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Fri, Aug 08 2008 

Published April 24, 2008 10:06 am -

Hospital takeover concerns mount


By TEDDYE SNELL

TAHLEQUAH DAILY PRESS

Following an announcement last week that the Cherokee Nation will assume operations of Hastings Indian Medical Center Oct. 1, some tribal officials were surprised the decision was made without a vote of the full council.

The Daily Press obtained a copy of an e-mail Dr. Brad Cobb, District 8 councilor and chairman of the health committee, sent to fellow councilors to voice his concerns.

“As chair of the health committee, this press release has personally put me in a difficult position,” wrote Cobb. “And has, at the same time, de-edified the tribal council as a whole.”

Speaker of the Council Meredith Frailey indicated Cobb is not the only person concerned about the situation.

“There have been many inquiries about the Cherokee Nation assuming operations of W.W. Hastings Indian Hospital,” wrote Frailey in a e-mail to the Daily Press. “And, rightly so, because it is a major, challenging endeavor. Many constituents have inquired whether the level of care at WWHIH will be improved under CN management.”

Frailey said several Indian Health Service employees are concerned about their jobs and benefits retention, and some council members expressed concern that the recent news release announcing the takeover gives the appearance of indifference to council opinion.

Cobb explained in his e-mail that he believes tribal councilors are elected by constituents to represent the people, and in announcing the takeover to the media and all employees, the administration effectively disenfranchised the citizenry.

“It is my belief that the Cherokee Nation and W.W. Hastings Indian Medical Center are merely in a negotiation phase,” wrote Cobb. “To assume anything more would be conjecture.”

Cobb asserted the Hastings matter should be put to a vote of the tribe’s health committee, the executive and finance committee, and finally the full council, before any move is made to take over the hospital.

“Until that time, it [the takeover plan] is nothing more than a plan on a blackboard.”

In a Daily Press report published in January this year, Cobb, during a health committee meeting, “stressed the importance of properly addressing the tribe’s intentions [to take over HIMC], and that the council will be responsible for making any final decision.”

Frailey pointed out to proceed to the second phase of negotiations with IHS, an “expression of intent” is required.

“It is my understanding a letter of intent has been provided to IHS by the administration to continue the analysis and planning phase of negotiations,” wrote Frailey. “Therefore, it is premature to make a decision on whether to assume operations at the hospital. The planning process and analysis have not been completed. The concerns of citizens and employees certainly are being considered during the process.”

District 9 Councilor Chuck Hoskin Jr. responded to Cobb’s e-mail, offering support and indicating he, too, believes the matter should be approved by the council and its committees.

“Anyone who has read the press release or subsequent news articles comes away thinking it’s a done deal,” said Hoskin. “I support Dr. Cobb in his response and back him up 100 percent. This decision would appear to be a public display of indifference to us [tribal council].”



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