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April 23, 1993     The Message
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April 23, 1993

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4 The Message w for Catholics of Southwestern Indiana -:-. Perspective-- Images of virulence bring call for Some days the news is al- most too much to bear. The beginning of this week was one of those times. The violent deaths of the Branch Davidians filled TV screens with furious flames and pillars of smoke rising from the remains of the sect's compound near Waco, Texas. A phone caller from Evansville reacted with the only reaction appropriate to a Chris- tian at the moment of such a tragedy u a call for common prayer. The news from Waco tem- porarily pushed aside some of the news from Srebenica and Sarajevo and all of the other cities and locations in Bosnia-Herzegovina which we have now come to associate with war and starva- tion, cruelty and death. Such news does not bring with it the basis for hope u when neighbors are caught up in rape and murder and "ethnic cleansing." Stories and photographs of violence in South Africa -- the killing of a popular leader and the reaction to it -- still linger on the pages By PAUL R. LEINGANG EDITOR of the paper. Images of a leader's funeral, crowds of mourners fill- ing a stadium, still flicker on TV screens. The week just ended had brought news of the federal con- victions of two police officers in Los Angeles, for violating the civil rights of Rodney King. The verdict seemed to lessen the pres- sure toward renewed urban vio- lence, but debate may continue about the appropriateness of the trial and the verdict, for years to come. What wisdom will we gain from the passage of time? If we lo0k to the reports about the Holocaust, we find no reason for hope: the news today, from the vantage point of 50 years, is that many people do not know what the Holocaust was I and that many who do know what the words mean do not believe that the events actually happened. Father Donald Dilger's scripture commen- tary this week comes to mind -- in particular the story about the walk to Emmaus. As Luke tells the story, a stranger joins some saddened follow- ers of Jesus on a journey to nearby Emmaus. The stranger asks them why they are sad. anyone have been in Jerusalem and of the reason for such sadness, they So is it that we are puzzled it be that anyone today is not aware rors of the Holocaust? The danger of so much news that we will watch it and hear it and read it -- and it will not affect us. When the tragedy and Violence seems almost too bear I that is the time when we ourselves to remain as uninvolved even worse, to become capable of completely. The pictures from Waco will no shown again and again -- joining the peated and repeated of Rodney and pictures of war-torn Bosnia, violence-ridden Africa, and the faces of starving children in Somalia. How could anyone be a ci today and not be aware of such sadness fering? At each repetition of such images of' lence, do not turn your head. Instead, the victims. Perhaps in that prayer, you will recognize Jesus in our midst. . IIII _ Washington Letter Health care refc.:m: Only sure thing is somebody won't like ByNANCYFRAZIERO'BRIEN But cost controls won't individual plans is very Clinton staffers talk about very important to:! Catholic News Service WASHINGTON (CNS) The 0nly sure thing about President Clinton's health care reform plan. now ex- pected May 24, is that some- body isn't g6ing to like it. Still, many aspects of the emerging Clinton health care reform plan bear a strong re- semblance to the 44-page pro- osal advanced in early 1992 the Catholic Health Asso- ciation's Leadership Task Force on National Health Pol- icy Reform. "Achieving peace of mind fOrr the ercan public must be the hallmark of health care reform," said Ron Pollack, ex- ecutive director of Families USA, a consumer health group. His remarks came as he released a study showing that more than a third of American families have at least one family member without health insurance in 1993. "Getting health costs under control and extending protec- tion to all of us will help American families and small businesses," Pollack added. The MESSAGE 4200 N. Kentucky Ave. Evansville, IN 47720-0169 Weekly newspaper of the Diocese of Evansville Pub#shed weetdy except last week in December by the Caffcc Press of E ...-.: ................................ .pa u= Box 4169. Evansville, IN 477240169 Subscrtpl rate: $12.00 per year Single Copy Prk:e: $.SO Entered as 2n1 class rnat at he p0st o= in Evantl, IN 47701. Publica- tion nurnr 843800. Postmaster. Return POD forms 3579 to Office of PublCatmn  lg83 Calldic Prom of Evanwib II I please doctors, and angry doctors will be "like having termites in your system," said former presidential candidate Paul Tsongas in an April 14 talk on behalf of the Health- care'Leadership Council, a group of chief executives from major insurance, drug and hospital companies. The council backs an ap- proach that centers on man- aged competition -- a varia- tion on . the .health maintenance organization theme -- but does not impose price controls. Both managed competition and cost controls are expected to he part of the final Clinton proposal. Although the Task Force on National Health Care Reform chaired by first lady Hillary Rodham Clinton was not ex- pected to complete its work by its original May 3 dead- line, Mrs. Clinton and others on the task force have hinted at its outlines. In a speech at the Univer- sity of Texas, Mrs. Clinton said the core benefits package to be offered to all in the health reform plan will in- clude hospitalization, catas- trophic care, primary and preventive care, some mental health coverage, some sub- stance abuse coverage and "some beginning effort on long-term care." "What we currently have is a system for taking care of sickness," she said. "We do not have a system for enhanc- ing and promoting health." Clinton health adviser Ira Magaziner described the emerging proposal in a recent memo to task force members as "managed competition itIaglobal budgets" and said e likely plan "does not exist anywhere in practice." "Reforming the health care system will involve govern- ment-led changes on a scale not attempted since Social Security," he said. "People are calig for massive change, yet their support for weak." Still far from clear is the question of how the reform plan will be funded and whether participants in the basic health plan will be sub- ject to such out-of-pocket ex- penses as co-payments or de- ductibles. The program envisioned by the Catholic Health Associa- tion would place all Ameri- cans into local "integrated de- livery networks" offering health promotion, preventive care, primary care, specialty care, hospital or hospice care, home care and long-term care. Those in all but the most remote rural areas would have their choice of several networks and could switch once a year if they were not satisfied with the care they received. A state health organization would oversee the integrated delivery networks, determin- ing community needs and chartering the networks needed to respond to those needs. The state groups would pay the integrated de- livery networks a risk-ad- justed, per-capita fee for the population they serve. Overall funding decisions would be made by a new in- dependent public agency, the National Health Board, which would establish national health care funding levels, set a comprehensive benefits package for all Americans and allocate funds to the state health organizations. Although there is no way to be sure about details of the Clinton proposal, it seems likely to go along with the CHA plan on the global bud- get concept and the switch from a "per-service" type of health delivery system to a "per-person" payment, said CHA lobbyist Jack Bresch and government liaison Jeanne Elden Beale, both of whom work in Washington for the St. Louis-based organization. "accountable health plans" or "health alliances" that bear a strong resemblance to CHA's integrated delivery networks, and their "health insurance purchasing cooperatives" sound a lot like CHA's state health organizations. One big divergence from the CHA plan seems likely to come in the area of long-term care  a big-bucks battle that Clinton might not be willing to fight right now. "We think long-term care is of acom[ package and to health care said Beale. Because of U.S. population and handicapped proposal that term care "will 1 large portion of tion," she said. to control health a major part of costs are left out." Bishop's The following activities and events are schedule of Bishop Gerald A. Gettelfinger.