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Unfortunately I believe that we are limited in what we can focus on. I think that if we proceed with the partisan sideshow of prosecuting Bush admin. officials, healthcare will get lost in the brouhaha.
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Sen. Grassley Seeks Records from Michelle Obama's Employer

POSTED: 06:20 PM ET, 09/ 2/2008 by The Editors

The ranking minority member on the Senate Finance Committee is seeking information from the non-profit University of Chicago Medical Center about jobs held by Sen. Barack Obama's wife and one of his best friends, The Post's Joe Stephens reports.

Sen. Charles Grassley (R-Iowa) on Friday sent the center a letter saying he was "troubled" by recent news reports about the hospital's efforts to steer patients with non-urgent complaints away from the center' emergency room to local clinics. Michelle Obama was a key figure behind the initiative.

The letter, which Grassley released to the public today, does not directly mention the Democratic presidential nominee, his wife or his campaign. Grassley also asked for financial data, board minutes and other documents related to hiring, job promotion, business contracting and care for the poor.

In a response to The Washington Post, the campaign provided a statement. "Michelle Obama has worked at the University of Chicago for nearly a decade, expanding the University's community service programs, and building ties between the Medical Center, community leaders, organizations, and service providers. Her salary was downgraded accordingly when she became a part-time employee and was halted when she took a leave of absence."

The campaign also provided statements from third parties defending the hospital's record on caring for the poor. A statement provided from Illinois Attorney General Lisa Madigan said: "Compared to other hospitals in Illinois, University of Chicago Medical Center clearly provides care to a great number of low income patients. And you can see that in the large number of Medicaid patients the hospital serves."

The medical center said in a statement Tuesday that it was working on a response to the letter.

"We have received Senator Grassley's August 29 letter and we are beginning the process of providing thoughtful and thorough answers to his questions," the statement said. "Much of the information he has requested is already a matter of public record and offers evidence of our vigorous pursuit and commitment to our patient care, education, research, and community missions. We are proud of our extraordinary record of charitable contributions."


Grassley's letter also requested that the center describe its policy governing "political activity," including political fundraising. It also asked whether the center had a written conflict of interest policy and, if so, how it is monitored and enforced by the center. The medical center has numerous ties to Obama's associates, fundraisers and political advisers.

On Aug. 22, The Washington Post published a story detailing those ties and examining the center's programs for the poor and uninsured.

For years, Grassley has argued that non-profit hospitals should spend more resources on the poor and be more financially accountable, in return for the millions of dollars they keep each year as a result of their tax-exempt status. Grassley has periodically demanded financial data from selected hospitals and issued reports detailing perceived shortcomings. He has also chaired a Senate hearing on the topic.

In a statement on Tuesday, Grassley said the Chicago medical center "appears to be culling the least profitable patients from its emergency room."

Sen. Max Baucus (D-Mont.), chairman of the Finance Committee, said in a statement: "Tax-exempt hospitals absolutely should be expected to provide charitable care, but many facilities can be overwhelmed by the call for such care, particularly when they serve local low-income populations that may be less healthy, Medicaid-dependent, or entirely uninsured."


"In his letter, Grassley asked the center how it selected and set the salaries for two senior management positions: executive vice president and the vice president of community and external relations. The current executive vice president is Eric Whitaker, a close friend of Obama's. The current vice president of community and external relations is Obama's wife, Michelle. She has been on leave from her job, where she earned up to $317,000, since January.

Grassley's letter sought details about how the center decided how much free and discounted care it would provide to the poor. He asked for board minutes on the center's South Side Health Collaborative, which was started by Michelle Obama, and its broader Urban Health Initiative, now headed by Whitaker. Both projects seek to connect low-income residents of Chicago's South Side with neighborhood health clinics, so they can receive regular checkups. The effort also is designed to lower the number of people seeking non-urgent care at the center's emergency room.

The letter also asked the center for details on its payments to PR firms and documentation on how they were selected. In 2006, the center retained ASK Public Strategies to help build support for the Urban Health Initiative. ASK is co-owned by Obama's chief campaign strategist, David Axelrod.

Without naming a specific company, Grassley also asked for documentation showing how the center selected a contractor to upgrade its internal computer network. A center annual report shows computer contracts went to Blackwell Consulting, a company run by Obama contributor Robert Blackwell Sr.

Grassley asked the center to respond in full by Sept. 30.

In a prepared statement, Grassley referred to a letter he sent earlier to the M.D. Anderson Cancer Center in Houston, and said, "I keep hearing that tax-exempt hospitals are changing their ways...It's troubling then to hear about two world-renowned hospitals engaging in questionable practices..."

"The answers to the questions I'm asking are critical to understanding whether these hospitals are setting standards for their peers. Those standards might include losing sight of the public service that comes with non-profit status."

By The Editors |  September 2, 2008; 6:20 PM ET Post Investigations
Previous: Palin Coverage Focused on Daughter and 'Troopergate' | Next: The Housing Bubble, Still Burst

Comments

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Getting patients to community clinics for care instead of the emergency is important for the patients themselves. Many patients, especially, those without insurance do not have an identified primary care physician or a medical home. Patients get better care and follow up if seen by one physician or practice- there is much evidence to support this. Using emergency rooms for non-emergent issues, is not only a problem financially for the hospital- it is a problem for the patients seeking care.

Posted by: Rachel | September 3, 2008 1:56 PM

Most urgent care clinics are for profit: it's "Pay to Play." These are not Medical Practices, but low cost alternatives to those who do not have a life threatening problem but can afford to PAY, and if you check you will see that most of these are not Medicare/Medicaid participants.

Posted by: Tom | September 3, 2008 2:12 PM

It sounds like the Obamas might have been using the hospital as their own personal slush fund. Axelrod? Whitaker? Blackwell? How can this all be a coincidence. Out of all the people and firms in the Chicago area these three just happened to be the most qualified to hire? Sounds like nepotism to me.

Posted by: Marchella M. | September 3, 2008 2:40 PM

it sounds to me like Grassley is doing opposition research for McCain on the taxpayers dime! Or was the Senator and his staff's time reported as an in-kind donation to McCain?!

Posted by: derek | September 3, 2008 3:14 PM

Michelle Obama
Salary 121,910

Michelle Obama
Salary 316,962

260% increase?

Posted by: Richard | September 3, 2008 4:17 PM

Grassley is just playing "Smear 'em" politics!

I'm amazed that an "anti-healthcare for all" Republican would find this "suspicious". It sounds like the hospital was acting responsibly. Emergency rooms are for people who need emergency care. If a local clinic offers low cost or no cost healthcare and the medical complaint isn't urgent, these patients SHOULD be told to go elsewhere.

This is the kind of thing Republicans always push for medicaid or medicare patients -- so why is he going after Obama. What a hypocrite!

Posted by: E. Nowak | September 3, 2008 7:15 PM

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