Wednesday, November 20, 1974

Cedar Rapids Gazette

Location: Cedar Rapids, Iowa

Page: 10

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Text Content of Page 10 of Cedar Rapids Gazette on Wednesday, November 20, 1974

Cedar Rapids Gazette (Newspaper) - November 20, 1974, Cedar Rapids, Iowa w*typw*»v •***♦•    .    „■    saw***"*'* Reducing High Medical Costs Scalds Lion Save 6.01 on these sweaters of polyester/acrylic Famous Brand Sleeveless Sweaters REGULARLY 12.00 VALUES WORCESTER, Mass (AIM — Da vt 1 Chobanic began tilt' performance of his Lovable Lions at Worcester Center with a warning “If anyone throws anything into the ring. at the lions or at me, I lock up the cages anti the act’s over ” The stern warning was not a typical opening line for the Ohio lion tamer Hut earlier someone 1 threw a cup of hot coffee at an H-week-old lion cub from the second-floor gallery ( hobanic said the badly scalded cub will “almost certainly'' lose its sight and may die No arrest was made in connection with the incident As husky os they look, that s how great they feel. The rage of the younger set! Padded collar for extra comfort, lug sole, matching tongues. Brown suede (Also navy suede in broken sizes.) Save big, too . . at this low price! Cedar Rapids: Downtown Third Floor and Lindale; Iowa City: Mall Shopping Cantor A WEEKLY StmtS OF SCNSX. TIONAL VALUtS PLANNED IM COOPTATION WITH ONLY THt • cst OF manufactures. CACH SONUS ITIM Mf ITS OU* RI&lD STANDARDS OF QUALITY ANO WILL lf SOLD AT LOW •ONUS PlCC.fS ONLY WHILE SPICAL QUANTITY LAST. U-neck or V-neck sweaters to wear over your favorite shirts . . or under a sharp sport coat. Solid colors or fancy patterns available. All from a famous maker whose name you'll recognize. Sizes are small to extra large. Cedar Rapids: Aisle Hor, Downtown Street Floor and Lindale Plata Iowa City: Mall Shopping Cantor on Sis at Sycamore By Sylvia Porter NKW YORK - ITEM: In New York City, I he average hospital room cost is now well over $185 a day and, by next spring, room rates are expected to rise to an average of $218 a day Nationwide, the average cost of spending a single day in a hospital room has crossed $110 I I KM In just the seven months since federal wage-price controls expired, physicians fees have been rising at a yearly rate of IO I percent and hospital charges, at a rate of 17 7 percent Hospital charges and doctor bills are now rising at almost twice the overall inflation rate. ITKM Most of these added costs come directly out of your pocket, in the form of insurance premiums and cash payments for health services. And these zooming costs are on top of soaring costs for food, fuel, housing, virtually all other items. An obvious area in which we must concentrate our aRti-inflation battle is in the health services cost spiral Blue Cross plans the nation over have for years been urged to develop “utilization review" programs — to monitor length of hospital stays and other factors contributing to our fantastic outlays for hospital costs. Review Schemes Some 17 Blue Cross plans are slated to launch computerized “Plan Utilization Review’’ schemes by next summer. But the vast majority of Blue Cross plans still have not put into action really effective utilization rev lew measures About 2.000 hospitals throughout the U.S. are now boasting that they offer some form of outpatient surgery. In many, if not most cases, a patient can be in and out of a hospital before dark The cost of same-day surgery is betwt‘en 20 and 50 percent of the cost of staying a day or two in a hospital. In the words of Walter McNerney, president of the Blue Cross organization, “As many as three out of IO medical procedures could probably be performed as effectively, and certainly more economically outside the hospital or on an outpatient basis ” Yet, only a small minority of U.S. hospitals are using this cost-reducing measure to the fullest possible extent. High Costs How many hospitals offer seven-day-a-week hospital care — reducing the high. cost of entering a hospital on Friday, among other obvious beneficial cost reductions? How many actually offer self-care facilities for patients who aren’t very sick — who, for instance, are undergoing diagnostic tests, diabetes care, preparation for surgery, stroke rehabilitation — and who are perfectly capable of looking after many of their personal domestic needs and doing without costly nursing care? How many hospitals have genuine consumer representation on their boards or effective consumer complaint mechanisms (ombudsmen) which might bring the people who are paying the hills and who could make valuable contributions into the system’’ Heme ( are We still are paying only a pittance for home health services (visiting nurses and home health aides homemaker service agencies). Yet, it s a well-established fai t that home health care costs only a fraction <d hospital care and often is superior. We still are paying only relatively small sums for preventive, outpatient services vs inpatient and acute care Coffee Thrower Women s Hikers Styled by G’Vane 12.88 Regularly 18.00 Beautiful Basics A. Shapelace 6 Plunge Bra Molded underwire bandeau bra is made of vee through molded lace with delicate applique trim. Daringly low plunge. White only. Soft, tricot straps. 32-36B, C. 7.00 B. Flatterlace 0 Bandeau Underwire bra of MonKira lace and flexible plastic tipped underwires for support. White bra is available in sizes 34-38 B, C. and D. D cup sized bra is slightly higher price. #3112 7.00 C. Flatterlace B Bra This lovely bra has a front closure decollete. Low plunging. Adjustable elastic straps convert to criss-cross or halter. White or black Sizes 32-36 B, C and D. #31 02    mam    ma    a /.JU C»dnf Rapid* Downtown Second Floor and Lindale Plaza Iowa City Mall Shopping Center on St* at Sycamore Killian^— u lull is a KILLIAN BONUS? forts lo promote occupational health and safety We still arc making far too small an effort to train and use assistants, nurse practitioners, family health workers and others who can assume a major part of the work load of a fully-trained physician Prepaid Services We still have made only baby steps toward development of comprehensive prepaid health services and organizations and salaries for medical personnel and only baby moves away from the costly fce-for-service system which encourages runaway costs We still haven't made a real effort to promote the development and or application of standards of appropriateness of various types of care — for instance, elective and other surgery, lab tests, hospitalization, home care, visiting nurse care. We still have done little to combat the irrational differences in aggregate fees and payments to family physicians against pathologists, pediatricians and psychiatrists against neurosurgeons and general surgeons What is the justification for the giant difference in payments to surgical specialists and family physicians? We must act now to control and cut our health care costs. And with the off-year elections behind us the insurers and those who administer Medicare and Medicaid no longer have any excuses for ducking the challenge Tile Cedar Rapids Gazette: Wed., Nsv 21, 1174    5/^ SALE! Sylvia Porter We still are flagrantly underemphasizing physical exams, prenatal care, patient education, immunization, ef-