Posts Tagged ‘Commonwealth Club’

Remembering our KP history to face the future

posted on December 16, 2010

By Tom Debley 

Director of Heritage Resources 

Debley with 1953 Kaiser Manhattan at the dedication of the new Kaiser Foundation Rehabilitation Center in Vallejo February 2010. The center was first established in 1947.

It’s time for me to say farewell after 15 years with Kaiser Permanente.  The last seven years have been as founding director of Heritage Resources, our history program.  But at the end of the day on Dec. 17, I will head off to new adventures in retirement.  

Do not fear, my able colleagues Bryan Culp and Ginny McPartland will carry on the history work in Heritage Resources!  

So what does one say to many friends, colleagues and Kaiser Permanente history buffs other than good-bye?  

For me, I quote the literary great, Robert Penn Warren: “History cannot give us a program for the future, but it can give us a fuller understanding of ourselves, and of our common humanity, so that we can better face the future.”  

Recently, I was reminded of the importance of this – and a key reason why we maintain a historic archive at Kaiser Permanente.  It came as an inquiry on our History of Total Health Blog from John Herron, a history professor at the University of Missouri, who had read a blog about Rachel Carson and Kaiser Permanente’s environmental history by our intern, Jac Brown.  

Carson’s last public lecture prior to her death was delivered at an October 1963 Kaiser Permanente symposium attended by 1,500 doctors, scientists, medical students and journalists at the Fairmont Hotel in San Francisco.  

Debley is a familiar figure at the Rosie the Riveter/WWII Homefront national park in Richmond. This is from our KP history booth at the annual homefront festival.

This was a year after publication of Carson’s then very controversial book “Silent Spring,” critiqued in 1962 in Time Magazine, which concluded: “Many scientists sympathize with Miss Carson’s love of wildlife, and even with her mystical attachment to the balance of nature. But they fear that her emotional and inaccurate outburst in Silent Spring may do harm by alarming the non-technical public, while doing no good for the things that she loves.”  

Today, of course, Carson’s “Silent Spring” is a classic of the 20th century and she is considered the catalyst for the modern environmental movement.  

Quite naturally, Professor Herron wanted to know why the then vice president, and later president, of Kaiser Foundation Health Plan and Hospitals, Dr. Clifford Keene, invited such a controversial figure to lead off a public service symposium, the theme of which was “Man Against Himself.”  We sent him materials for writings he and other scholars are preparing for the 50th anniversary of the publication of “Silent Spring.”  

And that’s one of two reasons why we have a history program.  One is to share stories of our history with our physicians, staff and communities.  The other is to be here for scholars, museums and others who seek historical insights.  

Debley speaking about his biography of Sidney Garfield, MD, at the Commonwealth Club August 2009. Photo by Joe Paolazzi

I started our Heritage Resources program in 2003.  Professor Herron’s recent question reminded me of the day in 2003 that I first read a one-paragraph item about Rachel Carson’s lecture in a list of “highlights of the year 1963” in an old annual report.  

Immediately, I flagged this event as something around which to begin collecting documents for archival purposes.  Why?  This was a high-water mark that helps illustrate why Kaiser Permanente is a recognized leader in sustainability, because sustainability is important to building healthy communities.  

Today, we have Ms. Carson’s lecture text, copies of the correspondence between her and KP planning for her presentation, and other documentation.  

As a result, we have collected and archived a wide array of historical materials.  A mere handful of these documents illustrate how we stand on the shoulders of other leaders like Rachel Carson:  

  • Founding physician Sidney Garfield was looking for sustainable practices and was recycling in the Great Depression and during and after World War II;
  • It was a Kaiser Industries executive who was among those who founded The League to Save Lake Tahoe in 1957, and coined the phrase seen on bumper stickers and elsewhere to this day: “Keep Tahoe Blue”;
  • Kaiser Steel was pioneering pollution control equipment in the 1950s and 60s – before the modern environmental movement and before the first Earth Day in 1970;
  • In the early 1970s, employees at the Kaiser Permanente Medical Center in Santa Clara, California, formed an Ecology Committee with an objective of teaching employees “ecological common sense”;
  • In the 1980s, employees in Vallejo, California, were honored for reducing energy consumption by half in five years;
  • Today, the efforts continue with Kaiser Permanente adding solar power generation to 15 of our facilities by next summer.  These groundbreaking projects will eliminate purchase and disposal of 40 tons of harmful chemicals and dramatically reduce KP’s use of fossil fuels.

Our commitment to sustainability is but one example of Kaiser Permanente’s mission to improve the health of its members and of the communities in which they live. 

History reminds us, as Robert Penn Warren said, of who we have been, why we are who we are, and where we are headed if we remain true to our values and mission – as individuals and as institutions.

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Garfield Biographer Speaks at the Commonwealth Club

posted on August 27, 2009
Photo by Joe Paolazzi

Photo by Joe Paolazzi

Dr. Sidney Garfield’s childhood dream of being an architect was shattered when his Jewish Russian immigrant parents insisted he become a doctor. Little did the young Garfield know that his destiny was not only to become a doctor but also to blaze trails few others had even dared to ponder.

Indeed, 25 years after Garfield’s death, President Barack Obama points to the medical care program Garfield founded as a model for 21st Century health care reform, author Tom Debley said in his talk to the Commonwealth Club in San Francisco Aug. 25.

Debley, author of a new Garfield biography, described the extraordinary life of the pioneering Kaiser Permanente doctor in the book, Dr. Sidney R Garfield: the Visionary Who Turned Sick Care into Health Care.  “Most people know very little of Sidney Garfield, and I try to remedy this with my book (written in collaboration with Jon Stewart),” Debley told the crowd.

Debley recounted Garfield’s 20th Century journey from his birth in 1906 in Elizabeth, New Jersey, through the Great Depression, World War II, the Cold War, and the 1950s and 1960s battles to gain acceptance for a different type of medical care.

Garfield’s formula for the best health care emphasized ways to keep people free of disease and thus not needing sick care. In 1933, Garfield found he could provide affordable care to the workers on the Colorado River aqueduct project by collecting weekly dues to cover all members whether they required care or not.

“After nearly going broke, Garfield linked two ideas from the debate of his era – prepayment and prevention – in a way that reversed medical economics,” Debley, director of Heritage Resources for Kaiser Permanente,  told the Commonwealth Club audience.

“In 1938, he joined forces with (industrialist Henry J) Kaiser and his son Edgar at the construction site of the Grand Coulee Dam. Here Garfield added the ideas of group medical practice, facilities under one roof, and a family plan,” Debley said.

In the War years, Garfield reunited with the Kaisers to provide medical care for workers in Kaiser’s Pacific Coast shipyards and the Kaiser Steel plant in Fontana, California. “In a mere 18 months, he and his colleagues opened four hospitals and built the largest civilian medical care program on the Home Front of World War II.”

When the War ended in 1945, Garfield and Kaiser were able to keep their health plan alive by opening up to the public and taking care of union members such as the longshoremen and the steel workers.  Soon enough, the University of California, public schools, other government and large employers picked up Kaiser Permanente care for their employees.

“Sidney Garfield was a doer – his is a classic American story – a man passionate about his calling and determined in his quest. Like his ideas or not, he and Henry Kaiser brought health care to millions of Americans – more than any two individuals I can think of in American history,” Debley told the group.

But, wait, the story isn’t over yet.  In the 1950s when Garfield’s run as medical director ended, he resurrected his youthful fantasy to be a builder. Garfield created designs for new Kaiser Permanente hospitals that won him national acclaim.

“Three hospitals opened in 1953 –in Walnut Creek, San Francisco, and Los Angeles – were labeled ‘dream hospitals.’ Dr. Walter C. Alvarez, perhaps America’s most famous physician of the era, told broadcaster Lowell Thomas:  ‘A new day has dawned, where more brains will go into the design and architecture of a hospital.’

“Newscaster Chet Huntley reported: “The use of labor-saving devices, the use of light (both natural and artificial), the gadgets, the décor, and the  personnel are all combined to make the new (Los Angeles) Kaiser Foundation Hospital something special,’ ”  Debley said.

Still, Garfield was not done.  In 1960, he insisted Kaiser Permanente embrace the computer whose development was in its infancy. “Garfield saw computers as a component of a ‘total health’ system of care,” Debley noted. Garfield’s early vision has allowed Kaiser Permanente to become an international leader in the field of electronic medical records and other IT systems.

All in a day’s work for Sidney Garfield.

 – Ginny McPartland

 

To order your copy of Debley’s book, Dr. Sidney R Garfield: the Visionary Who Turned Sick Care into Health Care, go to The Permanente Press.

To view the talk on FORA.tv, go to Commonwealth Club.

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Dr. Sidney Garfield: His Ideas at Center of Health Care Debate

posted on August 19, 2009

A recent PBS News Hour with Jim Lehrer opened with this quote from President Barack Obama: “There are examples of how we can make the entire health care system more efficient. …What works? The Mayo Clinic. The Cleveland Clinic. Geisinger. Kaiser Permanente. There are health systems around the country that actually have costs that are as much as 20 percent or 30 percent lower than the national average and have higher quality. What is it that they are doing differently from other systems?”

Added correspondent Betty Ann Bowser: “What they are doing is providing excellent care at a low cost through an integrated system where doctors visits, tests, surgery, hospital care – the works – are all done under one roof.”

I will use this to lead off a talk at the Commonwealth Club of California on Tuesday (August 25) in San Francisco because there was little in the 10-minute report that said anything different from what Dr. Sidney R. Garfield, co-founder of Kaiser Permanente, said back in the 1930s – including his idea to put all needed care “under one roof.”

As author of The Story of Dr. Sidney R. Garfield: The Visionary Who Turned Sick Care into Health Care, the theme of my talk will be “The Long Quest for Health Care Reform: A Bay Area Doctor’s Belief in Health Care as a Right.” I will trace the story of Dr. Garfield’s life because so much less is known about him than his co-founder, Henry J. Kaiser.

The evening program begins with a 5:30 p.m. reception; program at 6 p.m. Tickets are $8 for members; $15 for nonmembers. Get tickets.

– Tom Debley

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President Obama Cites Kaiser Permanente Model; Learn More About Why Aug. 25

posted on July 29, 2009

Time Magazine reporter Karen Tumulty talked July 28 with President Barack Obama about health care reform, with a transcript published on the web July 29. Kaiser Permanente’s founding physician, Sidney R. Garfield, would have been proud if he were alive to hear the President say, “…If we could actually get our health-care system across the board to hit the efficiency levels of a Kaiser Permanente or a Cleveland Clinic or a Mayo or a Geisinger, we actually would have solved our problems.”

Dr. Garfield would have been proud because his vision on the Home Front of World War II was to build such a system for ordinary Americans. Indeed, it’s interesting, as well, to see Kaiser Permanente in the company of the Mayo Clinic. In 1943, the famed medical science writer Paul DeKruif wrote a book about what Dr. Garfield and Henry J. Kaiser were doing to develop a new model of medical care for working Americans, and nicknamed it the “Mayo Clinic for the common man.”

Interested in learning more about Dr. Garfield and his struggles to bring legitimacy to a revolutionary idea in health care? Kaiser Permanente Heritage Resources Director Tom Debley, author of the newly released Dr. Sidney R. Garfield: the Visionary Who Turned Sick Care into Health Care, will speak on this subject at Commonwealth Club in San Francisco on Tuesday, Aug. 25.

Conversations about Dr. Garfield’s ideas will be nothing new for the Commonwealth Club. As a young man pioneering his prepaid, group practice, Garfield spoke to the club members on two occasions during the war.

Sidney Garfield presented a talk titled “The Permanente Foundation and Shipworkers’ Health” to the Public Health Section of the Commonwealth Club on May 6, 1943. He was engaged again to speak to the club members toward the end of the war (March 22, 1945). The title of his presentation was “A Workable Health Plan on the Basis of Permanente Experience.”

Debley’s talk is titled “The Long Quest for Health Care Reform: A Bay Area Doctor’s Belief in Health Care as a Right.” The evening begins with a 5:30 p.m. reception; program at 6 p.m. Tickets are $8 for members; $15 for nonmembers. For tickets, go to:
https://tickets.commonwealthclub.org/auto_choose_ga.asp?area=1&shcode=1359
- Ginny McPartland

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