· 6 issues
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 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 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 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 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.
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.