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Peak Oil Task Force Report - City of Bloomington - State of Indiana

Peak Oil Task Force Report - City of Bloomington - State of Indiana

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VULNERABILITIES<br />

Until now, health care in the United <strong>State</strong>s has been primarily a private concern that has<br />

evolved in an era <strong>of</strong> cheap energy. It has been predicated on the<br />

assumption that specialized equipment and teams <strong>of</strong> highly‐skilled<br />

pr<strong>of</strong>essionals are the critical elements in health care. While this model<br />

<strong>of</strong> health‐care delivery is superb at dealing with trauma, it is less well‐<br />

suited to dealing with the environmentally‐induced or diet‐based<br />

degenerative illnesses that have become so common.<br />

Medical care in the U.S. today is among the most energy‐dependent sectors <strong>of</strong> the economy.<br />

Costs are spiraling out <strong>of</strong> control and have contributed significantly to the nation's<br />

economic dilemmas. High cost care is not necessarily high quality care. The World Health<br />

Organization ranks the U.S. 37 th among nations in quality <strong>of</strong> health care. 245 Already<br />

excessively dependent on emergency interventions at high cost, the system is likely to lurch<br />

further toward poor care as energy‐based economic contraction leads people to avoid<br />

timely and preventive care. A rise in the number <strong>of</strong> uninsured people poses potential<br />

financial burdens. Of course, rising energy costs and shortages <strong>of</strong> energy‐intensive supplies,<br />

plus fuel cost and supply problems related to patient and employee access to services<br />

threaten to push the system out <strong>of</strong> control.<br />

<strong>Bloomington</strong> Hospital is a major employer <strong>of</strong> people from throughout the region and serves<br />

10 <strong>Indiana</strong> counties. The hospital is situated in <strong>Bloomington</strong>’s downtown and is served by<br />

<strong>Bloomington</strong> Transit (BT). The hospital has recently merged with a large <strong>Indiana</strong>polis‐<br />

based group <strong>of</strong> hospitals and has plans to relocate outside <strong>of</strong> the <strong>City</strong>'s corporate boundary<br />

– ostensibly to better serve the wider region by emphasizing ease <strong>of</strong> commuting by<br />

highway. BT is limited to operations within the <strong>City</strong>’s corporate limits. If the hospital were<br />

to relocate out <strong>of</strong> the city center it would make services less accessible to those unable to<br />

drive, a portion <strong>of</strong> the public certain to rise substantially over the next decade.<br />

Source: Wikimedia Commons<br />

245<br />

WHO World Health <strong>Report</strong> 2000 ­­­ Health Systems, Improving Performance,<br />

http://www.who.int/whr/2000/en/index.html; http://www.photius.com/rankings/healthranks.html<br />

The United <strong>State</strong>s was ranked behind nations like San Marino, Andorra, Malta, Singapore, Oman, Iceland, Luxembourg,<br />

Netherlands, Colombia, Saudi Arabia, United Arab Emirates, Chile, Dominica, Morocco, Cyprus, and Costa Rica.<br />

<strong>Report</strong> <strong>of</strong> the <strong>Bloomington</strong> <strong>Peak</strong> <strong>Oil</strong> <strong>Task</strong> <strong>Force</strong> 207

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