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Role of state and local government in relation to personal health services. The Denver story.

Role of state and local government in relation to personal health services. The Denver story. REFERENCE 1. Rogers D: Robert Wood Johnson Foundation, Special Report No. 1, 1979, p. 5. The Denver Story ABRAHAM J. KAUVAR, MD Six years ago, many would have felt that it was impossible to plan and implement an acceptable health delivery system in an urban setting because: there was too much politics and bureaucracy at the local level; the cities were dying; there was too much competition for the health dollar for the cities to get their share; brainy people were in Washington or at the state level; the role of municipal hospitals was finished; health is a political loser, which cannot meld together the private, public and academic sectors; community health centers and outreach are not relevant for the 1980s-there is no constituency left; cost containment must focus on the hospitals rather than on keeping patients out of the hospital. As a matter of fact, six years ago when we started to develop a health delivery system in Denver, many of these feelings seemed to be a reflection of the situation there. We had a budget of $20 million and the City gave us $18 million, begrudging every cent. Although we had the first functioning neighborhood health http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png American Journal of Public Health American Public Health Association

Role of state and local government in relation to personal health services. The Denver story.

A J Kauver
American Journal of Public Health , Volume 71 – Jan 1, 1981
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American Public Health Association
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Copyright © by the American Public Health Association
ISSN
0090-0036
eISSN
1541-0048
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Abstract

REFERENCE 1. Rogers D: Robert Wood Johnson Foundation, Special Report No. 1, 1979, p. 5. The Denver Story ABRAHAM J. KAUVAR, MD Six years ago, many would have felt that it was impossible to plan and implement an acceptable health delivery system in an urban setting because: there was too much politics and bureaucracy at the local level; the cities were dying; there was too much competition for the health dollar for the cities to get their share; brainy people were in Washington or at the state level; the role of municipal hospitals was finished; health is a political loser, which cannot meld together the private, public and academic sectors; community health centers and outreach are not relevant for the 1980s-there is no constituency left; cost containment must focus on the hospitals rather than on keeping patients out of the hospital. As a matter of fact, six years ago when we started to develop a health delivery system in Denver, many of these feelings seemed to be a reflection of the situation there. We had a budget of $20 million and the City gave us $18 million, begrudging every cent. Although we had the first functioning neighborhood health

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American Journal of Public Health – American Public Health Association

Published: Jan 1, 1981

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