TALKING IT OVER
HILLARY RODHAM CLINTON
Ask any young parent whom they turn to first with questions and concerns
about their children, and they're likely to answer, "The pediatrician." When
our children are young, many of us call the pediatrician at the first sign of a
sniffle. We rely on them to calm our anxieties about the full range of
complaints -- from colic to chicken pox, bronchitis to boyfriends.
Last month, with overwhelming bipartisan support, Congress passed the
Children's Hospitals Education and Research Act. Introduced by Congresswoman
Nancy Johnson of Connecticut, and Senator Bob Kerrey of Nebraska, the bill will
provide long overdue financial support to the very institutions -- the
children's medical centers and teaching hospitals -- that are the most
important training facilities for our children's doctors.
In an increasingly competitive health-care market, dominated by managed
care, teaching hospitals struggle to cover the significant costs associated
with training and research. While other teaching hospitals receive support for
these costs through Medicare, children's hospitals receive virtually no federal
funds, even though they train 30 percent of the nation's pediatricians and
nearly 50 percent of all pediatric specialists. In many cases, they provide the
regional safety net for children, regardless of medical or economic need, and
they are the major centers of research on children's health problems.
Millions of American children each year are treated by physicians
affiliated with or trained in one of 60 independent children's hospitals across
the country. As I have traveled around the country over the past 25 years, I
have had the opportunity to become acquainted with the valuable services many
of them provide.
When Bill and I lived in Arkansas, one of Chelsea's pediatricians was
Dr. Betty Lowe, the medical director of the Arkansas Children's Hospital, a
facility dedicated exclusively to the care of children and the training of
children's doctors. I was proud to have played a part in the development and
expansion of this important regional facility, serving as a member of its board
of directors for many years. I saw firsthand the miracles that happened there
every day -- miracles that would have been impossible without the commitment of
both its dedicated senior staff and its roster of talented medical residents.
Here in Washington, one of my favorite Christmas traditions is a visit
to the Children's National Medical Center, widely considered one of the best
pediatric hospitals in the nation, and the largest private provider of
pediatric primary care in the Washington, D.C., region. The annual trip to
Children's is also a favorite outing for Socks, who typically sits in my lap as
I read holiday stories and answer questions from the young patients -- many of
whom will spend their holidays in the hospital.
In recent years, I have made several trips to Children's Hospital in
Boston, the nation's oldest children's hospital. In addition to treating young
patients suffering from complex medical conditions, Children's runs the largest
pediatric training program in the country, and the largest pediatric research
program in the world.
I have also spent time visiting the patients at Children's Mercy
Hospital in Kansas City, Mo. There, I read to the youngsters as part of the
hospital's Reach Out and Read program, which provides books for hospitalized
children. Like Children's Mercy, pediatric hospitals around the country are
dedicated to treating not only the immediate condition that brings sick or
disabled children to the hospital, but also to improving their overall health
Earlier this year, I invited a group of senior children's hospital
administrators to the White House to discuss the burdensome costs of graduate
medical education. A typical independent children's teaching hospital receives
less than 1/200th, or .005 percent, of the Medicare graduate medical education
support that other teaching hospitals receive. This inequity is only
exacerbated by the fact that these centers face the additional costs of serving
the poorest, sickest and most vulnerable children, as well as conducting
research that benefits all children.
That day, I was pleased to announce that, in order to address this
issue, the President would earmark $40 million in his FY2000 budget plan to
provide federal financing of graduate medical education for freestanding
children's hospitals. On average, hospitals could receive nearly $10,000 per
resident, or almost $700,000 for each facility. We worked tirelessly to win
these funds, and were extremely pleased that Congress authorized them in the
When the President signs the Children's Hospitals Education and Research
Act, we will have taken an important first step toward putting children's
teaching hospitals on an even footing with other medical education centers -- a
critical investment in a healthy future for all our children.
To find out more about Hillary Rodham Clinton and read her past
columns, visit the Creators Syndicate web page at
COPYRIGHT 1999 CREATORS SYNDICATE, INC.
ALL RIGHTS RESERVED