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Larry Kirsch's avatar

Hey Marty,

Compliments on your excellent exposition and case study of vertical integration in military procurement. Ironically, it was accompanied by a heads-up regarding the Peace Health contract and the pending controversy over Oregon's legal authority to review health care transactions notably contracts affecting structural conditions such as cost, quality, equity, and access. I would argue that the greatest problem at the state level--unlike the Feds-- is not the adequacy of statutory authority. It is more the capacity and commitment of the state to work through highly complex proposals in order to take structurally sound actions. We have not made the investment of resources and political leadership necessary to achieve that objective. As you well know, the recent OHSU-Legacy merger proposal raised precisely these issues. In that case, the state HCMO program was overwhelmed by the complexity of the deal. Fortunately, the massive transaction sank on its own even before the state was required to finalize its decisiion. Needless to say, that's hardly a sustainable course of action.

:Larry Kirsch

Portland

Debra's avatar

Hi Marty -

Many years ago when I was an undergrad at Chico State, I had a professor who started every single lecture by drawing “the umbrella of corporate capitalism” on the board and by reminding us of how Pres. Eisenhower warned about a military-industrial complex overtaking the country. Nothing more to say at this point I guess . . .

Are you still meeting at Provisions South on Th AMs? I wasn’t able to join you before, but I’d put it on my calendar now is it’s still happening.

Thank you for sharing your knowledge with us. It is vital even when it is discouraging. - Debra

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