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Show Presidents ;ii ? ' r ? ry ?. Wf --.i. ' j i " is V. ' ifcJMfci, -- WV' Motto Z&smmyr $w- .. Z fx ? GRAVITY DEFYING FEATS: The Peking Acrobats, a troupe of 24 of China's most gifted tumblers, contortionists, jugglers, cyclists and gymnasts will bring their 2,000 year old tradition of acrobatics to Abravanel Hall on Wednesday, Feb 16 at 8 p m First appearing in Salt Lake City in 1992 the acrobats are returning once again to perform gravity defying feats of skill T ickets range from $8 to $ 1 5 and are available at the Symphony Box Office Call 533 NOTE $ffl95 Set a two-pare- household is no longer reality for most families Our thinking of basics should be adjusted to include healthy Denial is too often a part of newly blended families Once the honeymoon is over, family members do not discuss the problems created by the new marriage Denial of these feelings damages us in that it presents us from becoming all that we can be. Accoiding to Elizabeth Einstein, MA. denial is avoiding 01 rejecting reality Denial often relates to grief or a sense of loss of the former family the importance of the former spouse the comfoit level to express feelings (anger, fear, resentment, etc ) financial control former holiday traditions Denial merely dulls and postpones the pain it cannot eiase the feelings Step families must move beyond denial, is advice given by Elizabeth Einstein, MA, nationally known family therapist, who spe- step-famili- Wrestling with Angels offered A video series "Wrestling With Angels is being offered during Lent for all interested persons video on an area of struggle in the Christian life Stories by ordinary people will be interwoven with reflection and by commentary prominent Christian authors Following each video will be a time of interaction and examination of scriptuie, led by a local pastor Topics which will be addressed Why Me, Doubt Love, Forgiving, n Guidance and Prayer The family power Identify normal developmental stages of a step family. Topic specific information will be distributed along with a family quiz Please call Terri Locher for 0 Cost more information at is $10 per family 299-533- discus- Step Family woikshop sion points Special dynamics of living in a blended family Identify the double bind that stepchildren face Recognize bonding well-know- Campolo, Richard Foster, Keith Miller, and Madeleine L Engle This ecumenical Lenten study will be each Wednesdav, Feb 16 1 30 through March 23, from 10-1- am at Bountiful Community Church, 100 N 400 E, Bountiful The sponsoring churches are Church of The Resurrection, First Baptist Church, St Oluf s Catholic Church, and Bountiful Community Church The public is invited to attend all of the series or whichever are of interest For further informa1 9 or tion call 295-663- 295-943- Mans SERVED FAMILY STYLE SINCE 1868 Those famous Watkins products you remember Vanilla, Cinnamon, Pepper, Liniment and Sab cs are available at vour door if Ron&DsAnna Bruhn 0 On Ball & Claw Promo Similar As Shown 19 & 21 'Only one-da- y psychologists, social workers, marriage counselors and family thera- and IS W Bountiful 30 West 500 South Family Solution boundary issues Natural Finish! Lynns Oak Shoppe pists on the topic of The Step 298-440- 5 Hours: M-- F. 10-- 7 Sat. 10-- 6 ft o o iW Wif'iiifeifnj tltTHf It WifrHF INTERMOUNTAIN HEALTH CARE ? UL What Can Be Done to Reform Rural Health Care? enues to urban hospitals Sometimes this is necessary, as when a rural hospital lacks the capability to treat a patient, but Steve Kohlert Vii r Pmoitom iSTi RMOI S MIS HlA! Ill C iRF Rural health caie is not concern of rural just resi- dents Most of us who live in the larger uties of the Intermountain West travel through rural areas often, in pursuit of business or recre- mammogram it performs Readers of this column have asked how health care reform wall affect rural care Indeed, the impact of reform proposals on rural care 3. approach HEALTHCARE s sf U A 4. I 'ilni lj I 1. Competition with urban hospitals. In dollar terms, most health care to residents of rural areas is delivered in the uties Rural hospitals often lose patients and rev- - 1. 5 cost-effecti- health services Although com- - services o Labor shortage. Physicians, nurses, technicians, and other clinical and non-clinic- al - We believe our region needs to accomplish two goals !!! 1. Define essential health services IHDPlte which should be located in rural areas The most effective way to accomplish these goals is ' 'M. b undoubtedly through a combination of public and pnvate 4 5 lmtiauves In the Intermountain region, there are already many examples of successful partnerships between rural facilities health systems, and where transport services, outreach programs, and other services are brought to rural areas These rural providers benefit from integration while retaining significant local 1 full-servi- greater difficulty in covenng their costs , pitals, physicians, and managed care plans such as HMOsjoin together to provide a full range of Ml pared to urban hospitals Since hospitals receive lower reimbursement for treating Medicare patients and often no reimbursement at all when treating the uninsured this means that rural hospitals have f TiJ are suspicious of participating in health systems, where hos- percentage of Medicare and uninsured patients com- CURRENT CONCERNS ABOUT RURAL Reluctance to align with systems. Some rural hospitals 2. Identify a structure to assure the efficient delivery of these services in rural areas Payment problems. Rural hospitals tend to see a higher remains a nagging question that has often been given inadequate attention in public policy debates about reform, because rural health issues are different in many ways from urban health issues Here are some thoughts on the special nature of rural care and how system is vital to our regions citizens and economy Intermountain Health Care, with 12 rural hospitals and numerous clinics, is committed to providing rural health care 4. Lack of competition. Most reform proposals rely on managed competition which depends on a mixture of government regulation and competition between health care providers These models may not work well in rural settings because a community can only support one hospital 1. patients a day, but the rural hospital only has three Because of the higher volume, the urban hospital can charge less for each support many jobs in cities as well as in rural areas issues of reform heart of managed competition reform proposals mammography ation Tounsm, mining, ranching transportation, and many other mdustnes depend on the existence of rural health services, and these businesses we might OBSTACLES TO RURAL REFORM sometimes it is not necessary 2. Lack of economies of scale. Its hard to maintain low pnees when you re dealing with relatively small numbers of patients Imagine, for example, that a rural hospital and an urban hospital each invest in identical $75,000 mammography systems The urban hospital has 10 Sfs ok half its medical staff cians staff members are often difficult to tecruit and retain in rural areas ( )ne rural hospital in this region recently lost two of its physi A 2. Cost versus access. Cost is the pnmary problem with health care in urban areas, but access to services is the pnmary problem in rural areas Managed competition is designed pnmanly to control cost Low managed care penetration. Currently, most rural residents in the Intermountain atea are not enrolled in HMOs and other managed care plans, and managed care is at the 3. Base PR0IV10 CHAIR 2-D- Locking FILE CABINET Einstein will be presenting a workshop on Friday for a writers include Tony 292-788- Solid Oak Learn how to cializes in counseling newly blended families She has published several books The Step Family workshop will be presented by Einstein, on Thursday, Feb 17, 6 30-- 8 30 p m at Benchmaik Hospital, 592 W 1350 S , Woods Cross, 299-533- 0 Each Wednesday, beginning Feb 16, there will be .. k. SOLID OAK CHINA TABLE workshop Feb. 17 In his State WOODS CROSS oi the Union addiess, Piesident Clinton encouraged a return to family values, back to basics One would wonder il the Clintons realize that the most typical American family is now a blended family, wuh at least one re marriage within the household and children often representing his, hers and ours Back to the basics of a single within VviSiShWAA for more information Step-famil- y marriage fte Am, 4 CHAIRS FARMHOUSE DINING As k 15 M& fit fimsh...$349.95 4& ws J6&. Table is 30x60 with white legs and a natural top finish. Table and four chairs in natural ? MATCHING CHINA HUTCH V '' Trm"mJtV v ft fTp,v tew 8$ -1. TABLE and tp, M 'V T t i- $te..., J & XnS ! s,(Vi.f. L S r t ' fid4 J petition between these integrated systems is the cornerstone of most reform proposals, some rural hospitals may view such integration as a threat to their autonomy and another way to lose revenue and patients to urban areas representation If you have a question related to health care, please call or wnte I!SC DIALOGUE ON HEALTH (ARE 36 South State Street Salt Lake City, Utah 841 1 1 A RURAL AGENDA The first step in bnngtng the benefits of health cate reform to rural areas is to recognize that a strong rural health care INTERMOUNTAIN HEALTH CARE |