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De-tails. (1) 805 962-8000 Ext. Y-2236. Y-2236. (ucan) HOME TYPISTS, PC Users Needed. $35,000 Potential. Details. De-tails. Call (1) 805-962-8000 Ext. B-2236. (ucan) A WONDERFUL FAMILY Expe-rience. Expe-rience. Scandinavian, German High School Exchange Students Arriving In August. Become A Host Family. Call American Inter-cultural Inter-cultural Student Exchange 1-800-SIBLING. (ucan) GERMAN STUDENT 17, Anx-iously Anx-iously Awaiting Host Family. Enjoys En-joys Sports, Music. Other Scandinavian, Scandi-navian, European High School Students Arriving August. Call WANDA (801) 255-5037 OR 1-800-SIBLING. (ucan) PIPE, TUBE, UsedNew. Gigantic Selection. Low Prices. Build Your Own Fences, Gates, Portable Corrals, Cor-rals, Etc. Save SSS. Palmers Metalmart, 1200 E. 100 South, Lehi. Toll-Free 1-800-947-0249. (ucan) WE BUY MORTGAGES AND Trust Deeds. Did You Sell Property? Prop-erty? Receiving Payments? Why Wait! Fast. Cash Now! Any Size - Nationwide. Great Prices. Call 1-800-659-CASH (2274). (ucan) SUNQUEST WOLFF TANNING Beds - New Commercial - Home Units From $199.00. Lamps - Lotions Lo-tions - Accessories Monthly Payments Pay-ments Low As $18.00. Call Today FREE NEW Color Catalog 1-800-462-9197. (ucan) NOTICE PLEASE: Garfield County News Does Not Endorse, Promote Or Encourage The Purchase Pur-chase Or Sale Of Any Product Or Service Advertised In This Newspaper. News-paper. Advertisements Are The Sole Responsibility Of The Advertiser. Adver-tiser. Garfield County News Hereby Disclaims All Liability For Any Damage Suffered As The Result Re-sult Of Any Advertisement In This Newspaper. Garfield County News Is Not Responsible For Any Claims Or Representations Made In Advertisements In This Newspaper. The Garfield County News Has The Sole Authority To Edit And Locale Any Classified Advertisement As Deemed Appropriate And Reserves The Right To Refuse Any Advertising. I n IBM I I II 1 1 up i i i C- U' m m u h ii 'j. (ji ti u it h 'i us t. f o INTERMOUNTAIN HEALTH CARE What Can Be Done to Moon Rural Health Care? j I i t, enues to urban hospitals. cians half its medical staff. heart of managed competition system is vital to our regions J ( Sometimes this is necessary, as OBSTACLES TO RURAL REFORM reorrTl proposals. citizens and economy 1 'T'' wnen a rural hospital lacks the 4. Reluctance to align with Intermountain Health Care, 1 C"n capability to treat a patient, but 1. Lack of competition. systems. Some rural hospitals with 12 rural hospitals and . J yf sometimes it is not necessary Most reform proposals rely on are suspicious of participating numerous clinics, is committed I i 2. Lack of economies of managed competition which in health systems, where hos- to providing rural health care v j s"orV0"Lnt scale. Its hard to maintain low depends on a mixture of gov- pitals, physicians, and services. ; : j Intermountain Health Care prices when you're dealing eminent regulation and com- managed care plans - We believe our . si with relatively small numbers petition between health care such as HMOs join w region needs to II j R of patients. Imagine, for exam- providers. These models may together to provide a lfj. accomplish two p4 ural health care is not just P'e tnat a mral hospital and an not work well in rural settings full range of cost- j iij'i;'inju 'i goals: II 1 the concern of rural resi- urban hospital each invest in because a community can only effective health ser- vr)') iy) i. Define essential dents. Most of us who live in identical $75,000 mammogra- support one hospital. vices. Although com- ,.f,ii. . health services ; " the larger cities of the phy systems. The I iKYwrMn- I which should be 1 Intermountain West travel urban hospital has 10 " " " located in rural areas. : :1 through rural areas often, in mammography " - : . . 2. Identify a struc- A f pursuit of business or recre- patients a day, but the .. ture to assure the efficient I 11 ation. Tourism, mining, ranch- rural hospital only has delivery of these services in M ing, transportation, and many three- Because of the - r rural areas : N II other industnes depend on the higher volume, the j , ; The most effective way to I existence of rural health ser- urban hospital can 1 ,j , . Ushlh lsis X fi vices; and these businesses charge less for each f . ' , ; undoubtedly through a comb.- I support manyjobs in cities as mammogram it per- . , f nation of public and private well as in rural areas. trms. ; ' . JI - ' , initiatives. In the Intermountain I Readers of this column 3. Payment prob- . f i ; 7 region, there are already many :s have asked how health care lems. Rural hospitals i 1 .r-,V" f K examples of successful partner- M reform will affect rural care. tend to see a higher 5 , l.WIJ : ships between rural facilities M Indeed, the impact of reform percentage of fy " and full-service health systems, fi proposals on rural care Medicare and unm- y f-, where transport services, out- M remains a nagging question sured patients com- y ;i: ; reach programs, and other U: j that has often been given inad- pared to urban hospi- j j serviCeS are brought to rural l equate attention in public poli- tals. Since hospitals h , areas. These rural providers L:, cy debates about reform, receive lower reim- j benefit from integration while ill because rural health issues are bursement for treating ; retaining significant local III different in many ways from Medicare patients L----- ...w. J representation. iy 11 urban health issues. Here are and often no reim- L 1 some thoughts on the special bursement at all when treating . , , y , , , M , jy f 5 , A rhp lining, rpH thk mparK 2- Cost versus access. Cost petition between these inte- related to health care, please if wr nature of rural care and how tne uninsured mis means r ,11 r ,im-,0 K we might approach that rural hospitals have is the primary problem with grated systems is the comer- call or write. M issues of reform- greater difficulty in health care in urban areas, but stone of most reform propos- I C) covering their costs access to services is the prima- als, some rural hospitals may 1HC DIALOGUE ON HEALTH CARE 101 CURRENT CONCERNS j l 4. bor shortage ry problem in rural areas. view such integration as a 36 South State Street 1 r S 'T'' Physicians, nurses Managed competition is threat to their autonomy and Salt Lake City, Utah 84111 HEALTHCARE $ kV-!J II technicians and designed pnmanly to control another way to lose revenue 1 800 889 3337 1. Competition jj other clinical and C0SL and patients to urban areas, with urban hospitals. I non-clinical staff 3. Low managed care pene- RURAL AGENDA yi In dollar terms, most I members are often tration. Currently, most rural health care to resi- 8 ' difficult to recruit . residents in the Intermountain The first step in bringing the GARFIELD dents of rural areas is delivered and retain in rural areas. One area are not enrolled in HMOs benefits of health care reform p j MEMORIAL HOSPITAL in the cities. Rural hospitals rural hospital in this region and other managed care plans, to rural areas is to recognize Mini ri 1 11 r 1 J 11 1 1111 r HITl AStmcio) often lose patients and rev- recently lost two ot its physi- and managed care is at the that a strong rural health care I H C humomiam hm c,m |