Word: kaisers
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...this, there are still admitted gaps in what Kaiser can offer. "In care of the aged," laments General Manager Clifford H. Keene, "we are only feeling our way along and haven't found any really good answers yet. We have no real dental care, and only limited psychiatric services." But Kaiser doctors are justly proud of other aspects of their organization. Besides its twelve hospitals, the plan operates a specialized rehabilitation center in Vallejo...
Behind-the-scenes organization is complex-to meet both legal and professional rules. The parent Kaiser Foundation Health Plan (a nonprofit but tax-paying setup) enrolls the members; it then contracts to pay Kaiser Foundation Hospitals (a charitable, non-tax-paying organization) a fixed fee per member per month for hospital care. It also contracts with one of four medical groups (associations of physicians) to provide medical and surgical services for a per capita fee. The hospitals run a research institute and a nursing school. The parent plan builds such facilities as clinics, which it leases to the medical groups...
...Kaiser doctors are, as a group, sympathetic to organized medicine's fears. Says Dr. Cecil C. Cutting, a surgeon who is head of northern California's Permanente group: "Organized medicine has a legitimate worry that prepaid care could open up medicine to lay control. We are the proof that this need not be so. We physicians in these groups run our own show." Dr. Cutting's show is Permanente's biggest, with 278 partners and 142 employed physicians. After two years, employee doctors become "participants," and after a third year they may be elected to partnership...
...Barrier of Cost." Any organization as revolutionary as Medikaiser was bound to stir up storms of controversy about the quality of its medical care and its general effect on the practice of medicine. But impartial medical authorities in California rate Kaiser hospitals' care as "topnotch." and the groups' medical care as "very good...
There is practically no reservation at all in the approval of Dr. Sidney R. Garfield, who founded Kaiser-style group practice in the California desert in 1933. Dr. Garfield was responsible for the health of construction workers on the Colorado River Aqueduct. His earliest plan covered only on-the-job injuries, but soon it was extended to all illnesses and injuries. At Grand Coulee Dam and in Kaiser's World War II shipyards, Dr. Garfield broadened his plan to cover workers' families as well. Modern Medikaiser is based on his early experience...