Public Health Issues
State Constitutional Issues on the November General Election Ballot - I Proposal 02-04: Reallocate the Tobacco Settlement Revenue Received by the State from Cigarette Manufacturers,
CRC Memo 1066, ( September 2002 ) 8 pages
Proposal 02-04 would amend the Michigan Constitution to mandate appropriations from Michigan's share of the tobacco settlement, estimated at $330 million for Fiscal Year 2002-03 to various health care purposes and organizations.
State Health Expenditures in Michigan,
Note 2001-04 ( August 2001 ) 2 pages
Provides a summary of Report 333, Outline of State of Michigan Health Programs.
Outline of State of Michigan Health Programs,
Report 333 ( April 2001 )
Memo 1051, Statewide Ballot Issues, Analyzes the three proposals which are on the statewide ballot at the November 1998 general election. ( September 98 ) 8 pages
- Proposal A: Constitutional Amendment to Replace the Term "Handicapped" with "Disabled"
- Proposal B: Terminally Ill Patient's Right to End Unbearable Pain and Suffering Act (Physician Assisted Suicide);
- Proposal C: Clean Michigan Initiative Bonds.
Health Insurance--Public and Private Plans
Michigan Hospitals and State Administered Federal Health Insurance Programs: Payments and Participation,
CRC Memo 1069, ( November 2002 ) 16 pages
In the third of a series of papers on Issues on the Financing of Michigan Hospitals, this paper discusses state payments to Michigan hospitals for state administered health insurance programs.
Report 278, Regulation and Competition: Can They Be Used Together to Contain Health Care Costs? ( August 84 ) 14 pages
Health Care Reform
Misc., Wayne County Proposal for a One-Half Mill Increase to Fund Health and Mental Health Programs ( July 92 ) 2 pages [5 KB]
Report 122, The Herman Kiefer Hospital, Examination of the administration of this health facility in response to newspaper allegations of mis-doings. (April 1931 ) 58 pages [131KB]
Detroit & Wayne County Health Departments
Misc., Wayne County Proposal #3: Request for One-Half Mill for Health Services ( October 92 ) 2 pages [7 KB]
Improving State Appropriation Control over the Resident County Hospitalization Program,
Misc. ( December 1987 ) 7 pages
Michigan counties provide hospitalization coverage for indigents under a state mandate. The state actually pays the hospital bills for participating counties and requires those counties to pay back a share of the costs; however, appropriation controls in the executive branch do not effectively enforce the payback requirement. This paper describes the steps that could bring adequate fiscal control.
CC 920, Ballot Issues: Wayne County: Proposition J -- A Separate and Fixed Tax Limit of 18 mills; Propositions K, L, & M--Extra-Voted Millage; Detroit: Proposal Y -- 3.5 Mills Extra-Voted for the Detroit Schools ( October 80 ) 5 pages
The Michigan Certificate of Need Program,
Report 338, ( February 2005 ) 68 pages
The Certificate of Need program is the subject of a new report by the Citizens Research Council of Michigan. Although CON was once encouraged and partially financed by the federal government, that changed in 1986 and fourteen states have since dropped the program. The remaining states, including Michigan, that have retained CON operate over a range of stringency in requirements and comparisons are difficult. The CRC report, The Michigan Certificate of Need Program, provides a history of the program and a detailed review of its structure and operation. It also identifies several issues related to the program and its impact.
Michigan Hospital Finances: Fiscal Years 1998-2002,
Memo 1075 ( December 2003 ) 16 pages
During the five years from 1998 to 2002, Michigan hospitals in total experienced a steady decline in financial status resulting from growing contractual allowances and discounts, operating expenses which grew faster than net patient revenues, and the effects of a weakened economy on investment and contributory income.
Michigan Hospitals and State Administered Federal Health Insurance Programs: Payments and Participation,
CRC Memo 1069, ( November 2002 ) 16 pages
In the third of a series of papers on Issues on the Financing of Michigan Hospitals, this paper discusses state payments to Michigan hospitals for state administered health insurance programs.
Health Insurance Coverage and Uninsured/Uncompensated Care in Michigan Hospitals,
CRC Memo 1061, ( June 2002 ) 12 pages
In the second of a series of papers on Issues on the Financing of Michigan Hospitals, this paper discusses the number of uninsured persons in Michigan, the sources of health insurance, and the charges and costs that hospitals incur as a result of uninsured and uncompensated care.
Michigan Hospital Finances,
CRC Memo 1060, ( June 2002 ) 12 pages
In the first of a series of papers on Issues on the Financing of Michigan Hospitals, this paper quantifies the surplus or deficit incurred by 151 hospitals for fiscal years ending in 1998 and 2000. The paper considers sources of hospital revenues and relevant expenditures that lead to the ending financial positions.
Proposed New Federal Medicaid Funds for Michigan
CRC Note 2002-01 ( April 2002 ) 2 pages
An analysis of the Governor's plan to implement a health care quality assurance program using funds from Qualified Health Plans and nursing homes to provide a new source of state Medicaid matching monies.
Improving State Appropriation Control over the Resident County Hospitalization Program,
Misc. ( December 1987 ) 7 pages
Michigan counties provide hospitalization coverage for indigents under a state mandate. The state actually pays the hospital bills for participating counties and requires those counties to pay back a share of the costs; however, appropriation controls in the executive branch do not effectively enforce the payback requirement. This paper describes the steps that could bring adequate fiscal control.
Regulation and Competition: Can They Be Used Together to Contain Health Care Costs?
Report 278, ( August 84 ) 14 pages
The problem of balancing concerns for equity and for efficiency is raised graphically by these two essays. Can we allow market forces to bring greater efficiency to the health care system without at the same time threatening the ability of those least able to pay to secure needed services? On the other hand, can we continue to support a system of care in which subsidies, hidden and direct, and regulation prevent economic discipline from removing inefficient producers of care from the market and lead to an ever-increasing burden on the economy?
Change In Eloise Board Proposed
CC 620 ( July 54 ) 2 pages
Officials at Eloise and members of the county board of supervisors requested that an administrative survey be made of the entire institution. A special committee of the county board of supervisors asked the Citizens Research Council to undertake the survey. The survey was drafted by the Council with the assistance of professional hospital consultants and was presented to the committee by the Research Council in March, 1954. the key recommendations concerned the board of county institutions itself, since it is this board which by law has charge of the institution.
Wayne County General Hospital
CC 920, Ballot Issues: Wayne County: Proposition J -- A Separate and Fixed Tax Limit of 18 mills; Propositions K, L, & M--Extra-Voted Millage; Detroit: Proposal Y -- 3.5 Mills Extra-Voted for the Detroit Schools ( October 80 ) 5 pages
Change In Eloise Board Proposed
CC 620 ( July 54 ) 2 pages
Officials at Eloise and members of the county board of supervisors requested that an administrative survey be made of the entire institution. A special committee of the county board of supervisors asked the Citizens Research Council to undertake the survey. The survey was drafted by the Council with the assistance of professional hospital consultants and was presented to the committee by the Research Council in March, 1954. the key recommendations concerned the board of county institutions itself, since it is this board which by law has charge of the institution.
Proposal 2008-02: Human Embryonic Stem Cell Research
Report 353 ( October 2008 ) 23 pages
Michigan would join 47 other states in permitting research on human embryos and the creation of new embryonic stem cell lines in Michigan if Proposal 2008-02 is adopted by the voters on November 4. Current Michigan law is among the most restrictive in the nation. It prohibits non-therapeutic research that jeopardizes the life or health of a human embryo, fetus, or neonate, thereby precluding research on embryos to derive human embryonic stem cell lines. Researchers may, however, conduct research on embryonic stem cell lines created outside of Michigan and may study adult stem cells. The Citizens Research Council of Michigan has released its analysis of the proposed constitutional amendment that would remove these prohibitions.
Embryonic stem cells are derived from embryos by in vitro fertilization. A greater number of embryos are produced than are necessary or suitable for implantation resulting in "excess" embryos.
"Fertility patients have four options for these embryos," said Jill Roof, CRC research associate. "They can store them, donate them to others seeking fertility treatment, discard them as medical waste, or donate them to research. If Proposal 2008-02 passes, Michigan scientists will be able to conduct research using donated embryos and derive their own embryonic stem cells rather than relying on those from other states that may not meet their needs."
The analysis covers many issues surrounding embryonic stem cell research raised by both proponents and opponents and provides a ready reference for the various kinds of stem cells studied in regenerative medicine.
Proposal 2008-02: Human Embryonic Stem Cell Research
Memo 1088 ( October 2008 ) 6 pages
Summarizes Report 353
The Michigan Certificate of Need Program,
Report 338, ( February 2005 ) 68 pages
The Certificate of Need program is the subject of a new report by the Citizens Research Council of Michigan. Although CON was once encouraged and partially financed by the federal government, that changed in 1986 and fourteen states have since dropped the program. The remaining states, including Michigan, that have retained CON operate over a range of stringency in requirements and comparisons are difficult. The CRC report, The Michigan Certificate of Need Program, provides a history of the program and a detailed review of its structure and operation. It also identifies several issues related to the program and its impact.
State Ballot Proposals - I: Proposal A -- Medicaid Funding, Abortions; Proposal B -- Crime Victims "Bill of Rights",
CC 974, ( September 88 ) 4 pages
Analyzed the abortion funding and crime victims rights proposals which were on the statewide ballot at the November 1988 general election.
Report 318, Funding Community Mental Health in Michigan, Defines objectives and criteria for establishing a new funding formula whereby CMH dollars are distributed in a more equitable manner and which facilitates a move to managed care. ( January 97 ) 24 pages [232,902 bytes]
Misc., Wayne County Proposal #3: Request for One-Half Mill for Health Services ( October 92 ) 2 pages [7 KB]
Misc., Wayne County Proposal for a One-Half Mill Increase to Fund Health and Mental Health Programs ( July 92 ) 2 pages [5 KB]
Change In Eloise Board Proposed
CC 620 ( July 54 ) 2 pages
Officials at Eloise and members of the county board of supervisors requested that an administrative survey be made of the entire institution. A special committee of the county board of supervisors asked the Citizens Research Council to undertake the survey. The survey was drafted by the Council with the assistance of professional hospital consultants and was presented to the committee by the Research Council in March, 1954. the key recommendations concerned the board of county institutions itself, since it is this board which by law has charge of the institution.
Proposal 2008-01: Medical Marijuana
Report 352 ( September 2008 ) 16 pages
Proposal 2008-01 on the November 4 statewide ballot would make Michigan the first state in the Midwest to legalize the use of marijuana for medical purposes. This was one of the findings of the analysis of the proposal released today by the Citizens Research Council of Michigan.
The proposal would seek to protect qualified patients and physicians from arrest and other penalties for using or recommending marijuana for medical purposes. It would require the Michigan Department of Community Health to administer a medical marijuana registry and permit a primary caregiver to provide marijuana to patients upon written certification by a physician. No patient could have more than one caregiver and no caregiver could assist more than five patients.
The law would not legalize recreational use of marijuana and there is no convincing evidence from other states that legalization of medical marijuana has led to an increase in illicit use.
If adopted, the law would create a potential for conflict with federal drug laws in Michigan, although federal law enforcement tends to be limited to manufacture and sale, rather than use.
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Last Updated April 22, 2009
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