OPINION Health plan should be approved second time around When I lived with my par ents, the rule for doing chores was, “If you see something that needs to be done, do it.“ Oregon hoalth cate planners, to their credit, recognized that something had to bo dono about health care coverage In Oregon. And, aftor almost 10 years of back-breaking effort, they've come up with a solu tion. In 1983, Oregon health care planners brought doctors, busi nessmen and labor loaders to gether to discuss the distribu tion of Oregon’s financial re sources. These hoalth CBre planners came up with detailed computer models that would rank medical procedures by c.ost-effnctiveness. simply put, cuts bock on exten sive medical coverage for 230.000 residents so that It can afford to extend basic coverage to an additional 450,000 Orego nians These are residents who do not otherwise qualify for the state's Medicaid program or who are employed, but current ly havo no health insurance. The proposal ranked 700 medical procedures according to their cost-effectiveness Un der the new plan, Medicaid would cover as many of the medical procedures as the state could afford, which turns out to be the first 587 on the list. Among the services being cut were medical therapy for the common cold, chronic bronchi tis and AIDS patients believed to be in the last six months of their lives. Other services cut included certain kinds of epilepsy, defor mities of the foot, traumatic bruin injury and breast recon struction after mastectomy for breast cancer. Last August thn proposal was rejected. Almost ju town meot i n g s took place to cjis cuss the rules by which medical prior ities would be set. Before the plan was sub mi11 e d for Washington's approval in August of 1991, those health care planners conducted a telephone survey of 1,000 random Oregon households to help shape the final proposal. The plan would have guaran teed basic health tare coveragu to almost every Oregonian by 1993 The Oregon health care plan, Oregon has matte a bold step forward to provide adequate health care coverage for all Oregonians instead of generous coverage fora few. tv i i (I in u words "taint ed by discrim ination,'' US. Secretary of Health and Human Ser vices Louis W Sullivan damned the health care proposal, say ing it would illegally dis criminate against the disabled. Sullivan said ho believed the Oregon rankings were based on the idea that "the value of tho life of a person with a disability is less than the life of a person without a disability ” This as sumption. Sullivan said, vio lates the 19U0 Americans with mi MAN IS HAVING A HEART ATTACK l QUICK,CALL A DOCTOR!! 1UMIS k DOCTOR p doctors FEES? LMtST HtXL-mOkREOsJ RtfORM PROPOSE I ’ m MIKE lYOi-tfitf vj ri