Just a few miscellaneous things of note:

• The City’s Planning and Growth Department is considering combining the Planning Commission (PC) and Zoning Commission (ZC). The PC considered it at their September 16 meeting, and the ZC is going to discuss it at their October 1 meeting. The ZC agenda gives this explanation for the request:
  

  Request by Staff that the Zoning Commission discuss the merits of combining the Planning Commission and Zoning Commission and determine if there is potential to create more efficient service delivery. This request is being made due to the potential reduction of a part-time position in the Planning and Growth Management Department, which represents an estimated 20 hours per week of duties. Those responsibilities would be re-assigned to existing staff reducing staff support to both commissions.

  The ZC meets at 3:00 p.m. Thursday in City Council chambers.

• Speaking of the Zoning Commission, they are also scheduled on Thursday to consider allowing cell phone towers to be erected at Expo Gardens, Columbia Middle School, and near Von Steuben Middle School. However, the Journal Star says this item “will be postponed as officials representing AT&T Mobility gather more information requested by the city’s Department of Planning & Growth Management. The commission will be asked to take up the matter during its Nov. 5 meeting.”
• I’ve been seeing ads for OSF St. Francis Medical Center lately that say they OSF is “preferred 2 to 1” over all the other hospitals in the area. If you go to their website, they will even show you the survey results with colorful little graphs. It reminded me of Maggie Mahar’s film “Money-Driven Medicine,” which I saw on the PBS show “Bill Moyers Journal.” She talks about the differences between “consumer-driven” and “patient-centered” health care. One of the things she mentions is why competition among hospitals doesn’t improve health care:
  

  Typically, 4 or 5 hospitals within a 5 mile, 10 mile, 15 mile radius will all buy the same technology because they’re competing with each other…. One time Dr. Donald Berwick called a hospital in Texas and said, “We’ve heard you have a very good procedure for treating a particular disease. We’d like to learn more about your protocol so other hospitals can use it.” And the hospital said, “We can’t tell you that. It’s a competitive advantage in our market that we’re better at treating this disease and it is very lucrative. So this is proprietary information.”

  …A physician takes an oath to put his patient’s interests ahead of his own. A corporation is legally bound to put its shareholders’ interests first. And this is part of the inherent conflict between health care as a business, part of our economy, and health care as a public good and part of our society. Health care has become a growth industry. That means higher health care bills. That means more and more middle class people cannot afford health care in this country.

  It’s a thought-provoking film. It’s enough to make me look at those OSF ads in a different light. It makes me wonder why a fundamentally charitable institution like a hospital would want to compare itself to other hospitals. I mean, can you imagine St. Jude stating it was preferred 2 to 1 over the Salvation Army and Easter Seals? It’s a very strange marketing campaign.