Physicians Today Are Under Siege

Today, 12 to 14 hour days are not enough for a physician to deliver quality health care. Health
care reform has diverted so much of a doctors day to other, non-patient concerns: leaving little
time left to deal with the tnily important issues such as patient care, staff and practice welfare.

Today, this prognosis
can be changed, leav-
ing a physician em-
powered and in
control of practice
assets. Ergo-
nomic Decision
Systems, a prac-
tice management
group with more
than 40 years of
experience, will
giece$
reengineer your practice
resources to help you maintain
a competitive position and se-
cure your financial viability.

Your initial practice
management analysis
is FREE and will
consist of a thor-
ough examination
of your reimburse-
ment systems,
managed care con-
tracts, cost struc-
tures and staffing al-
locations. The results
will then be graphically
presented as a practice pro-
file. For complete details, call
Ergonomic Decision Systems
for an on-site consultation.

Ergonomic Decision Systems

(A Medical Practice Management Group)

Farmington Hills, MI - (810) 474-8665

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Israelis Prepare
Pro-Peace Effort

major Israeli public rela-
tions offensive designed to
reinforce American Jew-
ish support for the Middle
East peace process will begin in
earnest with rally at Madison
Square Garden in New York fea-
turing Prime Minister Shimon
Peres, Vice President Al Gore
and Leah Rabin, the widow of
the slain prime minister.
And officials in Washington
are singing the same tune about
the need for stronger support for
the peace process.
At a briefing for a delegation
from the American Zionist Move-
ment (AZM), special Mideast en-
voy Dennis Ross — who was in
the Middle East trying to exploit
recent indications of a. new open-
ness to negotiation by Syrian
President Hafez Assad — at-
tacked opposition groups and
urged mainstream organizations
like AZM to do more to build
support for the talks among
American Jews.
The session was organized by
Jonathan Kessler, a Washing-
ton-based political consultant
who specializes in Mideast pub-
lic diplomacy. "Ross spoke pas-
sionately about the gains made

A

in the peace process and about
the change in the relationship be-
tween Israelis and the Pales-
tinians," one participant said of
the off-the-record session. "And
he expressed a fair amount of his
own anger at the tone and the en-
ergy of peace process opponents."
The AZM group also went to
the Israeli embassy for an un-
usual session with Israeli, Pales-
tinian, Egyptian, Jordanian and
Qatari diplomatic representa-
tives, who spoke about the
changes in the Middle East that
allowed them all to gather at an
embassy that was only a few
years ago enemy territory for
them.
The Baltimore Zionist District,
the breakaway chapter of the
Zionist Organization of America,
was a co-sponsor, along with the
World Zionist Organization lead-
ership development department.
According to several participants,
the Baltimore contingent asked
questions reflecting a strong
skepticism about the peace
process — but also a respect for
the right of the Israeli govern-
ment to make its own decisions
about their country's future.

Foreign Aid
Gridlock Experienced

p

ro-Israel forces spent last
week negotiating with
House leaders in an effort
to shake loose the foreign
aid bill — a measure containing
Israel's $3.2 billion in foreign aid
and a host of other programs that
are economically vital to the gov-
ernment in Jerusalem.
The holdup has nothing to do
with Mideast politics; instead,
the entire foreign operations bill
has been in limbo for weeks be-
cause of language inserted by
House Republicans restricting
aid to organizations that en-
courage abortion in other coun-
tries.
That doesn't jibe with the Sen-
ate's version of things; so far, con-
gressional leaders have not been
able to find a way out of the im-
passe.
But Israel is losing millions of
dollars because of the hitch —
primarily because the govern-
ment in Jerusalem cannot get its
aid for the year up front, a spe-
cial benefit offered only to the
Jewish state, until the appropri-
ations bill is passed.
The gridlocked bill also in-

cludes the renewed Middle East
Peace Facilitation Act, which al-
lows American aid to the Pales-
tinian authority, and provisions
on military sales to Israel and
stockpiling of American
weapons.
Lobbyists for the American Is-
rael Public Affairs Committee
(AIPAC) were working with the
office of House Speaker Newt
Gingrich, R-Ga., in an effort to
find some way to authorize ear-
ly disbursement of Israel's aid —
which will allow Israel to collect
interest on the money.
Mr. Gingrich has said that he
hopes the aid deadlock will be
broken before the Dec. 15 dead-
line for a new budget bill. But
with House freshmen increas-
ingly going their own way, Jew-
ish activists are worried.
"These guys are playing a
very tough game," said an offi-
cial with a major Jewish group
here. "They're showing an in-
creasing willingness and an in-
creasing ability to hold
important appropriations bills
hostage. Aid to Israel has been
caught in the mill."

