VZCZCXRO1328
PP RUEHLMC
DE RUEHMU #0244/01 0291430
ZNY CCCCC ZZH
P 291430Z JAN 07
FM AMEMBASSY MANAGUA
TO RUEHC/SECSTATE WASHDC PRIORITY 8847
INFO RUEHZA/WHA CENTRAL AMERICAN COLLECTIVE PRIORITY
RUEHCV/AMEMBASSY CARACAS PRIORITY 0922
RUEAUSA/DEPT OF HHS WASHINGTON DC PRIORITY
RUMIAAA/CDR USSOUTHCOM MIAMI FL PRIORITY
RUEHLMC/MILLENNIUM CHALLENGE CORP WASHDC PRIORITY
RUEAIIA/CIA WASHDC PRIORITY
RHEHNSC/NSC WASHINGTON DC PRIORITY
RHEFDIA/DIA WASHINGTON DC PRIORITY

C O N F I D E N T I A L SECTION 01 OF 03 MANAGUA 000244 
 
SIPDIS 
 
SIPDIS 
 
STATE PASS HHS FOR SECRETARY LEAVITT AND OFFICE OF GLOBAL 
HEALTH AFFAIRS (STEIGER AND CORREA-DE-ARAUJO) 
MCA FOR AMBASSADOR DANILOVICH 
DEPT FOR WHA A/S SHANNON, WHA/CEN, NEA/I 
DHS FOR SECRETARY'S OFFICE (ADAM ISLES) 
 
E.O. 12958: DECL: 01/29/2017 
TAGS: PGOV PINR KDEM NU PREL
SUBJECT: SECRETARY LEAVITT,S MEETING WITH SALVADORAN 
PRESIDENT SACA 
 
Classified By: Ambassador Paul A. Trivelli. Reasons 1.4 (B,D). 
 
¶1. (C) Summary: On January 9, 2007, the U.S. Presidential Delegation (Presdel), led by Health and Human Services (HHS) Secretary Michael Leavitt, discussed with Salvadoran President Tony Saca a new regional health-care training initiative; Salvador's Millennium Challenge Account (MCA) program; bilateral immigration concerns, including El Salvador's desire for continued Temporary Protected Status (TPS); and El Salvador's valuable troop contributions to support our Iraq efforts. Saca expressed keen interest in the new health initiative and in Secretary Leavitt's plan to visit El Salvador. End Summary.
 
GOE Shares Regional Leaders' Enthusiasm for Health Initiative 
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¶2.  (SBU) Secretary Leavitt outlined his vision for the new 
regional health initiative, whose centerpiece is a regional 
training facility in Panama that will train hundreds of 
health workers from the region per year -- in particular 
nurses, technicians and community health workers from rural 
areas.  President Saca congratulated the Secretary on the 
initiative and commented Salvadoran Health Minister Maza had 
briefed him on the concept.  President Saca, who promised to 
follow up on the details with his Health and Foreign 
Ministers, added that the Salvadoran Government maintains a 
health fund that focuses on training rural health workers. 
He suggested this fund, which receives World Bank financing, 
could complement the new regional initiative. 
 
¶3.  (SBU) The Secretary described the next steps in the 
program -- drafting a Memorandum of Understanding, visiting 
the participating countries, and possibly signing the 
agreement in a regional venue.  President Saca suggested the 
new initiative could perhaps benefit from some of Plan 
Puebla-Panama's health-related activities.  Vice Foreign 
Minister Eduardo Calix elaborated on this option and 
specified the utility of Plan Puebla-Panama's disease 
surveillance programs.  The Secretary lauded President Saca 
for this "bold approach" and remarked that training in 
disease detection through the HHS Centers for Disease Control 
and Prevention Platform Site in Guatemala would complement 
the Panama center's priorities. 
 
Salvador's Model MCA Compact Development Process 
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¶4.  (C) Millennium Challenge Corporation (MCC) Chief 
Executive Officer (CEO) John Danilovich thanked President 
Saca for his tremendous support in developing El Salvador's 
exemplary MCA program and noted El Salvador's program and its 
terms of engagement serve as a model for other countries. 
President Saca, who conveyed his deep appreciation for his 
country's opportunity to benefit from the MCA, added that, 
now that El Salvador has ratified the Compact, it is "ready 
to start."  The MCA is particularly important because it will 
operate in El Salvador's "depressed north," he said. 
Ambassador Danilovich observed that some of the other MCA 
countries are "jealous" of the high funding level of the El 
Salvador MCA Compact.  President Saca offered his country's 
technical guidance to help other countries develop their MCA 
programs and added that careful organization and his close 
personal involvement had been vital to El Salvador's success. 
 
 
Commitment to Iraq Continues 
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¶5.  (C) Saca next referred to his conversation with President 
Bush over the December holidays, by sharing he had thanked 
the President for his support -- including the MCA program -- 
and had also raised El Salvador's commitment to deploy its 
eighth team to Iraq in January.  Secretary Leavitt extended 
the USG's deep appreciation of the Salvadoran contributions 
to the Iraq effort. 
 
TPS and Other Immigration Concerns 
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¶6.  (SBU)  After President Saca conveyed to Presdel his 
appreciation for Ambassador Barclay's fine work in El 
Salvador and lamented Barclay's imminent departure, Saca said 
he looks forward to continuing the bilateral agenda with his 
successor.  Saca highlighted bilateral cooperation on the 
MCA, continued TPS for some 250,000 Salvadorans in the United 
States, as well as cooperation on police and judicial reform 
as some of the most important aspects of the bilateral 
relationship.  Expanding on the "fundamental" subject of 
immigration, President Saca praised the United States for its 
generosity towards Salvadorans who are residing in the United 
States and trusted it would continue. 
 
¶7. (SBU) Secretary Leavitt assured President Saca that President Bush is "unyielding" in the need for a comprehensive immigration approach and added he expects the new U.S. Congress to start work on the matter "sooner rather than later," as neither the Republicans nor the Democrats want to leave the issue on the table for the 2008 Presidential and Congressional elections. Assistant Secretary Shannon reiterated the commitment of President Bush, the State Department, and Homeland Security to resolving the issue and explained immigration is one of the most debated themes on the domestic front in the United States. He assured President Saca the USG will do whatever it can to make immigration a legislative priority.
 
¶8.  (SBU) President Saca mentioned that Attorney General 
Gonzales' upcoming visit to El Salvador could provide an 
opportunity to discuss this and other immigration concerns, 
including a way to address the U.S. deportations of 
Salvadorans with criminal records to their country of origin. 
 Saca explained that, while most of the Salvadoran deportees 
are not criminals, the GOES cannot detain those who are, 
because it does not receive enough advance notice of their 
records and their arrival.  Hence, according to President 
Saca, many of these criminals cause trouble in El Salvador, 
and a sizable number probably return illegally to the United 
States within months of their deportation.  A bilateral 
agreement to remedy this vicious circle is in order, 
suggested Saca. 
 
Kudos for CAFTA 
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¶9. (SBU) With nothing but praise for the positive impact of CAFTA on the region, President Saca raised with Presdel the idea of holding a CAFTA conference to highlight the successes of the trade agreement thus far. Such an event, in Washington or in a Central American country, would feature the region's economic growth and job creation that have emerged since CAFTA implementation and would also help counter critics of the agreement. Saca opined CAFTA had helped boost El Salvador's economic growth to 4.2 percent in 2006, much higher than his first year in office, when the growth rate was only 1.4 percent. Further, El Salvador's projected growth for 2007 is over five percent, he beamed. Secretary Leavitt thanked President Saca for his recommendation and promised to convey the idea to the White House for consideration.

El Salvador to Host 15th Anniversary of Regional Peace Accord 
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¶10.  (U) President Saca proudly informed the Presdel that on 
January 16, 2007, El Salvador will host the celebration of 
the 15th anniversary of the Central American Peace Accord. 
He related that the event will offer another opportunity for 
Central American Presidents to meet and discuss issues of 
common concern.  According to Saca, at the venue he will 
propose the region establish a new objective -- social peace 
in Central America. 
 
¶11.  (U) Participants: 
 
El Salvador: 
President Tony Saca 
Vice Foreign Minister Eduardo Calix 
Special Mission Ambassador Jose Chavez 
Ambassador to Nicaragua Francisco Immendia 
Private Secretary Elmer Charlaix 
Communication Secretary Julio Rank 
Protocol Chief Francisco Merino 
 
U.S.: 
Secretary Michael Leavitt 
MCC CEO John Danilovich 
Assistant Secretary Tom Shannon 
Ambassador Paul Trivelli 
HHS Special Assistant to the Secretary for International 
Affairs William Steiger 
USAID Director Alex Dickie 
MCA-N Country Director Matt Bohn 
Political Counselor/notetaker Victoria Alvarado 
 
¶12.  (U) This cable was cleared by Secretary Leavitt, MCC CEO 
Ambassador Danilovich, and Department of State A/S Shannon. 
TRIVELLI