· 6 issues
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 May 1972 issue of HealthPAC Bulletin focuses on the evolving landscape of hospital construction financing, highlighting a shift from philanthropic support to loans and government grants. It discusses the significant role of the Hill-Burton program and the impact of hospital expansion on urban communities, particularly in New York City, where tenant groups are organizing against evictions caused by hospital development. The issue emphasizes the financial burdens of hospital construction on patients and taxpayers, as well as the need for community involvement in hospital planning to prevent displacement of low-income residents.
The March-April 1974 issue of HealthPAC Bulletin focuses on the issue of hospital over-bedding in Oklahoma City, highlighting the detrimental effects on patients and taxpayers. The article 'Oklahoma Crude' discusses how the city has an excess of hospital beds, leading to inflated costs and inadequate care for the medically indigent. Another key article critiques Nixon's proposed national health insurance bill, revealing that its fine print undermines its apparent benefits. The issue emphasizes the intersection of healthcare policy, local politics, and the financial interests of hospital administrators and banks.
The July-August 1977 issue of HealthPAC Bulletin focuses on New York's ongoing struggle with hospital cost controls, highlighting the state's attempts to cut excess hospital beds as a response to rising healthcare costs. The article 'Politics Makes Strange Beds' discusses the ineffectiveness of the Certificate of Need legislation and the introduction of prospective reimbursement policies, which have not successfully reduced overall healthcare expenditures. Additionally, the Lahey Clinic's battle to expand into the suburbs is featured, illustrating the tension between urban healthcare needs and suburban expansion. The issue reflects broader national trends in healthcare policy during a time of fiscal crisis and rising costs.
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 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.