W W W . A Z C E N T R A L . C O M || T U E S D A Y , A P R I L 1 , 2 0 1 4 || P A G E A 3
E.J. MONTINI
Valley&State R E A C H U S || M A R I A N F R A N K , V A L L E Y & S T A T E E D I T O R , M A R I A N . F R A N K @ A R I Z O N A R E P U B L I C . C O M
Panel seeks changes to let public system better help the poor
Goldwater lawyers want $375,000 ‘gift’ from taxpayers
L
Miguel Sarmiento waits in the ER at Maricopa Medical Center. Maricopa County voters are expected to be asked this fall to approve a bond initiative aimed at improving health care for those in need. NICK OZA/THE REPUBLIC
County urged to overhaul quality of health care services By Michelle Ye Hee Lee The Republic · azcentral.com
A citizens committee has en dorsed a $935 million overhaul of Maricopa County’s public hospital system to decentralize its services and improve access to health care for the Valley’s poorest residents. County voters likely will be asked this November to approve a bond initiative capped at $935 million to pay for a new county hospital, a new behavioral-health facility and new, expanded or renovated clinics throughout the Valley, mainly in areas with the most un derserved and uninsured patients. The 15-member committee’s final report, approved unanimously Wednesday, essential-
ON THE BEAT Michelle Ye Hee Lee covers county government, with an emphasis on government accountability and public money. She also has covered the Jodi Arias trial and the Tucson shootings in 2011.
How to reach her
michelle.lee@arizonarepublic.com Phone: 602-444-8290 Twitter: @myhlee
ly validates hospital executives’ long-standing desire to transition the Maricopa Integrated Health System into a network of community-based clinics that provide primary, preventive,
specialty and outpatient care. The philosophical shift mirrors local population trends and national changes in the healthcare industry related in part to the Affordable Care Act. The need to increase access to health care is growing, particularly as Maricopa County’s population grows and becomes more diverse, the committee found. “The one thing I think is pretty clear is there’s going to be a whole lot more pressure on primary care. So, developing processes to be able to extend our primary physicians’ reach in the community is critical,” said former Pinnacle West Capital Corp. CEO Bill Post, the committee’s chairman. The health district’s fivemember board of directors now will decide which recommen-
dations to heed and how large a bond package to propose to pay for the changes. The board could explore other financing mechanisms or create partnerships to offset the cost of a bond issue. Voters in 2004 agreed to create the Maricopa Integrated Health System, the county’s special health-care district and the public hospital system that provides care for the Valley’s poor and uninsured. It also is a training and teaching venue for health-care professionals, funded by federal and state money and a county property tax. The citizens committee, composed of community leaders, was directed to examine health-care demands and unmet needs in the communiSee HEALTH, Page A5
INSIDE YOU’LL FIND 14 MORE PAGES OF LOCAL NEWS IN THIS SECTION
Politics: A House panel approved a bill that lets Legislature police pension payouts. A8
Business: The chances of finding a job are rising as economic recovery continues. A10
Robb: The Medicare expansion ruling is subverting the will of Arizonans. A13
Lottery, A4 Stocks, A11 Opinions, A13 Letters, A14 Obituaries, A16-17
awyers for the Goldwater Institute say their lawsuit against “release time” for police union representatives in Phoenix will save taxpayers like us millions of dollars. But first, for the time they’ve spent altruistically working on our behalf Goldwater attorneys are asking the judge in the case to grant them “reasonable” fees and costs of $375,046.10. To be paid by – you guessed it – us. Not long ago Maricopa County Superior Court Judge Katherine Cooper made permanent her temporary injunction barring members of PLEA from using contractually-negotiated “release time.” That’s when officers are paid to do union work while on the city payroll. It’s a practice that occurs all across the country. As explained by PLEA on its website after the Goldwater case was filed, work release “isn’t rocket science and there aren’t any hidden agendas. When it comes to union release time, PLEA is the requestor and those in City government are the grantors. The City clearly recognizes the benefits to having personnel on full-time release which allows them to operate more efficiently and save money in the long run.” Phoenix officials, like others around the country, view release time as a way for union officers to deal with issues that come up between the workforce and management. The Goldwater lawyers challenged the city’s contract with PLEA, saying it violates the Arizona Constitution’s gift clause. After the judge’s most recent ruling Clint Bolick, Vice President for litigation at the Goldwater Institute said, “This decision is the first step in getting rid of an outrageous practice that places public resources at the disposal of special interests. Today’s ruling puts government unions everywhere on notice that taxpayers cannot be forced to bankroll union activities.” However, taxpayers apparently can be forced to bankroll the activities of think tank lawyers — men in three-piece suits who, unlike our men and women in blue, don’t put their lives on the line for us each and every day. Still, after the judge’s ruling Acting City Manager Ed Zuercher said he’d end release time for all of the city’s employee unions. He has put off that decision for a few weeks, saying he’s negotiating with labor leaders about how to make the transition. Either way, the case isn’t over. The judge said it’s possible for the city and the unions to negotiate an agreement that would satisfy the requirements of the state constitution’s gift clause. And her work release ruling is being appealed. Reach Montini at 602-444-8978.