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### Viewing cable 07MANAGUA245, SECRETARY LEAVITT,S MEETING WITH GUATEMALAN

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Reference ID | Created | Released | Classification | Origin
--- | --- | --- | --- | ---
07MANAGUA245 | 2007-01-29 14:34 | 2011-06-21 08:00 | CONFIDENTIAL | Embassy Managua

`

    VZCZCXRO1334
    PP RUEHLMC
    DE RUEHMU #0245/01 0291434
    ZNY CCCCC ZZH
    P 291434Z JAN 07
    FM AMEMBASSY MANAGUA
    TO RUEHC/SECSTATE WASHDC PRIORITY 8850
    INFO RUEHZA/WHA CENTRAL AMERICAN COLLECTIVE PRIORITY
    RUEHCV/AMEMBASSY CARACAS PRIORITY 0925
    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 000245

    SIPDIS

    SIPDIS

    STATE PASS HHS FOR SECRETARY LEAVITT AND OFFICE OF GLOBAL
    HEALTH AFFAIRS (STEIGER AND CORREA-DE-ARAUJO)
    MCC FOR AMBASSADOR DANILOVICH
    DEPT FOR WHA A/S SHANNON AND WHA/CEN
    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 GUATEMALAN
    VICE-FOREIGN MINISTER ANDRADE

    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 Guatemalan Vice
    Foreign Minister Luis Fernando Andrade a new regional
    health-care training initiative; the Guatemalan Government's
    (GOG) interest in participating in the Millennium Challenge
    Account (MCA); bilateral immigration concerns; and, popular
    perceptions of U.S.-Guatemalan relations.  Andrade indicated
    Guatemala wishes to participate in the health initiative,
    even though the program must "catch up to the Cubans, who are
    ten years ahead."  He requested Millennium Challenge
    Corporation (MCC) Chief Executive Officer (CEO) John
    Danilovich to visit Guatemala at the earliest opportunity to
    discuss the viability of Guatemala's participation in the
    MCA, while the Vice Foreign Minister also acknowledged
    Guatemala's eligibility will be difficult.  Andrade asserted
    positive bilateral relations are especially important during
    Guatemala's 2007 electoral year.  End Summary.

    GOG Welcomes Health Initiative, Notes Long-Standing Cuban
    Medical Presence
    - -- - - - - - - - - - - - - - - - - - - - - - - - - - - -  -

    ¶2.  (SBU) Secretary Leavitt outlined his vision for the new
    regional health initiative, which includes a regional
    training facility in Panama and the training of hundreds of
    health workers from the region per year, with particular
    emphasis on health providers from rural areas, such as
    nurses, technicians and community health workers.  He
    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 -- and added he had spoken to officials from the
    Guatemalan Health Ministry about the project.  The Secretary
    clarified the health initiative arose from a meeting of
    Central American Ministers of Health in June 2006.

    ¶3.  (C) Vice Foreign Minister Andrade welcomed Secretary
    Leavitt's announcement of the new initiative and mentioned
    that the Guatemalan Minister of Health had briefed his
    Government on the project.  He confirmed Guatemala wishes to
    participate in the program, even though it is "late," and
    will require "catching up to the Cubans, who are ten years
    ahead."  Andrade explained Guatemala cannot refuse any offer
    of help that addresses Guatemala's "human needs and social
    demands."  Therefore, Guatemala has relied on Cuban medical
    programs, despite the political risks entailed, he said.
    (COMMENT: The Vice Foreign Minister appeared to criticize
    implicitly the United States for having left the Cuban
    efforts in medical diplomacy unchecked for so long and
    clearly displayed some discomfort about the political work
    the Cubans are doing in rural areas of Guatemala.  Of all the
    meetings Secretary Leavitt had on the health initiative on
    the margins of the Ortega inauguration, the Guatemalans were
    the most candid about the costs and benefits of Cuban
    interventions in health in the region.  END COMMENT.)

    ¶4.  (C) Vice Foreign Minister Andrade next broached his
    Government's keen interest in Guatemala's achieving
    eligibility for, and eventually participating in, an MCA
    program.  To facilitate this objective, he invited Ambassador
    Danilovich to visit Guatemala "at the earliest opportunity."
    Ambassador Danilovich assured Andrade he would welcome
    Guatemala's participation in the MCA, while clarifying that
    meeting the MCA's eligibility indicator criteria is essential
    to participation.  He confirmed his interest in visiting
    Guatemala and the MCC's interest in assisting Guatemala in
    its efforts to qualify for the program.

    ¶5.  (SBU) Vice Foreign Minister Andrade recognized that
    Guatemala's "culture of violence" is beyond one's
    imagination, and disadvantages Guatemala vis a vis MCA
    eligibility.  He ventured that the high rate of unemployment
    among youth is part of the problem.  The Secretary noted that
    given his home state of Utah's experience in managing a high
    population growth rate and young population, perhaps Utah
    could help Guatemala address its gang problem.  Andrade was
    receptive to the suggestion and indicated he will follow up
    on the matter with the U.S. Embassy in Guatemala City.

    Immigration Considerations
    - - - - - - - - - - - - - -

    ¶6.  (SBU) Vice Foreign Minister Andrade next raised the
    impact of U.S. immigration policy on Guatemala and suggested
    the U.S. Congress must reach bipartisan consensus to craft a
    comprehensive immigration program that will resolve
    outstanding immigration issues that affect the Central
    American region.  Andrade cited specific problems with U.S.
    deportations of Guatemalans to their country of origin,
    especially those involved in criminal activity, and sought
    Guatemala's participation in the Temporary Protected Status
    (TPS) program.  Secretary Leavitt suggested that, in addition
    to engaging Congress on immigration concerns, Guatemala
    should approach relevant U.S. States on managing matters
    related to migration.

    Improving Bilateral Relations in an Election Year
    - - - - - - - - - - - - - - - - - - - - - - - - -

    ¶7.  (C) Expounding upon his interest in an MCC program and
    TPS for Guatemala, Andrade argued that improved bilateral
    relations are especially vital this year because Guatemala
    will hold national elections in September.  He remarked that
    public perception in Guatemala is that the United States does
    not "consider" Guatemala as much as it does Nicaragua,
    Honduras, and El Salvador, given that the others are MCC
    countries and continue to benefit from TPS.  This public
    perception could be especially problematic in an election
    year, ventured Andrade, who added that the U.S. Ambassador
    and DCM in Guatemala are moving the bilateral relationship in
    a positive direction and are well-versed in Guatemalan
    issues.

    The Boon of CAFTA
    - - - - - - - - -

    ¶8.  (SBU) Vice Foreign Minister Andrade praised CAFTA by
    remarking the trade agreement offers new opportunities for
    exports and investment.  In addition to the rise in U.S.
    investors, other foreigners are seeking to invest in
    Guatemala, he said.  Andrade cited particular interest in
    establishing call centers in Guatemala and noted his country
    must expand and improve its English-language training
    programs to draw more call-center investment, as employees
    must be fluent in English.  Secretary Leavitt mentioned Utah
    is home to many call centers, in part because many Utah
    residents speak foreign languages, and the state's young
    population offers the workforce the call centers require.  He
    offered to put call-center companies he knows in touch with
    the Guatemalans, a prospect that enthused Andrade.

    Narcos Behind Construction Boom?
    - - - - - - - - - - - - - - - -

    ¶9.  (SBU) The Vice Foreign Minister commented that
    Guatemala's macroeconomic indicators are strong, but poverty,
    unemployment and social problems continue to pose serious
    challenges.  Remittances are a boon, he said, and are growing
    about 20 percent annually, which provides much-needed help to
    Guatemala's impoverished rural areas.However, Andrade
    speculated that part of Guatemala's economic strength is
    likely because of narcotraffickers, who are "legalizing"
    their operations by financing the construction of new luxury
    apartment buildings.  He warned these money-laundering
    projects are "mushrooming" in prime parts of Guatemala City
    with no apparent connection to traditional construction
    companies.

    ¶10.  (U) Participants:

    Guatemalan Delegation:
    Guatemalan Vice-Foreign Minister Luis Fernando Andrade
    Guatemalan Ambassador to Nicaragua Jorge Echeverria Roldan

    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

    ¶11.  (U) This cable was cleared by Secretary Leavitt, MCC
    Danilovich, and Department of State A/S Shannon.
    TRIVELLI

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