Health/PAC Bulletin · 1980s

The first issue of Volume 12 of HealthPAC Bulletin reflects on the evolution and challenges faced by community health centers (CHCs) after fifteen years of operation. It discusses how these centers, initially designed to provide comprehensive care to underserved populations, are now at risk due to shifting federal policies favoring larger hospitals. Notable articles highlight the impact of economic cuts on healthcare access for poor and minority communities in Detroit, and the ongoing struggles for hospital rights and consumer advocacy in urban areas. The issue also touches on broader themes of health equity and the political dynamics influencing healthcare delivery in the U.S.

This issue of HealthPAC Bulletin discusses the evolution and challenges of Neighborhood Health Centers (NHCs) since their inception in the 1960s, highlighting the tension between community-based care and traditional medical institutions. It features insights from Sargent Shriver, former OEO Director, and Dr. Jack Geiger, emphasizing the need for community involvement in health care delivery. The issue also critiques the American Medical Association's (AMA) evolving stance on patient rights and health maintenance organizations, reflecting a shift towards political pragmatism in the face of changing health care dynamics. Additionally, it addresses the implications of toxic waste on community health, particularly in areas like Love Canal, underscoring the intersection of environmental and public health issues.

The January-February 1980 issue of HealthPAC Bulletin focuses on the ongoing challenges of affirmative action in medical school admissions, particularly in the context of the Bakke decision. The article 'Bakke-ing Up the Wrong Tree' critiques the myths surrounding minority students' aspirations and motivations, arguing that systemic racism and financial barriers continue to hinder progress. Additionally, the issue discusses corporate strategies to cut healthcare costs, highlighting the tension between business interests and the medical establishment, as well as the consolidation of hospitals in New York City, which raises concerns about access to community-based care. The issue also reflects on recent civil rights struggles, including violence against demonstrators in Greensboro, connecting these events to broader themes of health equity and social justice.

This issue of HealthPAC Bulletin focuses on the challenges faced by ex-mental patients in New York City as they transition from institutional care to community living. The article 'Pathologies of Place and Disorders of Mind' highlights the systemic failures in providing adequate housing and support for these individuals, leading to increased homelessness and societal rejection. Other notable sections discuss the effectiveness of community clinics in Seattle, the ongoing struggles for women's health rights, and the implications of the OSHA Act being weakened. The issue reflects broader themes of deinstitutionalization and the need for comprehensive mental health reform.

The May-June 1980 issue of HealthPAC Bulletin focuses on the corporate malpractice in the asbestos industry, particularly highlighting Johns Manville's negligence towards worker health, as revealed by internal documents. It discusses the implications of President Carter's 1981 health budget, which threatens significant cuts to health services amidst rising inflation. Other notable articles address the Hyde Amendment's potential overturning, the return of OSHA regulations, and the growing issue of lead poisoning in children, emphasizing the need for stricter regulations on lead exposure. The issue reflects a broader concern for public health and corporate accountability during a politically charged era.

The July-August 1980 issue of HealthPAC Bulletin focuses on the intersection of health, environment, and regulation, highlighting the petrochemical industry's push against government oversight at the expense of public health. An article discusses community health in Chicago, emphasizing how environmental factors impact health outcomes more than hospital care. The issue also features insights on the growing urban poor population and its implications for health services, particularly as cities face budget cuts and increased demand for care. Additionally, the issue touches on the role of health educators and the need for collective action in health promotion.

The November-December 1981 issue of HealthPAC Bulletin focuses on the privatization of public hospitals and the implications of for-profit healthcare systems. It critiques the increasing influence of private entities in healthcare, highlighting the need for accountability and equitable access to services. Notable articles discuss the role of voluntary hospitals and the impact of the Reagan administration's policies on health and safety regulations, particularly through OSHA's declining enforcement. The issue also touches on international health perspectives, including a letter advocating for coverage of Nicaragua's healthcare improvements post-revolution.

The January-February 1981 issue of HealthPAC Bulletin reflects on the political shift to the right under the Reagan administration, highlighting the challenges faced by progressive health policy advocates. Key articles discuss the complexities of mental health issues, the community takeover of Harlem Hospital led by Diane Lacey, and the struggles of New York nurses during a strike against city management. The editorial emphasizes the urgent need for comprehensive health reforms amidst growing disparities in access to care, particularly for marginalized populations. The issue also critiques the influence of corporate interests in healthcare and the ongoing fight for national health insurance.

The March-April 1981 issue of HealthPAC Bulletin focuses on occupational health and safety, particularly the challenges faced by workers in industrial settings. It features a special survey on OSHA, highlighting both its regulatory performance and the political pressures it faces, including criticism from newly elected Senator Dan Quayle. The issue also discusses the historical context of labor movements and the increasing emphasis on health and safety issues in union negotiations. Notably, it reflects on the personal stories of workers and their families, illustrating the human cost of industrial hazards and the struggle for better working conditions.

The March-April 1982 issue of HealthPAC Bulletin focuses on environmental hazards and the ongoing struggles within the healthcare system, particularly regarding Medicare and Medicaid. An interview with labor leader Tony Mazzocchi highlights the intersection of health and wages, emphasizing the need for better conditions for hospital workers. The issue also critiques the New York City Department of Health's shift towards privatization and the potential consequences for the uninsured and underprivileged populations. Additionally, it discusses legislative efforts such as the Organic Farming Act of 1982, which aims to support sustainable agricultural practices.

The May-June 1982 issue of HealthPAC Bulletin critiques the Reagan Administration's health care cutbacks, highlighting the detrimental impact on vulnerable populations, particularly in Washington, D.C., where infant mortality rates are alarmingly high. The issue features a letter from the editor emphasizing the need for accountability regarding the consequences of these cutbacks, and it discusses the Civilian Military Contingency Hospital System (CMCHS) and its opposition from health care workers and community activists. Additionally, the Bulletin addresses the intersection of environmental health and labor rights, advocating for coalitions between workers and communities to combat industrial hazards.

The January-February 1983 issue of HealthPAC Bulletin highlights the ongoing challenges in healthcare policy, particularly focusing on the implications of the new Medicare reimbursement system based on Diagnostic Related Groups (DRGs). The issue features a critical examination of the drug policies in Bangladesh, emphasizing the influence of multinational pharmaceutical companies like Pfizer on local healthcare decisions. Notable articles discuss the financial misconduct of healthcare institutions, as reported by the General Accounting Office, revealing systemic fraud in Medicare and Medicaid reimbursements. The issue also includes a letter from Erica Gollub addressing the complexities of drug pricing and availability in Bangladesh, underscoring the tension between corporate interests and public health needs.

The March-April 1983 issue of HealthPAC Bulletin addresses the impact of budget cuts on health services, particularly for adolescents in Southeast Michigan, revealing that nearly 90% of surveyed programs reported reductions in funding. The issue highlights the ethical dilemmas surrounding healthcare access for undocumented individuals and critiques the influence of Political Action Committees (PACs) on health legislation, emphasizing how financial contributions skew political priorities away from public health needs. Notable articles discuss the consequences of these cuts and the ongoing struggle for equitable healthcare access amidst a backdrop of political maneuvering and corporate interests.

The May-June 1983 issue of HealthPAC Bulletin addresses critical health policy issues, notably the dangers of asbestos exposure and the ongoing struggles surrounding the AIDS epidemic. The article 'Breath of Death' highlights the asbestos disaster, while other pieces discuss the implications of Reagan-era policies on public health funding and the challenges faced by municipal health programs. The issue also features a letter praising Hal Strelnick's commentary on 'Reaganomics' and its impact on health services, reflecting a broader critique of the administration's approach to health care. Additionally, the bulletin covers the contentious debate over nursing education standards, particularly the push for a baccalaureate degree requirement for registered nurses, which has sparked significant activism within the nursing community.

The July-August 1983 issue of HealthPAC Bulletin highlights the First National Conference on Black Women's Health Issues, emphasizing the urgent health disparities faced by black women, particularly in areas like infant mortality and access to care. The conference, organized by the Black Women's Health Network and attended by over 1500 participants, aimed to educate and empower black women regarding their health rights and needs. Additionally, the issue discusses the implications of the proposed sale of McLean Hospital to the Hospital Corporation of America, raising concerns about the impact of for-profit healthcare on quality and access for underserved populations in New York. The Bulletin also features commentary on the rising costs of hospital capital expenditures in New York, warning of a potential funding crisis due to unchecked hospital expansion.

The October-November 1983 issue of HealthPAC Bulletin focuses on the political implications of biotechnology, highlighting the intersection of health policy and technological advancements. Notable articles discuss the impact of the Ethiopian drought on health care in the Horn of Africa, particularly in Eritrea, where local health workers are addressing malnutrition and sanitation amidst ongoing conflict. The issue also touches on the challenges faced by U.S. workers, particularly women, in balancing employment and childcare, emphasizing the need for comprehensive state support. Additionally, there is commentary on the economic disparities in health insurance options, particularly regarding Health Maintenance Organizations (HMOs).

This special double issue of HealthPAC Bulletin focuses on health care in revolutionary contexts, particularly in Nicaragua, Grenada, and El Salvador. It features a poignant letter from a physician working in Nicaragua, detailing the dire conditions in hospitals, including shortages of essential medical supplies and the impact of U.S. military actions on health care. The issue emphasizes the achievements of health care systems in these countries despite external pressures and advocates for solidarity and action from American citizens to support these revolutionary efforts. The editor's letter calls for awareness and action against U.S. interventions that threaten health care advancements in these nations.

The March-April 1984 issue of HealthPAC Bulletin focuses on the ongoing crisis in Medicare funding and the implications of proposed cuts to the program. Key articles discuss the 'crisis' narrative surrounding Medicare and the impact of new hospital reimbursement programs, particularly the Diagnosis-Related Group (DRG) system. The issue highlights the need for a progressive alternative to the current health care system, emphasizing the disparity between U.S. health care and national health services in other industrialized countries. The Bulletin also critiques the political motivations behind health care cost containment efforts, suggesting that they disproportionately affect the poor and vulnerable populations.

The May–June 1984 issue of HealthPAC Bulletin highlights the struggles of health care workers and marginalized communities, particularly focusing on the plight of Guatemalan refugees in Chiapas, Mexico, who face severe health and safety challenges. Notable articles discuss the potential for a local housestaff union to succeed and the ongoing issues with OSHA under the Reagan administration, including scandals related to workplace safety. The issue also features updates from the National Black Women's Health Project, emphasizing the need for holistic prenatal care for poor women in Georgia. The political context includes a reflection on the 15th anniversary of HealthPAC, celebrating the intersection of health and civil rights activism.

The September-October 1984 issue of HealthPAC Bulletin focuses on the growing income polarization in the U.S. and its detrimental effects on health, particularly during the Reagan administration. Articles highlight the alarming trends of increasing inequality, with the wealthiest gaining while the poorest suffer, as evidenced by statistics from the Urban Institute. A special section on California health issues discusses the impact of Medi-Cal reforms and organizing efforts against workplace hazards related to video display terminals. The issue also critiques the FDA's handling of antibiotic use in animal feed and its implications for public health, emphasizing the tension between regulatory oversight and corporate interests.

The November-December 1984 issue of HealthPAC Bulletin addresses critical issues in healthcare, particularly focusing on outpatient dumping in Chicago and the implications of Medicare policies on low-income patients. A notable article discusses the challenges faced by a rural physician who opts out of Medicare assignment due to inadequate reimbursement rates, highlighting the broader issue of class disparities in healthcare access. The issue also critiques the Reagan Administration's healthcare policies, emphasizing the need for grassroots organizing to advocate for healthcare as a human right. The publication calls for action against the increasing corporatization of healthcare and the negative impact on vulnerable populations.

The July-August 1985 issue of HealthPAC Bulletin focuses on critical health issues affecting marginalized populations, particularly the homeless and those impacted by environmental pollution. Notable articles include 'The Sickness That Won't Heal,' which discusses the healthcare challenges faced by the nation's homeless, and 'AIDS: The Impending Quarantine,' which addresses the growing crisis of AIDS and its societal implications. The issue also highlights the Hanrahan family's legal battle against Merck in Ireland, raising questions about corporate accountability and environmental health. Overall, the Bulletin emphasizes the need for systemic change in health policy to address these pressing issues.

This issue of HealthPAC Bulletin focuses on the ongoing struggle for hospital construction and modernization in New York City, highlighting the political dynamics of the Certificate of Need process. It features articles on South Carolina's new assistance program and the public health implications of lead poisoning. The Bulletin emphasizes the importance of community advocacy in gaining concessions from health institutions, illustrating how local residents can influence health policy despite corporate interests. The issue also hints at future discussions regarding the role of Wall Street in health planning and the corporatization of healthcare.

The August 1986 issue of HealthPAC Bulletin focuses on women's health issues, particularly the implications of the national malpractice crisis on birth alternatives and the ethical dilemmas surrounding neonatal care for infants with disabilities. Notable articles include a debate between Adrienne Asch and Barbara Katz Rothman on the 'Baby Doe' rulings, which challenge parental rights in medical decision-making for disabled newborns. The issue also highlights the impact of political decisions on maternal and child health, with a critical look at the Reagan administration's proposed cuts to health programs for low-income women and children. The Bulletin emphasizes the intersection of reproductive rights and disability rights, urging a reevaluation of societal attitudes towards medical care and the treatment of disabled infants.

The Winter 1987 issue of HealthPAC Bulletin focuses on the intersection of health care and economic crises, particularly in light of the stock market crash and its implications for health care access. Key articles include a critique of the Dukakis proposal for universal coverage in Massachusetts and an analysis of the ongoing struggle for occupational safety and health led by industrial unions. The issue also highlights the National Gay and Lesbian March on Washington, emphasizing grassroots activism in response to the AIDS epidemic and the need for comprehensive health reform. The publication calls for a shift away from profit-driven health care towards a system that prioritizes public health and equity.

The Summer 1988 issue of HealthPAC Bulletin focuses on the detrimental impact of the Reagan administration's health policies, particularly regarding Medicaid and Medicare, as detailed by Geraldine Dallek. The issue critiques the administration's cuts to health care programs for the poor and the elderly, highlighting the struggles faced by marginalized communities, including American Indians at Pine Ridge Reservation. Articles by Vicente Navarro and David U. Himmelstein challenge the notion of incremental health reforms, advocating instead for a comprehensive national health program. The Bulletin also addresses the ongoing AIDS crisis, emphasizing the government's inadequate response and the urgent need for progressive health policy solutions.

The Fall 1988 issue of HealthPAC Bulletin highlights the significant contract victory for New York City's home care workers, who have long faced exploitation and low wages. The article by Barbara Caress details the struggles and achievements of Local 1199 and District Council 1707 in advocating for better pay and working conditions for these predominantly minority and female workers. Additionally, the issue features discussions on the broader implications of nursing care in an uncaring society, emphasizing the need for democratizing healthcare management to ensure accountability and responsiveness to community needs. The issue also touches on international health issues, including the impact of apartheid in South Africa.

The Spring 1989 issue of HealthPAC Bulletin highlights the Kowalski case, a pivotal struggle for gay and disability rights in Minnesota. The lead article details the legal and medical challenges faced by Sharon Kowalski, a disabled woman whose rights were severely compromised due to her sexual orientation and disability. Karen Thompson, Kowalski's partner, fought tirelessly against systemic prejudice to restore her lover's rights and autonomy, ultimately galvanizing a coalition of activists. Other articles address broader issues, including environmentalism under the Bush administration and children's health care, reflecting the magazine's commitment to progressive health policy.

This special issue of HealthPAC Bulletin focuses on the medical rights abuses occurring in the West Bank and Gaza Strip amid the ongoing intifada. It features contributions from Physicians for Human Rights, including Jonathan Fine, who discusses the organization's monitoring of health consequences due to military actions. The issue highlights the cycle of violence and its impact on health care access, with articles detailing the efforts of both Israeli and Palestinian physicians to address these abuses. Additionally, it provides context on the historical roots of the Israeli-Palestinian conflict and the challenges faced by health care workers under occupation.