· 33 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 April 1969 issue of HealthPAC Bulletin focuses on the struggle for community control over health services in the South Bronx, highlighting the tensions between local community needs and the bureaucratic structures of established medical institutions like Montefiore Medical Center and Albert Einstein Medical College. The editorial critiques the failures of Medicare and Medicaid in addressing the health crisis, calling for a radical restructuring of health services to prioritize community and worker involvement. Notable discussions include the push for decentralized health planning and the demand for immediate neighborhood health services, reflecting a broader movement against the 'medical empires' that dominate healthcare delivery. The issue emphasizes the urgent need for public intervention in the Bronx, which serves as a microcosm of national health challenges.
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 July-August 1969 issue of HealthPAC Bulletin critiques the failures of health planning initiatives like the Comprehensive Health Planning Act (CHPA) and the Regional Medical Program (RMP) in New York City. It highlights the disillusionment with the medical establishment's inability to effectively utilize federal funding for comprehensive health care organization, leading to severe shortages in hospital and nursing home beds. The issue emphasizes the need for grassroots consumer and health worker leadership to address systemic issues in health care delivery, as elite-driven planning has proven inadequate. Notable articles include critiques of the New York Regional Medical Program and the Health and Hospital Planning Council, illustrating the disconnect between policy intentions and on-the-ground realities.
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 Winter 1969 issue of HealthPAC Bulletin critically examines the proposed New York City Health and Hospitals Corporation, questioning its ability to address systemic issues in municipal health services. The editorial argues that merely incorporating health services into a corporate structure will not resolve problems like financing, bureaucratic inefficiencies, and manpower shortages. It emphasizes the need for genuine public accountability and integration of health services rather than a shift to a corporate model that may exacerbate existing issues. The issue also highlights Health-PAC's growth and upcoming reports on health rights and municipal health crises, indicating a commitment to community engagement and advocacy.
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 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 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 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 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 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 April 1973 issue of HealthPAC Bulletin focuses on the critical state of public hospitals in the U.S., particularly in California, where many county hospitals are facing closure due to financial strains exacerbated by Medicaid cutbacks. The article highlights the shifting burden of healthcare costs back to local governments as federal support wanes, with private hospitals increasingly refusing to accept low-income patients. Notable discussions include the implications of the 1972 Airlie House Conference on Public Hospitals and the ongoing struggles in cities like Chicago and San Francisco to maintain public healthcare access amidst privatization pressures. The issue emphasizes the need for grassroots organizing to preserve public hospitals as essential healthcare providers for low-income communities.
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 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 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 July-August 1974 issue of HealthPAC Bulletin discusses the introduction of Professional Standards Review Organizations (PSROs) as a federal attempt to regulate medical practice and control healthcare costs under Medicare and Medicaid. The article highlights the mixed reactions from the medical community, particularly the American Medical Association's push for alternative peer review systems. It also critiques Duke University for prioritizing its medical empire over the health needs of the local Durham community. The issue reflects broader tensions in U.S. healthcare policy regarding government intervention and the autonomy of medical professionals.
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 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 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 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 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 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 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 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 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 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.
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 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.