November 22-28, 1987, Mlch n CitIZen Care. al ByBalTyT Capitlll News Service LANSING - Almost 65 per­ cent of the working poor with families have no access to health care in Michigan and more people are finding it difficult to get because of increase costs. Two key problems for people getting assistance for health care have come about in the last few years. One i the government limit­ ing eligibility for public assis­ tance, said Pam Paul-Shaheen, pecial studies chief of the Department of Public Health. People who were formerly receiving this are not," said Paul­ Shaheen, and today there are fewer people receiving it also. The government tightened eligibility for health care in r ponse to the recession of the early 80's and because of the piraling inflation. a C ued from ge 1 ere of 17 percent over last year. She identifies drug abuse, al­ cohol abuse and drug trafficking as major contributors to the city's high death rate, showing. dramatic increases in the use of cocaine and its derivative, crack. Detroit, she says, is second only to ew Yor in crack distribu­ tion, usage and emergency ho pital treatment. OTHE IGHLIGHTS 0 ORRISO -s REPO T eLUDE: - At the current r te of cocaine/crack related treatment admissions, there will be a 40 percent increase in 1987 ov r year, the highest percentage increase since 1975. - Crac cocaine i the primary drug of abuse in 46 per­ cent of int e to substance abuse treatment programs. - Detroit Police Department reports the availability of cocaine and crack is proliferat­ ing while heroin use and availability is decreasing. - Detroit i in danger of ex­ periencing the worse AIDS epidemic outside of New York fueled by the more than 40,000 intravenous drug users. - Blac are particularly af­ fected by the intravenous drug buse-AIDS relationship, com­ prising 76 percent of all AIDS cases with reported IV drug use. -Based on available statistics, total expenditures for treatment of substance abuse related dis­ order is estimated at $144 mil­ lion and growing annually. - Access to adequate drug treatment facilities is restricted due to the sheer numbers. Morrison stresses the need for prevention and education. So 6S % or tate' orldng poor n't fford health care. The other key problem is in the private sector, as businesses reduce coverage to their r • I 10 an' x She said she hopes to to capture the attention of decision makers and encourage people to think of new strategies. "The old way hasn't worked. We have to think of new ays,­ she said. In the report she cites statis­ tics from the Detroit Police ar- coties Unit to prove her point. While there were 2,301 arrests in 1986, by August of this year, the number was already at 2,263. Raids on drug houses continue at a rate of 200-250 per month, a "mere drop in the bucket when as many as one percent of all housing in the city i estimated to be involved indrug use 0 drug trafficking activity," the report continues. Death,jail or recovery are the only options for the drug abuser, with recovery the least likely, the report states. Treatment of substance abuse related disorders cost Detroit residents $144 million in 1985, a Wayne State study reveals. As of August, 1987 the wor ers, said Paul-Shaheen. Other businesses are opting not to provide care because they see it as cheaper, Paul-Shaheen added. Business reduction of in­ surance has made it harder for people to get access to hospitals as costs rise. Many public and private hospitals have limited their amount of health care of­ fered and have moved the cost onto paying patients. Gloria Smith, director of the Department of Public Health, said 50 to 60 percent of people with low paying jobs don't have access to health insurance and their finances are used up through their savings or through borrowing money. As of 1985, almost 65 percent of the adult working population with families were uninsured, according to the Department of Public Health. / Report finding Detroit Health Department had received 4,770 requests for treatment, a 34 percent increase over the previous year, the study says. Of the 547 requests for ser­ vice, only 334 were processed and only 325 ere actually referred to treatment. "There is a long line of drug addicts waiting for treatment in the city of Detroit. And the line is getting longer," Morrison writes. She fears the next logical step by an overwhelmed community will be to consider legaliza ion of drugs. Morrison recalls the tory of alcohol, once n illeg I sub­ stance, legitimized following the social chaos of Prohi ition. In Detroit, homoci e i the leading cause of death ong Blac males between the ages of 15 and 35. In 50 percent of these deaths, the victims had con­ sumed alcohol, and an increas­ ing number involve cocaine or crack, Morrison reports. "Clearly, in isolation, effor to reduce the supply of dru will not end the crisis. Nor will it be treated away .... We find our­ selves in desperate need of total community involvement and new strategies of education, prevention, intervention and law enforcement aimed at reducing the DEMAND for drugs.," the report says. ·OURSURVIVALISBE G THREATENED, but the primary threat is not the drug nor the AIDS virus. The threat is 'us'; our permissive behavior, our acceptance, our apathy, and our apparent surrender in the fight against drugs," Morrison said. ry? Getting access to health in­ surance is more of a problem in Michigan as industries move from manufacturing jobs and to ervices where a lack of in­ surance coverage exists, said Paul-Shaheen. Help is needed in the 18-to- 25 year old range, where people may be able to purchase in- surance but choose not to be­ cause of costs. y ouog people also fit in a category of those who have lost insurance or have no financial means to get it. A task force set up by the Department of Public Health has been looking into the problem. Cl:1annel 50 pro es Continued from pag 1 various airings will be rein­ vested to support apartheid policies. It says to the public, 'look how savages ruled South Africa in the past, this is why we cannot allow them to rule South Africa again!" On the other side of the coin, T.V. SO's Anchorperson, Amyre Makupson said, 'We at Channel 50 put together a committee to view the film, "Shaka Zulu" before airing it. The committee consisted of several Detroit dignitaries in­ cluding: Urban League Vice President of Administration Zenobia Payne Drake, Execu­ tive Secretary of Detroit NAACP Winston Lange, State Arthur Johnson. Makupson was the Channel SO's frontline person meeting the people who were opposed to the series, and listening to their points of view. She said, "The people who saw the film enjoyed it, and the ones who had not seen it were the main ones protest- . " mg. New Detroit's S. Martin Taylor who organized the pick­ eting as well as November 13's press conference in protest, commented saying, "The South African Government has destroyed freedom of the press in that country. The government is managing all news that comes from that country and therefore should not be allowed to propagan- Detroit Recorder's Court Judge Edward Thomas, Vice President of Ford Motor Com­ pany Eillo Hall, Psychiartrist Dr. Dexter Fields, Internist Dr. Margaret Betts, WJZZ's Deborah Copeland, Derek Hill of WJLB, Dr. Shade, and o Pearson of Havenwyc Hospital aku on says she and the remaind r of the commit­ tee unanimo ly agreed, after three and one half hours of viewing. that e series, "Shaka Zulu- should be aired. They termed the violence and par­ tial nudity insignificant to the content of the film. Others who re invited to the showing but did not make an appearance re: S. � ar­ tin Taylor of e Detroit, u­ perintendant of Schools r­ thur Jefferson, Assistant P' - tor of Hartford Memorial Bap­ tist Church Mangedwa yathi, and Vice President of Wayne dize its white supremacist policies under the guise of a historically inaccurate docu­ drama," He added, "To permit this film is to lift the sanction of moral outrage from the apart­ heid policies and news control­ ling tactics of the South African regime. It is acknow­ ledged that Shaka Zulu was financed in part and op nly approved by the state-control­ led South African Broadcast­ ing Company," Malrupson stated, e asked those in protest to ub­ stantiate their allegatio that the South African vern­ ment intended to reinv t the monies from this film to sup­ port apartheid and no such in­ formation was produced, so we aired it."