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Cook County health care overhaul clears hurdle Wednesday, July 14, 2010 Chicago Tribune by John Byrne A plan to remake Cook County's
taxpayer-funded health care system to emphasize outpatient care at
community clinics cleared a hurdle today. The proposal by the
county's independent hospital board passed a County Board committee by a
9-3 vote, though some commissioners worried the strategy will
shortchange some of the neediest neighborhoods by closing acute care
services at Oak Forest Hospital and scaling them back significantly at
Provident Hospital. "We have to have an emergency room, emergency
care, at Oak Forest Hospital," said Commissioner Joan Murphy,
D-Crestwood. "I believe that. To make any kind of health care (work) for
those people that live in the (south suburbs), we need to have an
emergency room that they can go to, and some in-patient as follow-up."
But Commissioner Jerry Butler, D-Chicago, said the proposal is an
honest attempt to provide the best health care possible to county
residents in light of shrinking state and federal subsidies and imminent
changes to the way medicine is administered across the country thanks
to health reform. "We are now talking about holding up the good
and looking for the perfect," Butler said. "There is no perfect plan." The
county's health system is the medical provider of last resort for about
800,000 residents of Cook County who lack health insurance. Even when
health reform kicks into high gear in 2014, an estimated 200,000 to
300,000 county residents will remain uninsured. The plan assumes
$72 million in annual savings due to the changes at Provident and Oak
Forest, which would be used to help run the reconfigured health system.
The proposal now heads to the full County Board July 27.
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