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Records of the First Lady's Office (Clinton Administration)
Margaret “Maggie” Williams’ Correspondence Files
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Withdrawal/Redaction Sheet
Clinton Library
DOCUMENT NO.
SUBJECT/TITLE
DATE
RESTRICTION
AND TYPE
001a. letter
To constituent from Margaret A. Williams re: personal (1 page)
11/18/1993
b(6)
001b. letter
From constituent re: personal (1 page)
00/00/0000
b(6)
001c. envelope
From consitutent to Maggie Williams (1 page)
10/08/1993
b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams
OA/Box Number: 17603
FOLDER TITLE:
[Correpsondence from 1993]: O [1]
2013-0359-S
ry1805
RESTRICTION CODES
Presidential Records Act - |44 U.S.C. 2204(a)]
Freedom of Information Act - 15 U.S.C. 552(b)|
P1 National Security Classified Information [(a)(1) of the PRAJ
b(1) National security classified information [(b)(1) of the FOIA]
P2 Relating to the appointment to Federal office [(a)(2) of the PRAJ
b(2) Release would disclose internal personnel rules and practices of
P3 Release would violate a Federal statute |(a)(3) of the PRA]
an agency [(b)(2) of the FOIA]
P4 Release would disclose trade secrets or confidential commercial or
b(3) Release would violate a Federal statute [(b)(3) of the FOIA]
financial information [(a)(4) of the PRAJ
h(4) Release would disclose trade secrets or confidential or financial
P5 Release would disclose confidential advice between the President
information [(b)(4) of the FOIA]
and his advisors, or between such advisors [a)(5) of the PRA]
b(6) Release would constitute a clearly unwarranted invasion of
P6 Release would constitute a clearly unwarranted invasion of
personal privacy |(b)(6) of the FOIA]
personal privacy |(a)(6) of the PRA]
b(7) Release would disclose information compiled for law enforcement
purposes [(b)(7) of the FOIA]
C. Closed in accordance with restrictions contained in donor's deed
b(8) Release would disclose information concerning the regulation of
of gift.
financial institutions [(b)(8) of the FOIA]
PRM. Personal record misfile defined in accordance with 44 U.S.C.
b(9) Release would disclose geological or geophysical information
2201(3).
concerning wells [(b)(9) of the FOIA|
RR. Document will be reviewed upon request.
Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
SUBJECT/TITLE
DATE
RESTRICTION
AND TYPE
001a. letter
To constituent from Margaret A. Williams re: personal (1 page)
11/18/1993
b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams
OA/Box Number: 17603
FOLDER TITLE:
[Correpsondence from 1993]: O [1]
2013-0359-S
ry1805
RESTRICTION CODES
Presidential Records Act - [44 U.S.C. 2204(a)]
Freedom of Information Act - 15 U.S.C. 552(b)]
P1 National Security Classified Information [(a)(1) of the PRA
b(1) National security classified information [(b)(1) of the FOIA]
P2 Relating to the appointment to Federal office [(a)(2) of the PRA]
b(2) Release would disclose internal personnel rules and practices of
P3 Release would violate a Federal statute [(a)(3) of the PRAJ
an agency [(b)(2) of the FOIA]
P4 Release would disclose trade secrets or confidential commercial or
b(3) Release would violate a Federal statute [(b)(3) of the FOIA]
financial information [(a)(4) of the PRA|
b(4) Release would disclose trade secrets or confidential or financial
P5 Release would disclose confidential advice between the President
information [(b)(4) of the FOIA]
and his advisors, or between such advisors [a)(5) of the PRA]
b(6) Release would constitute a clearly unwarranted invasion of
P6 Release would constitute a clearly unwarranted invasion of
personal privacy [(b)(6) of the FOIA]
personal privacy [(a)(6) of the PRA]
b(7) Release would disclose information compiled for law enforcement
purposes [(b)(7) of the FOIA]
C. Closed in accordance with restrictions contained in donor's deed
b(8) Release would disclose information concerning the regulation of
of gift.
financial institutions [(b)(8) of the FOIA]
PRM. Personal record misfile defined in accordance with 44 U.S.C.
b(9) Release would disclose geological or geophysical information
2201(3).
concerning wells [(b)(9) of the FOIA]
RR. Document will be reviewed upon request.
Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
SUBJECT/TITLE
DATE
RESTRICTION
AND TYPE
001b. letter
From constituent re: personal (1 page)
00/00/0000
b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams
OA/Box Number: 17603
FOLDER TITLE:
[Correpsondence from 1993]: [1]
2013-0359-S
ry1805
RESTRICTION CODES
Presidential Records Act - - |44 U.S.C. 2204(a)]
Freedom of Information Act [5 U.S.C. 552(b)]
P1 National Security Classified Information |(a)(1) of the PRA]
b(1) National security classified information [(b)(1) of the FOIA]
P2 Relating to the appointment to Federal office [(a)(2) of the PRAJ
h(2) Release would disclose internal personnel rules and practices of
P3 Release would violate a Federal statute [(a)(3) of the PRAJ
an agency [(b)(2) of the FOIA]
P4 Release would disclose trade secrets or confidential commercial or
b(3) Release would violate a Federal statute |(b)(3) of the FOIA]
financial information [(a)(4) of the PRA]
b(4) Release would disclose trade secrets or confidential or financial
P5 Release would disclose confidential advice between the President
information [(b)(4) of the FOIA]
and his advisors, or between such advisors [a)(5) of the PRA|
b(6) Release would constitute a clearly unwarranted invasion of
P6 Release would constitute a clearly unwarranted invasion of
personal privacy ((b)(6) of the FOIA]
personal privacy [(a)(6) of the PRA|
b(7) Release would disclose information compiled for law enforcement
purposes [(b)(7) of the FOIA]
C. Closed in accordance with restrictions contained in donor's deed
b(8) Release would disclose information concerning the regulation of
of gift.
financial institutions [(b)(8) of the FOIA]
PRM. Personal record misfile defined in accordance with 44 U.S.C.
b(9) Release would disclose geological or geophysical information
2201(3).
concerning wells [(b)(9) of the FOIA]
RR. Document will be reviewed upon request.
Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
SUBJECT/TITLE
DATE
RESTRICTION
AND TYPE
001c. envelope
From consitutent to Maggie Williams (1 page)
10/08/1993
b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Maggie Williams
OA/Box Number: 17603
FOLDER TITLE:
[Correpsondence from 1993]: O [1]
2013-0359-S
ry1805
RESTRICTION CODES
Presidential Records Act - |44 U.S.C. 2204(a)]
Freedom of Information Act - 15 U.S.C. 552(b)|
PI National Security Classified Information [(a)(1) of the PRA]
b(1) National security classified information [(b)(1) of the FOIA]
P2 Relating to the appointment to Federal office [(a)(2) of the PRA]
b(2) Release would disclose internal personnel rules and practices of
P3 Release would violate a Federal statute |(a)(3) of the PRA]
an agency |(b)(2) of the FOIA]
P4 Release would disclose trade secrets or confidential commercial or
b(3) Release would violate a Federal statute |(b)(3) of the FOIA]
financial information [(a)(4) of the PRA|
b(4) Release would disclose trade secrets or confidential or financial
P5 Release would disclose confidential advice between the President
information [(b)(4) of the FOIA|
and his advisors, or between such advisors [a)(5) of the PRAJ
b(6) Release would constitute a clearly unwarranted invasion of
P6 Release would constitute a clearly unwarranted invasion of
personal privacy [(b)(6) of the FOIA]
personal privacy [(a)(6) of the PRA|
h(7) Release would disclose information compiled for law enforcement
purposes [(b)(7) of the FOIA]
C. Closed in accordance with restrictions contained in donor's deed
b(8) Release would disclose information concerning the regulation of
of gift.
financial institutions [(b)(8) of the FOIA]
PRM. Personal record misfile defined in accordance with 44 U.S.C.
b(9) Release would disclose geological or geophysical information
2201(3).
concerning wells [(b)(9) of the FOIA]
RR. Document will be reviewed upon request.
THE WHITE HOUSE
WASHINGTON
June 30, 1993
Laurelle O'Leary
6421 Brookside Road
Kansas city, MO 64113
Dear Ms. O'Leary:
Thank you for writing and sharing your thoughts on health care
reform. I very much appreciate your valuable input on the
importance of home and community-based health care services.
Thank you too for your kind words and good wishes. I remember
your nieces from Sion; please extend my greetings to them.
Your articles and letters on adult day care were informative. As
you noted, Mrs. Clinton is very interested in options for long
term care which help delay or avoid nursing home stays.
There is a growing long-term care crisis in this country,
affecting the elderly and disabled as well as their families.
Today, frail and disabled seniors who need help with daily tasks
often have only one choice, moving into a nursing home. Yet most
people would prefer to live at home, near to family, friends and
familiar surrounding, for as long as possible.
While it would be too costly to try to meet all of America's long
term care needs all at once, it would be irresponsible not to
start. A true start on long-term care includes increased funding
for home and community-based care -- based on functional need,
not income -- and better financial protection for nursing home
residents.
For many elderly, particularly those living alone or with a
relative, adult day care is all it takes to keep the person in
the community and out of a nursing home. Moreover, it has proven
to be a cost effective alternative and is credited with helping
maintain function and with keeping participants active and
involved.
Thank you for writing. Kansas City is fortunate to have so
tireless and hard-working an advocate for these important issues.
Maggie Fulle Maggie Williams
Sincerely,
Fuil beaven thom send
June 8, 1993
Laurelle O'Leary
6421 Brookside Road
Kansas City, MO 64113
Dear Ms. O'Leary:
Thank you for writing and sharing your thoughts on health care reform. I very much
appreciate your valuable input on the importance of home and community-based care
services.
Thank you too for your kind words and good wishes. I remember your nieces from Sion;
please extend my greetings to them.
Your articles and letters on adult day care were very informative. As you noted, Mrs.
Clinton is very interested in options for long term care which help delay or avoid nursing
home stays.
I'd like to update you on our health reform project, and particularly the long term care
expansions we hope to include as part of the package we submit to Congress.
There is a growing long-term care crisis in this country, affecting the elderly and disabled as
well as their families.
Many argue that we should put off consideration of this issue. But the growing long-term
care problems we face argue the other way: we must begin to confront the long-term care
crisis in this country. Today, frail and disabled seniors who need help with daily tasks often
have only one choice: moving into a nursing home. Yet most people would prefer to live at
home, near to family, friends and familiar surroundings, for as long as possible.
While it would be too costly to try to meet all of America's long term care needs all at once,
it would irresponsible not to start. A true start on long-term care includes increased funding
for home and community-based care-- based on functional need, not income-- and better
financial protection for nursing home residents.
The Clinton plan will Improve long-term care soverage for elderly and disabled Americans,
and will include a new, expanded federal home care benefit. For a small monthly premium,
people with severe disabilities, regardless of income, will be entitled to home and
community-based services, arranged by a case manager and tailored to individual needs. For
many people, individual care plans will include adult day care services such as those you
highlight in your letter.
For many elderly, particularly those living alone or with a relative, adult day care is all it
takes to keep the person in the community and out of a nursing home. Moreover, it has
proven to be a cost effective alternative and is credited with helping maintain function and
with keeping participants active and involved.
You can be sure that the President's plan will result in increased opportunities for elderly and
disabled Americans to seek Inexpensive, home-like care from senior centers, adult day care
centers and visiting nurses, and will result in more people having an alternatives to nursing
Momes.
Thank you for writing. Kansas City is fortunate to have so tireless and hard-working an
advocate for these important issues.
Adult day care is key part of total health system 4-14-93
Kanses City Star
Present bias for institutionalization of elderly might be
sas, Missouri, Iowa and Nebraska) of
when the very difficult job of taking care
NAHC, said the organization's represen-
of a person with dementia has drained the
eliminated with proper focus on community-based care.
tatives have met with the task force about
caretaker to the breaking point. More-
the cost-effectiveness and value of vari-
over, adult day care is not as expensive as
Sometimes people who are said to "fall
years, and operates one of the largest cen-
ous kinds of home care.
a nursing home, either for the family or
through the cracks" simply don't fit the
ters here. Last year 94 clients attended the
Because an almost infinite number of
for the government, if the government is
categories that define a program, much
center.
different life situations exist for elderly
picking up the nursing home bill through
the way many women can't take size 8
Judith A. Bellome, executive director
people, the more variations of help avail-
Medicaid.
dresses off the rack of any store in town
of Clinicare, thinks it is important for the
able - sometimes a little help from a
The National Institute on Adult Day
and expect all of them to fit.
option to be part of a total national health
handyman, for others intensive service
Care, in its public policy statement on the
It's one of the realities the White House
system. She is seeking support from the
from a medical professional - the great-
service, notes that adult day care is "an
Task Force on Health Reform has to con-
National Association of Adult Day Care
er the chance that people will be able to
essential component in the continuum of
at its annual meeting later this month for
stay in their own homes much longer.
long-term care." Unfortunately, it is not
JEAN HALEY
a petition drive to seek a seat representing
If only one option is available for peo-
available, accessible and affordable to ev-
adult day care providers on the board of
ple who are convalescing or partly dis-
eryone who could benefit.
sider in making recommendations; par-
the National Association of Home Care
abled with chronic conditions, the people
Adult day-centers don't exist in many
ticularly about care for the frail elderly.
and Hospice.
who need help will have to use that one
rural areas, for example. If a city family
There's a demand that long-term care be
NAHC is an industry group that's an
alternative - even if something less com-
has no way of getting an elderly relative to
included in a new system. There have
umbrella for those involved in many as-
prehensive and expensive would handle
a facility and back home every day, it
even been some remarks indicating that it
pects of home care, from intravenous pro-
their needs. They end up using a nursing
might as well not exist.
might be.
viders and durable medical suppliers to
home whether they need it or not.
"Nursing home care and home care
The next question is how the concept
hospice. It is one of the strongest advo-
Adult day care is an in-between. It is for
have received greater policy attention and
will be truly expanded from its present
cacy and lobbying groups for home health
the older person, or a younger one with
financial support," NIAD notes, "but
bias toward institutionalization to in-
care.
disabilities, who does not need round-the-
adult day care represents a significant,
clude assorted levels of community-based
Bellome, who is also a registered nurse,
clock, full-time nursing but who cannot
economical alternative that combines the
care.
said it struck her that adult day care is
manage life alone in a home or apart-
best elements of congregate and individu-
Help in the home and adult day care.
among a few involved left to fend for it-
ment.
alized approaches."
are two major sub-forms. Yet little refer-
self, outside NAHC.
Often it is very suitable to help an older
Kansas City has a solid adult day care
ence is made to either, particularly adult
In order to both extend and strengthen
couple, where one monitors and takes
movement. If the task force includes the
day care which addresses several of soci-
national home care, if adult day care were
care of the other and needs some free
option in some form in national health
ety's most troubling concerns about nurs-
given a board seat, it would be a strong
time to do normal errands and socialize.
care reform, it will be even more used.
ing homes for the elderly.
position for adult day care, Bellome said.
It has been a godsend for adult children
What the pioneers have developed will be
Clinicare, a Kansas not-for-profit agen-
It would be part of a bigger system to
when their parents live with them but
far more appreciated than it is now, when
cy and a leading home care delivery pro-
keeping people home.
grow too frail or confused to remain alone
the public sometimes confuses such facili-
vider in metropolitan Kansas City, has
Bellome, a board member for Region 7
all day while the children are at work.
ties with some variation on day care for
been offering adult day care for many
(for Medicare-licensed agencies in Kan-
Adult day care can provide respite
children.
Nursing Hames are as high as $ 60,000 a year aw the East Coast!
Adult Day Caue averages about $ 7,000 a year in ke., if the
patient attends M-F; Same only attend a 2.06 few days a week.
INFORMATION ABOUT ADULT DAY CARE - GREATER KANSAS CITY AREA (1993)
Daily Rate
1/2 Daily Rate
Transportation
Hours
:
Payment Coverage by Outside Sources
Areas of Specialization
Clinicare Adult Day Care
$32, $35,
2/3 daily rate
Center owns its own van
7:30 a.m.
Mo. & Ks. Medicaid Scholarship
Diabetes.
Arthritis
1017 N. 6th
$38 + $3 meal
+ $3 meal
equipped for wheelchairs
5:30 p.m.
Fund Mo. & Ks.
Stroke
Nutritionist available
Kansas City, KS 66101
(wy Co only)
Veterans Admin. - covers daily rate
Alzheimers
Phone: 621-5500
$10 round trip
and transportation
Developmental Disabilities
Dir: Peggy Tener, B.S.W.
transportation if
Young Mead Injuries
desired.
Grandview Manor
$25
None
Salvation Army or Dial-A-Ride
Any hours,
Mo. Medicaid
Alzheimers
Incontinent patients
5301 Harry Truman Dr
$6 round trip
daytime,
Blind
Any disabilities
Grandview, NO 64030
including Sat.
Min. Assistance
Phone: 763-2855
and Sun.
Stroke
Dir: Veda Mae Eder, R.N.
Wheelchair
Kensington Adult Day Care
$26 to $40
1/2 of daily rate
Kensington transportation
7:15 a.m.
Mo. Medicaid
Any disability
11625 E. 15th
(depending on level
+ $3.80 meal
available $4 each way
5:30 p.m.
Private Pay
No restrictions
Independence, NO 64052
of care) + $3.80 meal
Veterans Admin. covers daily
Wheelchair patients
Phone: 252-5319
rate and transportation
Incontinent patients
Dir: Karen Brown, R.N.
Life Care
$28 $33
$20 $25
Johnson County Special Svs.
7:30 a.m. -
Private Pay
Alzheimers
Blind
7541 Switzer
6:00 p.m.
Parkinsons
Wheelchair
Overland Park, KS 66214
9 -4 Sat.
Dementia
Phone: 631-2273
Incontinent patients
Dir: Tendy Reitmeyer, C.N.A.
Hand-fed
Little Sisters of the Poor
What family is able
Have a van, if needed
9:00 a.m. -
Must be low or no income
Must be ambulatory and alert
8745 James A. Reed Rd.
to give.
no charge
5:00 p.m.
Kansas City, MO 64138
perhaps summer
Phone: 761-4744
only
Palestine Adult Day Care
3325 Prospect
Proposed - no known date of opening as of May 1993.
Kansas City, MO
Phone: 921-1263-
Seton Adult Day Care
$32
$16
Seton has its own van
9:00 a.m.
Ho. Medicaid
Anyone over 55
2816 E. 23rd
no charge
3:00 p.m.
Private Pay
Blind
Kansas City, MO 64127
MARC
Disabled
Phone: 231-0303
Wheelchair
Dir: Ernestine Kennedy, B.S.
(Not incontinency)
(OVER)
Daily Rate
1/2 Daily Rate
Transportation
Hours
Payment Coverage by Outside Sources
Areas of Specialization
Shalom Geriatric ADC
$27 includes meal
$17 includes meal
Share-A-Fare
7:00 a.m. -
Mo. Medicaid
Alzheimer
Stroke
7801 Holmes
Johnson County Special Svs.
5:00 p.m.
Private Pay
Other disabilities
Kansas City, MO 64131
Sliding Scale
Wheelchair
Phone: 333-7800
United Way
(Not incontinency)
Dir: Roger Clements
Title III
St. Joseph Adult Day Care
$24 + $3.50 lunch
$14 - additional
Center has own van -
Full day;
Private Insurance
Accepts many diagnosis
621 Carondelet Dr.
$10 round trip if
charge for meals and
$10 round trip
1/2 day;
Scholarship Fund
Limited incontinence
Kansas city, MO 64114
desired
transportation
Share-A-Fare
Extended Day
Certification
Wheelchair
Phone: 943-4747
Johnson County Special Svs. $9
for Mo. Medicaid applied for
Extended hours and bath available
Not open as of May 1993.
For more information:
Missouri Medicaid
899-2244
Wyandotte County Medicaid
371-6700
Johnson County Medicaid
782-6600
Johnson County Special Svs.
782-2640
Share-A-Fare
274-1803
5-9-93
M₂ Williams,
Please tell HRS. Clinton
this has been such are up-
hill battle! We absolutely
need to take action naw!
Four people Can be Eased
for in Adult Day Cave, for
the Cost of 1/1 person 14000
nursing home. It has been
estimated that i/m of (OURR)
nursing home patients do
not need to be there.
At a. Savings of $ 21,000
per patient, this nation
Bould SQUE $11 billions
per year in unnecessary
Lastly health care!
PHOTOCOPY
PRESERVATION
Leavelle Oheary
ps. Thonuesing home industry has
faught this. !!
DEPARTMENT ()) HEALIHLAND HUMAN SERVICES
III AI 111 CARI FINAN ING ADMINISTRATION
1849 Gwynn Oak Avenue
Baltimore, Maryland 21207
RETTP
Health Standards and Quality Bureau
Office of Standards and Certification
August, 1980
Ms.
Mrs. Laurelle O'Leary
6421 Brookside Road
Kansas City, Missouri 64113
Hs.
Dear Mrs. O'Leary:
Your letter to President and Mrs. Carter concerning the need for adult
day care centers was forwarded to me by Mr. Donald D. Smith, Director of
the National Clearinghouse on Aging.
Your interest in this vital area is most commendable. The field has grown
Now 3000!
enormously in the United States today there are more than 600 programs
in the country. Sadly, though, this number hardly begins to fill the need.
In Missouri, there are only five programs.
There is no Federal funding for Adult Day Care, and there is no Congressional
mandate to create a program at the Federal level to provide the essential
resource material and technical assistance. Thus an important starting
place for such interest would be at the grassroots level. I know, for example,
that Senator Eagleton has long been concerned with the problems of the aging.
You also might want to contact your State legislators to start the ball
rolling.
Many States have provided support for Adult Day Care activities through
provision of Title XX funds (Social Services Amendment of the Social Security
Act). Missouri has not chosen to do SO. This is a State decision. An
updated Directory of Adult Day Care programs will be available in the fall
showing the locations and funding sources of programs throughout the country.
You can use this as a tool to show what Missouri is not doing.
Another possible source of reimbursement for Adult Day Care is through
Medicaid. Eight States are now providing reimbursement through this
source -- but Missouri is not one of the States. Again, this is strictly
at State option.
I am putting your name on the mailing list to receive an announcement on
the availability of the Adult Day Care Directory. You might also wish to
contact Annabel Seidman, Nursing Home Information Service, National Council
of Senior Citizens, 1511 K Street, N.W., Washington, D.C. 20005. She is
HORTON
from: MRS. Edith Rabies
P.S. Mrs.Robins is called
the" Mother of Adult
Deputy Director, Lang Terms Case
Day Lare in America
Health Care Financing Adme
She leves at 9416 Laundale.Be.
(naw Retired; we are now dear
Silver Springs, Md, 20901
friends
On the other hand
Kansus City Star
April
Day care program for the elderly would fill a real need
On the other hand
is
written
by
gins is chairman. Now it rests under
Based on the average cost of nursing
invitation about a subject chosen by
the sponsorship of Sen. George E. Mur-
home care, as paid by Medicaid
the writer. Ms. Laurelle O'Leary is an
ray of Creve Coeur and Mr. Wiggins of
($10,000 per year), three day care pa-
advocate of day care for the elderly.
Kansas City.
tients could receive care for the cost of
The bill specifically relates to the
one patient in a nursing home.
or the past five years, whenever I
payment by Medicaid for day care for
Comparing Massachusetts, where
have read of or heard the phrase
those eligible needy persons who are
day care is funded by Medicaid. with
"day care," something has
unable to provide in whole or in part,
Missouri, it is significant that Massa-
welled up within me, then suddenly
who (otherwise) require placement in
chusetts, with a comparable number of
died; almost always the reference is to
an intermediate care facility or skilled
elderly over 65, serves approximately
nursing home."
1,000 persons daily in 53 day care cen-
Ms. Laurelle
The Importance of this bill is that, by
ters at a savings to the state of $3.5
O'Leary
its passage, the state will give its en-
million per year in Medicaid funds.
dorsement to an option in care which is
Missouri, with no Medicaid funding
66 percent less costly to the state than
for day care, serves approximately 100
nursing home care. In the nine states
persons now (75 after May 13. with no
which have previously passed such leg-
savings to the state. At present 66 per-
islation, it has provided a funding base
cent of all nursing home beds in Mis-
which has stimulated support from the
souri are paid for by Medicaid. The na-
private sector. It has encouraged at-
tional average is 50 percent or below.
tendance by those who are able to pay,
The real tragedy is that, as cited re-
and has served to demonstrate the role
cently by one well-operated day care
that a public and private partnership
center in this area, in one year of
can play.
operation they have been unable to ac-
Day care is a program of protective
cept two out of three applicants be-
and, if possible, rehabilitative service
cause of lack of personal or family
the care of children, which without
to accident victims, those injured in
funds. Yet those same patients, in
question is an essential service for the
the Vietnam War, stroke and aphasia
many instances, will in turn apply for
young parents of our country.
victims, the frail and confused elderly,
nursing home care and, if eligible, all
The reference to another kind of day
those who have congestive heart dis-
costs will be paid by Medicaid.
care which I and others long to see de-
ease, and Parkinson's disease; it is
If the day care bill is successful, it
veloped is that kind of care so sorely
helpful in the care of those having Al-
will be incumbent upon business and
needed, yet essentially unavailable to
zheimer's disease, which affects all
community leaders to step forward
the disabled and elderly of our country.
ages of adult life by eroding the memo-
the most constructive way possible to
There are over 800 such centers in the
ry and ability to function independent-
lend the necessary assistance to make
United States; Massachusetts has 53,
ly. The need for day care cross-cuts all
this dream a reality. With the deepen-
Missouri has five and will have only
socioeconomic levels.
ing concern on the part of community
Kansas City, MO 64113
6421 Brookside Road
three after May 1 when two in St. Louis
Day care is cost effective. The na-
leaders about curtailment of health
Laurelle O'Leary
are to be closed.
tional average daily cost is $20 per day.
care costs, it seems that those who are
At this moment, H.B. 1086 is due to be
The average weekly attendance is 2.8
simultaneously expressing the great
debated before the Missouri Senate,
days, or $53 per week, $243 per month,
need for day care are saying the same
which will decide the fate of the bill. It.
and $2,916 per year. In some instances
thing Furthermore, the individual's
was originally co-sponsored by Rep.
the cost is as low as $10 per day. The
right to remain in his own home or in
DeVerne Calloway of St. Louis and
remaining hours of care are usually
that of a family member, is a right the
Rep. Jack Campbell of Kansas City.
borne by the family.
disabled or elderly person should not
Both legislators have successfully
By contrast. nursing home care, as
be deprived of
guided it through the House, and on
paid by Medicaid in Missouri, is as
If you support this issue, let your
April 6, it was promptly and favorably
high as $44.83 per day, or $15,425 per
state senator, and Mr. Murray and Mr.
voted upon by the Senate Public Health
year; or a total cost to the state of $156
Wiggins know.
Committee of which Sen. Harry Wig-
million annually.
5-9-93
Hs. Williams,
I are sarry about the
delay in mailing this. I was
waiting for + the updated
Adult Day Cane chart, which
I had Revised, to be typed.
haurelle Oheasy
-
6421 Brookside Rd.
Kansas City, H. 64113
April 28, 1993
(816) 444-1241
a
Dear Ms. Williams:
I Read the must interesting feature story about you
in the Kansas City Stae on April i7th, and your mandenful position
as Mes. Clixtar's chief of staff. May I extend heartsest conqua-
tulations! On Sunday, I learned that mynicles attended
Sion with you, and that you were in the same class as
Rosemary O'Leary. tathleen and Eileea also Karu you.
It is for this Reason, that am writing to you
directly to ask your help Related to the issue of lang-tease
Care, and mostly specifically about the importance of Adult
Day Case, as an alternative to Costly nursing have placement!
I became interested and welly much involved both locally and
Samewhat nationally, beginning in 1974, when I was suddeely
faced with the Care of my 84 year old father, who did not
need to be in a nursing home. I was also employed.
Attached is Same Related material which I am.
Sending, which, if passible, I would appreciate your sharing
with HRS. Clinton. I have heard she is quite suppartive
of this alternative, which is 1/3 to 1/4 the Last of nuesing
home care! Billions Lould be saved, if the 35 To unneressacile
naw in nursing hanees, could be cared far at house worth the
help of Adcett Day Care!
I do want to say that I feel that Reesident and
MRS. Clinton are Right in farging ahead with there goal of
a national health Came plan, which I would hope would
include addressing the long-term illnesses of citizens
of all ages, not just the eldeely. It should be dane because
it is Right. I know it will not be easy, but if they wait,
the enthusiasm far the idea of health in Junance for
all, will die daun ar be side- tracked by special interest
groups. And as the President gets into his second OR
third year, I feel it will be hander to achieve the moment-
um and national support for his wonderful idea, which
he presently has in his Fauoe naw. I also think that
the nation is fully behind MRs. Clirton and that it Respects
her tremendow aus backqeaund, both educationally and
experience wise.
The additional Reason I am writing at this
time is to make a suggestion, which may be helpful
to Mrs. Clistor. Mes. Judy Bellome, executive director of
Clinicare, a ros- profit home health Rant agency, which also
directs a fine Adult Bay Care Center here, is gareg to be
in Washington, to attend a board meeting of the AMERICAN
Association of Hame Care. She will arrive Saturday,
May 22 , and will leave late Mantay, May 24th The
organization, an whose baard ske has been for the
past faur years, is considering lending Mona support
this to the Adult Day Cane caneept. She is speacheading
idea, because she is such a strong believed
in as many aptions as passible to help people Remain
in their our homes as long as possible. Judy is as RNJ
and has a Masters in Education. I feel She Could be a tre-
mend aus help to Mes. Chaton and her Eammittre. She is willing
to adjust her Schedule, should thes. Clintona wish her to came to
the Whote Aause. Judgs number is (913) 261-6048.
Sincerely, Laurelle Oleary
5-9-93
This is a copy of the
Cast- Effectiveness Statement
which I prepared at the
Request of my dear friend
Rep. DeVerne Callaway in
1982. It was distributed
to all members of the Mo.
Senate and House in Hands
Her bill passed at midnight
(OUER)
of April 30, 1982, the last
day of her Remarkable
20 year Earter!
haurrth Obeary
PHOTOCOPY
PRESERVATION
Raugh Draft
March, 1982
Tv; ALL MEMBERS OF THE MISSOURI SENATE AND HOUSE OF REPRESENTATIVES
FROM: LAURELLE O'LEARY (Thru the Kindness of Rep. Calloway and Rep. Campbell)
RE: COST-EFFECTIVENESS OF DAY CARE FOR THE DISABLED AND ELDERLY FOR THE STATE
OF MISSOURI, AS RELATED TO H.B. 1086, H.C.A. 2, Section 189.545, Page 44
FACTS AND FIGURES
Laurelle O'Leary
6421 Brookside Road
Kansas City, MO 64113
In order to obtain tangible facts and figures related to the above, we asked
the following questions of Mrs. Sharon Marcum (314) 751-4815, of the Depart-
ment of Social Services. To be accurate in quoting MRS. Marcum, we have placed
an asterisk by figures given by her:
1. How many people are in nursing homes in Missouri?
Based on the figures below, it would seem there are approximately
40,000 people. G270 or 4,200 are under 65)
2. Of these, for how many is the total cost of care paid for by Medicaid?
*22,569 people (12 70 OR 2,700 are under age 451
3. What is the total cost for nursing home care in Missouri, paid for by
Medicaid?
*$156 million, plus *$44 million for the mentally illl and retarded
4. What percentage of all nursing home beds in Missouri is financed by Medicaid?
*66% (the national average is 50% or below)
5. What is the highest total amount paid for a nursing home patient in Missouri
under Medicaid?
*$44.83 daily or $15,425 per year
What is the lowest amount paid under Medicaid?
*$19.94 daily or $7,300 per year
What is the average cost paid for 2 Medicaid patient?
*$35.86 or $12,775 per year
6. What is the average cost, utilizing the above figures of a Medicaid patient
in a nursing home?
*$10,000 per year
MRS. Marcum further told us that Missouri, at present, has *62 nursing home
beds, per 1,000 people, but that only *50 per 1,000 are needed. She further
said that recently *5,600 new nursing home beds have been approved for con-
struction in Missouri. She stated that the State is already "over-bedded"
which is driving up the overall cost of Health Care, thus creating "a serious
problem." Screening of patients, prior to admission to a nursing home, as well
as developing alternatives to care, would be two steps, which would hold down
health care costs, she said. When there are no options, nursing home care is
the only choice.
Page 2
IMPLICATIONS:
With regard to Day Care costs, we have assembled the following information from
a Director of a well-operated Day Care Center in the Kansas City area and will
give some specific information from Mrs. Edith Robins, former Deptuy Director,
Long Term Care, H.H.S. (telephone (301) 589-8833) as well as other scientific
sources:
1. The national average cost for Day Care on a daily basis is $20 per day;
2. The weekly attendance at a day care center is 2.8 days per week - $53 per
week, $243 per month, or $2,916 per year. The remaining days of care are
provided by the family or supplementary services, such as home health care,
sitters, etc.
3. Based on a national estimate, and recently stated by Senator John Heinz III
Chairman of the Senate Committee on Aging, 35% of those in nursing nomes
could be cared for by alternative services if available; therefore, 7,899
persons in nursing homes under Medicaid in Missouri could be cared for in
less costly ways, if Day Care or other services were available.
4. Based on the pending Day Care Funding Bill estimate for Missouri, of $2 million,
approximately 200 people are cared for in nursing homes for this amount of
money; whereas if cared for in Day Care, 666 persons could be cared for,
for the same amount. Of course, it is not known how many would elect to
attend Day Care Centers.
5. There are now over 800 such centers in the U.S. ; Massachusetts has 53 -
Missouri has 5!
6. The cost of care for the 7,899 persons (35%) in nursing homes (who could be cared
for in other ways is $83 million under Medicaid; the same number could be
cared for @ $19 million in Day Care for a possible savings of $34 Amillion, as estima
by the who
7. Although it has been said that those in the rural areas could not utilize
Day Care, the total cost saving to the State of Missouri is important to weigh.
8. Many people are forced to apply for Medicaid coverage for nursing home care
when their private savings are exhausted. California is doing an in-depth
evaluation of their "Medical" program. Preliminary findings show that
Adult Day Care delays institutionalization an average of 19 months! There-
fore, if private funds can be stretched over a greater period of care, the
time for need for Medicaid-provided services, will have been postponed,
thus, delaying, and shortening the time and cost necessary to be provided
by Medicaid.
9. The State Department of Social Services in Kansas has already begun a cost
saving mechanism under Medicaid by coordinating preadmission screening to
nursing homes, so that unnecessary and inappropriate nursing home placement
can be avoided. Mrs. Harriet Nehring, Executive Secretary of the Kansans
Improvement of Nursing Homes Inc. states: "This success of the new direc-
tions will depend upon the effective development of community programs
(such as day care): when Medicaid funds can be allocated to a wider variety of
community services that should encourage their development."
Other estimates at Bost Savirgs (based on 570 who
could be cared for in other ways) one in the Range of
$8 million,
Page 3
CONCLUSIONS:
1. Day Care Centers for the disabled (there are many young people in nursing
homes resultant from automobile accidents, the Vietnam War, etc.) and the
elderly can provide a formalized, dependable, cost-effective and humane
service for families, as well as the state, just as day care centers for the
children of young parents, provide an essential service in our country.
2. Day Care Centers would be cost-effective for business and industry. Employees
who are able to send their spouses, sons, daughters, or elderly parents to
a day care center, as an option in care, will be less anxious about knowing
their loved ones are well cared for, and, in some cases, that their helath
is monitored where necessary. They will, therefore, be more effective
and efficient employees, and should miss fewer days of employment.
3. Providing Day Care as a much needed option to families, will help keep
total health care costs down, and serve as an honest competitive option
to other kinds of care.
4. As Jean Haley, of the Kansas City Star said in her Editorial Column on
2/3/82, "what happens" to the present day care bill "will affect not only
lower-income families, but everyone, because passage should encourage the
establishment of centers; if they don't exist, thousands won't have that
alternative.
5. In the nine states, which provide funding of Day Care thru Medicaid, for
those unable to pay, this source has provided a funding base, which has
stimulated contributions from the private sector; it has encouraged attend-
ance by those who are able to pay on a private basis, and serves to demon-
strate the role that a public and private partnership can play.
The foregoing statistics are particularly significant in our state, which
according to the 1980 census shares with South Dakota, 4th place among the
states, or I3.2% of the population, in the 65 and older group.
6. The writer would like to point out that the assembled material has been done
in the best of faith, with the best information available, since heretofore
there has been no statement of cost-effectiveness developed as related to the
State of Missouri.
7. Ivo a letter just Received from Mrs. Marcam,
she states:
It is my view that adult day care and other alternative
services are extremely desirable as a result of the potential to
reduce the rate of growth in institutional services. Such services
can also increase the Missouri Medicaid program's ability, given
a set amount of dollars, to serve a larger number of elderly
recipients.
MyaddRess:
6421 Brookside Rd.
Kansas City, Ho 64113
3-3-22
6-20-12
11
NKC Hospital chief has a lucrative deal
A $350,000 package and a golden parachute
salary, or $750,000.
something is out of sync.
push the limit, board members and experts say.
Compensation experts and
North Kansas City Hospital's
Terry Myers, board chairman.
board say Haymons' salary and
said he had attended a seminar on
By J.D. MOORE JR.
other cash compensation. plus
benefits pushed the limits for
hospital executive compensation
Staff Writer
$66,350 in benefits. No other
chief executives of non-profit
in Chicago and could find no
executive in The Kansas City
institutions.
hospital of comparable size that
Les Haymons, outgoing presi-
Star's survey earned more than
"What is he being rewarded
paid its CEO anything near what
dent of the non-profit North
$295,000 overall.
for?" asks Claudia Wyatt. 3
Haymons gets.
Kansas City Hospital. earned
Haymons' compensation be-
principal with the Wyatt com-
But Haymons said North Kan-
more in 1991 than the chief
came a public issue when he was
pany, a Chicago compensation
sas City Hospital's stellar perfor-
executives of much larger hospi-
dismissed by the hospital board of
consulting firm.
mance, financial and otherwise,
tals in Kansas City.
trustees Sunday night, after turn-
"A (tax-exempt) institution is
justifies his compensation.
Haymons, 55. earned $347,496
ing down 3 severance offer of SI
designed 10 serve the public. If we
"All one has 10 do is look at the
last year - $200,476 in base
million in cash. The board is still
see an incentive plan based
results," Haymons said in an
salary, $80,670 in bonuses and
obligated to pay him 140 years'
exclusively on profitability, then
See HOSPITAL, A-14, Col. 1
PRESERVATION
PHOTOCOPY
The Kansas City Star Saturday, June 20. 1992
Hospital chiefhas lucrative deal
Continued from A-1
myson; who earned $2943183 includ-
last year, that would push his
percentile of the Hay survey. That
king salary and benefits. in 1990.
compensation over $400,000.
means Haymons should be paid
interview.
Presson is president of Health
According to an article by the
better than three-quarters of
His compensation is directly
Midwest cholding company that
Hay consulting firm in Hospitals
executives overseeing a hospital of
related to the success of that
at that time owned=seven hospi-
magazine, the average maximum
similar size, complexity and
hospital,' agrees Tom Flannery of
tals, including Research Lee
incentive for hospital CEOs in the
profitability
Hay Management Consultants,
Summit and rinity Lutheran,
United States is 31.1 percent of
But William Quirk. a compen-
who arranged Haymons' package.
"and managed 8,400 employees
base salary.
sation specialist in Atlanta for
But that success, Flannery said,
Haymons, by contrast. adminis-
Haymons' contract gives him
Towers Perrin, an international
is defined not only as financial
ters one hospital with 360 licensed
more than twice that. That's
consulting firm, said national
performance "but operating rc-
beds and 1,200 employees.
extraordinary, said Wyatt, the
statistics show Haymons may be
sults and quality of care and other
Although they concede that
compensation consultant in Chi-
getting compensated at 3 rate even
factors."
North Kansas City Hospital is
cago.
higher than the 75th percentile.
By almost any measure, North
more profitable than others in the
"A 75 percent incentive bonus
Quirk also expressed concern
Kansas City Hospital's perfor-
area, the new board of trustees
is a very unusual bonus opportu-
over an unusual provision in
mance under Haymons has been
and some compensation experts
nity in a non-profit environment.
Haymons' "golden parachute.'
extraordinary. In 1990 it earned
- say Haymons' lucrative finan-
That's what you might find in a
In 1986 Haymons asked the
$16 million on revenues of $95
cial arrangement appears overly
for-profit. risk-oriented com-
former board of trustees to
million, more profit than any
genere
pany. she said.
provide him some security in case
Kansas City area-hospital. Other
Haymons' agreement provides
Such high perks have recently
he was dismissed. At the time. the
hospitals with vastly greater reve-
for the following:
drawn the attention of the IRS
City Council of North Kansas
mues made much less in profits.
$216,900 in base salary this
and local taxing authorities,
From 1978, the year before
year.
Wyatt said. Several hospitals in
See EXECUTIVE, A-15, Col. 1
Haymons arrived, to 1991. hospi-
$700 a month automobile
Pennsylvania, for example, have
assets rose from $23 million to
allowance.
had their tax-exempt status chal-
$152 million: In the same period,
Around $500 for income-tax
lenged by local taxing authorities
long-term debt was reduced from
preparation.
because of excessive executive
$10 million to zero
Paid memberships in the
compensation and lack of indigent
My questions:
In the last four years, the
Barrybrooke Tennis Club and Old
care.
hospital has added a medical
Pike Country Club.
"The IRS is looking very
office building and a six-story
A tax-deferred annuity of 7
seriously at these issues these
Who is paying
patient tower with 172 new beds.
percent of base pay plus bonus. A
days," she said.
It paid. for both in cash. In
second annuity of 5 percent.
Other concerns
addition, the hospital initiated
Health, life and disability
for this?
programs such as open-heart
insurance policies. On the health
The actual dollar figures for
surgery and raised the variety and
insurance plan, Haymons pays no
Haymons" compensation were
standards of its medical services.
deductible.
determined by the Hay consulting
"Good talent is really. hard to
E) A lucrative incentive bonus
firm based on a national salary
find." Flannery said. "You have
based on the hospital's profitabili-
survey. The company collects data
someone who is able to produce
ty and overall performance.
on executive compensation in
significant positive results. they re
Under the bonus plan, Hay-
many fields and calculates average
worth their weight in gold.
mons can be paid as much as an
pay according to size and com-
In fact, the competition for
additional 75 percent of his base
plexity of the institution, and
competent health-care executives
salary. Based on the hospital's
financial results.
in the United States has caused
results so far this year, he would
The former board of trustees
their price to rise at a rate far
receive 64 percent, or $139,000. If
instructed Hay to establish Hay-
higher than that of gold. The
he received the same benefits as
mons' remuneration at the 75th
average base salary for hospital
CEOs rose 9.7 percent in 1992. to
$150,800, according 10 Modern
Healthcare magazine.
Executive compensation:at non-
profit organizations recently has
come under national scrutiny: In
February. William Aramony, pre-
sident of United Way of America.
resigned after reports that he
earned $436,000 year:
Rich humanitarian
Early this year, Haymons told
The Kansas City Business Journal
how he got involved in health
Care:
"While working a summer job
is an orderly in the surgery
department of my hometown
hospital. I recognized that the
hospital chief executive officer's
pole would permit me to fulfill my
öbjective of entering a humani-
farian career."
a That career has taken a turn
that now rewards him more
handsomely than many adminis-
trators at much larger, more
Complex institutions, according to
compensation figures derived
from IRS Form" 990. which
non-profit organizations must fii.
PHOTOCOPY
and keep on hand for public
dispection.
PRESERVATION
D A survey of area hospitals
Shows Haymons was paid more
than SIX executives who each
operate non-profit health-care en-
(erprises that are larger than
North Kansas City Hospital.
Sain Kansas/City the hospital
executive with the next-highest
pay package, was E. Wynn Pres-
What hosp ta adm n strators make
Total
Tax
Total
revenue
Profit
Employees/
yr.
Hospital
CEO
Compensation
Benefits
compensation
(millions)
(millions)
beds
90
North
Les Haymons
$281,146
$66,350
$347,496
$95.1
$16.2
1200/360
Kansas
City
90
Health
E. Wynn Presson
284,183
10,000
294,183
1.6
(5.2)
na
Midwest
90
Research
Richard Brown
259,461
8,920
268,380
268
11.8
*2500/531
90
St. Luke's
Charles Lindstrom
215,000
34,730
249,730
254
12.8
2500/686
89
Baptist
Dan Anderson
201,233
5,036
206,269
70.8
3.1
1500/401
'90
KU
Glenn E. Potter
151,452
23,685
175,137
177
0.5
2144/488
'90
Truman
James J. Mongan
136,677
1,050
137,727
171
6.3
2000/605
'90
Liberty
Joseph Crossett
80,797
8,678
89,476
46.2
7.3
880/202
Noto: For Liberty and Truman hospitals, certain paid expenses have been Included under the Benefits column.
Note: Health Midwest is a holding company that owned seven hospitals as of 12/31/90, Including Research, Trinity Lutheran and Loe's
Summit hospitals.
Source: IRS Form 990 and information from hospitals
The Star
Executive to receive
at least two years' pay
Continued from A-14
Two years of severance pay for
pensation is deeply embarrassing
top executives is standard, Quirk
to him. A soft-spoken, dignified
City,"which owns the hospital, had
said. But paying Haymons extra
man, Haymons thinks he is being
considered leasing or selling the
for something that occurs after he
penalized by the new board and
facility.
leaves? "I've never seen that in
crucified by the media for having
Because of that uncertainty,
any other contract of a tax-exempt
earned the hospital so much
Haymons said, he needed a
CEO," he said.
money, when that is clearly what
financial guarantee if he were to
The three-year payout clause
his contract encouraged him to
stayat the hospital.
could have been activated earlier
do.
"The facts are that the board
this year. In February, the former
The reason the hospital piled up
made a good decision in provid-
board of trustees sent the North
such reserves, Haymons said, was
ing some safety, so to speak, for
Kansas City Council a buyout
to accumulate a cushion to fall
the management staff that stayed
offer that would have in effect
back on in the coming financial
here and accomplished these
made the hospital a private
crunch, when governmental reim-
results for the hospital," Haymons
institution. In exchange for annu-
bursements to hospitals decline.
said Friday.
al payments to the city, the
Instead, he believes, the hospi-
Haymons' golden parachute
hospital would have become
tal's success made him the target
calls for two years of full salary,
self-governing, with a self-
of elected officials in North
bonus- and benefits if he is
perpetuating board of trustees.
Kansas City who wanted to
dismissed from the board with or
The city turned down the offer.
plunder the hospital for political
without cause.
If the deal had been accepted,
purposes.
It also calls for a third year of
Haymons could have collected
"Would all of this have come
full salary, bonus and benefits if
three years of full compensation
about if it weren't for the
the hospital changes hands, or if it
and still retained his position as
money?" he asked, "If we had
is sold or leased within 18 months
hospital president.
operated like some other hospitals
after he leaves.
The discussion over his com-
in town, and we had nothing?"
5-9-93
Ms. Williams,
Here is Kathleen(B)Leary)
naw Hongaw. They have 2 child-
Ren now! They publish
"Health Came State Rankings"
and wanted to include Adult
Day Cant (Ranking the states)
for me!! But were told
by the NAHL. Cour. or the Aging
}
they had "no good statistics
puess)
I am tripug to get
them myself, far next
years publications 1.
60'L
PHOTOCOPY
PRESERVATION
YOU WORK--
SCOTT MORGAN
WHY CAN'T
UNITED STATES CONGRESS
CONGRESS?
REPUBLICAN
Scott Morgan is proud to be a fifth generation
Kansan. His great great grandfather settled outside Valley
Falls in 1865.
Scott Morgan has the experience to make a differ-
ence in Washington:
-Chief Counsel for the Governor and Director
of Federal Affairs for the State of Kansas.
-Over six years of service in Washington
working for Senators Bob Dole and Nancy
Kassebaum.
-Represented the United States Senate on the
Federal Election Commission.
-Served as Chief Counsel for Dole for President.
Scott Morgan and his wife Kathleen have one daugh-
ter, Kelly, who was born in November 1988. The
Morgans live in Lawrence.
SCOTT
MORGAN
We are borrowing against our children's future-- finan-
FOR UNITED STATES CONGRESS
cially, environmentally, and socially. The debt will even-
REPUBLICAN
tually come due, and how will they pay such a staggering
price?"
You Do Have A Choice
You Do Have A Choice
Paid for by Morgan for Congress
P.O. Box 234, Lawrence, KS 66044
(913)749-2266
PHOTOCOPY
PRESERVATION
HEALTH CARE STATE RANKINGS 1993
Up-to-date. Easy to use
in 456 health care categories.
available comparing the 50 United States
Percent of Persons Not Covered by Health Insurance in 1991
the most comprehensive reference book
Introducing Health Care State Rankings,
National Rate
14.1% Not Covered by Health Insurance
RANK
STATE
PERCENT
RANK
STATE
PERCENT
1
Texas
22.1
26
Montana
12.7
2
New Mexico
21.5
26
Vermont
12.7
3
Louisiana
20.7
28
New York
12.3
4
Mississippi
18.9
29
Missouri
12.2
5
California
18.7
30
Illinois
11.5
5
Nevada
18.7
31
Kansas
11.4
7
Florida
18.6
32
Wyoming
11.3
8
Oklahoma
18.2
33
Maine
11.1
9
Alabama
17.9
34
Massachusetts
10.9
10
Idaho
17.8
35
New Jersey
10.8
11
Arizona
16.9
36
Washington
10.4
12
Virginia
16.3
37
Ohio
10.3
13
Arkansas
15.7
38
Colorado
10.1
13
West Virginia
15.7
38
New Hampshire
10.1
15
North Carolina
14.9
38
Rhode Island
10.1
16
Oregon
14.2
41
South Dakota
9.9
17
Georgia
14.1
42
Minnesota
9.3
18
Utah
13.9
43
Michigan
9.0
19
Tennessee
13.4
44
lowa
8.8
20
Delaware
13.2
45
Nebraska
8.2
21
Alaska
13.1
46
Wisconsin
8.0
21
Kentucky
13.1
47
Pennsylvania
7.8
21
Maryland
13.1
48
North Dakota
7.6
21
South Carolina
13.1
49
Connecticut
7.5
25
Indiana
13.0
50
Hawaii
7.0
State Rankings 1993
District of Columbia
25.7
Health Care
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5-9-93
Ms. Williams-
Here is a Suggestion
Combining President Plintons
idea for a National Service
Corps, to enable young people
I
to go to College and helping
to provide for Lang-Term
Care than less costly Adult
Day Case Centers. The money
that Could be saved (oure)
by young college students
warking PART- time 140
these centers, would
meet both needs, and
Save a qreat deal 14
aun natural budget. It
would be a wonderful
learning ex persone as
PHOTOCOPY
well! ! Pers. Chutoas Lould
PRESERVATION
start in k.c.!! L.D'Leary
Opinion
THURSDAY, May 6, 1993
A vision for national service
New model needs to be a joint, bipartisan venture
capitalizing on the nation's diverse strengths.
By ROGER LANDRUM
different set of assumptions. Young par-
© 1993 The Washington Post:
licipants represent a wider range of ages
and come from a variety of backgrounds
WASHINGTON
President
Some are serving others part
Clinton's proposal to link National Ser-
time. There are many successful program
vice with federal college: scholarships or
models; organized by different kinds of
loan: forgiveness packs a powerful politi-
institutions and supported by different
cal punch. It evokes memories of a GI bill
funding sources. püblic and private. The
rewarding the young men who won World
operations are decentralized and the
War II with'a college education - a ven-
leadership is primarily non
ture that also revitalized American higher
governmental. The next steps forward
education. For younger voters and their
must build on this foundation
parents. a National Service Trust Fund is
The president needs to help lay out
also the modern political equivalent of
strategies that persuade corporations
chicken in every pot.
foundations. state and local governments
But with the size of the federal deficit)
and individuals to at least match the fed-
and competing priorities for human re:
cral government outlays in direct sup
sources investment skeptics say that ful-
port of a national service initiative of
filling a pledge to reward civic service
their choice:
with federal education assistance. is im-
The process is already under way: it
possible beyond a token effort. Not so A
only needs: to be accelerated. Private
transforming social initiative can be
foundations such as Ford. Kellogg. DeW
forged if a new kind of national service
itt Wallace Reader's Digest: MacArthur:
vision comes to the fore.
AT&T Bonner Foundation: Reebok and
The good news for the president is that
others are already large investors in na
the new national service has been taking
tional service: So are the state govern-
shape in the nonprofit sector for a decade
ments of Pennsylvania alifornia and
The scale is still small, but most of the
Minnesota
pieces are in place: A new model of na
In addition, the president's proposed
tional service that will last for genera-
National Service Trust Fund post-
tions, far beyond the Clinton administra-
service college scholarships for those who
tion, cannot be built overnight: nor can't
servel- could be doubled or tripled by
carry only the Clinton imprint; it must be
private contributions If every college and
bipartisan. And to capitalize on the
university in the nation engages in the
strengths of our society: it needs to be a
process by establishing its own National
joint venture) of corporations, founda-
Service Trust Fund to augment the fed-
tions; educational institutions the non:
cral scholarships. many more young peo:
profit sector and government at all levels:
plc will be able to gain educational as
One thing is certain: The new national
sistance through joining service pro-
service cannot be created with a stroke of
grams.
the presidential pen or constructed with
The president will have an opportunity
old habits of federal action:
to pioneer a set of innovative federal in
National service used to be defined as a
vestment strategies for. building the new
monolithic and one dimensional federal
national service. rather than creating a
program following the models of military
government monopoly. They should in:
forces; Franklin D: Roosevelt's Civilian
clude:
would be to replicate them nationally
ernment became a partner
Conservation Corps, and John F
A federalism strategy of investing/or
© A hub strategy of investing large
Other investment strategies are fea-
Kennedy's Peace Corps. These programs
a competitive basis in state plans. This
block grants in national and regional non-
sible, but the key is to build the new na-
were built on the guiding assumption that
approach is already under way on a mod-
profits with important zones of expertise
tional service with much broader owner-
these were activities to be undertaken by
est scale through the Commission on Na-
and excellence, which are essential for im=
ship, diversity and innovation.
young people roughly 18 to 25 years of
tional and Community Service: up this
proving and ensuring the quality of the
President Clinton deserves great/credit
age in projects funded and administered
year for reauthorization. The commission
new national services. These areas include
inglahead so boldly but he should
by government on alfull basis during
should be continued. but it is essential
evaluation research. leadership develop-
not be expected to carry the entire respon-
a period spent away from civilian life:
that this not be the only investment strat-
ment; strategic planning and manage
sibility for building national service This
The new national service is based on a
egy, because this would place all leader-
ment; replication. communications and
is the chance of. a lifetime to give a great
ship and direction in the hands of govern-
promotion, and technical assistance. The
many. young people more active and posi:
Roger Landrum is executive director
ment agencies.
Clinton administration should take the
tive roles in our society. Now is the time
Youth Service America. a national policy
© A' franchise strategy of investing in-
step of farming out venture capital to the
for all of the country's majoriinstitutions
training and public education organiza
generic youth service models developed
non-governmental leadership that organ-
to join in creating the new national ser:
non.
and tested by entrepreneurs. The goal
ized and led the movement before gov-
vice.
PHOTOCOPY
PRESERVATION
Cooperative Concept
Non-profit org.
U.S. Postage
PAID
Kansas City, MO
Permit #6113
On June 1, a unique child care center will open in Kansas City. The Univer-
sity of Missouri-Kansas City and Menorah Medical Center have joined forces
An early
to provide early childhood services for children 12 months to 12 years old.
childhood
This partnership will enable the Berkley Child and Family Development
center
Center to benefit from the expertise of two respected institutions. Early
childhood education specialists from the UMKC School of Education and
for today's
other University departments will design innovative programs for children,
The Edgar L. and
and families, and skilled medical professionals from Menorah will-care for
family
Rheta A. Berkley
your child's physical needs
Child and Family
Berkley Child and Family Development Center
Development
Center
Because of the center s ties to the university, students from a variety
University of Missouri-Kansas City
5100 Rockhill Road
Kansas City, MO 64110-2499
an equal opportunity institution
of disciplines will work with your child as part of their own learning
experience.
This is child came! Pres Clintras
might expand this idea to include
Saund child care and Adult Day
Came, as Rast at the Natl Service Loup.
Child-Centered
Hours
Programs
Interest Survey
The curriculum is designed to encour-
Created with working families in mind,
The infant program is available for
Help us determine enrollment needs -
age problem solving, independence
the center will be open from 6 a.m. to
children 12-23 months.
please complete the information below
and cooperation. Teachers trained and
midnight Monday through Friday.
The toddler program is available for
and return to:
experienced in early childhood educa-
Daytime child care can be scheduled
children 24-35 months.
University of Missouri-Kansas City
tion will support your child's learning
for 10 hours daily between 6 a.m. and
The preschool program is available
355 School of Education
in an atmosphere that encourages
5:30 p.m. Evening child care can be
for children 36 months to kindergar-
5100 Rockhill Road
children to be active participants in
scheduled for 10 hours daily between
ten entrance.
Kansas City, MO 64110-2499
what and how they learn.
2:30 p.m. and midnight. A two-and-
The preschool part-day program is
one-half-hour preschool program in
available for children 36 months to
Yes, I am interested in the Berkley Child and
Family Development Center.
the morning or afternoon will follow
kindergarten entrance.
A Pleasant Environment
the university semester schedule.
A full-day kindergarten program is
Name
under consideration and may be
Address
The center will be located on the
added if enough interest is ex-
UMKC campus at 1012 E. 52nd St. in a
City
State
Zip
pressed.
building designed specifically for
The school age program is available
Phone (day)
(evening)
young children, and is open to all
for children kindergarten to 12 years
I am affiliated with
families in the community.
Menorah
(summer program, before and after
UMKC
school, breaks).
I am a community member.
My children who would use the center are:
Experience Counts
Name
Birthdate
Days
Hours
Mary Beth Mann, assistant professor of
Registration
education, will serve as director of the
Applications for enrollment and fee
center. Mann holds a Ph.D. in child
schedules will be available in March
and family development from the
1993. Tuition rates will be based on
University of Missouri-Columbia and
full-time enrollment and the program
has spent the past 15 years working
My child care needs include
in which your child is enrolled.
All-day infant
evening infant
the field of child development direct-
All-day toddler
evening toddler
ing and implementing programs for
All-day preschool
evening preschool
For more information, call 235-2452.
All-dav kindergarten (tentative)
young children and their families.
9-11:30 a.m. preschool
12:30-3 p.m. preschool
School age
6-8:30 a.m. before school
3:30-6 p.m. after school
Evenings
summer
breaks
5-9-93
I went on Ametrak after
work, to Jefferson City! Derived
at 9pm in a terrible blizzand,
with no boots ! Couldnt get
how antil the next afternada.
They held up the hearing
until I got there !! I mention
this because we have had
Such a struggle to get Adult
Day Care started, and (OLMA)
to keep it afloat. If it
took 10 years for 10 states
to pass legislation to allow
people eligible for Hadread
firnding to choose the after
native of Adubt Day Care
instend of narsing homes,
it will take 30 years
PHOTOCOPY
to have unsural Coverage.
PRESERVATION
Mo Has the Loth State Lot
1983
"Will he see me through life?"
My dear father said
He was thinking of his son
As I helped him to bed
Tears came to his eyes
As he asked once again
I told him with a hug
We would do all that we can
We knew that we could not
Do i. all by ourselves
That we needed the help
Of other kind souls
For weeks we sought help
That was seven years ago.
We searched and we searched
But there was no where to go
Then suddenly we thought
ADULT Day Care would help.
But when we inquired
There was nothing about
Today there are centers
In all fifty states
To the delight of those "children"
A dilemma to face
Whose parents may ask
"Will you ace ine through life?"
They may answer and my
Alas! Yes at last!
By his daughter Laurelle O'Leary
DE VERNE CALLOWAY
COMMITTEES:
SIST DISTRICT, ST. LOUIS CITY
CHAIRMAN - EDUCATION
4309 ENRIGHT
ELECTIONS - STATE
ST. LOUIS, MISSOURI 63108
INSTITUTIONS and PROPERTIES
Missouri House of Representatives
JEFFERSON CITY
February 3, 1981
Ms. Laurelle O'Leary
6421 Brookside Road
Kansas City, Missouri 64113
Dear Ms. O'Leary:
Thank you very much for your letter of concern about Day Treat-
ment for the Elderly in Missouri. The information you enclosed
is very helpful, and I am trying to follow through on some of the
points you raised. (For instance, why was the money Karen Benson
fought for not taken from the $795,000 that Senator Eagleton's
letter indicated Missouri had received.)
I would really appreciate your testimony as a witness for my
bill if you can do it. The bill will be heard Monday night,
February 9, at 8 p.m., in Room 131. You may call me collect
at my office number (314) 751-3282, to notify us of your response.
Once again, thank you for your interest.
Sincerely,
Duler De Verne Calloway (lloway
DC:jw
Missouri House of Representatives
JEFFERSON CITY
February 10, 1981
Ms. Laurelle O'Leary
6421 Brookside Road
Kansas City, Missouri
Dear Ms. O'Leary:
If anyone could be called the star witness of a public
hearing, then I certainly feel you are that person.
It was very commendable that you would come out in
extreme winter weather and speak in favor of an issue
which is so close to your personal Life. I am sure
that the committee was impressed with your examples
of the human element involved with caring for an elder-
ly relative. We will keep you informed of the progress
(or Lack of progress) of this bill. Once again, my
sincere thanks.
Sincerely,
Debrue Callensy
De Verne Calloway
THE
SEALTH
4-20-82
COMMITTEES:
DE VERNE CALLOWAY
VICE-CHAIRMAN-ETHICS
81ST DISTRICT. ST. LOUIS CITY
4309 ENRIGHT
STATE INSTITUTIONS &
ST. LOUIS. MISSOURI 63108
PROPERTIES
RETIREMENT
EDUCATION-ELEMENTARY
& SECONDARY
MISSOURI
HOUSE OF REPRESENTATIVES
Dear Alderman
For years, as a matter of record, St. Louis officials have engaged in an unusual,
and often hysterical, dialogue regarding the delivery of acute care medical ser-
vice, as though it is the only service needed, by the City's indigent. We write
to point out to you that "acute care", although costlier, is proportionately
only a small percentage of the total health care needs.
We are urging you to take this and other factors into consideration before you
vote to eliminate the small Program of Alternative Care for the Elderly (P.A.C.E.)
currently operating at Homer Phillips Hospital.
It is our understanding that the 47 people in this program, serviced by 8 employees,
includes persons suffering from the following: Arthritis, Strokes, Heart Disease,
Diabetes, Parkinsons and Alzheimer Diseases, and Amputations. Day Care forestalls,
and for some prevents, need of acute care in a hospital.
Surely, the economic dictate to stretch available dollars to maximum use should
influence you to conclude that the other available methods of caring for these
frail, elderly people has a higher price tag.
We are urging you to maintain P.A.C.E. because the State of Missouri has finally
begun to realize that it can support 3 persons in the Day Care/Day Treatment set-
ting for the same amount of money required to support persons in a nursing home.
This provides the potential of financial help to P.A.C.E.
Presently, there is a bill in the Legislature very near passage which would pro-
vide some state funds for the City's P.A.C.E. program. Even without this bill,
the recent Block Grant Federal Funding process provides authority for the State
to spend its money on alternatives to nursing home care. Several of us in the
Legislature are working to get this kind of help for P.A.C.E.
Because P.A.C.E. is a more humane approach, because once it is dismantled, it
will be very difficult to reorganize, and because you are naturally quite con-
cerned about people, we recommend that you read the enclosed material about
P.A.C.E. and exert all the influence you have to continue and even increase
its use. The need in North St. Louis is reportedly very pressing.
Sincerely,
Russel,
Delerve De Verne Calloway Calloway
Johnnie 5 aikens
Charles Q. Troupe
Johnnie S. Aikens
DC:jw
She used Has. Robies letter and other material I sent
Enc.
her and thair center U.DS saund !
Loin
5-9-93
Ms. Williams,
Sametime, if Mrs Clintow
chould wish to do this, it
would be wondentul to
honor Rep. Be Urrer Pallaway
posthoursmously, for her
Superb efforts in health
Cane, but most especially
for making it possible for
people to Remain home.
(suer)
Loli
I have much informe-
tion Sraw the papers 14
k.e. and St. hours at like
time of her death Last dan
She Has the first black
uroman member of the
PHOTOCOPY
Mo. heq! Use kept in touch
PRESERVATION
until she died.
Low
OF
MISSOURI
February 2, 1993
Ms. Laurelle O'Leary
6421 Brookside
Kansas City, Missouri 64113
Dear Ms. O'Leary:
Here is the information about DeVerne Calloway that I promised to
send to you. I'm sorry it took me so long to get it in the mail;
I wanted to send you as much as I could possibly find.
I checked into the tribute "bust" that I mentioned (I walked around
the Capitol building looking for it!) and found out that Ms.
Calloway's name was submitted for consideration of a tribute bust,
but she has not been selected as of yet.
I hope that you find this information both informative and helpful.
I think it is really neat that you were lucky enough to know such
a wonderful, ambitious lady! If I can be of any further assistance
to you, please contact me in Representative Scheve's office at
(314) 751-9472.
Sincerely,
Dayna M. Stock
Dayna M. Stock
Legislative Intern
cc: Jean Haley
Politics
ANNIE WHITE BAXTER
the offices of Recorder J. P. Newell,
The Baxters moved to Jefferson
Collector J. F. Daugherty, and County
City, and Annie found employment
Clerks John N. Wilson and Jesse
in state government. When Cornelious
Rhoads.
Roach became Missouri's secretary of
On January 19, 1888, Annie White
state, Annie worked for him from
married Charles W. Baxter, an
1908 to 1916 as registrar of lands. She
employee of R. H. Rose Department
received praise for her unusual effi-
Store. They lived on Howard Street.
ciency and particularly for a complete
Annie quit working briefly but
reorganization of the staff and record-
resumed employment on a temporary
keeping techniques.
basis and eventually accepted the posi-
Annie later worked as personal
tion of deputy to County Clerk Rhoads.
secretary for Dean James T. Quarrels
At the county convention in 1890,
of the School of Fine Arts at the Uni-
the Democrats, all men, nominated
versity of Missouri, Columbia. She died
Annie Baxter as county clerk.
June 28, 1944, at Jefferson City.
The Carthage Press (Republican)
-Eleanor Coffield
and the Democrat picked up on the
campaign, with the Democrat praising
REFERENCES
Annie. The Press cited the use of the
Carthage Evening Press, March 2, 1971.
pronoun "he" in the statutes dealing
Priddy, Bob, "Across our wide Mis-
with public office which would make
souri, God Bless Annie Baxter!
it illegal for a woman to hold office.
before women could vote, she won
When the votes were counted, Annie
elected office," Missouri Life 10
won by a plurality of 438 votes. Julius
(May-June 1982): 20-22.
Fischer, a clerk in a bank in Joplin,
who was defeated by Annie, filed an
election challenge on the grounds that
ANNIE WHITE BAXTER
Annie's votes were not legal because
DEVERNE LEE
of her sex.
Annie White Baxter made history in
CALLOWAY
The challenge went to Greene
Carthage, Missouri, on November 4,
County Circuit Court, which court
India DeVerne Lee was born on June
1890, when she won election to the
ruled that "Fischer did not receive a
17, 1916, in Memphis, Tennessee, the
office of Jasper County Clerk - thirty
plurality of the legal votes cast for
oldest of the four children of Charles
years before women could vote. She
the office of county clerk of Jasper
Howard and Sadie Mae White Lee.
ran on the Democratic ticket and was
County, Missouri
Baxter
did
She attended the Seventh Day
elected by the men of Jasper County.
receive a plurality of the legal votes
Adventist Grammar School, Booker
She became the first woman in Mis-
cast
and is now holding said
Washington High School, and
souri elected to a public office; the
office." In other words, Fischer, having
Lemoyne-Owen College in Memphis.
second in American history.
lost the election, was not entitled to
DeVerne majored in sociology and
Annie White was born in Pitts-
the office. Annie Baxter had been
English at Lemoyne and received the
burgh, Pennsylvania, on March 2,
elected. Fischer became liable for the
A.B. degree in 1938. While in college,
1864, the daughter of John B. and
costs Mrs. Baxter had incurred in
she did volunteer work with a settle-
Jennie Black White. Her father worked
defending herself.
ment house in Memphis and with
as a cabinetmaker.
State officers commended Annie
the Southern Tenant Farmers Union,
The family moved in 1866 to
as the best county clerk in the state,
organizing sharecroppers. She later
Newark, Ohio, and ten years later to
and the governor appointed her an
did graduate work at Atlanta Univer-
Carthage. John White opened a fur-
honorary colonel. She later became
sity and Northwestern University,
niture factory at Mound and Meridian
known as Colonel Baxter.
Evanston, Illinois, and took special
in Carthage.
During her term of office, the
courses at Pioneer Business Institute
Annie attended Carthage High
county completed the plans for con-
in Philadelphia, Pennsylvania, and
School, where she graduated in 1882
struction of a courthouse and the work
at Pendle Hill, a Quaker school in
as one of six graduates. The first person
began. A secondary courthouse in
Pennsylvania.
to speak at the exercises, she used a
Joplin also was started. She supervised
After receiving the A.B. degree,
"Bunch of Keys" as her subject.
elections required to approve bonds
DeVerne taught school in Vicksburg,
After graduation, she went to
and authorized courthouse construc-
Mississippi, and at the Hasley Institute
work as a clerk for County Clerk
tion. Renominated for a second term,
in Cordele, Georgia. She moved to
George Blakeney. She later served in
she lost to a Republican landslide.
Pennsylvania and worked as a secre-
Politics
179
tary for a judge in Philadelphia from
for Teamsters Local 688 in St. Louis
for her civic and legislative work,
1940 to 1941; through her work she
and a professor of Urban Studies at
including an honorary Doctor of Laws
became interested in politics. During
Saint Louis University.
degree from the University of
her stay in Philadelphia, she helped
The Calloways moved to St. Louis
Missouri-St. Louis.
arrange precinct meetings and worked
in 1950, and DeVerne became involved
DeVerne served on community
for the reelection of a Republican judge.
in Democratic party politics, the
boards, including the Leukemia Guild,
NAACP, and other civil rights activities
St. Louis Nursery Foundation, and the
in the city. She worked as a volunteer
Union-Sarah Economic Development
on both the Adlai Stevenson and the
Corporation. She has been a member
W. Averell Harriman 1952 primary
of the YWCA, National Council of
presidential campaigns. Ernest was
Negro Women, Order of Women Legis-
elected president of the St. Louis
lators, Americans for Democratic
NAACP in 1955. The Calloways edited
Action, the 18th Ward Regular Dem-
and copublished the Citizen Crusader
ocratic Organization, and a life
(later the New Citizen) from 1961 to
member of the National Association
1962, which covered black politics and
for the Advancement of Colored
civil rights activities in St. Louis.
People.
DeVerne ran for her first elective
-Patricia L. Adams
office as state representative from the
former 13th District (later the 70th
REFERENCES
and 81st districts) in November 1962
Calloway, DeVerne. Papers. Western
and won, becoming the first black
Historical Manuscript Collection,
woman elected to the Missouri legis-
University of Missouri-St. Louis.
lature. DeVerne saw her role as "an
Oral history interviews, Sep-
advocate of the urban area" and as
tember 9, 1971, and February 23,
a catalyst within the black legislative
1983, WHMC-St. Louis.
caucus. While in the house, she worked
State of Missouri, Official Manual,
to increase state aid to public education
1981-1982. Jefferson City: Von
and to improve welfare grants and
Hoffman Press, Inc.
services for dependent children, the
Who's Who Among Black Americans,
blind, disabled, and elderly.
1980-1981. Lake Forest, III.: Who's
DeVERNE CALLOWAY
President John F. Kennedy invited
Who Among Black Americans, Inc.
her to meet with three hundred other
After the United States entered
women leaders in 1963 at the White
World War 11, DeVerne combined her
House to discuss legislative proposals
desire to serve her country and to
relating to civil rights that the president
travel by working for the USO in Phila-
felt women's organizations could
delphia and Fort Huachuca, Arizona.
address. In 1978, President Jimmy
In 1942, she joined the American Red
Carter named her to a presidential
Cross and worked in Calcutta, India,
advisory commission to recommend
the headquarters of the China-Burma-
a replacement for William H. Webster's
India theater during the war. Her work
vacant judicial seat on the 8th U.S.
with black soldiers reinforced her
Circuit of Appeals.
awareness of and outrage at the dis-
As an advocate of reproductive
crimination against and segregation
rights for women, she cosponsored a
of blacks by the Red Cross clubs in
bill to reform Missouri's abortion law
Calcutta, and she led a protest against
in 1970. Her committee assignments
the segregation.
reflected her interests and she served
After the war, DeVerne moved
on the house committees on education,
to Chicago and began working as a
public health and safety, social secu-
writer. She worked for Our World
rity, welfare, Medicaid, insurance, elec-
magazine, supplying stories with pho-
tions, and accounts. She chaired the
tographs to the New York headquar-
federal-state relations, education, and
ters. When the magazine went out of
state institutions and properties com-
business, she worked as a secretary
mittees, and served as secretary of
and bookkeeper for the Fair Employ-
the legislature's Democratic caucus.
ment Practices Council, the Jewish
Mrs. Calloway won her tenth con-
Welfare Fund, and the Health Depart-
secutive term to the Missouri house
ment of Chicago. She continued writing
in November 1980, and retired after
in her spare time. DeVerne met Ernest
twenty years of public service. During
Calloway, a union organizer, while
her two decades of legislative service,
working as a secretary, and they were
she defended the rights of African-
married in Chicago in 1948. Ernest
Americans, the elderly, the poor, and
later became the director of research
women. She received over fifty awards
180
Show Me Missouri Women
STATE REPRESENTATIVES
95
District Number 79-Part of St. Louis City. Population,
28,719.
NATHANIEL (NAT) J. RIVERS (Democrat), born in
Cache, IL. Educated in the Sumner High School, Cairo, IL.
Southern Illinois University-Carbondale and St. Louis
University. Married Audrey T. McCoy, June 1, 1940, at
Union. They have one daughter. He is a real estate and
insurance broker; member, board of directors of Mid-City
Rental Co., Union-Sarah Community Corporation, West Side
Redevelopment Corporation, West End Congress, Union-
Sarah Economic Development Corporation, and West Side
Community Gardens; member, Masonic Lodge; Elks: 79th
District Civic and Improvement Organization; 26th Ward
Social Club, Inc. Recipient of the St. Louis, Citizens Award in
Community Service, 1979; Harris-Stowe College Award in
recognition of concern for Higher Education and Human
Development, 1978 and the Dr. Martin Lugher King Jr.
Human Rights Award, 1979. Elected to the House of
Representatives in 1968, reelected in 1970, 1972, 1974, 1976,
1978 and 1980. Address: 5475 Cabanne Ave., Apt. 814, St.
Louis 63112.
Committees: Interstate Cooperation (chairman); Fees
and Salaries: Motor Vehicle and Traffic Regulations;
Revenue and Economics; Missouri and St. Louis Airport;
Interstate Human Resource.
District Number 80-Part of St. Louis City. Population,
28,947.
ELBERT A. WALTON JR. (Democrat), born February
21, 1942. Attended Harris Teachers College, St. Louis, A.A.
degree, University of Missouri-St. Louis, B.A., Washington
University, M.B.A., and St. Louis University School of Law,
J.D. He is a practicing attorney and at the time of his selection
was provisional judge of the Municipal Court, City of St.
Louis. Married, he and his wife Juanita have three daughters.
Served in U.S. Naval Reserve. Member of Mound City,
Missouri and National bar associations; Accounting
Associations: Omega Psi and Phi Delta legal and Beta
Alpha Psi accounting fraternities; and Wesley House
Neighborhood Services Corp. board. Recipient of
"Outstanding Young Man of America", "Citizen of the Year".
"Outstanding Achievement" and "Outstanding Service"
awards. Elected to the House of Representatives in 1978 and
reelected in 1980. Address: 2735 Coleman, St. Louis 63106.
Committees: Judiciary (vice chairman); Civil and
Criminal Justice; Elections; Fees and Salaries.
District Number 81-Part of St. Louis City. Population,
28,844.
DeVERNE LEE CALLOWAY (Democrat). born June 17,
1916. in Memphis, TN. Educated in the Seventh Day
Adventist Grammer School and LeMoyne College, Memphis.
She did graduate work at Atlanta University, Atlanta, GA,
and Northwestern University, Chicago, IL, special courses at
Pioneer Business Institute. Philadelphia, PA, and Pendle
Hill, a Quaker School in Wallingford. PA. She has an A.B.
degree in English. Married to Ernest A. Calloway. She is a
member of the Eighteenth Ward Regular Democratic
Organization. Was elected to the House of Representatives in
November 1962. Now serving her tenth term. Address: 4309
Enright, St. Louis 63108.
Committees: Ethics (vice chairman); Education-
Elementary and Secondary; Retirement; State
Institutions and Property.
5-9-93
Ms. Williams,
Irequet to have to say
that I trust that Mes. Clintois
Task Force, will not embrace
gigantic hospital systems
such as this one !
Use have had a bad
exporience with their span-
sonship of four Adult Bay
Care centers, which they
heartlessly opered, (over)
and then closed, throwing
many of the patients into
nursing homes. Usually
they gave less than E. 30
day natur!
The final Renter was their
first, which they used to
obtain a ERT) Signature offeed
PHOTOCOPY
PRESERVATION
to build an out patient clinic!
After being turned danne 3
times by the State!
hauRelle Obeary
Kansas city Star -
Unfortunate closing
by Jean
Halay
10-1-94
It's not true that most families using the
They don't have the leisure to spend days
Research Adult Day Center in Downtown
putting together a collection of helpers to step
Kansas City have found other services to take
in and take care of the dependent relative; if
care of their frail relatives. Health Midwest,
they did, they wouldn't need day care in the
operators of the facility, decided to close it
first place. Moreover, the number and
and gave people less than a month to make
geographical location of adult centers is
other arrangements. Yesterday was its final
limited.
day.
The truth is, the matter was an economic
Respite help, by its nature, is almost an
decision. The corporate entity, Health
emergency service. The good people who are
Midwest, couldn't make a profit on the
the caregivers for their elderly parents,
specialized service. In the world of competi-
grandparents and other relatives or families
Most of the 52 people
forced into nursing homes
tive health care, such a cut is just one of those
with developmentally disabled members
things. For public consumption, a rosy
must budget their time religiously.
picture of clients happily settled elsewhere
has been painted. It's a fake,
Sunday, April 18. 1993 The Kansas City Star A-9
BEGINNING TODAY,
KANSAS CITY HAS 11 FEWER
HOSPITALS COMPETING
FOR YOUR BUSINESS.
ESCALATING COSTS. LIMITED ACCESS.
As THE AREA'S LARGEST HEALTH-
WE PLEDGE: To MAKE OUR HOS-
MILLIONS WITHOUT INSURANCE. TOO
CARE PROVIDER, WE HAVE THE
PITALS RESPONSIVE BY MATCHING OUR
MANY TESTS. Too LITTLE CARE. THESE
??
RESOURCES AND THE RESPONSIBIL-
PRIORITIES TO YOURS.
ARE SYMPTOMS OF A SICK HEALTH-
ITY TO DO SO: 11 HOSPITALS, 1,500
To HELP YOU STAY HEALTHIER WITH
PHOTOCOPY
PRESERVATION
CARE SYSTEM. AND IT'S NOT IN SOME
SCREENINGS, PROGRAMS AND CLASSES.
UNDEVELOPED COUNTRY, BUT RIGHT
To TREAT YOU WITH FRIENDLINESS,
UNDEVELOPED COUNTRY, BUT RIGHT
To TREAT YOU WITH FRIENDLINESS,
?
HERE IN AMERICA.
SENSITIVITY AND COMPASSION.
Notsol
YET, WHILE THIS REVER RAGES
To REDUCE COSTS THROUGH EFFI-
HOSPITALS ARE FIGHTING ONE
CIENCIES THAT ONLY A SYSTEM SUCH
ANOTHER TO FILL BEDS. IT'S WRONG:
AS OURS CAN ACHIEVE.
THAT'S WHY THE HOSPITALS OF
FINALLY, TO WORK WITH ANYONE
HEALTH MIDWEST WILL NO LONGER
PHYSICIANS AND 8,400 NURSES, TECH-
AND EVERYONE, IN AN EFFORT TO MAKE
COMPETE AGAINST EACH OTHER.
NOLOGISTS AND EMPLOYEES.
HEALTHCARE IN KANSAS CITY WORK
RATHER, WE WILL COMPETE TOGETHER
IN THE COMING WEEKS, WE'LL BE
BETTER FOR US ALL.
FOR YOUR HEALTH. WE WILL DIRECT
SPEAKING OUT ON HOW WE INTEND
HEALTHCARE MUST CHANGE FOR
OUR EFFORTS TO FIGHT THE REAL
TO BE A PART OF THE SOLUTION, NOT
THE BETTER. IT STARTS HERE WITH
COMPETITION: ILLNESS, INJURY,
THE PROBLEM.
OUR 11 HOSPITALS, AND IT STARTS
SPIRALING COSTS AND ALL THAT STANDS
TODAY. BECAUSE THE REAL COMPE-
PHOTOCOPY
PRESERVATION
IN THE WAY OF OUR COMMUNITY'S
TITION - ALL THAT KEEPS US FROM
WELL-BEING.
HEALTH MIDWEST
GOOD HEALTH - DEMANDS IT.
They operate 11 haspitals here!
Research Medical Center
Baptist Medical Center
Trinity Lutheran Hospital
Medical Center of Independence
Lee's Summit Hospital
Research Belton Hospital
Cass Medical Center
Lafayette Regional Health Center
Research Psychiatric Center
Allen County Hospital
The Rehabilitation Institute
Affiliated with:
American Healthcare Systems
Association or Independent Hospitals
Park Lane Medical Center
University of Kansas Medical Center
Thursday, May 6, 1993 The Kansas City Star , A-9
WHAT HOSPITALS OUGHT
TO BE FILLING ARE
THEIR COMMUNITIES NEEDS.
LET'S PUT ONE THING TO REST
THESE UNUSED BEDS TO OUTPATIENT
EVEN MORE. OUR CONSOLIDATED
RIGHT NOW. HOW MANY BEDS A HOS-
SERVICES AND TESTING UNITS.
OWNERSHIP ENABLES US TO ACQUIRE
PITAL FILLS HAS LITTLE TO DO WITH
OUR SYSTEM INCLUDES SPECIALTY
IT, WHEN MANY INDIVIDUAL HOSPITALS
HOW RESPONSIVE IT IS TO THE COM-
SERVICES AND HOSPITALS FOR PSYCHI-
MIGHT NOT BE ABLE TO.
MUNITY. UNFORTUNATELY, TOO MANY
ATRIC CARE AND REHABILITATION.
WELLNESS AND PREVENTION PROGRAMS
PRESERVATION
PHOTOCOPY
HOSPITALS ARE STILL PREOCCUPIED BY
HERE, EXPERIENCE IS CONCENTRATED
ARE KEEPING OUR COMMUNITY OUT OF
OCCUPANCY RATES.
HOSPITAL BEDS. FROM HEALTH EDUCA-
HEALTH MIDWEST, HOWEVER, HAS
TION FOR TEACHERS, TO FREE HEALTH
CREATED A HEALTHCARE SYSTEM
SCREENINGS FOR THE PUBLIC, TO
?
TO SERVE THE PUBLIC, NOT SUPPLY
WOMEN'S SYMPOSIUMS, TO OSTEO-
ROOM AND BOARD. WE'VE REDE-
POROSIS EDUCATION, TO CENTRAL CITY
FINED OUR HOSPITALS FOR THE
PHYSICIAN OFFICES, HEALTH MIDWEST
FUTURE. CONSEQUENTLY, WE CAN
IS PROMOTING THE COMMUNITY'S
? 2
BEGIN DOING WHAT IS GOOD FOR
TO PROVIDE THE MOST EXPERT TREAT-
WELL-BEING.
Not Soll
THE COMMUNITY, NOT J.U.ST WHAT IS
MENT POSSIBLE.
ADVANCES IN CARE AND CONCERNS
GOOD FOR THE HOSPITALS.
CERTAINLY THE COMMUNITY NEEDS
OVER COST WILL CONTINUE TO DRIVE
MORE OUTPATIENT CARE IS ONE
ACCESS TO THE LATEST TECHNOLOGY
HOSPITAL OCCUPANCY RATES DOWN.
OF THOSE THINGS. NEARLY HALF
THAT CAN REDUCE HOSPITAL STAYS
AT HEALTH MIDWEST, WE'RE NOT
OF OUR COMMUNITY'S HOSPITAL BEDS
LOSING SLEEP OVER EMPTY BEDS.
PRESERVATION
PHOTOCOPY
ARE EMPTY. HEALTH MIDWEST HAS
RESPONDING TO OUR COMMUNITIES'
BEEN AGGRESSIVE IN CONVERTING
HEALTH MIDWEST
NEEDS KEEPS US QUITE OCCUPIED.
Research Medical Center
Baptist Medical Center
Trinity Lutheran Hospital
Medical Center of Independence
Lee's Summit Hospital
Research Belton Hospital
Cass Medical Center
Lafayette Regional Health Center-
Research Psychiatric Center
Allen County Hospital
The Rehabilitation Institute
Affiliated with
American Healthcare Systems
Association of Independent Hospitals
Park Lane Medical Center
University of Kansas Medical Center
5-9-93
Ms. Williams:
Rosemany Okeary, who
was in your class at Sixa,
wrote this. I am only 14-
cluding the 1st page. JLe
crease the tap award 29
her Field of Public Admr
for her publication She is
a lawger and a PLD.
Launelle O'heary
PublicAdministration "Partherships"
On September 15, 1987, United States District Court
Judge Russell Clark ordered a doubling of property
taxes in Kansas City, Missouri, in order to aid in the
desegregation of the school system. Nine thousand
Public Managers, Judges,
Kansas Citians voiced their disapproval by paying their
property taxes under protest, while others responded
and Legislators: Redefining
by staging a series of "tea parties" to complain about
"taxation without representation." Two and one-half
the "New Partnership"
years later in the landmark decision of Missouri V.
Jenkins, a majority of the U.S. Supreme Court surprised
many by supporting Judge Clark's actions in part. It
upheld the authority of a federal judge to order a local
Rosemary O'Leary, Syracuse University
government to levy a tax increase in order to remedy
constitutional violations, even though state laws prohib-
Charles R. Wise, Indiana University, Bloomington
ited such a tax increase.
Although the case has immense fiscal implications,
What are the implications of the Supreme Court's Missouri v.
the significance of Missouri V. Jenkins for public
administration extends beyond its consequences for fis-
Jenkins decision for American public administration? In that
cal policy. It has broad implications for the increasingly
landmark 1990 decision, the Court affirmed a federal district
important aspect of American governance embodied in
court order imposing local property tax increases for Kansas
the relationships between judges and public administra-
City, Missouri, residents as a means of raising funds for desegre-
tors-the so-called "new partnership." The thrust of this
gation efforts by the local school district. in this article,
article is that Missouri V. Jenkins demonstrates that the
Rosemary O'Leary and Charles Wise examine the significance of
relationship between judges and public administrators
that decision for the "new partnership" that has emerged in
has evolved to a new level with profound effects.
recent decades between judges and administrators. Based on
Interviews with residents and school district personnel as well as
The New Partnership
archival and legal research, the authors find that the decision
Judge Bazelon (1976), who coined the term "new
has recast the rule of public administrators operating under
partnership," called for judges and administrators to
court orders. In this case, court decisions empowered and legit-
work collaboratively to assure fair implementation of
imized actions by school administrators, as well as enhanced
public policies. The view of harmonious collaboration
resources available to the school system. Equally important were
has not gone unchallenged. Melnick (1985), among oth-
the decision's impacts on the ability of local administrators to set
ers, held a little over a decade later that the new part-
priorities and control implementation. In addition, interorgani-
nership had evolved into a cover for judicial usurpation
zation relations have become problematic and new accountabil-
of administrative power. The evolution of the new part-
ity mechanisms pose constant challenges. O'Leary and Wise also
nership has proceeded apace in many areas of public
observe that by sanctioning court-ordered taxation, Missouri v.
administration including schools, prisons and jails, and
mental health facilities. An examination of Missouri V.
Jenkins may have also expanded the new partnership into a
Jenkins, however, yields the conclusion that the new
"new triumvirate" that includes legislative bodies. Whatever form
partnership involves a more complex set of relation-
these new relationships take, bowever, it is clear to the authors
ships than connoted by either simple collaboration or
that the courts are the senior partners.
usurpation; rather, the case signifies a transformation of
the positions of judges, administrators, and also legisla-
tors brought about by the evolution of the new partner-
ship.
316
Public Administration Review
July/August 1991 Vol. 51, No. 4
5-9-93
This will open this Summer
and will be intergenerational
with their fabulaus Child
Development Center ( Lhild
Cana)
haue-ke O'heary
Saint Joseph Adult Day Center
SHARING THE CARING: We help you care for a
family member or friend. Our professional staff work
with you in defining individual needs and planning how
to best meet those needs through Saint Joseph Adult Day
Center. Participants may come to the center full- or part-
time for activities and health services. This is their
opportunity to find new friends and a new focus. They
I like my friends, here. They've
are encouraged to enter into life to the fullest extent of
Adult day care gives John the
lived through the same things I
their abilities, while getting the support and supervision
structure be needs in his day. It
have. They don't let me give up.
they may require.
also gives his wife some time to
rest, so that she can have more
-- Participant
strength for caregiving when be
GROWING THROUGH DOING: Each day is a time of
comes home.
motivation and enrichment. Group and individual
activities include discussions, exercise, music, drama,
-- Participant's physician
I used to worry about Mom being
alone in the house, especially
reminiscence, outings, volunteer projects, cooking,
when she started using the
adapted sports, card games, holiday projects, and more!
wheelchair. I'd come home from
work feeling guilty and she'd feel
A special feature is our activities with the children from
lonely. Now that she's going to
Saint Joseph Health Center Child Development Center.
Marge has really blossomed in
the adult day center, she's so full
the adult day center. Their
of news of her day that I can't get
a word in edgewise!
Services also include nursing supervision; help with
expectation that shecan do
medicines; help in the restroom; other personal care;
things helps her so much.
-- Participant's daughter
physical, occupational, and speech therapy; and a meal
--Participant's pastor
and snack adapted for special diets. Transportation is
available.
WHO ATTENDS? Most participants need some help
with activities of daily living or use walkers or wheel-
chairs. Some require rehabilitation therapy. Some may
be incontinent or just need reminders to go to the rest-
room. Some may need special guidance to deal with
Saint Joseph Adult Day
confusion. Many need the structure our day offers.
Saint Joseph Adult Day
Center
Center
621 Carondelet Drive
Kansas City, MO 64114
FAMILY FOCUS: Caregiving at home can be one of the
most demanding experiences your family will ever face.
943-4747
As we become part of your caregiving team, we are here
for you, to listen and encourage. We can help you learn
more about coping with your situation and help you find
other needed resources.
STAFF: We are all specially trained to understand aging
and disabilities. We know how to sensitively respond to
frailties, communication problems, occasional agitation
or depression, and low motivation in participants. Staff
Saint Joseph
are also trained in CPR and first aid.
Adult
GETTING STARTED: We try to make admissions as
easy as possible. We can meet with you at home, in the
Day Center
hospital, or at the center. You decide how much care is
needed. Half-day or full-day services are tailored to your
schedule. There is a small scholarship fund for those
who need help with adult day center fees. We are also
applying to become a Missouri Medicaid provider.
CALL TODAY! 943-4747
when it's
LOCATION: You can find us accross the street from
Saint Joseph Health Center, in Carondelet Manor. Park
time to care
in the lower lot and enter through the Saint Joseph Adult
for someone
Day Center door on the south side of Carondelet Manor.
who cared
for you
103rd St.
I-435
Salmt Joseph Health Center
College Blvd.
Carondelet Drive
Carandelet
PM
Roe
State Line Road
Red Br. Rd.
Road
119th St.
Ville Salet Joseph
Wornall
Affiliated with
Saint Joseph Health System,
part of a national network
sponsored by the
Sisters of Saint Joseph
of Carondelet
Admission and services are provided without regard to race, color,
national origin, sex, age, disability, or religious preference.