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April 2003, Vol 93, No. 4 | American Journal of Public Health 520
© 2003 American Public Health Association

LETTER

MEASURING THE EFFECTS OF PRIVATIZATION

J. Rush Pierce, Jr, MD and Claudia P. Blackburn, RNC, MPH

J. Rush Pierce Jr, is the Health Authority for the Amarillo Bi-City-County Health District, Amarillo, Tex. Claudia P. Blackburn is with the City of Amarillo Department of Public Health.

Correspondence: Requests for reprints should be sent to J. Rush Pierce Jr, MD, P.O. Box 1971, Amarillo, TX 79105-1971 (e-mail: jrpiercejr@imaamarillo.com).

Because this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

We read with interest the brief by Keane, Marx, and Ricci, summarizing the National Association of County and City Health Officials (NACCHO) study of privatization in local health departments.1 In 1996, the sale of our community’s public hospital to a for-profit corporation privatized most medical services for the poor. At that time, local political events forced the separation of our community’s indigent care programs from other public health functions, and our local health department stopped providing most personal health services and immunizations.2

Our community is attempting to understand the effects of privatization on some of the health care activities that . . . [Full Text]






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