Discussion Question, Breakout Groups Announced for 24th National Conference First Day, April 8, 2013

Last Updated on April 16, 2022 by Lee Burnett, DO, FAAFP

The following is the Group Discussion Question, based on a quote from the Proceedings of the First National Conference on Primary Health Care Access, held in April 1990.

[See First National Conference on Primary Health Care Access (3rd Plenary Panel, Part 1, Sundwall).]

David N. Sundwall MD, MPH, Medical Director, American Health Care Systems Institute, Washington, DC
David N. Sundwall MD

“. . . . our policy makers for two decades have focused almost exclusively on financing of care and they’ve let so many other things essential in public health efforts slide.  The reasons for this focus is understandable, given that those who benefit from the financing are clearly the most vocal lobbyists.

“The providers, meaning doctors, hospitals, pharmaceuticals, medical devices, many more who are employed in our “medical-industrial complex,” are in a position to benefit from attention being paid to the financing. 

“Unfortunately, the poor and the disadvantaged don’t have a very effective lobby.  The other observation I have made is that we have, in fact, “medicalized” or made part of the health care system things which really are not traditional health concerns. 

“And I don’t mean to say they aren’t eventually a health problem, but if you look at the big-ticket items we’re dealing with, many are the result of social-behavioral problems.”

David N. Sundwall, MD

The First National Conference on Primary Health Care Access

April 20, 1990

The American Club

Kohler, Wisconsin 


Group 1 Boltri, Lead; Babitz. Scribe; Bejinez-Eastman, Flinders, Levitt and Schwartz


Group 2 Flores, Lead; Burnett, L, Scribe; Clover, Geyman, Hixon and Wu

Group 3 Fowkes, Lead; Peck, Scribe: Crawford. Hansen, Herman and Wilke

Group 4 Sundwall, Lead; Burnett, WH, Scribe; Fine, Fredrick and Squire

Group 5 LeRoy, Lead; Haughton, Scribe; Bowman. Goodman and Leong

Group 6 Clasen, Lead; Hines, Scribe; Kimball, Maudlin, and North

Group 7 Pugno, Lead; Olsen, Scribe; Frey, Kopes-Kerr, Lewis and Palafox 



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