The Arizona Republic wants a new hospital downtown and they want it bad. Get in the way and you will be pummeled. Ask and inconvenient question and you will be isolated. Refuse to tow the line and you will pay a heavy price.
We've all seen the pattern before. Usually, the editorial board picks a bill or an issue and fires off a quick editorial and moves on. Every few years however, management sees fit to demand something big and the editorial board and capitol reporting team up to pummel recalcitrant Legislators into submission.
Here was the first sign of trouble.
Lawmakers turned a skeptical eye Tuesday to the growing budget requests and structure of the medical college soon to open in downtown Phoenix.
During an informational hearing, they questioned why the plan to bring the University of Arizona College of Medicine to a downtown Phoenix campus had grown from an initial investment of $7 million in state dollars to what House Speaker Jim Weiers painted as nearly $500 million, citing university figures.
They also questioned why the college chose to partner with Banner Health Care rather than Maricopa Integrated Health System.
Here's the paper's response.
Last year, after considerable wrangling, state lawmakers agreed to a $7 million start-up for a University of Arizona School of Medicine expansion to downtown Phoenix.
Some lawmakers resisted.
They wondered whether UA could pull it off. Whether the proposed "collaboration" between Arizona State University and UA would actually work. If the academicians really knew what they were getting into and whether they could spend the money efficiently.
Today, a year later, and into another legislative budget deliberation, those questions have been answered with a series of resounding successes.
How do I know that this is going to be a pummeling instead of a normal policy difference between the Legislature and the Republic? How do we know that this is going to get ugly?
Because the editorial board and the reporters are ignoring the elephant in the room. And, despite expressing concerns previously, they are now using their power as gatekeepers to ensure that the elephant remains ignored. The elephant is Banner Hospital.
Here's how last Sunday's editorial refers to the Banner deal.
The UA has cemented a historic partnership with Banner Health for a teaching hospital and a cancer research center, both located in the city's bio-medical district.
"Historic." That's brilliant.
I was at church during a lecture where the pastor was telling high school kids that it is never OK to lie. One kid asked what you say if someone shows you a picture of their really homely child. The pastor said that you should say. "You must be very proud."
"Historic" is the equivalent of "You must be very proud." The choice of historic hides the fact that the editorial board thinks the Banner deal is an abomination but they apparently have strict instructions to support it anyway.
Here's how Republic Editorial writer Joel Nilson originally described the Banner deal.
A partnership between Banner Health and the University of Arizona for a downtown hospital leaves out Maricopa County, which desperately needs a replacement hospital. Banner flexing its muscles is counterproductive. Two new full-service hospitals downtown aren't needed.
Here's the deal the editorial board really wanted.
The governing board of the special Maricopa Medical Integrated Health System has decided to begin planning a new facility that could be in downtown Phoenix. The board's call recommends that the new hospital be developed in partnership with the new University of Arizona medical school and the downtown bio-medical campus.
That grand vision would be a major booster shot for Arizona's health care capacity, for the medical school and for downtown.
That's right. The County hospital is a much more logical choice. In fact, the Banner choice has been universally panned.
Here's Democratic Minority Leader Phil Lopes. "For Banner to build a 150-bed general hospital and the county to build another somewhere close by doesn't seem logical. We don't need new beds in downtown Phoenix,"
Here's another comment. "It's surprising to us that we would not be the core partner," said Betsey Bayless, chief executive officer of Maricopa Integrated Health System, which operates Maricopa Medical Center. "I feel there was an abrupt change of course."
The CEOs of the other hospitals were taken aback.
On Monday, the chief executives of eight major health organizations sent a letter to the Arizona Board of Regents. Among the signers were Linda Hunt of St. Joseph's Hospital and Medical Center, Tom Sadvary of Scottsdale Healthcare, Victor Trastek of Mayo, and Betsey Bayless of Maricopa Integrated Health System.
The letter urged the regents not to make a decision yet on the Banner proposal.
"We were of the belief that the process would be more open and inclusive of hospital systems and physicians in our community. We expected collaboration and cooperation," the CEOs wrote.
Senator Carolyn Allen didn't mince any words.
The Banner/UA plan may get a chilly reception from at least one legislator, Sen. Carolyn Allen, a Scottsdale Republican who will be head of the health committee. Allen, who had been on the governor's medical-school committee, called the UA/Banner proposal a "back-door deal" that ignored the governor's committee.
"It was clumsily handled," she said. "I don't know what to think of it. I am ready to wash my hands of the whole thing."
Back room deals? Clumsily handled? Abrupt change of course? Doesn't seem logical? Not open or inclusive? Lacking in Collaboration and cooperation?
And now the Republic simply calls it historic? What's up with that? Who could have enough swat to get a deal like this done?
Everyone at the Capitol knows who got the deal done, but no one is willing to print the obvious. Someone with skill, talent and connections got this done. Someone that nobody is willing to mess with got this done.
It starts right here.
The University of Arizona College of Medicine has appointed Beth Schermer, a noted Phoenix attorney who has worked in health care law for more than 25 years, to a one-year appointment as vice dean for administration, UA College of Medicine-Phoenix.
It ends right here.
The most recent memorandum of understanding, however, states Banner would build, finance and operate clinical facilities on the biomedical campus "as the primary affiliate."
Bayless said she was furious when she saw the Dec. 6 agreement, which came out after she submitted her own memorandum of understanding on Nov. 30 stating MIHS would build a replacement hospital on the biomedical campus.
Beth Schermer, vice dean for administration for the UA College of Medicine, said the MIHS model did not fit with the concept of a public/private partnership because it would have to rely on too much county and state funding.
Isn't that a Conflict?
Schermer, together with her husband Sam Coppersmith, are one of the state's premier behind-the-scenes power couples. Schermer was on loan from Coppersmith, Gordon, Schermer, Owens & Nelson. Banner hospital has been--and perhaps still is--a client of of the firm.
Back room deals? Did the UA College of Medicine bring Schermer on board only to have Schermer steer the college away from the logical choice of partnering with Maricopa County and toward one of her firm's clients?
Why haven't reporters questioned the obvious relationship between Schermer, the College, Banner and the law firm? Why has the editorial board changed its tune about the Banner deal? Why are Legislators going to be pummeled for questioning the Banner arrangement despite the fact that the editors themselves questioned the Banner arrangement?
The answer is that there are some deals and some people who are too big to mess with.
Let the beatings begin.
Recent Comments