The Bush administration "spent $250 million on public relations contracts during its first term, compared with $128 million spent for President Clinton between 1997 and 2000," including $88 million in fiscal year 2004, according to a report by the Democratic staff of the House Government Reform Committee. "While not all public relations spending is illegal or inappropriate, this rapid rise in public relations contracts at a time of growing budget deficits raises questions," stated the report. The Center for Medicare and Medicaid Services spent the most on PR over the past four years, $94 million, and the largest recipient of government PR contracts was Ketchum, at $97 million.
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