· 86 issues
The inaugural issue of HealthPAC Bulletin critiques the disastrous Affiliation Plan for New York City hospitals, emphasizing the need for public accountability and community control over health services. It highlights the failures of the private health establishment and calls for a revitalization of municipal hospitals to better serve the medically needy. The issue also discusses Governor Rockefeller's proposed health insurance plan, which critics argue would benefit private insurers at the expense of the poor. The editorial stresses the importance of community involvement in health decision-making and the urgent need for comprehensive health planning in the face of Medicaid cutbacks.
The November-December 1968 issue of HealthPAC Bulletin focuses on the growing concentration of power within medical empires in New York City, particularly through affiliations of major medical schools and hospitals. It critiques the lack of accountability and public interest in these institutions, highlighting how they often prioritize their own narrow interests over community health needs. The issue also discusses the need for comprehensive health services planning that is publicly accountable and representative of community constituencies, advocating for a shift in control from elite boards to local health boards. Notable discussions include the roles of Columbia Presbyterian and Einstein Medical College in shaping health policy and the implications of their power dynamics on public health.
The May 1969 issue of HealthPAC Bulletin focuses on the disorganization and inequities within mental health services in New York City, drawing parallels to the broader medical care marketplace. It critiques the reliance on private providers and the inadequacies of public mental health services, emphasizing the need for community involvement and control in mental health initiatives. The issue highlights the growing tension between city and state mental health agencies, particularly regarding funding and service delivery, and discusses the implications of proposed legislation aimed at restructuring mental health governance. Notable contributors include Robb Burlage and Barbara Ehrenreich, who address the systemic issues and advocate for a more equitable approach to mental health care.
The June 1969 issue of HealthPAC Bulletin highlights the severe impact of Medicaid cuts on public health services in New York City, emphasizing the retreat of city officials from their responsibility to provide care for the medically needy. The editorial critiques the lack of effective management and advocacy from health officials, leading to potential closures of municipal hospitals and cuts to essential services. Notable articles discuss the historical context of Medicaid's implementation and its subsequent decline, illustrating how the program has exacerbated health disparities. The issue calls for community and worker control over health resources as a necessary response to the fiscal crisis and the failures of public leadership.
The September 1969 issue of HealthPAC Bulletin focuses on the healthcare crisis in New York City, highlighting the dominance of large medical institutions, referred to as 'Medical Empires,' and their impact on healthcare access and costs. The editorial critiques Blue Cross for its recent rate increases and its failure to address rising hospital costs, despite being a major financier of healthcare. The issue also discusses the growing consumer and health worker movements advocating for better healthcare services and community control over health resources, as exemplified by protests against Blue Cross. Notable figures include Governor Rockefeller, who advocates for universal health insurance, and the Medical Liberation Front, which actively challenges Blue Cross's practices.
The October 1969 issue of HealthPAC emphasizes the ongoing struggle for health rights and patients' rights amidst a backdrop of systemic inequities in healthcare access. The editorial critiques the notion that healthcare is a privilege rather than a right, highlighting the barriers faced by low-income individuals and communities of color. Notable articles discuss the emergence of patient advocacy programs, such as those at Yale-New Haven Hospital and the Martin Luther King Health Center in the Bronx, which aim to empower patients and enforce their rights. The issue also covers the Young Lords Organization's 10-point program advocating for self-determination in health services in East Harlem, reflecting a broader movement for community control over healthcare resources.
The December 1969 issue of HealthPAC focuses on the struggle for community control over health services, particularly in the context of mental health facilities in New York City. It highlights the challenges faced by local residents, particularly Black and Puerto Rican communities in Washington Heights, against the established power of institutions like Columbia University and the Department of Mental Health. The issue critiques the top-down planning approach that often excludes community voices and emphasizes the need for grassroots involvement in decision-making processes. The editorial stresses that true community control is essential for addressing the social determinants of health and ensuring that services meet the actual needs of the community.
The January 1970 issue of HealthPAC Bulletin critiques the emerging proposals for National Health Insurance (NHI) in the U.S., drawing parallels to Bismarck's welfare reforms in Germany. The editorial argues that while NHI may provide some financial relief, it fails to address deeper systemic issues in healthcare delivery, such as community control and accountability. The Bulletin highlights the growing discontent among marginalized communities, particularly Black and Puerto Rican groups, who demand more responsive healthcare systems. It also discusses the economic pressures on hospitals and insurers, suggesting that NHI could exacerbate existing inequities rather than resolve them.
The February 1970 issue of HealthPAC Bulletin critiques the collusion between health institutions and government policies that undermine poor communities, particularly in New York. It highlights the expansion of Columbia Medical Center into predominantly Black and Puerto Rican neighborhoods, emphasizing the lack of community engagement and transparency in urban renewal projects. The issue also discusses the environmental health implications of nuclear power and urban pollution, urging communities to demand accountability from health institutions. Notable articles include case studies on Columbia's expansion and the Health Action Coalition's efforts to resist institutional encroachment.
The March 1970 issue of HealthPAC Bulletin highlights the systemic oppression of women within the American health care system, both as consumers and workers. It discusses recent protests by women in Washington, D.C., Charleston, and Chicago, advocating for their rights and better treatment in health care settings. The issue emphasizes the need for women's voices in health policy, particularly regarding reproductive rights, as evidenced by the lawsuits against New York State over abortion laws. Additionally, it critiques the male-dominated hierarchy in health professions, where women are often relegated to subordinate roles and face significant wage disparities.
The April 1970 issue of HealthPAC Bulletin critiques the intersection of medicine and militarism, arguing that healthcare professionals cannot remain apolitical in a society shaped by imperialism. The editorial discusses how various professions, including medicine, have been co-opted to serve military and political ends, particularly in the context of the Vietnam War. It highlights the case of Dr. Howard Levy, who faced court martial for refusing to train medics for counterinsurgency operations, illustrating the moral dilemmas faced by medical professionals. The issue calls for a conscious engagement in social change by healthcare workers and emphasizes the need for ethical considerations in their practices.
The May 1970 issue of HealthPAC Bulletin critiques the use of psychiatry and psychology as tools of social repression, particularly in the context of civil commitment laws and the treatment of dissenters. It highlights how these disciplines are employed to control individuals deemed 'deviant' by society, often obscuring the social roots of their issues. Notable articles discuss the implications of proposed changes to New York's mental hygiene laws, which could expand the state's power to involuntarily commit individuals, and the role of mental health professionals in perpetuating societal norms. The issue also reflects on the broader political climate of the time, including the Nixon administration's approach to dissent and the intersection of mental health with civil liberties.
The June 1970 issue of HealthPAC Bulletin critically examines the drug epidemic in America, particularly focusing on the racial and socioeconomic disparities in drug addiction and enforcement. It argues that the harsh drug laws disproportionately affect black and brown communities while the middle class is only now becoming alarmed as addiction spreads among their youth. The issue highlights the political exploitation of addiction fears by figures like Richard Nixon and Nelson Rockefeller, who have shifted the narrative from treating addiction as a health issue to a criminal one. Notable articles discuss the historical context of drug laws, the ineffectiveness of current treatment programs, and the need for community-driven solutions rather than punitive measures.
The July-August 1970 issue of HealthPAC focuses on the critical role of unionization among hospital workers, emphasizing the urgent need for better wages, job security, and working conditions. It discusses the ongoing unionization efforts led by organizations such as Local 1199 and the Service Employees International Union, highlighting the challenges faced by hospital workers, including high turnover rates and poor job conditions. The editorial argues for a solidarity between health workers and consumers, suggesting that while unions can provide immediate economic benefits, they must also evolve to support broader systemic changes in the health care system. The issue reflects a growing awareness of the intersection between labor rights and health care reform, advocating for a more democratic and participatory approach within unions and the health system as a whole.
The September 1970 issue of HealthPAC Bulletin critiques the concept of professionalism in health education, arguing that it perpetuates elitism and unaccountability among health professionals. The editorial discusses how medical, nursing, and social work students are trained to view themselves as superior to laypeople, which hinders collaboration and accountability. Notably, the issue highlights student protests against the Cambodian invasion, emphasizing a shift from traditional education to political activism, particularly within medical schools in New York City. Additionally, it examines the role of the Student American Medical Association (SAMA) and its struggle to address social issues in healthcare, reflecting a growing awareness among students about the need for systemic change in medical education and practice.
The October 1970 issue of HealthPAC Bulletin focuses on the ongoing struggles at Lincoln Hospital in the Bronx, where community and worker groups are challenging the control of the Albert Einstein College of Medicine and Montefiore Hospital. The issue highlights the tensions between medical empires and grassroots movements advocating for patient care over institutional priorities. Notably, the Think Lincoln group has been at the forefront of demands for better health services, including changes to the hospital's abortion program following a tragic incident. Additionally, the Bulletin discusses broader community health initiatives in the Lower East Side, emphasizing the rise of insurgent forces seeking accountability from established medical institutions.
The November 1970 issue of HealthPAC Bulletin critiques the Nixon Administration's approach to health reform, highlighting a shift in the American Medical Association's (AMA) stance towards group practice and prepayment models. The editorial emphasizes the need for genuine reform in the healthcare system, arguing that the administration's focus on preventive care is a superficial response to a deeper crisis of medical inflation and access. It also discusses the growing demands from unions and consumer advocates for national health insurance, suggesting that the current conservative reforms are merely a strategy to control consumer demand rather than address systemic issues. The issue reflects a broader political context of rising healthcare costs and the struggle for equitable health services amidst increasing corporate influence in the medical sector.
The December 1970 issue of HealthPAC Bulletin critiques the inadequacies of New York City's health system, particularly in addressing the urgent needs for abortion services and drug addiction treatment. It highlights the failure of both public and private sectors to meet these demands, with a focus on the exploitative nature of the abortion industry that has emerged following the state's liberalized abortion law. The United Harlem Drug Fighters are noted for establishing their own detoxification program in response to the lack of adequate public services. The issue underscores the systemic issues of profit-driven healthcare and the need for community-led solutions to ensure access to necessary medical care.
The January 1971 issue of HealthPAC Bulletin critiques the failures of several health reform initiatives, particularly the Harvard Community Health Plan (HCHP) and the New York City Health and Hospitals Corporation. Despite significant investment and planning, HCHP has struggled with low enrollment and financial instability, failing to meet its goals and serve the community effectively. In contrast, the Lincoln Hospital Pediatrics Collective is highlighted as a successful grassroots initiative that has managed to provide innovative care despite systemic challenges. The issue underscores the tension between elite-driven health reforms and community needs, emphasizing that true progress requires genuine engagement with the public.
The February 1971 issue of HealthPAC Bulletin introduces a comprehensive research guide aimed at helping readers navigate the complex U.S. health system. It outlines various health delivery institutions, including hospitals, clinics, and nursing homes, and discusses their classifications, financing, and the power dynamics within these entities. The issue emphasizes the importance of research as a tool for organizing and understanding institutional power, encouraging readers to engage with their local health systems actively. Notable contributors include Barbara Ehrenreich and Oliver Fein, M.D., who highlight the need for community involvement in health decision-making.
The March 1971 issue of HealthPAC Bulletin focuses on the growing public distrust of Blue Cross amid rising health care costs and allegations of mismanagement and corruption. The issue highlights the formation of the Subscribers' Coalition in New York and similar groups in Philadelphia and Pittsburgh, which are mobilizing against proposed rate increases and demanding greater accountability from Blue Cross. Senator Philip Hart's hearings reveal Blue Cross's monopolistic practices and its failure to represent consumer interests, as the organization is largely controlled by hospital administrators. The Bulletin underscores the urgent need for national health insurance and the potential role of Blue Cross as an intermediary, while advocating for consumer rights and transparency in health care financing.
The April 1971 issue of HealthPAC Bulletin critiques President Nixon's health care proposals, arguing they prioritize private industry over public health needs. The issue highlights Nixon's National Health Insurance Partnership Program (NHIP) and Family Health Insurance Plan (FHIP) as regressive, potentially enriching insurance companies while imposing higher costs on consumers. It emphasizes the inadequacies of these plans, particularly for the poor and working class, and raises concerns about the lack of comprehensive coverage and the promotion of 'cost consciousness' that may deter individuals from seeking necessary medical care. The Bulletin also discusses the implications of these policies for various stakeholders, including insurance companies and health care providers, suggesting that they primarily benefit the health industry rather than the public.
The May 1971 issue of HealthPAC Bulletin focuses on the devastating health impacts of the Vietnam War on civilians, particularly the use of herbicides and bombing strategies that have led to widespread destruction and suffering. It highlights the staggering civilian casualties, with approximately one million South Vietnamese killed, and discusses the long-term ecological and health effects of chemical warfare, including birth defects linked to Agent Orange. The issue also critiques U.S. military strategies that prioritize destruction over humanitarian considerations, drawing parallels between the treatment of South Vietnamese civilians and historical injustices faced by American Indians. Notable articles include detailed accounts of the psychological and physical toll of war on the Vietnamese population and the implications of U.S. pharmaceutical practices in the region.
The June 1971 issue of HealthPAC Bulletin highlights significant budget cuts in New York State, particularly affecting health and welfare services. Notable reductions include a 10% cut in welfare payments, the elimination of medical coverage for 500,000 low-income families, and the closure of mental health facilities. The issue emphasizes the paradox of increasing taxes on working families while corporations contribute less to state revenues. It also features an article on the ethical dilemmas faced by military medical personnel, exemplified by Gary Gianninoto's experiences in Vietnam, raising concerns about medical ethics in wartime.
The September 1971 issue of HealthPAC Bulletin focuses on the health crises in Cincinnati and Northern Appalachia, highlighting the detrimental impact of industrial interests on public health. The issue critiques the inadequacies of local health institutions, particularly the University of Cincinnati Medical College and its affiliated hospitals, which are criticized for their poor service to marginalized communities. It discusses the emergence of community health councils in neighborhoods like English Woods and Price Hill, where residents are organizing for better health services and demanding accountability from the Health Department. The bulletin also emphasizes the need for a shift in focus from institutional leaders to the industrial elite responsible for health disparities.
The October 1971 issue of HealthPAC Bulletin focuses on the rise and significance of free clinics in the U.S. healthcare system, emphasizing their role in providing accessible medical care and challenging the traditional medical establishment. Articles highlight the principles of comprehensive, decentralized healthcare and the importance of community control and deprofessionalization of medical practices. The issue features insights from community staff and patients at various free clinics across cities like New York, Baltimore, and San Francisco, illustrating the clinics' efforts to meet the needs of underserved populations while advocating for systemic change in healthcare delivery. Notable contributors include Constance Bloomfield and Howard Levy, who conducted research on the impact and operations of these clinics.
The November 1971 issue of HealthPAC Bulletin focuses on the critical shortage and maldistribution of health personnel in the U.S., particularly highlighting the racial disparities in medical education and the need for reforms. It discusses the Health Professions Educational Assistance (HPEA) Amendments, which authorize significant federal funding for medical education but primarily benefit institutional support over student assistance, raising concerns about accessibility for low-income and minority students. The issue also touches on the Nurse Training Act of 1971, which, while providing some support for nursing education, is funded at a fraction of the level allocated for medical education, reflecting ongoing disparities in health workforce training. Notable figures mentioned include Senator Jacob Javits and Dr. Roger Egeberg, emphasizing the political context surrounding health policy at the time.
The December 1971 issue of HealthPAC Bulletin critiques the New York City Health and Hospitals Corporation, which was established to manage the city's municipal hospitals. The article discusses the corporation's failure to improve patient care and its bureaucratic inefficiencies, highlighting the political control exerted by Mayor Lindsay and the inadequacies of the management structure. Notable figures include Joseph English, the Corporation President, and Gordon Chase, head of the Health Services Administration, both of whom are criticized for their roles in perpetuating a two-tiered healthcare system in New York City. The issue reflects broader concerns about the privatization of healthcare management and the implications for public accountability and service quality.
The January 1972 issue of HealthPAC Bulletin focuses on the struggle for community-worker control at Lincoln Hospital in the Bronx, highlighting the need for radical restructuring of the health system to prioritize people over profit. The editorial discusses the pivotal role of hospital workers in effecting change and the challenges they face in organizing alongside community members. Notable groups involved include the Health Revolutionary Unity Movement (HRUM) and the Young Lords Party, both of which advocate for improved health services in underserved communities. The issue also outlines the dire conditions at Lincoln Hospital, exacerbated by systemic neglect and budget cuts, while emphasizing the importance of solidarity between workers and the community to achieve meaningful reform.
The February 1972 issue of HealthPAC Bulletin focuses on the National Free Clinic Council (NFCC) conference, highlighting the disillusionment among free clinic workers regarding the organization's shift towards mainstream medical practices and funding from established institutions. The conference, held in Washington, D.C., was criticized for its lack of representation from diverse voices and for prioritizing professional perspectives over grassroots activism. David Smith, the NFCC's founder, advocated for integrating free clinics into the broader healthcare system, which many attendees felt compromised the original anti-establishment ethos of the free clinic movement. The issue reflects tensions between community control and institutional funding, as well as the struggle for representation within the free clinic network.
The March 1972 issue of HealthPAC Bulletin critically assesses Health, Inc., a nonprofit health care delivery model founded by Dr. Leonard W. Cronkhite and supported by Massachusetts Governor Francis Sargent. The model aims to provide comprehensive primary care through franchised centers but has faced significant operational challenges, including high staff turnover and unmet promises regarding preventive care and consumer involvement. The issue highlights the tension between the nonprofit status of Health, Inc. and its business-oriented management approach, raising questions about the effectiveness of such models in addressing community health needs. Additionally, the Bulletin discusses the broader political context, including the Nixon administration's push for Health Maintenance Organizations (HMOs) as a federal health reform strategy.
The April 1972 issue of HealthPAC Bulletin focuses on the unique health needs of women, particularly in relation to reproductive health and the birth control movement. It discusses how women's roles as patients, workers, and mothers intersect with the healthcare system, highlighting the historical oppression they faced and the ongoing struggles for reproductive rights. Notable articles include discussions on the Women's Movement's fight for birth control and abortion services, as well as the challenges faced by women health workers in a male-dominated healthcare hierarchy. The issue emphasizes the importance of women organizing and forming alliances to advocate for better health services and policies.
The June 1972 issue of HealthPAC Bulletin focuses on the challenges and evolution of neighborhood health centers, particularly highlighting the NENA Health Center in New York's Lower East Side. It discusses the historical context of these centers, their initial promise in the 1960s, and the subsequent decline in their effectiveness due to lack of resources and political support. The issue critiques the reliance on federal funding and the fragmentation within communities that undermined the potential for meaningful health care reform. Notably, it emphasizes the importance of community control and the lessons learned from the NENA experience, illustrating both the strengths and limitations of the neighborhood health center movement.
The July-August 1972 issue of HealthPAC Bulletin focuses on the complexities and challenges of Medicaid in New York City, highlighting the emergence of 'Medicaid mills'—clinics that profit from treating low-income patients. Despite the promise of Medicaid providing free medical care, the reality reveals a shortage of participating doctors and a system that often prioritizes profit over quality care. The issue also covers community activism, particularly the takeover of a Medicaid mill by residents in East Harlem, who demanded better conditions and services. This reflects a broader struggle against the inadequacies of the healthcare system for marginalized populations.
The September 1972 issue of HealthPAC Bulletin focuses on the critical issues surrounding occupational health and safety in the United States, highlighting the toll of workplace accidents and diseases on workers across various industries. The editorial discusses the historical neglect of occupational health by the mainstream medical establishment and the emergence of the Occupational Safety and Health Act (OSHA) in 1970 as a response to public pressure for safer working conditions. Notable articles examine the historical context of workplace hazards, including the Triangle Shirtwaist Fire and the Gauley Tunnel Disaster, which underscore the ongoing struggle for worker rights and safety. The issue also emphasizes the need for greater accountability and reform within the occupational health establishment, as well as the influence of corporate interests on medical education and research.
The October 1972 issue of HealthPAC Bulletin focuses on the urgent need for a new public medical school in New York City, emphasizing the crisis facing the municipal hospital system. It discusses various proposals, including the Medical School of the City University of New York (MSCUNY), which aims to address urban health issues and train community practitioners. The issue highlights the importance of grassroots support for these initiatives, as existing affiliations with private hospitals have led to a decline in the quality of care at municipal facilities. The editorial stresses the necessity of public accountability and the potential for a new medical school to reshape healthcare delivery in the city.
The November 1972 issue of HealthPAC Bulletin focuses on the industrialization of health care and its implications for hospital workers. It discusses the rise of allied health professions and the ongoing struggle for decent wages and job security among low-paid hospital workers, many of whom are beginning to organize and unionize. The issue highlights the historical parallels between the current health workforce dynamics and the past struggles of craft unions, emphasizing the need for solidarity among workers rather than competition for status. The Bulletin critiques the role of professional associations, particularly the American Medical Association (AMA), in maintaining hierarchies and limiting the mobility of workers within the health care system.
The December 1972 issue of HealthPAC Bulletin focuses on the transformative health care changes in China since the 1949 revolution, emphasizing the integration of traditional medicine and mass participation in health initiatives. Mark Selden's article critiques Western media's narrow focus on technological advancements while neglecting the socio-political context that enabled these changes. The issue highlights China's successes in eradicating diseases like syphilis and opium addiction through community-driven campaigns, contrasting this with the U.S. health system's focus on individual diseases. It argues for the necessity of broader social reforms to achieve meaningful health care improvements.
The January 1973 issue of HealthPAC Bulletin focuses on the politics surrounding mental retardation, highlighting the systemic neglect and institutionalization of individuals with mental disabilities in the U.S. Despite an estimated six million Americans being mentally retarded, public services remain scarce, particularly for those living in the community. The issue critiques historical attitudes and policies that have led to the warehousing of the mentally retarded, emphasizing the need for community-based services and the role of organizations like the National Association for Retarded Children (NARC) in advocating for better conditions and support. It also discusses the impact of socioeconomic factors on mental retardation rates and the historical context of treatment and segregation.
The February 1973 issue of HealthPAC Bulletin focuses on the evolving role of private practicing physicians in the face of institutional and organizational changes in healthcare delivery. It highlights the rise of medical foundations, particularly in California, which serve as bargaining agents for physicians while also being embraced by the Nixon Administration as a means to control healthcare costs. The issue discusses the implications of these foundations for the autonomy of doctors and the quality of patient care, emphasizing that while they may provide some economic benefits to physicians, they do not necessarily enhance patient care. Additionally, the emergence of physician unions is noted as a response to these changes, indicating a shift in how doctors organize and advocate for their interests.
The March 1973 issue of HealthPAC Bulletin focuses on the severe health risks associated with asbestos exposure, particularly highlighting the case of the Johns Manville Corporation, a major asbestos producer. The editorial discusses the company's historical negligence and the ongoing plight of workers suffering from asbestosis, lung cancer, and mesothelioma, emphasizing the lack of adequate safety measures and the absence of a push for zero exposure levels. It also critiques the broader labor movement's failure to prioritize health issues over economic concerns, suggesting that worker unity and activism are essential for meaningful change. The issue underscores the tragic consequences of industrial practices on worker health and the need for systemic reform in occupational safety.
The May 1973 issue of HealthPAC Bulletin focuses on the significant federal health cutbacks initiated by President Nixon, highlighting the broader economic crisis impacting domestic social programs. The editorial critiques the failures of Great Society health initiatives and argues for a more fundamental restructuring of the health system rather than merely opposing budget cuts. It emphasizes the need for health activists to build a strong constituency for comprehensive change, rather than settling for a defensive stance against cutbacks. The issue also discusses the implications of Nixon's policies on health care inflation and the dependency of health institutions on public funding, calling for accountability and control over health spending.
The September 1973 issue of HealthPAC Bulletin focuses on the critical issues surrounding health care in prisons, highlighting the systemic failures and the need for reform. The editorial emphasizes the importance of separating health care from security within the prison system, advocating for community-based health agencies to provide care. Case studies from New York City and San Francisco illustrate the dire conditions faced by inmates, including inadequate medical attention and the oppressive environment of prisons. The issue also discusses the broader social justice implications of prison health care, particularly for marginalized communities, and calls for a movement to 'depopulate' prisons in favor of community-based alternatives.
The October 1973 issue of HealthPAC Bulletin focuses on the ongoing privatization of public hospitals, particularly highlighting the contrasting situations of Bellevue Hospital in New York City and Boston City Hospital. The articles critique how public hospitals are increasingly becoming adjuncts to private medical institutions, with Bellevue's transformation into a facility serving elite private interests while Boston City faces severe cutbacks and a potential takeover by Boston University. Activists are urged to build a long-term, organized base to effectively combat these trends, emphasizing the need for a strategy that prioritizes public health over private profit. The issue underscores the broader implications of these changes for community health and access to care.
The November 1973 issue of HealthPAC Bulletin focuses on the rise and implications of Health Maintenance Organizations (HMOs), particularly the Kaiser Permanente model. It discusses the growing interest from big business in HMOs as a solution to rising medical costs, highlighting the mixed outcomes of such systems in terms of cost reduction and accessibility to care. The issue critiques the profit-driven nature of many HMOs, arguing that while they may reduce costs initially, they often lead to decreased availability of services and poorer patient experiences. The editorial emphasizes the need for community-controlled health plans as a potential alternative to profit-oriented models.
The January-February 1974 issue of HealthPAC Bulletin focuses on the complex dynamics of public-private partnerships in healthcare, particularly highlighting the controversial affiliation between Montefiore Hospital and the North Central Bronx Hospital (NCB). The article 'The Tunnels That Bind' critiques how Montefiore's expansion has led to the absorption of municipal hospitals, raising concerns about the implications for community health services. Another significant piece discusses the closure of a county hospital in Santa Cruz, California, emphasizing the detrimental effects of private hospital competition on public healthcare access. The issue also introduces a new format for the Bulletin, aiming to enhance engagement with health workers and community groups.
The May-June 1974 issue of HealthPAC Bulletin discusses the political retreat of Senator Edward Kennedy from the comprehensive Health Security Act in favor of a more limited National Health Insurance Program (NHIP) in collaboration with Representative Wilbur Mills. This shift reflects the changing economic climate and public sentiment regarding health care, as the need for catastrophic illness protection remains amidst rising costs and economic challenges. The issue also highlights the problematic practices of patient dumping in California's private hospitals and the organization of Bronx Medicaid patients, showcasing grassroots efforts to address inequities in health care access.
The September-October 1974 issue of HealthPAC Bulletin focuses on the significant strike by 4,400 registered nurses (RNs) in the San Francisco Bay Area, organized by the California Nurses' Association (CNA). The strike, lasting 21 days, highlighted issues of staffing control and quality of patient care rather than traditional wage demands, reflecting a new level of militancy among nurses influenced by the women's liberation movement. Articles discuss the implications of the strike for hospital workers and the challenges of uniting various classifications of healthcare workers. The issue also features commentary on Blue Cross and the broader context of healthcare economics in the region.
The November-December 1974 issue of HealthPAC Bulletin focuses on the extensive cover-ups by the asbestos industry regarding the health hazards associated with asbestos exposure. It highlights how industry-funded research has consistently downplayed the dangers of asbestos, with institutions like Harvard Medical School accepting grants from tobacco companies to divert attention from smoking-related health issues. The issue also discusses the broader implications of occupational health cover-ups, emphasizing the need for public awareness and political action against corporate interests that prioritize profit over worker safety.
The January-February 1975 issue of HealthPAC Bulletin focuses on the systemic abuses surrounding female sterilization in the U.S., highlighting how these practices are often coerced and misrepresented to women, particularly those from marginalized communities. The article 'Women Fit to Be Tied' details the dangers and ethical concerns of sterilization procedures, linking them to broader issues within the healthcare system, such as profit motives and inadequate patient care. Additionally, the issue discusses the growth of health workers in relation to the shrinking healthcare budget, emphasizing the need for reform in health manpower distribution. The Bulletin also features a media scan on psychoanalysis and feminism, showcasing the intersection of health policy and social issues.
The May-June 1976 issue of HealthPAC Bulletin focuses on the National Health Planning and Resources Development Act of 1974, highlighting its complexities and the influence of special interests, particularly the American Medical Association (AMA) and hospital lobbies. The article critiques the Act's failure to effectively regulate health care costs and its convoluted provisions, which have led to varied interpretations and ineffective implementation. The issue also discusses the shifting dynamics between federal policymakers and health care providers, emphasizing the need for a robust health planning mechanism as a precursor to national health insurance.
The July-August 1976 issue of HealthPAC Bulletin focuses on the dangers of vinyl chloride, highlighting a significant cover-up by the plastics industry, particularly BF Goodrich, which failed to protect workers from toxic exposure leading to severe health issues, including cancer. The article details the struggles of workers like Earl Parks, who suffered from liver damage and ultimately died from angiosarcoma, while the company contested their claims and suppressed evidence of the chemical's dangers. Additionally, the issue discusses the inadequacies of workers' compensation programs and the need for preventive care in industrial settings, emphasizing the historical opposition from industry to worker protections. The political context includes ongoing labor struggles and the push for stronger regulations from organizations like OSHA.
The September-October 1976 issue of HealthPAC Bulletin focuses on the increasing commercialization of healthcare in the U.S., highlighting that approximately 34% of health expenditures are funneled through profit-making enterprises. An article titled 'Profits in Medicine' discusses the significant role of private corporations in the healthcare system, particularly in the pharmaceutical and nursing home sectors, and examines the economic dynamics that have led to this concentration of profit. Additionally, the issue includes a checklist of health issues relevant to the Ford-Carter presidential campaign, reflecting the ongoing national debate over healthcare policies.
The November-December 1976 issue of HealthPAC Bulletin critically examines the swine flu vaccination program initiated by the federal government, highlighting its rushed implementation and the concerns raised by medical scientists about its effectiveness. The issue discusses the political implications of the vaccination strategy, particularly in light of the fiscal crisis affecting public hospitals in New York City, especially in the Bronx. Notably, the Bulletin critiques the prioritization of mass vaccination over targeted approaches for high-risk populations, emphasizing the need for a more rational public health policy. The articles reflect broader themes of government accountability and the intersection of health policy with corporate interests.
The May-June 1977 issue of HealthPAC Bulletin focuses on the persistent underrepresentation of minority students in U.S. medical schools, highlighting that despite some gains in the late 1960s and early 1970s, the situation has not significantly improved. The issue discusses the implications of the upcoming U.S. Supreme Court ruling on the Bakke case, which challenges affirmative action policies in medical school admissions. It also features a retrospective on medical education since the Flexner report, revealing that the demographics of medical students remain largely unchanged over the decades. Notable columns address issues of healthcare costs, women's rights, and the Delaney Amendment, while a media scan reviews Michel Foucault's work on medical perception.
The September-October 1977 issue of HealthPAC Bulletin focuses on the evolving landscape of nursing education in New York, particularly the push by the New York State Nurses Association (NYSNA) for a Bachelor of Science in Nursing (BSN) degree as a requirement for Registered Nurses (RNs). This proposed '1985 Proposal' aims to elevate the profession but raises concerns about accessibility for current nurses and potential job displacement. The issue also highlights the commercialization of emergency services in San Francisco, where voluntary hospitals are outsourcing these critical services to private providers, reflecting broader trends in healthcare privatization. Additionally, columns discuss the implications of abortion access and the intersection of work, race, and health.
This issue of HealthPAC Bulletin focuses on the crisis facing the United Mine Workers' (UMW) health and welfare programs, which have been severely impacted by financial mismanagement and production-linked benefits. The article 'Health Care by the Ton' discusses the historical significance of the UMWA's health care system, once a model for comprehensive care, now in decline due to cutbacks and a financial crisis exacerbated by a nationwide miners' strike. Additionally, the issue reflects on the Gauley Bridge disaster, highlighting the intersection of race, class, and occupational hazards in American labor history. The political context includes ongoing struggles for miners' rights and health care reform, emphasizing the need for universal coverage and community-based health services.
The September 1979 issue of HealthPAC Bulletin focuses on the role of Health Systems Agencies (HSAs) in the U.S. health care system, highlighting their potential for progressive change amidst concerns of cooptation by larger institutional interests. Notable articles include Samuel S. Epstein's examination of the politics surrounding cancer and a critical study of occupational health services in Hudson County, New Jersey, dubbed 'Cancer Alley.' The issue also discusses the challenges faced by nurse practitioners and the implications of corporate influence in health care, particularly through the lens of pharmaceutical companies like Hoffman-La Roche. Overall, the issue reflects a growing awareness of the intersection between health policy, activism, and corporate power.
This issue of HealthPAC Bulletin focuses on the challenges of affirmative action in medical schools, particularly in light of the Bakke v. Regents of the University of California case. It highlights the stagnation of minority enrollment in health professional schools and critiques the ineffective measures taken to promote diversity. Additionally, the issue discusses the obstetrical experiences of urban poor women in East Harlem, emphasizing the alienation they face within the healthcare system. The publication also touches on the rise of home health testing kits and their implications for patient autonomy in healthcare.
This triple issue of the HealthPAC Bulletin focuses on the challenges faced by health systems agencies (HSAs) in controlling healthcare costs amidst a conservative political climate and budgetary constraints. It highlights the decline of the New York City Department of Health (NYCDOH) due to severe cuts in preventive and primary care services, exacerbated by the city's fiscal crisis and the shift towards a market-driven healthcare model. Notable articles discuss the implications of these changes on public health services and the ongoing struggle for community-based care alternatives, particularly in the context of mental health facilities in Washington, D.C.
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.
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 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.
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.
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 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.
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 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 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 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.
The Winter 1992 issue of HealthPAC Bulletin focuses on the intersection of women's health and justice, highlighting the systemic injustices faced by marginalized women, particularly those who are poor, disabled, or incarcerated. Notable articles include Wendy Chavkin's critique of the criminalization of pregnant women who use drugs, and Elizabeth Cooper's examination of the legal repercussions for women living with HIV. The issue also features reflections on the health care needs of women in prison and the challenges surrounding access to abortion, particularly in light of the RU 486 controversy. Loretta Ross's editorial underscores the urgent need for advocacy in response to ongoing attacks on women's health rights.