Page 14-Friday, May 8, 1981-The Michigan Dail' Hike in health care costs expected CHICAGO (AP) - A sagging economy in the first half of the 1980s will have a severe impact on health care, with poor people and public hospitals becoming the most vulnerable to cutbacks, a group of resear- chers has predicted. The researchers said in an article in the current issue of the Journal of the American Medical Association that hospitals, public health agencies, and health science centers will suffer from projected declines in government spending and private philan- thropy. They said they based their predictions on long-term economic forecasts and national opinion polls. CURRENT POLLS, THE article said, show much lower levels of interest in social problems, such as health care, than in the recent past. "The public today places lower priority on the overall im- provement of community services, particularly tax- supported services," the article said. One of the results "will be a public retrenchment in care for poor people," said Dr. Robert Blendon, an author of the article and member of the Robert Wood Johnson Foundation in New Jersey. The foundation calls itself the nation's largest health care philan- I thropy and says it makes about $50 million in grants annually to health services organizations. "Public dollars will be going down," he said in a telephone interview, adding that there is likely to be a large-scale cutbacks ii Medicaid, neighborhood health centers, and clinics that provide preventive health care. PUBLIC HOSPITALS ALSO could face serious problems because a significant part of their patient load is poor people. Some of those poor people will receive free health care, Schramm said, but "there will be a great amount of pressure to shift the cost of treating those patients to the insured patients." That would result in increased insurance costs, he said. Blendon also said the poor will not be the only vic- tims of high inflation and a slowdown in the growth of the economy. There will be less scholarship money available for medical schools and tuition costs will increase shar- ply, Blendon said. "It will be harder for middle-class people to meet the costs for training their children to be doctors or dentists." 4 0 0000 0 0 0 0 00 0 00 0 00 0' 0 0 00 0 00 0 0O 0 0 0 0 o Oo0ooQ°O o O 00 °00 °00 00 °00 00°0 0 0' O° 0 0 0° Q0 0 0 0 0 0 00 o 000 0 00 0 00000 000 OO c " " o o" 0 0 0°0 0 0 0 0 0 0 000 000 o~ 00 co 00 00 00 0 - . .000 o 00 0 0 0 0 0 0 0 0o0 0 0 0 0 0 00 00 000000000 0000 0ao 0 0 0 0°000 00000 00 0 0 00 0 0o00 0 0 0o0000 0000 0 0 0 000000 0 000 °0 0 0 0° 000 0 00 0 0 0 0 0 0O o O 0 ° ' Caj CO ao ooo oo ao * o o°0 0 00 0 0 0000000000000000000 S E 0Q 0 0 o0 a0n0a a0a0a0 0000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0o°0 0 0 *0 0 0 0* 0 0 0 *0 0 0 0 0 0 00 0 0000 000 0000 00000 0 00000000000o0o00 00000 0 O 0 0 000*0 00 0 0 0* o00 000* o0 0 0 0 000 000 000 000 000 00 00 00 00 000 0 0 0o00 0 0 000 000 000 000 00 0 0O o 00 0 00 0 00 00 00 00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 O a 0 0 000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 000°00 000°0 0000 0 0O 0 0 0 00 00 0a0 0 0 0 00 0 0 0 D0 0 S0$0f0t0 000000000 0p0 0 0 0 0O O a 0O O 0O 0 O 0 O00000 0000 00 0° 000 00 0 000°a0O0 00 00 0000 0000 o 0 a 0 0 0 0 o 00 t 0 0 00 0oO 0 O 0 00 0 00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 00 0o o a 0 ° 0 ° °0 0 °0 0° 0 i 00 00 0 0000*000°00 ° 0**° 00** 0 **00** no 00 *0 o *0 0 *0 0 0 ** 0 * 0 * 0 * 0 0 0'0 0 0 0 0 00 0° 00Q00 00 ° 00 °oO°00 00 0 0 00° 00 00 00 0 00 0 0 0 0 0 0 0 0 0 0 0 0 0 Q O O O O O O O O O O O O O 0 0 O- 0 0 * 00* *00 0*0 *0 °0 0 0 0 °0 0 *0* 0 a 00 ° 00 ° 00 °00 0 0 0 00 ° 00 0 0 00 0 0 * 0 000 000 00 000 o 0 0 O 0 0 0 0 0ooo 00°o o ° 00 °O0 ° 0* ° a* 0 ° 0* ° *00 °*oo * 00 0 0 000 0 0 0 0 0 0 0 'I~)c' 00 00 00 0 0000 a0000 0 000aO00000 0 0 Ow O 0 0 0 0 0 0 0 0 0 0 0 0 0 0 O 0 0 0 ( 00 00 0000 0O0oo O O0O0Oo000 00 0_ 0 0 0 000 0 0 a 0 0 O 0 0 00 0 0 00 0 00 0 00 0 0 00 0o00 oO000 Q00 000 Q o 0 0 0 o a° 0 0 O 0 00 0 0 0 0 0 p Oo 0,,O 0 0O O O O O O 0 00 0 0 0 00 0 0 0 00 0 0 0 00 0 0 ,00 00 0 0 0 0 0 0 0 0 0 00 00 ° 00 00 00 00000001001000010'000000010 °O O°0000 O° 0°O0O°0 0o 0 000 000 0 °0 000 O ~ O O O O O O O O o OO O O0 * ~ 00 00 00 0 0 000 O 00 0 a 0 000 00 00 0000 0 0 0 0 o 00 00 0 0 000 0 0'0O000O0O00 0 * 0o0000 00000000,0 00 000 0o00000000:000O0:0:000:0 o 00 00000000*0000O0000000 *00000 0000000000000000000 00 00 00 o000 00 0 00 0000 0*0o 0 * 000 * 000 0* ° o ° ° ° ° ° ° a 4p 0 oa 0 oo0* 0* ° 00 °* 00 °* Qo °*00 00 0 0 0 0* 0 0 0°* 0 0 0 0 0* 0 0 0 0 o* 5 1 0b0 0°00°° 0°oO o O°05 v b ; 0 ao*0 00 0 00 0 00*Oa 0 00*bo * o o°0 0 000 * * °0 *0° 0 0 * 0 0 Oo 0O 0 0 00 00 00 0 o *O O00O *° 00*0 000 000 0 *0 " 000 * o* oo* o A'" 9 o* eo 0 o ooooo a 0 0 0 o Oo o 0 0 0 0 0 Medal may be denied to ex-hostage Joe Subic WASHINGTON (UPI)-An Army awards panel will not recommend a commendation medal for former Iran hostage Joseph Subic, Jr. because of his questionable behavior during captivity, sources said yesterday. While in captivity, Staff Sgt. Subic, 24, and three other hostages appeared in an Iranian film that condemned the role of the United States in Iran. LAST MONTH, Subic told his hometown newspaper the films his Iranian captors made of -him were "faked." He said he was beaten and suffered a bleeding ulcer at the time. Nevertheless, sources said the Army awards panel regarded Subic's behavior as questionable and "foggy." Maj. Gen. Jerry Curry said Subic-was not under investigation by the Army. Other sources said no investigation is contemplated. Neither Curry nor an official Army' spokesman would confirm whether the Army board.recommended withholding the commendation from Subic, The Joint Chiefs of Staff or Defense Secretary Caspar Weinberger can overturn the board's decision concer- ning Subic if they feel all 20 military personnel among the 52 Americans held hostage for 444 days were heroes, the sources said. Subic, whose parents livein Redford Township, Mich,, has been back on ac- tive Army duty since April. He reportedly plans to seek an early discharge so he can tell the story of his captivity without risking a military reprimand and take advantage of commercial and political offers. In the film, Subic said he arrived in Iran as a defender of the shah but after seeing "more and more poor people-people without homes, food, education-my thinking started to turn around." The film was released shortly after the November 1979 takeover of the U.S. Embassy in Tehran. 4 0 I 40