· 7 issues
The August 1968 issue of HealthPAC Bulletin highlights the activism of the Committee of Interns and Residents (CIR) as they negotiate for better salaries and working conditions in New York City's municipal hospitals. Dr. David Goldman, president of CIR, emphasizes the disparity in pay compared to other city employees and the need for reforms to improve hospital staffing and patient care. The issue also discusses the Student Health Project, which engages health science students in community health initiatives, particularly in low-income areas like the South Bronx, and the establishment of the North East Neighborhood Association Health Center aimed at providing comprehensive care in underserved neighborhoods.
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 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 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 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 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.
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.