MEDICAL MALPRACTICE

AS MARICOPA COUNTY'S FINANCES DETERIORATED, COUNTY SUPERVISORS USED THE HEALTH CARE AGENCY AS A FINANCIAL DUMPING GROUND. THEY LOADED THE AGENCY WITH DEBTS. THEY BLAMED THE COUNTY'S FISCAL MESS ON THE COUNTY HOSPITAL. AND THEN THE SUPERVISORS GOT TO DO WH

At one point, in February of 1993, the county reached the point where it was almost literally broke, records show.

County leaders, including then-Board chairman Bruner, were on their way to a conference of government officials in Washington, D.C., when they received startling news--the county was out of cash and was on the verge of bouncing checks.

Before leaving town, Bruner had to rush to Governor Fife Symington and ask him to release more than $60 million in state health-care funds on an emergency basis, so the county could pay its bills.

The series of accounting tricks has now come to an end, Supervisor Tom Rawles says, but the piper must be paid.

Debt is debt, Rawles points out, no matter what set of books it is posted to, and the pool of red ink that has been allowed to grow at the Health Care Agency must be paid off.

"We understand that this is not a Health Care Agency problem," Rawles says. "It's a general fund problem. We are not going to make them pay for the general fund obligations that have been shifted on them."
@rule:
@body:Sitting in his office, Williams, the head of the Health Care Agency, makes an astonishing statement. On the table before him lie documents, including a financial report prepared by the Health Care Agency, outlining the financial games that have been played with the department over the past three years.

The very fact that the county is now admitting what happened, Williams says, is indicative of a "metamorphosis" in county government.

In effect, Williams says, the county has decided to stop lying to the public about the gravity of its budget problems.

"That you even see this is indicative of openness and the desire to deal with the facts instead of trying to hide things," Williams says.

Still remaining, though, are questions about whether hiding debt in the Health Care Agency was legal, Williams says.

In less than a year on the job, Williams says, he has found no law that allows the health-care funds to carry debt from year to year the way they have been carrying it.

An opinion from Maricopa County Attorney Rick Romley's office in 1993 concluded that the health-care funds could legally carry over debt, but only if there was a specific plan in place to pay it off. The opinion laid down narrow guidelines allowing debt only for short periods of time.

The county's officials, Williams says, appear to have taken that narrow authorization and used it for a carte blanche debt spree that may have gone well beyond the legal guidelines set by Romley's office.

But for now, Williams says he is more interested in fixing what's broke than worrying about the past. "My role is not to assess blame," he says. "My role is to fix the problem."

Among many possibilities, the county is now considering solutions ranging from the simple--like cutting waste in the Health Care Agency--to measures as drastic as selling the county hospital or contracting with a nonprofit group to operate it.

The agency is awaiting suggestions from various consultants, and in the meantime trying to find ways to consistently slice away at its overhead, Williams says.

With budgets totaling more than $440 million, he says, there is room to carve. But the legacy of debt will not go away easily.

"The agency is not a black hole. It is not wildly out of control," Williams says, before slipping back into government-speak.

"Certainly, the agency faces numerous challenges.

« Previous Page
 |
 
1
 
2
 
3
 
All
 
My Voice Nation Help
0 comments
 
Loading...