Word: alameda
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Dates: during 1980-1989
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...state of Oregon and California's Alameda County, which includes Oakland, are on the verge of taking that seemingly drastic step. In April, the Oregon senate passed a bill that would extend Medicaid coverage to 86,000 low-income people previously not covered. There would, however, be limits to the care they could expect. The measure, now before the lower house, would also establish a commission of experts and consumers to rank health services in order of importance; the legislature would then decide which to finance. Oregon has already set up committees of doctors, nurses and social workers to & establish...
...Alameda County, the board of supervisors last January hired a professional ethicist to assist a committee of medical experts in deciding what specific services will be made available to the county's uninsured poor. "It's scary," says Dr. Marye L. Thomas, Alameda's director of mental health and a member of the committee. "As a physician, I was trained to give the best possible care to anyone, period. Back when I was in medical school, I never thought I would be discussing this...
Health officials cite grim statistics as evidence that they are acting out of fiscal need, not cruel disregard for human suffering. In Alameda, roughly 75% of the county's $278 million health-care budget comes from state and federal sources. But that money is drying up. For example, state funds are currently only about one-half of what the county received in 1982. Health administrators argue that rationing is a pointed way of telling legislators they must bear the responsibility for their budgetary decisions...
...than 15%, public health facilities try to cope with the needs of the 37 million Americans -- about 15% of the population -- who have no medical insurance at all. "We want to be all things to all people, but the money's just not there," says Dr. Tom Miller of Alameda County's public health department...
...swimmers and a diver: Kyo Bannai of Menlow Park, Calif.; Lea Borkehagen (diver) of London; Lisa Bowman of Mission Viejo, Calif.; Fiona Fox of Charlotte, N.C.; Jill Hutchinson of Madison, Wisc.; Sandy Junta of Summerset, N.J.; Anne Koerckel of Andover; Anne Hardy of Wallingford, Conn.; Nicole Engh of Alameda, Calif.; Heather McCann of Sunveil, Calif.; Maisha Moses of Cambridge; Valarie Mellen of Sea Cliff, N.Y.; Mary Ruppe of Mishawa, Ind.; and Julie Hopkins of Palo Alto, Calif...