       Follow up with cadre of patients who handled fly-in (or encourage ASPRS to do so), to
stimulate further activity.

      PHASE 1 -- NOW UNTIL END OF OCTOBER

       Stories on individual patients and doctors who have sympathetic perspectives
      Trained patient spokespersons
       See attached appendix on patient spokespersons from San Francisco, Atlanta and Los Angeles, already trained.

       Activities now beginning with patient

spokespersons from Tampa, Miami and Washington, D.C., already trained. Training being held this week with patients from Houston, Dallas, Baltimore and Chicago. B-M offering media support to each spokesperson in her local market.        Most successful/assured spokespersons to be offered to national media and as part of editorial board briefings (see)
      Trained physician spokespersons
      Eleven surgeons already trained during ASPRS convention in Seattle.
      B-M/Dow Corning is sending them periodic mailings to stimulate activity.        No word as yet from ASPRS on their actual activity (forms to be sent to ASPRS).

       B-M/Dow Corning willing to provide additional training to doctors, either to expand local market reach or to prepare some doctors for national media work.

       -- Dow Corning needs input from Dr. Cole regarding key oncologists and other specialists who should be "on call" -- can this be arranged?

       -- B-M recommends that ASPRS continue to pepper doctors and patients from "fly-in" with mailings       designed to stimulate their       letters, speeches, media activity.



      Work to set up hearings by Congressional Women's Caucus

       B-M to contact office of Rep. Mary Rose

Oakar (D-OH) ASAP to try to stimulate this.

       Depending on specifics, B-M will follow up to develop media approach, including Washington-based       press conference the week of the hearings.

      Contact top medial columnists

       B-M drafting letter asking columnist to inform readers about danger that FDA may be pressured to ban implants

      -- Letter to be sent by trained patient spokesperson(s), depending on       where newspaper etc. is located.

      -- Selected spokesperson also to send letter to national health writers, such as Jane Brody of NEW YORK TIMES, etc.

      Letter also asks columnist for presentation of balanced view of risks/benefits to reassure those with implants, override media hysteria.

      -- Send the columnist a copy of the FDA's own background on implants as source material.

       Contact top national issues columnists with information on women's rights issue

       Letter from selected patient spokesperson to key columnists such as Anna Quindlen, James Kilpatrick.

      Additional story ideas:

       Basic governing idea of most stories: many patients and doctors are very concerned and upset that the FDA is being pressured to ban implants by Cong. Ted Weiss and others.
       The first implant patient, Timmy Jean Lindsey of Houston, is still active and a strong advocate of implants' benefits and a woman's right to choose.

      -- B-M to pitch Houston papers, wire services, national women's media

      Feature: The nation's first woman plastic surgeon, 78-year old Alma Morani of Philadelphia, served Grace Kelly's family. Now retired, she strongly supports the endangered breast implant and a woman's right to choose.
      -- B-M to pitch to Philadelphia media, national media.

      Feature: Two Chicago plastic surgeons were motivated to help women recover from breast cancer via reconstruction after both their mothers died of breast cancer.
      -- B-M to pitch to Chicago newspapers, especially for possible syndication by TRIBUNE.

      Feature: The doctor who "wrote the book" on breast reconstruction, Bob       Goldwyn of Harvard, is angry over misguided political attempts to ban breast implants.
      -- B-M to contact national print media, Boston area newspapers.
      News item: Survey work by medical publisher Karen Berger shows that the vast majority of breast cancer patients who have been reconstructed find implants very valuable.
      -- K. Berger is considering how this might be used for news value.
      -- If she agrees, B-M will pitch story to wire services.
      News item: National survey of women being commissioned to determine support for woman's right to make an informed decision.
      -- B-M setting up survey, will craft results into wire service story.
      Feature: Y-Me, which started out as a low-key support group for breast cancer patients, has become active on Capitol Hill, seeking funding for cancer research and maintenance of a woman's right to choose breast implants.
       -- B-M will work with Pam DeLuca,

president of Y-Me, to approach Chicago media (e.g., Mary Ann Childers of ABC-TV affiliate) and possibly national media.
       B-M to work with My Image after Breast Cancer, local Washington, D.C. breast cancer support group affiliated with Y-Me, to generate all possible media coverage.
       -- Pitch Washington women's/health care media on October 19 talk by Dr. Susan B. Love at Bethesda Naval Hospital (talk sponsored by My Image).
      -- Investigate My Image's other planned activities, such as their possible protest letter regarding Connie Chung's Emmy nomination.
      -- Pitch Rosemary Locke, My Image founder, to "48 Hours" to show "48 hours in the life of an activist breast cancer patient."
      Approach ABC-TV's "Nightline" to sell balanced examination of issue,       tied to upcoming FDA advisory panel.
      -- B-M working to attract Dr. Susan B. Love as spokesperson (well-regarded author, and strong interviewer -- out until October15).
      -- Alternatives: Reps. Mary Rose Oakar or Jolene Unsoeld, and/or a very strong patient spokesperson such as Rosemary Locke (MyImage) or Darcy Sixt.
       -- High-stakes gambit, but could secure balanced, fair treatment if spokesperson is strong.
       Take above spokesperson to electronic "morning shows," i.e., GOOD MORNING AMERICA, TODAY, CBS THIS MORNING.
      -- Tie to hearings.

       -- Alternative spokesperson: Mrs. Priscilla Mack, Sen. Mack's wife, who was on "GMA" prior to her recent surgery.
       Work with Karen Berger, medical publisher, who is contacting Barbara Walters (20/20) and Art Ulene (TODAY).
       -- B-M in touch with Ms. Berger; should train her if she secures placement.
      -- Again, her recent survey work should be peg
       -- Possible tie-in with Dr. John Bostwick, her co-author, and Dr. Bostwick"s patient Hilda Morris.

      Editorial board briefings

       Put together team of oncologist or other doctor, two patients, Dow Corning spokesperson.
       Focus on need (doctor), rights (patients), safety (Dow Corning).
B-M to begin pitching, now, to major national media:
      -- NEW YORK TIMES
      -- WALL STREET JOURNAL
      -- WASHINGTON POST
      -- WASHINGTON TIMES
      -- LOS ANGELES TIMES
      -- CHICAGO TRIBUNE
      -- USA TODAY
      -- Other major market newspapers, top 10-15 markets.
      Seek meeting with key editorialists, Washington reporters, and       appropriate       women's/health editors and writers, for first week in November (or earlier if necessary).
      B-M to provide media training for all participants.
      Washington press conference
      Hold the week of Congressional Women's Caucus hearings, or (if   hearings       don't materialize) just as lead-up to FDA advisory panel hearing.
      -- Rep. Mary Rose Oakar (D-OH) to try to set up (B-M to contact).
      -- Press conference could include Rep. Oakar, Mrs. Priscilla Mack       (Sen. Mack's wife; B-M to contact), and/or Rep. Jolene Unsoeld
      (D-WA) (B-M to contact).       -- B-M checking on possible women's groups who might be interested in participating.
      -- Press conference to be held on Capitol Hill.
      -- Key message: maintain women's right to choose.
      -- Invite all Washington-based media who follow women's issues.

      Premature to set plans in light of rapidly

changing situation. However,

      activities

      may include:

      Develop feature stories on each breast cancer

patient used as a panel

      presenter in favor of implants (speakers still to be selected).>P>       Disseminate any prepared remarks to all media who had received editorial board visits the week before, as well as other interested media.

      B-M to provide spokesperson training to all participants.
      Develop range of scenarios for possible outcome; prepare to pitch "day after" stories based on each scenario.
      DOW CORNING WRIGHT

      TARGETED MEDIA LIST

      MEDIUM CONTACTS

      Wire Service

      Associated Press Debbie Mesce

      United Press International Rebecca Kohlberg

      Reuters Irwin Arieff

      Gannett News Service Ellen Hale

      Knight Ridder Scott Bosley

      Copley News Service

      Scripps Howard

      Cox

      Medill

      Gillett

      National Publications:

      Wall Street Journal Marilyn Chase

      Jerry Bishop

      USA Today Kim Painter

      Nancy Helmich

      New York Times Philip Hilts

      Washington Post Sally Squires

      Abigail Trafford

      Washington Times Joyce Price

      Los Angeles Times Marlene Cimons

      Robert Steinbrook

      Chicago Tribune Nick Horrick

      Marjorie David

      Time Brian Doyle

      Newsweek Mary Hager

      U.S. News and World Report Joanne Silberner

      Business Week Susan Garland

      Fortune Les Smith

      Forbes Janet Novak

      Newsday Earl Lane

      Regional Newspapers:

      Long Beach Press Telegram Mike Schwartz

      Orange County Register Mike Hewitt

      Chicago Sun Times Howard Wolinsky

      San Francisco Examiner Tom Dowling

      Lisa Kreiger

      San Francisco Chronicle Charles Petit

      Dallas Morning News Rita Rubin

      Dallas Times Herald Gary Schultz

      Fort Worth Star Telegram Caroline Poirot

      Houston Chronicle Ruth Sorelle

      The Houston Post D. J. Wilson

      Minneapolis Star Tribune Lewis Cope

      St. Paul Pioneer Press Tom Majeski

      Seattle Post Intelligencer Tom Paulson

      Seattle Times Warren King

      St. Louis Post-Dispatch Roger Signor

      Denver Post Diane Eicher

      Rocky Mountain News Kris Newcomer

      The Arizona Republic Dave Cannella

      Phoenix Gazette David Hoye

      Sacramento Bee Ellen Robinson Haynes

      San Diego Tribune Susan Duerksen

      San Diego Union Rex Dalton

      Detroit Free Press Pat Anslett

      Detroit News Dwight Angell

      New York Daily News James Hairston

      New York Newsday Gayle Scott

      Philadelphia Daily News Mary Flanner

      Philadelphia Inquirer Donald Drake

      Boston Globe Judy Foreman

      Boston Herald Susan Brink

      Cleveland Plain Dealer Cathy Gilfeather

      Atlanta Journal Constitution Mike King

      Miami Herald Linda Monroe

      Ft. Lauderdale News/Sun Sentinel Nancy McVicar

      St. Petersburg Times Carol Gentry

      Baltimore Sun Jonathon Bore

      The Evening Sun Sue Miller

      New Haven Register Dave Butler

      Hartford Courant Frank Spencer

Orlando Sentinel Delthia Ricks

      Pittsburgh Post Gazette Henry Pierce



      Broadcast:

      NBC Nightly News Bob Basell

      ABC World News Tonight Dr. Timothy Johnson

      Roger Sergel

      CBS Evening News Eddie Magnus

      Bob Epstein

      CNN Andrew Holts

      Rhonda Rowland

      MacNeil Lehrer Newshour Suzanne Allard

      The Today Show

      Good Morning America

      CBS Good Morning

      Fox Morning News

      CNBC

      Nation's Business Today

      Consumer Health

      Longevity Kerrin Griffith

      Shape Kathy Tomlinson

      Prevention Lewis Vaughn

      The Good Health Magazine

      Health Care Allen Ryan

      Health and You Tom Livingston

      Health Progress Susan Hume

      Health Resources Diane Price

      Health World Jeff Kravitz

      Hippocrates

      Better Health Susan Brown

      Health Facts Mary Ann Napoli

      Health Science Susan Taylor

      New Body Magazine Nayda Rondon

      Your Health Susan Gregg

      Consumer Newsletters

      Harvard Medical School Health Letter Dr. Williams Bennett

      University of California, Berkeley, Wellness Letter Editor

      The Johns Hopkins Newsletter, Health After 50

      American Hospital Association -- Outreach

Editor       Better Health Editor

      Health By Choice Editor

      The Health Reporter Editor

      Healthline Editor

      Wellness Associates Newsletter John Travis

      General Medical

      Medical Tribune Bill Ingram

      Physician's Weekly Mark Bloom

      Modern Medicine Martin Stevenson

      Medical World News Don Gibbons

      Plastic Surgery News

      Plastic and Reconstructive Surgery

      American Journal of Reconstructive Surgery

      Women's Magazines

      Family Circle Nancy Josephson

      Good Housekeeping Linda Troiano

      Ladies Home Journal Nelly Edmonson Gupta

      McCall's Jane Chou

      Redbook Toni Hope

      Woman's Day Diane Debrovner

      Lear's Delia Marshall

      DOW CORNING WRIGHT

      SPOKESWOMEN GRASSROOTS PROGRAM

      PROGRESS UPDATE

      October 11, 1991

      SAN FRANCISCO -- DARCY SIXT

      New York Times -- Has an interview either 10/13 or 10/14 with Jane
      Gross, a reporter from Berkeley who currently is covering the negative side of the story in L.A. Story is scheduled to appear in the national edition, but don't yet have date secured. Will advise. Called       Darcy due to referral of San Francisco Y-Me chapter.
      Ann Landers --

Adapted a sample letter we wrote and sent in care of the San Jose Mercury News. See attached.
      KTVU --

Will do taping 10/18 with reporter Tracy Gallagher for morning show out of Oakland either at 7:50 a.m. or 8:50 a.m.
      San Francisco Chronicle --

Wrote letter to the editor. See attached.       People Magazine --

Wrote letter in response to recent Ann Jillian piece. See attached.
      KPIX --

Wrote letter to local TV station. Awaiting response.
      San Jose Mercury News --

Will contact Donna Alvarado, Medical Editor.
      Dr. David Kessler -- See attached letter.

      Y-Me --

Making presentation to San Francisco group 10/22.

.       ATLANTA -- HILDA MORRIS
      CNN -- Have interview scheduled with Susan Dutchman, medical reporter,
      for 10/28. Will be a 2:30 piece focusing on women with breast cancer and their daughters; if implants are banned, what are their daughters left with?

      Will also interview Bostwick. Scheduled to air 11/1 or 11/ Channel 46 -- Conducted interview on 10/10 with Karen Green for a News at 10 piece. Also interviewed her surgeon, Dr. John Bostwick/Emory       University and a woman with problem-free implants for 20 years. Should air 10/16 or 10/17.

      Spokeswomen Grassroots Program

      Progress Updated

      October 11, 1991

      Gwinitt Daily News -- Conducted interview with reporter at Atlanta's second largest daily for this Sunday's (10/13) features section.

      Letters to the editor -- Sent to Atlanta Daily World and other suburban papers.

      Queries --



Talked to Atlanta Journal/Constitution, several suburban papers and several TV stations. Will continue pursuing.


      Letter-writing --

Encouraging group of daughters of women with implants to write to Kessler and congressional members.

      "Race for the Cure"/10/26 --

May have group of 10 from her Bosom Buddies/Top Hat Review walk in the one-mile portion carrying a banner announcing the right to informed decision. Checking with race organizers for approval.

      LOS ANGELES -- SHEILA BERKMAN


      KOH --

Conducting interview with Reno Radio station satellited to mountain-area radio stations. Has been out-of-town for one week' pursuing media now.

      MIAMI -- MARY ANN MARKS



      20/20 --

Reporter contacted her regarding another issue at Baptist Hospital; pitched implant story and will be conducting interview next week. Will advise as details arise.