This document outlines public relations strategies and techniques used by the healthcare insurance industry to influence public policy debates. It describes how PR firms use fearmongering, misleading language, and front groups to shape public opinion against reforms that threaten industry profits. Specific tactics included staging public charm offensives while secretly spreading misinformation, using polled language to activate emotional responses, and distributing industry talking points through allied politicians and media. The document warns that such PR often crosses ethical lines into outright lying.