4 Page 2- The Michigan Daily - Wednesday, October 29, 1986 State approves, 'U' HMO Service aims to keep medical costs low By ELLEN FIEDELHOLTZ M-Care Inc., a division of the University, has been granted a license to operate a health maintenance organization (HMO) available to all workers in southeastern Michigan. But although HMOs, the latest trend in health care, promise full coverage of medical problems, some doctors insist the care they provide must be carefully monitored to insure quality. THE NEWLY formed M-Care HMO combines resources from the University Medical Center with services from local doctors and community hospitals. As a result of the state's approval, the HMO will be available to the general public and to University employees in addition to M-Care Major IMPROVE YOUR LUCK with an ELEPHANT HAIR bracelet from Africa Send: $19.95 *AllNatural $2.50 Shipping/Handling StAva ble to: Timba, Ltd. * Allow 3 Weeks 2566 Riata Lane for Delivery Houston, TX 77093 G fix. L\' C N' At Last, A Post-Graduate Course That Actually Prepares You For A Real Job Medical, the University's current group plan. The organizations, which focus on curtailing medical costs, have become a familiar part of the medical community. The M-Care HMO offers a range of medical programs in addition to routine hospitalization and emergency services: consultations, pediatric examinations, immunizations, X- rays, and general office visits. Members of the M-Care HMO select a personal physician from the pool of participating doctors. Their personal physician coordinates all of the member's health care needs, including referral to other specialists. ALL M-CARE members have access to the University medical centers and additional outpatient services at M-Care health service Health! Fitness centers in Plymouth, Brighton, and Chelsea. Additional centers have recently opened near Briarwood Mall and in Northville. M-Care members who need medical attention outside the area may present an identification card at the nearest hospital. In those cases, billing has to be authorized through the 24-hour CARE-line, To join an HMO, individuals or their employers pay an annual fee, and the money is pooled and used to cover all the members' medical expenses. This system differs greatly from the fee-for-service medicine that most people use. Under that system, patients are assessed fees which reflect services rendered. DR. JOHN Scheagren, a professor of ethics at the Medical -School, says some private practitioners administer unnecessary care. HMOs, on the other hand, are designed to avoid unnecessary" expenses. "There is no question that some doctors might keep giving more and more marginal care in order to make a profit," he said. "Doctors can certainly cut back substantially and still give quality care." But Scheagren also warns that the type of care administered by HMOs must be closely monitored. He pointed to a hospital-run HMO in Florida where the quality of care administered suffered greatly. "IN THIS particular situation the press revealed that doctors cut corners in order to save money,'' Scheagren said. Most doctors affiliated with HMOs work on a straight salary, plus incentives. According to Scheagren, some HMOs provide "negative incentives". Doctors may receive a bonus if they treat fewer patients than their quotas allow. "HMOs reflect a definite change in medical philosophy. They don't want to deliver medical care unless it is absolutely necessary. HMOs are businesses like anything else-they have stockholders and profit is a major concern," Scheagren said. "THERE IS an interesting paradox operating at the University Hospital. Fee-for-service patients will be lying in the same beds as HMO patients and will be receiving care from the same pool of physicians. The educational environment and high standards of care will not allow two standards of care to be administered," Scheagren said. "An automatic self-check device exists within the hospital- affiliated HMO." M-Care President Sandy Billingslea says the emergence of a hospital-affiliated HMO is a "reflection of a basic medical trend." SHE ATTRIBUTES HMO popularity to a change in medical attitudes. "HMOs try to control health care costs while providing extensive medical services. People have the opportunity to choose from a large number of doctors and personnel." Medical students at the University are becoming increasingly aware of the changes in medicine and of the presence of health maintenance organizations. "The trend is towards HMOs, which are heavily marketed in today's world," said Tony Burke, president of the medical student council. "Students are told that the possibility of going into private practice upon graduation from medical school is increasingly rare and that the probability of working for a salaried, health care organization is more and more likely," Burke said. Actually, we offer a choice ofjobs. Eight different special- ties, each providing rewarding career opportunities as a professional legal assistant. After four months of intensive study, you'll receive a certificate from the nation's most widely-acclaimed insti- tution of higher education for legal assistants. And, you'll be interviewing for positions with leading law firms and corporations around the country. We receive twice as many requests for our graduates than we have graduates. In fact, we offer a tuition refund if you are not offered a position. The happy ending is a new beginning. A job. The start of a career. Now isn't that the reason you went to school in the first place? IN BRIEF COMPILED FROM ASSOCIATED PRESS REPORTS U.S. to propose arms limit WASHINGTON-A sweeping U.S. proposal to reduce superpower. strategic nuclear weapons by 50 percent in five years and to rid Europe of all intermediate-range weapons will be submitted to the Soviet Union at the Geneva arms talks later this week, an administration official said yesterday. The proposal, which also sets as a goal eliminating all ballistic nuclear missiles in 10 years, was approved at a White House meeting of Presidnt Reagan and a planning group of the National Secruity Council on Monday, said the official, who demanded anonymity. The decision carries out the thrust of Reagan's discussions at the Iceland summit with Mikhail Gorbachev, the Soviet leader. The Soviets have insisted that Reagan went further at Reykjavik, suggesting the United States and the Soviet Union work to ban all strategic nuclear weapons by 1996, not just ballistic missiles. One official, who said U.S. records for the conversations between Reagan and Gorbachev had not yet been prepared, acknowledged the president "may have said that at one point." Bombs blast two U.S. armed forces offices in Puerto Rico SAN JUAN, Puerto Rico-Bombs went off today at two U.S. armed forces facilities, wounding one person, police said. Bombs were found at- five other U.S. facilities, but were defused. The extent of the damage was not immediately known. The Macheteros, a group seeking Puerto Rican independence, claimed responsibility for the blasts. The group has used violence in the past to draw attention to its political demands. A telephone caller who said he spoke on behalf of the group told The Associated Press the attacks were to protest reported plans to train Nicaraguan rebels in Puerto Rico. Sources in the Reagan administration said Monday the Pentagon is developing plans to train the rebels, known as Contras, in the United States and that Puerto Rico was one of three sites being considered. Cancer deaths may be halved WASHINGTON-The National Cancer Institute said yesterday that the aggressive use of existing knowledge could cut the annual cancer death rate in half by the year 2000. The institute released a plan, combining cancer prevention, screening, early detection and treatment, that it said could produce dramatic results by the turn of the century if it were adopted as a national goal. "Knowledge gained over the years can be used to control a significant portion of the disease which was responsible for an estimated 462,000 deaths in 1985," said Dr. Vincent DeVita, director of the institute. Detailed in a new report entitled "Cancer Control Objectives for the Nation: 1985-2000," the plan calls for stepped-up efforts against cigarette smoking and poor diet and earlier use of the latest diagnostic and treatment techniques. The national mortality rate from cancer in 1980, based on the latest available data, was 183 deaths per 100,000 persons annually. This figure could be cut by as much as 50 percent in 15 years by using the prevention and treatment knowledge already available, NCI officials said. GM donates. to black schools WASHINGTON-General Motors Corp., working to fulfill a 1983 agreement to settle job discrimination charges, has presented checks for $200,000 to each of four historically black universities. The endowments presented Monday went to Fisk University in Nashville, Tenn.; Wilberforce University iin Ohio; Xavier University in New Orleans; and Savannah State College in Georgia. They are part of a five-year program launched by GM in 1983 to settle discrimination charges filed 10 years earlier by the Equal Employment Opportunity Commission. The latest payments bring to 32 the number of colleges and universities that have received $200,000 endowments, with each school expected to receive another $50,000 next fall. According to a 1983 EEOC complaint, GM'allegedly failed to hire blacks, Hispanics, other minorities and women and was biased in their training and promotions. Congressman asks Upjohn, Kellogg to leave South Africa KALAMAZOO-The Upjohn Co. and Kellogg Co. should dispose of their operations in South Africa, U.S. Congressman Howard Wolpe said yesterday Wolpe, (D-Lansing), said Upjohn and Kellogg should follow the examples of other U.S. corporations and pull out of the racially segregated country. Upjohn, the pharmaceutical giant based in Kalamazoo, and Battle Creek-based Kellogg, the world's largest producer of ready-to-eat breakfast foods, both are headquartered in Wolpe's 3rd District. Wolpe, chairman of the Africa subcommittee of the House Foreign Affairs Committee, said he has told officers of both companies that "it might be wise for them to be ahead of the curve (and withdraw) because the situation is deteriorating so rapidly." Upjohn and Kellogg spokesmen said their companies believe their presences in South Africa cap help bring peaceful changes in the system of apartheid. Vol. XCVII - No. 40 The Michigan Daily (ISSN 0745-967 X) is published Monday through Friday during the fall and winter terms. Subscription rates: September through April-$18 in Ann Arbor; $35 outside the city. One term-$10 in town; $20 outside the city. The Michigan Daily is a member of The Associated Press and subscribes to Pacific News Service and the Los Angeles Times Syndicate. r 11 10 4 THE INSTiTUTE FOR PARALECAL TRAINING 1926 Arch Street Philadelphia, PA 910:3 American B r Association Approved Ihousinig anti Guarateed St " lent 'I trcive a tree catalIgue call I-800-222-IPLT. In PA culI 215-567-4811. I it' ti8l- ti0 (iv RUMI HEALTH & FITNESS HALLOWEEN HEADQUARTERS Terrific selection of: Make-up kits, wigs, A A masks, glitter, hats, bunny ears, party favors & more. Large variety of stuffed animals & toys. Complete selection of bicycles. "The Friendly Students Store" Campus Bike & Toy 11 Reflections on Beauty Achieving Beauty Through Education r 'I ok " Special Image and Health programs available for your group or organization. * Xia Fashion collec- tions for active and professional women. " Evening presentation availablefor sororities and other groups interested. * color analysis. 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Editor in Chief........................ERIC MATSON Managing Editor....................RACHEL GOTTLIEB News Editor...........................JERRY MARKON City Editor ..............CHRISTY RIEDEL Featues Editor....................AMY MINDELL NEWS STAFF: Francie Allen, Elizabeth Atkins, Eve Becker, Melissa Birks, Laura Bischoff, Rebecca Blumenstein, Brian Bonet, Marc Carrel, Dov Cohen, Tim DalyJohn DunningRob Earle, Ellen Fiedelholtz, Martin Frank, Lisa Green, Stephen Gregory, Jim Ilershiser, Mary Chris Jaklevic, Steve Knopper, Philip 1. Levy, Michael Lustig, Andy Mills, Kery Murakami, Eugene Pak, Martha Sevetson, Wendy Sharp, Susanne Skubik, Naomi Wax. Opinion Page Editor....................KAREN KLEIN Associate Opinion Page Editor...........HENRY PARK OPINION PAGE STAFF: Rosemary Chinnock, Tim Huet, Gayle Kirshenbaum, Peter Mooney, Caleb Southworth. 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Business Manager..............MASON FRANKLIN Sales Manager............. .......DIANE BLOOM Finance Manager..............REBECCA LAWRENCE Classified Manager................GAYLA BROCKMAN Ass't Sales Manager...............DEBRA LEDERER Ass't Classified Manager..........GAYLE SHAPIRO DISPLAY SALES: Barb Calderon, kit Elrand, Lisa Gnas, Melissa Hambrick, Alan Heyman, -Julie Kromholz, Anne Kubek, Wendy Lewis, Jason Liss, Laura Martin, Scott Metcalf, Renee Morrissey, Carolyn Rands.Jimmv Rin tl. Jacqnueline Rosnbnurg Julie 6I Learn Aikido Beginners classes are taught by Sensei Takashi Kushida, 8th degree black belt I A