While oral presentations do not always translate well into print, the enthusiastic response of the audience to Bill Tietjen's keynote address to the 14th Discharge Planning Symposium, Oct. 23, 1993, prompted DPU to put this editorial maxim to the test. Considering the relevance of the symposium's theme to the upheavals that health care reform will invariably impose, we offer Tietjen's keynote address here, in a somewhat shortened version to accommodate the print medium.
If the myriad federal and state proposals for health care reform sometimes confuse those who provide health care, they often are even more mysterious to private citizens, whose tax dollars will invariably support a reformed system and who will be the ultimate purchasers of the care that it delivers. Some states are attempting not only to demystify the process for their residents but also to engage them in the reform debate. The following article, reprinted with permission from the November-December 1993 issue of State Government News, describes several such activities. It was brought to DPU's attention by Michelle Champoux, a social worker/consultant who has been active in the Vermont Ethics Network that the article describes.
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