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.
Date Created:
04/26/1991
