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Roxbury Comprehensive Health Center

Description: Carmen Fields reports that the infant mortality rate in Boston's African American community is three times the rate in white communities. Fields interviews Jeanne Taylor, PhD (Roxbury Comprehensive Health Center) and David Dolin (Executive Vice President, Beth Israel Hospital)) about the partnership between the two facilities and the rising infant mortality rate in Boston. Dolin says that the high infant mortality rate is a social problem involving health, education, housing, employment, and crime. He adds that advances must be made in all of those areas in order to combat the high infant mortality rate in Boston. Taylor talks about the role of community health centers and the benefits of relationships between community health centers and large hospitals. Taylor says that the infant mortality rate is only one indicator of distress in the African American community. Fields reports that the concept of linkage is being applied to health care through the partnerships between the large and small medical facilities. Fields's report includes footage of infants being cared for in the nursery of a health facility.
1:00:15: Visual: Footage of Jeanne Taylor, PhD (Roxbury Comprehensive Health Center) being interviewed by Carmen Fields. Taylor says that Roxbury Comprehensive Health Center has always been an independently licensed health center; that the health center is federally funded. Taylor says that Roxbury Comprehensive Health Center does not have a relationship with the city or the state. Taylor says that the health center has had informal relationships with hospitals in the past. Taylor says that hospitals provide a wealth of resources to health centers; that hospitals can provide specialists to health centers; that hospital residents can come to work in health centers. Fields reports that the infant mortality rate in Boston's African American community is three times the rate in white communities. Fields notes that the gap grew in 1989 and in 1990. Fields notes that the African American community is called a "death zone." V: Shots of an African American infant hooked up to breathing equipment; of a health care worker monitoring medical equipment in a hospital nursery; of a monitor on the medical equipment. Shot of the health care worker tending to an infant; of the infant hooked up to equipment. Footage of David Dolin (Executive Vice President, Beth Israel Hospital) being interviewed by Fields. Dolin suggests that there is no one to blame for the high infant mortality rate; that you cannot place blame on any one segment of the health care community. Dolin says that the problem may not be a health problem; that the problem is a social problem involving health, education, housing, the police department, and the mayor's staff. Fields reports that the concept of linkage is being applied to health care and the infant mortality rate. V: Footage of Taylor being interviewed by Fields. Taylor says that many hospitals have had limited interest in partnering with health care centers in the past; that many hospitals and health care centers had relationships of mistrust. Taylor says that the mistrust stems from the African American community. Taylor says that the health care profession has performed questionable research on African Americans; that African Americans have not been included in medical research in the past. Taylor says that hospitals are usually interested in partnering with health care centers for research purposes. Taylor says that the relationship of mistrust between hospitals and health care centers has changed. Footage of Dolin being interviewed by Fields. Dolin says that funding is coming from health care centers and hospitals; that there is little funding from the government. Dolin says that health care centers and hospitals are underfunded; that some areas get neglected. Dolin says that many factors affect maternal and infant health; that increased funds from hospitals and health care centers can be undermined by these other factors. Footage of Taylor being interviewed by Fields. Fields asks Taylor to explain linkage as it applies to community health centers. Taylor says that linkage promotes relationships between large medical facilities and smaller health care centers with limited resources. Taylor says that the health care centers can gain access to hospital amenities. Taylor says that health care centers can take advantage of hospital residents and hospital purchasing discounts for equipment and supplies. Taylor says that health care center physicians can admit patients to the partnering hospital; that the health care physicians can be on the faculty of these hospitals. Taylor says that physicians at health care centers need extra benefits because they do not make high salaries. Footage of Dolin being interviewed by Fields. Dolin says that hospitals have a responsibility to the local community. Dolin says that the best way to deliver care to the community is through the health care center. Dolin says that the hospitals need to provide their expertise and resources to aid the health care centers. Dolin says that he sees no disadvantages to the relationships between hospitals and health care centers. Footage of Taylor being interviewed by Fields. Fields asks what will happen if linkage is not adopted. Taylor says that costs will rise; that there will be a double standard in health care across the nation. Footage of Dolin being interviewed by Fields. Dolin says that the high infant mortality rate and other problems will not be solved if linkage is not adopted. Dolin says that there are other factors; that problems in the areas of crime, drugs, housing, and education must also be solved. Footage of Taylor being interviewed by Fields. Taylor says that the infant mortality rate in the African American community is only one indicator of the distress in that community. Taylor says that the major hospitals in Boston did not realize that the infant mortality rate was a problem until a major newspaper printed a story about it. Taylor says that the African American community has been neglected; that the neglect must stop.
Collection: Ten O'Clock News
Date Created: 01/28/1991

Third world health care advice

Description: Alexandra Marks reports that the infant mortality rate in Boston is higher than in many third-world countries. Marks interviews Dr. Ronald White of the Martha Eliot Health Care Center. White talks about the problems facing low-income populations in Boston. White talks about changes in US government policy that ended the link between health care policy and economic development policy. Marks interviews Dr. Rodrigo Guerrero, one of several experts from the developing world to visit Boston for a conference on the health care crisis. Guerrero explains that people's health is related to income and says that reducing poverty will improve people's health. White agrees with Guerrero's recommendations about attacking poverty. Marks reports that attendees at the conference recommended that the city of Boston levy a twenty-five cent tax on cigarettes to pay for new health care programs. Interview with Mayor Ray Flynn about the need for quality health care in the city. Marks' report also features footage of women and children at health clinics in Boston and footage from Frontline of Colombian cities and villages.
0:59:19: Visual: Footage from Frontline of native residents of a village in Colombia. Alexandra Marks reports that the infant mortality rate in Colombia is seventeen deaths per 1,000 infants. Marks notes that Boston is the home of some of the most sophisticated medical technology in the world; that the infant mortality rate in parts of Boston is higher than in Colombia. V: Shot of a young African American boy walking near parked cars. Audio of Dr. Ronald White (Martha Eliot Health Center) saying that medical officials and government officials must acknowledge the crisis in health care. Marks reports that White is director of the Martha Eliot Health Care Center; that the Center is an affiliate of Children's Hospital. Marks reports that the clinic is in the frontlines of the fight against disease and violence in Boston's low-income neighborhoods. V: Shot of the exterior of the Martha Eliot Health Care Center. Shot of a woman with an infant and a child entering the health care center. Footage of White being interviewed. White says that substance abuse, violence, AIDS, infant mortality, and the decreased life expectancy of minority males are all problems of the low-income population. Footage of Dr. Rodrigo Guerrero (Carvajal Foundation) being interviewed by Marks. Guerrero says that development is not a problem of resources. Guerrero says that people must be mobilized. Marks reports that Guerrero is in Boston to give advice to White and his colleagues. Marks reports that Guerrero is the executive director of a Colombian charitable foundation; that programs sponsored by Guerrero's foundation helped to decrease the infant mortality rate in Colombia. V: Footage from Frontline of children in a Colombian village. Marks reports that Guerrero is one of several experts from the developing world who gathered in Boston today; that the medical experts are here to help medical workers in Boston deal with the health care crisis. V: Shots of attendees at the conference; of a speaker at the conference. Footage of Ray Flynn (Mayor of Boston) being interviewed. Flynn says that people look at Boston as a center of medical expertise; that Boston needs to provide quality health care for poor and needy people. Marks reports that Flynn has pressured two of Boston's leading maternity hospitals into providing $3 million over three years to decrease the infant mortality rate. V: Shot of a Latina woman and infant in the lobby of a pediatric clinic. The woman enters an examination room, followed by a white female health care worker. Shot of the infant on an examination table. The two women stand over the infant. Marks notes that the hospitals will provide more doctors and midwives; that health clinics will receive funding for more prenatal care. V: Footage of Flynn being interviewed. Flynn says that there have been cuts in federal and state spending on health care; that the city must rely on private hospitals to provide quality health care for all people. Footage of Guerrero being interviewed. Guerrero says that his foundation began opening health clinics and schools in poor areas of Cali, Colombia. Guerrero says that his foundation had limited success at first. Marks reports that Guerrero believes that providing medical care is not enough. Marks reports that Guerrero switched his focus from the development of health clinics to economic development. Marks notes that Guerrero's program trained people how to open small businesses like soda shops and beauty parlors; that the program provided technical assistance and loans to the businesses. V: Footage of an urban area in Colombia; of residents and traffic on the streets; of small businesses in a commercial area. Footage of Guerrero being interviewed. Guerrero says that income is related to health. Guerrero says that an increase in a family's income will result in better health for family members. Footage of White being interviewed. White says that Guerrero's idea is an excellent one. White says that this idea was behind the construction of neighborhood health centers during the Lyndon B. Johnson administration's War on Poverty. White says that the neighborhood health centers were originally under the jurisdiction of the Office of Economic Opportunity. Marks reports that the health centers were shifted to the jurisdiction of the Office of Health, Education and Welfare during the Richard Nixon administration. Marks notes that the shift in jurisdiction marked the end of the connection between health care and economic status. Marks reports that White believes that this shift led to a decline in health care. V: Footage of a white female health care worker and a Latino woman in a medical examination room. An Latino infant is on the examining table. The Latino woman changes the boy's diaper. Footage of White being interviewed. White says that jobs must be provided in order to reduce violence. White says that economic development provides opportunities for people. Marks stands outside of the Martha Eliot Health Care Center. Marks reports that attendees at the conference recommended that the city of Boston levy a twenty-five cent tax on cigarettes to pay for new health care programs. Marks reports that the measure is expected to be controverial; that the measure will probably be opposed by merchants. V: Footage of White being interviewed. White says that new revenue is needed to provide minimal programs; that programs are needed to make headway against AIDS, violence, drug abuse, and infant mortality. Marks reports that it is unlikely that new taxes or new health or development programs will be funded during this economic crisis. Marks reports that it is possible that poor people in Colombia will lead longer and healthier lives than poor people in Boston. V: Footage of an infant being weighed on a medical scale. A Latina woman and a white female medical worker look on.
Collection: Ten O'Clock News
Date Created: 04/26/1991

Tsongas speaks to O.N.E.

Description: Alexandra Marks reports that Paul Tsongas addressed the members of the Organization for a New Equality (ONE) at a luncheon meeting. ONE is an organization committed to opening up new economic opportunities for minorities. The members of ONE welcomed Tsongas' pro-business, liberal agenda. Tsongas criticized the policies of George Bush in his speech and has accused him of promoting a racially divisive agenda. Tsongas is calling for a combination of tax incentives and government spending to revitalize inner-city neighborhoods. Interview with Robert Reich (professor, John F. Kennedy School of Government at Harvard University) about Tsongas' position on economic issues and education. Interview with Tsonga, who talks about the importance of education. Interviews with Dorchester residents Chico Joyner and Faries Odom about Tsongas.
1:00:04: Visual: Footage of Paul Tsongas (Democratic candidate for US President) at a luncheon for ONE (Organization for a New Equality). Tsongas walks to the podium as attendees applaud. Alexandra Marks reports that Tsongas is not known as a passionate speaker; that Tsongas showed his passion at a speech to ONE members. Marks reports that Tsongas spoke about the budget approved by the Massachusetts State Legislature. Marks notes that the State Legislature is controlled by Democrats. V: Footage of Tsongas addressing the attendees. Tsongas says that his generation will be the first to give less to their children than they got. Tsongas says that his generation should be uncomfortable with this state of affairs. Tsongas says that the legislators should not congratulate themselves for balancing the budget by ruining the schools. Shots of attendees at the luncheon. Marks reports that the attendees welcomed Tsongas' pro-business, liberal agenda. Marks reports that ONE is committed to opening up new economic opportunities for minorities. V: Footage of Tsongas addressing the attendees. Tsongas says that a politician needs to be "pro-business" in order to be "pro-jobs." Tsongas says that Democrats need to learn that it is hypocritical to be "pro-jobs" and "anti-business." Marks reports that Tsongas berated George Bush (US President) for championing ideology over common sense in supporting the previous day's Supreme Court ruling on abortion. Marks notes that the ruling upholds a federal regulation which forbids the mention of abortion in clinics where federal funds are used. V: Shots of Tsongas speaking; of attendees; of a cameraman at the conference. Marks reports that Tsongas chided Bush for using the racially divisive Willie Horton advertisement in the 1988 presidential campaign. Marks reports that Tsongas chided Bush for vetoing the Civil Rights Bill and for sabotaging efforts to salvage the bill. V: Footage of Tsongas addressing the attendees. Tsongas says that Bush opposed the Civil Rights Bill because he wants race to be an issue in the 1992 campaign. Marks stands on Blue Hill Avenue. Marks says that Tsongas is calling for a combination of tax incentives and government spending to revitalize inner-city neighborhoods. Marks says that Tsongas believes that government money is necessary to leverage private investment. Marks says that economists have mixed feelings about Tsongas' philosophy. V: Footage of Robert Reich (John F. Kennedy School of Government at Harvard University) being interviewed by Marks. Reich says that the private sector in the US is globalizing quickly. Reich talks about the foreign activities of IBM and General Electric. Reich says that the government needs to be selective in its support of the private sector; that the government should not support companies who create jobs outside of the US. Marks reports that Reich believes that the key to economic development is to enhance the productive capabilities of individual Americans. V: Footage of Reich being interviewed by Marks. Reich says that education and infrastructure are important. Reich says that Tsongas emphasizes these things in his proposal. Footage of Tsongas being interviewed. Tsongas says that there is no future without education. Marks reports that some inner-city residents are supportive of Tsongas. V: Shots of Blue Hill Avenue. Footage of Chico Joyner (Dorchester resident) being interviewed. Joyner says that most people will rebel against a tax increase. Joyner says that new businesses would help the community. Footage of Faries Odom (Dorchester resident) being interviewed. Odom says that community involvement is crucial to the success of any initiatives in the neighborhood. Footage of Tsongas addressing attendees at the ONE luncheon. Tsongas says that all people are connected to one another; that people's actions have an affect on themselves and others. Marks reports that Tsongas intends to send this message during his presidential campaign; that Tsongas wants to fight against the racially divisive agenda of the Bush administration. V: Shot of Tsongas riding down an escalator with attendees. An African American man shakes his hand and wishes him luck.
Collection: Ten O'Clock News
Date Created: 05/24/1991