Show I 2A THE OGDEN OGDEN UTAII STANDARD-EXAMINE- ai R SUNDAY MORNING JUNE 29 1958 hi ir wri'in im'iwri riiiiiirniiiM K" W awTrTna ' TflirWAViiBai 4Kd A'itaia MX tales Patients New Nete-F- iw development! Is a administrifion t caused stch a stir tf interest in medical circles pimtertl t a Uty as a new alaa Manchester Cert it hospital Under it proponents say patients aren't paying for services they don't need and economies all around art the result) 3 BENJAMIN V By ALTON L BLAKESLEE AP Science Reporter Feel better? Pay less That's the basis of a new hospital plan When you're very sick or just had surgery you get special intensive care and pay the daily going rate of about $20 to $25 a day When you're better you and your bed are moved into another zone in the hospital where you don't need —and so don't get — M": ADOLF A BERLE COHEN Your bill much attention drops to perhaps $16 to $18 a so "Better tool kit" Blames Federal Reserve day 0 "Its ' gcssoii Curs Continued from Page 1 off" anyway And I'd have the federal government take over the entire cost of unemployment insurance "I'd do some spending but I wouldn't cut income taxes I don't think this slump is going any further We've got the b a s e to iiCK u reopie nave muiiey They're not broke as they were an tee dus SELF HELP Then when you're feeling pretty perky you move into a zone a kind of hospital You're well to walk to the cafeteria enough or room or dress yourself and in other ways save time for nurses or use of costly rooms So you pay only $8 to $12 a day or less Equally or more importantly this method brings you better medical care say proponents of this intriguing new idea Called progressive patient care it has been under test for more than a year at Manchester Memorial Hospital in Manchester " y self-hel- v ! fV -- fI p y Conn : with his present summer" Cohen said dein the views Tugwell peak "What a howl would have been pression year of 1933 advocated raised if the New Deal had disRAYMOND- - MOLEY drastically higher income taxes turbed the delicate fabric of reAgainst Tax Cut and urged a business confidence as former lief fund to redistribute buying secretary of defense Charles' E power Wilson and former secretary of enemies m tnose aays canea thp trMnrv Gpotp A Hnmnh him a socialist and a Red In rey did a year ag0 That's one 1934 the senate agriculture com-- j of the major reaSon3 for the mittee heard testimony about a slump we are going through plot to overthrow the day ri'pnpranv credited with writ- government and set up Tugwell as a Stalin-typdictator Tugwell mg vast chunks of the New at the time styled himself a Deal — including the 1934 Seconservative bent on saving cap- curities exchange act the 1935 By WALTER TROHAN italism from itself utilities Chicago Tribune public holding company standand 1938 act labor fair the MAKE IT OVER WASHINGTON — Almost half He once wrote a poem in which ards act — Cohen had this to say the nation's families have incomes he said: "I shall roll up my about bolstering the economy: between $5000 and $15000 ac- sleeves and make America over!" THE WAY BACK to a Census Bureau re Today he spends long hours "We should have a tax cut cording tree-shaded his planting flowers in now to give assurance to the peo- porttalking with ple that we are on the way back garden Nearly one family in every six had an income from $7000 to other old New Deal cronies and and not on the way down writing scholarly books He is "I'd cut taxes ro'ughly seven 510000 The average family income in currently working on a history billion dollars I'd do away with of American presidents United States was estimated the excise taxes and reduce the lower "I'm a New Deal Democrat" income taxes I'd cut corporate at about $5000 in 1957 a gain of he said "But I admire Eisenhow- taxes for companies about $200 or 4 per cent in a year engaged in Two decades er as a President a good bit" magazines carexpansion to provide new jobs ried a familiarback Former arch New Dealer ad: "You too can "We Rave idle men and idle once known as unofficial resources and earn $5000" by taking educationgreat public needs al chairman of FDR's original brain We've neglected training hosschools trust was the first of the Wrhite pitals housing public health" The Census Bureau reported of the nation's famHouse inner circle to break with This is the time to get started that ilies late receive incomes of $10000 or the president on river developments and develmore One half of one per cent He has spent the last two de- op our basic resources" cades writing news magazine colA bachelor Cohen has lived in get $25000 or ever s More than umns and books and delivering the same luxury apartment on have incomes to from in At $5000 $10000 speeches attacking bigness Washington's' "embassy row" the other end of the income scale and trends other government since 1942 Despite his three which he characterizes as the na- score and three he still about 15 per cent of the families tion's most dangerous heritages plays two or threeyears sets of tennis have incomes below- $2000 The following table' compiled from the Roosevelt era a day in fine weather His last Moley served briefly as FDR's federal job was Qrt the disar- by the Census Bureau shows the distribution of families by total speech writer and as a top arch- mament commission in 1952 itect of New Deal policy He was a "From global viewpoint the income: Per Per sn assistant secretary of state present" economic situation is Imome cent cent kmt 'On the wall beside his office 30 $ 4000 to $ i49? 73 disturbing" he said "We Under to$500 34 $ 4500 to S 4999 68 $999 desk hangs a smiling photograph very are the bankers of the free world $500 IOOO to $1499 40 $ 5000 to $ 5999 145 of Roosevelt inscribed "to the and we can't do our job if we $$1500 to $1999 45 $ 6000 to $ 6999 103 ancient professor from his pupil" allow ourselves the luxury of a $2000 to $2499 52 $ 7000 to $ 9999 163 but Moley today vigorously op- recession in contrast to the strik- $2500 tofo $2999 44 $10000 toto $14(999 65 $3000 $3499 57 $15000 $24999 14 poses many of the methods FDR ing growth of the Soviet econ- $3500 to $3999 61 $25000 and over 05 used as The median salary figure was weapons omy" As for any regrets over the $4971 for all families an increase NEVER A REMEDY of $188 over 1956 but most of "I'm very much opposed to a NeW Deal Cohen said: the increase was eaten up by we did wasn't big' public works program and 100Everything per cent correct but I think higher prices The median-incomI'm against a tax cut" he said we were moving in the right di- was more than $1000 over 1952 'A public works program has when is was $3890 rection" never been a remedy for anyThe median income of rural He drew a long puff on his thing farm families was $2490 as and sighed deeply "In 1933 they put (the late cigaret seems like a long long against $5332 for urban and "It Harold R) Ickes in charge of a time families rural non-farago now" $2300000000 public works program — and after a whole year y had passed he had only been I able to spend 75 million It just THE doesn't work in a depression because it isn't a stimulus It takes I too long to get any plans made" Moley who introduced the historic catchwords "New Deal" and "the forgotten man" into FDR's early speeches looks and acts 10 than his I With his second wife age KEEP EFFICIENCY AT Frances he lives in a spacious By contrast - X-ra- apartment on New Yorks East End Drive Chain?smoking Ben Cohen nne of the toD iaWvers of the New Deal specifically blamed two moves by the Eisenhower administration for present eco- nomic doldrums "It stems from the failure of the federal reserve board to per- ceive the shifting trends and from the cruel and unnecessary cutbacks in defense contracts last i tt It has stirred considerable terest and enthusiasm in medical circles A public health service survey shows scores of hospitals are units operating maximum-carseveral dozens have minimum-car- e units and a handful combine the two ar e Family Income Report Shows : Gain Of 4 i SAVE MONEY Some hospital and medical leaders call progressive care a revolutionary idea bound to saVe ' e money for patients and hospitals alike and to tailor medical care to the person's needs They estimate 20 to 50 per cent of patients in a general hospital could be cared for in units These could be separate buildings connected by tunnels or bridges with the main hospi- tal or a wing of the hospital lt- self Building costs could "be reduced advocates say You wouldn't be equipping every room with oxygen or special or expensive beds or other costly units equipment The could be built and furnished like hotel or motel rooms which are much less expensive than hospital rooms Other officials suggest a slow approach to learn how well the system works or what problems drugs oxygen suction anesthe-wheththe hospital really saves money The Manchester experiment is being studied by a special team of experts through a grant from the US Public Health Service self-hel- -- j - self-hel- Mo-Ie- y one-tent- h p p er -- two-filth- - administrator of Manchester Hospital Dr Howard J Lockward internist and Dr Lane Giddlngs pathologist Put into effect in April 1957 progressive care has worked so well at Manchester that the hos- pital now is building a unit It started with only eight beds in a converted residence across the street One key of the plan is to give the most and best care to the sickest patients Thorns explains This is done in the intensive care unit Here are concentrated the aids and measures such as drugs Oxygen suction anesthetics anything needed to meet emergencies And here are concentrated the best and most nurses on continuous duty one nurse for every few patients In effect ' each patient has private nursing without paying for private nursing Thorns (Editor's hospitii REXFORD GUY TUG WELL Economic arthritis the usual hospital arrangement Here the average patient is paying $18 a day at Manchester When he moves on to the unit he pays $11 This daily fee might be cut down even more with savings that' could be realized from special buildings and by having more patients in this unit hospital admlnlstr a t o r s point out The patients can also include people who come to the hospital for a few days of diagnostic tests They can pay the low rate while they make their own or other tests way to the If surgery is needed they may next be in intensive care then intermediate care then back in agsin PROGRESSIVE HOSPITAL I 44-be- self-hel- life-savi- ng 24-ho- FROM SURGERY Here come all the patients from surgery watched and tended while they recover from anesthesia and the initial shock of their operations This part of the idea is similar to the recovpost-operati- ery rooms specially equipped and manned by doctors and nurses where patients recover before going back to their rooms or wards But the intensive care unit also receives all the very sick including contagious cases who need considerable attention The intensive care unit can move fast and thoroughly as this instance shows: A man's chest was crushed in an auto accident The intensive care unit was alerted by telephone while an ambulance took him to the hospital Drugs doctors nurses and bed were waiting Two minutes after he arrived he had a breathing tube inserted in his throat was receiving a blood transfusion and intravenous infusion to combat shock The man spent six weeks in the intensive unit "Without special ca re he wouldn't have made the grade" says Dr Lockwood "He had to have too many things too fast" The patient's own doctor decides when "he should be admitted to this total-car- e unit TRAIL BLAZER Manchester Hospital in the work set aside 27 beds for the intensive care unit Most are ward beds a few are private rooms Whether a patient draws a private or ward bed here depends not upon how much he can pay but on how sick he is and his need for private accommodations Whether in the wards or private rooms the patient in the intensive care unit pays the same trail-blazin- self-hel- p price At Manchester it averages $22 a day The patient's doctor decides also when he can be Moved to zone Manthe intermediate-car- e chester 'started this unit wi$ 97 self-hel- beds Here patients are mostly on the mend One nurse can attend to a few more persons The patients own doctors still follow them as closely as they would in anti-recessio- 'i All work guaranteed order repair i 3340 - Porttrv self-hel- years-young- p ® S i R aAIN SAN FRANCISCO (AP) — A director of the American Cancer mm Ml Society and past president of the American Medical Assn has accused United Funds charity drives of attempting to sabotage research Dr John W Cline San Francisco surgeon made the attack at the close of the 107th AMA national convention He said he had no quarrel with United Funds as such but with the "professional organizers who for years have been attempt- mg to take over the national voluntary health agencies" Dr Cline said the organizers have created "confusion and hostility among the citizenry of scores of communities and jeopardized the success of highly efficient health programs" "Big single drive wins only fractions of the funds gained by small drives" he said 1 JHtiWLoua r'ALLrUSNING '' 4 TEMPERATURE TAKES OFF SO DO YOUR EMPLOYEES! 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YOU SAVE TIME AND MONEY! — j ! ——1 OLD er Smokey Says: j Ogdon d -- ' 24 HOURS appointment necessary Open 2 AM m WHEN mm high-price- ' 2446 Wa5ihngton Blvd REL1NING REPAIRING MISSING TEETH REPLACED WHILE YOU WAIT e At first blush many experts — including some from the American Medical Assn and American Hospital Assn — are saying the plan looks sensible and feasible both for economic and medical reasons "The patient is not paying for services he doesn't need or shouldn't get" says one hospital expert "You save the services for those who really require them" Off I CI cores Funds REGULAR LUCKY STRIDES Wt transform eld leost cracked or chipped platti into a beautiful new of a very reasonable price lightweight pig-h- e n ly X-ra- y MEW FALSE PLATES FOR e p ' IN e g GROWTH CITED The hospital plan is largely the brain child of Edward J ' d p Persons with hopeless" fUness are not sent to the intensive-carunit Thorns reports In no sense can the intensive-carunit be considered a "death cell" The obviously hopeless or terminal patients can be treated separate- - F in- r s 2278 WASH I i BLVD —— — —nr- - - W zs - OGDEN nKm M |