ea l th / , -,t4fe,44 Photos by Glenn Triest e I. Physician-patient group combats the Clinton 'Fix' for health reform. RUTH UTTIVIANN STAFF WRITER C3P2 founder Dr. Paul Ehrmann will participate in "Dangerous Medicine," April 16th at Stevenson High School in Livonia. Cr) w U) w -) F- 0 F- LU L1.1 30 overnment-run health care will have a lot in common with the U.S. Postal Service, says Dr. Ira Mickelson, a Royal Oak obste- trician-gynecologist. "Medicine will become some- thing provided to everybody, with mediocre quality, long waits, no smile. You don't get a smile at the post office. "Mailing letters is a right in the United States that every- body has at a reasonable cost," he said. "The government is going to run a medical post office for every- one. You'll be able to go in, get a throat culture and get out. We're really going to lose an incredible amount of personal care." Dr. Mickelson's consterna- tion led him to join C3P2 — Community Coalition for Con- cerned Physicians and Patients. The grass-roots organization is thought to be one of America's few doctor-patient alliances countering President Bill Clin- ton's plan of health-care reform and others similar to it. C3P2's goal: To educate the public about the pitfalls of nationalized medicine, an agenda, which, on its surface, seems humanitarian — but isn't, members say. Supporters of nationalized care claim that 37 to 39 million U.S. citizens do not have health coverage (a statistic C3P2 mem- bers say doesn't reflect the num- ber of people who opt against purchasing it). To guarantee health care for everyone, the Clinton administration devel- oped the Health Security Act. The 1,342-page document out- lines a method of providing medical care for the entire pop- ulace. The plan would create "re- gional alliances," large pur- chasing cooperatives, through which individuals and compa- nies would buy insurance. Cov- erage would become mandatory and citizens would have to ob- tain medical care from doctors listed with a specific regional al- liance. The plan includes penal- ties — including jail time and fines of up to $10,000 — for doc- tors and patients who do not comply. It is still unclear how uni- versal coverage would be fund- ed — likely through higher cigarette taxes, monies from companies choosing to operate their own programs, and through employers who would be responsible for 80 percent of alliance premiums. (Workers would have to pay for the re- maining 20 percent.) Although the Congressional Budget Office projects that the plan will be underfunded by $79 billion in its first six years of im- plementation, President Clin- ton has promised that it will alleviate long-term financial strain on the system. Ameri- cans will ultimately save mon- ey on health care, he says. C3P2 members don't trust the president's optimistic pre- dictions. Advocating a free-mar- ket approach to health care — one that preserves citizens' abil- ity to keep their favorite physi- cians — they say the Clinton plan is bound to pry patients away from their family doctors, reduce competition among health professionals, hurt small businesses and decrease the quality of medical care. "This plan has nothing to do with medical care. It has every- thing to do with government's grab for power," said Dr. Paul Ehrmann, a Royal Oak family practitioner who cofounded C3P2 last fall. Not that Dr. Ehrmann's group doesn't advocate change. C3P2 members favor a reduc- tion in red tape and paperwork They would like to see health care become more portable, less expensive and available to all Americans, despite pre-existing conditions. "But the question is, can we trust the government to do it? They can't even balance their own budget," Dr. Ehrmann said. Ever since Dr. Ehrmann — a 40-year-old osteopath and reg- istered Republican — cofound- ed C3P2 last October with patients Mark and Cathy Your- chock, the trio has met every Monday at 5:30 a.m. to discuss the group's mission. The time commitment has paid off. C3P2 membership has grown to 240, including 144 doctors. Dr. Ehrmann has been featured in a bevy of media: newspaper op- ed columns, radio shows and television programs. "Our group has no special in- terest," Dr. Ehrmann said. `There's no political agenda. We want to get what's best for the patients and to allow the physi- cians to practice medicine the way he or she was trained dur- ing residency. If anything, pa- tients are our special interest." POST page 32