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United Campus Ministry papers, 1970-1972
1971-10-30 Summary Report from Roger Simpson Page 2
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-2- III. AGENDA AAMC B) John Stagl MD, Passavant Hospital, Chicago. "Financing Prgm. for Health Care" - society demanding more money for health care: forces re-exam. of national priorities - only examine priorities at budget time. - "What percent of GNP should go to health care?" -" Have Health Care programs inadequate, but $$ to high - Hospital pattern: at first, no relation of money & service;provided service and got money from charity. Later, asked persons for payment. Persons couldn't carry all cost. Averaged out costs: drugs, etc. paid most. Gradually, depend on insurance - then Gov't. ( which distributed as saw fit)/ Pub. Law 8997, Medicare, "not pay for services persons didn't receive: no more averaging. States setting up cost controls: public scrutiny. Hospital a service: can't increase as costs increase. Finances coming to control pgm: this is wring. "Should get percent of GNP for Health Care" HMO (Health Maintenance Organization): a step forward. Advance is snail-pace. Public will pay for what it wants: will settle for only top health care C) Senator Warren Magnuson: "Fed. Role in Support of Ac. Medical Centers" (Complete sopy of speech is on file in my study) Senator Magnuson was mover in development of "National Cancer Institute" He is Chmn of HEW committee on Labor; decided re $$ appropriations - HC has been a $$ partnership. Fed. Govern has paid piper & not called tune. - Will change: expectations not achieved; HC is short in all categories. - Serious maldistribution of Health Care: lag in rural areas; prevention of disease & accidents "not been prevented" -"med. establishment painted selves in a corner; not change fast enough" - got "excellent Mds and bad medicine" - Had Fed. support for research: more than 50% of Medical School faculties receive money from Federal resources." - Health Manpower Bill passed: need budget (Magnuson: most "vetoes Senator") - get allied training efforts with Community Colleges and others - can get Federal money into private business (change political climate) - Are professionals trained for real world? for how it is? - "winds of change must permeate all corners of HC systems or public fury" - must ask " are $$ being well spent?" train people to maintain health or prevent disease? Are we integrating HC teams? Can we get HC to people outside of Hospitals, Clinics? Why not programs in public schoold? Why not continuing HC ed. for all? Faculty rewarded for effestiveness? Can lay persons be given key roles? JUST GOT TO GET MOVING" - Problem: HC delivery system change seldom originate in med. systems nor with health professionals. This leads to Nat. Health Ins. to eliminate $$ with health professionals. This leads to Nat. Health Ins. to eliminate $$ barriers between persons and HC - need more bio-engineering. - The ball is still in your court (AAMC) : help get better game plans NOW D) Senator Edward Kennedy: " Health Care in the Seventies" (Complete copy of speech in my file) . Chmn of Sub-C. on Health, Ed. & Welfare Now the Congress is exploring HC in America. Hearings across country - widespread publiv dissatisfaction with HC: profound HC crisis - in Israel, U. King: more programs in HC than in USA - USA: rigid, lethargic, parochial and can't reform itself - Med services: prestigeous and broke - Reforms: all affected must participate in reforms. "Health Care is a right for all Americans" HC crows larger daily. Three areas of Health Policy: 1) Health manpower and training: passed. To get more med. schools; to provide more manpower; use carrot not club. (CONT)
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-2- III. AGENDA AAMC B) John Stagl MD, Passavant Hospital, Chicago. "Financing Prgm. for Health Care" - society demanding more money for health care: forces re-exam. of national priorities - only examine priorities at budget time. - "What percent of GNP should go to health care?" -" Have Health Care programs inadequate, but $$ to high - Hospital pattern: at first, no relation of money & service;provided service and got money from charity. Later, asked persons for payment. Persons couldn't carry all cost. Averaged out costs: drugs, etc. paid most. Gradually, depend on insurance - then Gov't. ( which distributed as saw fit)/ Pub. Law 8997, Medicare, "not pay for services persons didn't receive: no more averaging. States setting up cost controls: public scrutiny. Hospital a service: can't increase as costs increase. Finances coming to control pgm: this is wring. "Should get percent of GNP for Health Care" HMO (Health Maintenance Organization): a step forward. Advance is snail-pace. Public will pay for what it wants: will settle for only top health care C) Senator Warren Magnuson: "Fed. Role in Support of Ac. Medical Centers" (Complete sopy of speech is on file in my study) Senator Magnuson was mover in development of "National Cancer Institute" He is Chmn of HEW committee on Labor; decided re $$ appropriations - HC has been a $$ partnership. Fed. Govern has paid piper & not called tune. - Will change: expectations not achieved; HC is short in all categories. - Serious maldistribution of Health Care: lag in rural areas; prevention of disease & accidents "not been prevented" -"med. establishment painted selves in a corner; not change fast enough" - got "excellent Mds and bad medicine" - Had Fed. support for research: more than 50% of Medical School faculties receive money from Federal resources." - Health Manpower Bill passed: need budget (Magnuson: most "vetoes Senator") - get allied training efforts with Community Colleges and others - can get Federal money into private business (change political climate) - Are professionals trained for real world? for how it is? - "winds of change must permeate all corners of HC systems or public fury" - must ask " are $$ being well spent?" train people to maintain health or prevent disease? Are we integrating HC teams? Can we get HC to people outside of Hospitals, Clinics? Why not programs in public schoold? Why not continuing HC ed. for all? Faculty rewarded for effestiveness? Can lay persons be given key roles? JUST GOT TO GET MOVING" - Problem: HC delivery system change seldom originate in med. systems nor with health professionals. This leads to Nat. Health Ins. to eliminate $$ with health professionals. This leads to Nat. Health Ins. to eliminate $$ barriers between persons and HC - need more bio-engineering. - The ball is still in your court (AAMC) : help get better game plans NOW D) Senator Edward Kennedy: " Health Care in the Seventies" (Complete copy of speech in my file) . Chmn of Sub-C. on Health, Ed. & Welfare Now the Congress is exploring HC in America. Hearings across country - widespread publiv dissatisfaction with HC: profound HC crisis - in Israel, U. King: more programs in HC than in USA - USA: rigid, lethargic, parochial and can't reform itself - Med services: prestigeous and broke - Reforms: all affected must participate in reforms. "Health Care is a right for all Americans" HC crows larger daily. Three areas of Health Policy: 1) Health manpower and training: passed. To get more med. schools; to provide more manpower; use carrot not club. (CONT)
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