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He landed in the Midwest, in part, because he took the scholarship the University of Michigan offered him toward a master's degree in health services administration. He stayed because his wife, Carolyn, whom he met in the master's program, wanted to grow her Midwestern roots. National Woes No, he hadn't seen Sicko, Michael Moore's documentary film that tears into health care in the United States. "I'm going to summon the courage he says. "I need to see it:' In answer to some of the film's well- publicized criticisms, he says: "I'd be at the front of the parade for universal coverage, but it can't be a single-payer system. Philosophically, our organi- zation is absolutely behind it, but it depends on the details of the plan." He disagrees with the movie's prem- ise that the United States should model its health care system on another country's. "If there was one that was really working, I'd know:' Joseph says. "I know the Canadian system, where you queue up and wait your turn, is not going to fly here. Whatever it is, it has to be uniquely American." While agreeing that the time and money hospitals spend to woo patients drives up the cost of health care, he believes: "Competition makes every- body better. I'm not smart enough to figure out another way!' Juggling It All "No two days are the same he says of a job that revolves around going to meetings, listening and giving an occasional speech as he represents the St. John system to its individual hospi- tals and to the business and political communities. JARC in Farmington Hills is one of the local organizations to which Joseph gives his time, serving on its foundation investment committee. "We're thrilled to have someone of his background and expertise says Joyce Keller, JARC executive director. "He brings such a global perspective. He's a terrific guy. "St. John has gotten involved with us as a corporate sponsor of our events ; ) Keller adds. "We hope to take part in some training opportunities that St. John can provide to our staff' Richard E. Blowse, president and CEO of the Detroit Regional Chamber, said having Joseph on the chamber of commerce executive board is impor- tant because "he is such a leader in the health care industry. "Health care is our number one policy issue Blowse says, "and we also provide health insurance to small busi- ness owners. He's a very participative board member." Joseph lists as his biggest challenges: "To find time to read all the e-mails, to prioritize where to spend my time, to be in the right place at the right time. I try not to be a slave to crisis." Lauded for his planning ability, he acknowledges that for his own career, "I've been lucky without a real plan." It was his mother, a hospital purchasing agent, who pointed an initially reluc- tant son toward hospital administra- tion."It turned out my mother knew best:' II Canoe To Help The 2007 Canoe to Care, a benefit for the Charach Cancer Treatment Center, will be held on Saturday, Sept. 8, from noon to 4 p.m. The event includes two hours of canoeing on the Huron River, a picnic, contests and prizes. Cost is $30 per person. There is no charge for children. Canoes will leave from Heavner's Canoe Rental at the Proud Lake State Recreation Area off Wixom Road. For tickets, contact Chrisie Deming, (248) 937-5055, or www.hvsh.org/hvsh/cal- endar. The Natalie and Manny Charach Cancer Treatment Center at Huron Valley-Sinai Hospital in Commerce provides cancer education, detection and treatment along with support groups and other services to help can- cer patients and their families. Canoe to Care, now in its fifth year, was begun by Natalie and Manny Charach of West Bloomfield.