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Back atcha

Friday, May 20, 2011
Chicago Tribune
by Chicago Tribune editorial staff

Last week a useless state board told Cook County it must keep spending money it doesn't have on a hospital it doesn't need. Fortunately, this boneheaded decision didn't go unnoticed.

House Majority Leader Barbara Flynn Currie, D-Chicago, introduced an amendment this week that would put Cook County's public health system largely beyond the pernicious reach of the Illinois Health Facilities and Services Review Board.

Good for Currie. The measure could reach the House floor for a vote as early as Friday. Let's get it to the governor's desk as quickly as possible.

There's no time to delay. Cook County wants to shut the emergency room and inpatient services at Oak Forest Hospital and convert the hospital to a regional outpatient facility. Medical personnel have already been reassigned. The county has no money to spend on Oak Forest's inpatient services beyond June 1.

This not a hasty move. The independent board that runs county health care spent months planning how to revamp that care so it better served the public and saved money. But the state review board turned down the county's plan. All it took was one no vote—because Gov. Pat Quinn hasn't filled three vacancies on the review board.

And there you go. Four board members voted for the county plan. One voted against. The plan was spiked.

County officials believe they have the legal right to shut Oak Forest anyway. The state can't order them to run a hospital. We'd like to see the county challenge the authority of this review board, which we've tried to persuade the state Legislature to disband for years. But county officials tell us they're worried that such a move would prompt a legal challenge and possibly a loss of Medicaid funding.

Currie's amendment would circumvent all that messiness.

The Illinois Health Facilities and Services Review Board is supposed to manage health care expansion in the state. In truth, it protects hospitals from competition and stands in the way of innovation.

So good, let's move quickly on Currie's amendment to exempt Cook County's public health services from the regulatory second-guessers of this board.

And then, let's exempt all of Cook County from the board.

And then, let's exempt all of Illinois from the board.

Can we do that? Finally? Please?



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