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On this day, June 16, 1873, President Grant signed an executive order that permitted Chief Joseph and the Nez Perce to live in the Wallowa Valley, Oregon, to perpetuity.

Also on this day, June 16, 1877, The Nez Perce War began in the northwestern US. The First Squadron of the First Regiment, the oldest cavalry unit in the US, fought the Apaches and the Nez Perces.




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Juneteenth
Wednesday, June 19, 2024 at 12:00 am
Juneteenth
Celebrated on the anniversary of June 19, 1865, when in the wake of the American Civil War, Major General Gordon Granger ordered the final enforcement of the Emancipation Proclamation in Texas.



Lincoln County Fair
Thursday, July 4, 2024 at 8:00 am
www.thelincolncountyfair.com
July 4-6
Lincoln County Fairgrounds



Independence Day
Thursday, July 4, 2024 at 11:59 pm
Independence Day
USA



Marion County Fair
Thursday, July 11, 2024 at 8:00 am
https://www.co.marion.or.us/CS/Fair
July 11-14
Oregon State Fair & Expo Center



Jackson County Fair
Tuesday, July 16, 2024 at 8:00 am
TheExpo.com
July 16-21
Jackson County Fairgrounds - The Expo



Columbia County Fair
Wednesday, July 17, 2024 at 8:00 am
columbiacountyfairgrounds.com
July 17-21
Columbia County Fairgrounds



Linn County Fair
Thursday, July 18, 2024 at 8:00 am
https://www.linncountyfair.com/
July 18-20
Linn County Expo Center



Washington County Fair
Friday, July 19, 2024 at 8:00 am
https://www.bigfairfun.com/
July 19-28
Washington County Fairgrounds - Westside Commons



Coos County Fair
Tuesday, July 23, 2024 at 8:00 am
www.cooscountyfair.com
July 23-27
Coos County Fairgrounds



Curry County Fair
Wednesday, July 24, 2024 at 8:00 am
www.eventcenteronthebeach.com
July 24-27
Curry County Fairgrounds - Event Center on the Beach



Hood River County Fair
Wednesday, July 24, 2024 at 8:00 am
www.hoodriverfairgrounds.com
July 24-27
Hood River County Fairgrounds



Jefferson County Fair
Wednesday, July 24, 2024 at 8:00 am
www.jcfair.fun
July 24-27
Jefferson County Fair Complex



Lane County Fair
Wednesday, July 24, 2024 at 8:00 am
www.atthefair.com
July 24-28
Lane Events Center



Clatsop County Fair
Tuesday, July 30, 2024 at 8:00 am
https://clatsopcofair.com/
July 30 - August 3
Clatsop County Fair & Expo



Malheur County Fair
Tuesday, July 30, 2024 at 8:00 am
www.malheurcountyfair.com
July 30 - August 3
Malheur County Fairgrounds - Desert Sage Event Center



Benton County Fair & Rodeo
Wednesday, July 31, 2024 at 8:00 am
bceventcentercorvallis.net
July 31 - August 3, 2024
Benton County Event Center & Fairgrounds



Deschutes County Fair
Wednesday, July 31, 2024 at 8:00 am
https://expo.deschutes.org/
July 31 - August 4
Deschutes County Fair & Expo Center



Union County Fair
Wednesday, July 31, 2024 at 8:00 am
www.unioncountyfair.org
July 31 - August 3
Union County Fairgrounds



Yamhill County Fair
Wednesday, July 31, 2024 at 8:00 am
www.co.yamhill.or.us/fair
July 31 - August 3
Yamhill County Fairgrounds



Klamath County Fair
Thursday, August 1, 2024 at 8:00 am
https://www.klamathcountyfair.com/
August 1-4
Klamath County Fair



Wallowa County Fair
Friday, August 2, 2024 at 8:00 am
https://co.wallowa.or.us/community-services/county-fair/
August 2-10
Wallowa County Fairgrounds



Baker County Fair
Sunday, August 4, 2024 at 8:00 am
www.bakerfair.com
August 4-9
Baker County Fairgrounds



Harney County Fair
Sunday, August 4, 2024 at 8:00 am
www.harneyfairgrounds.com
August 4-9
Harney County Fairgrounds



Sherman County Fair
Sunday, August 4, 2024 at 8:00 am
www.shermancountyfairfun.com
August 19-24
Sherman County Fairgrounds



Crook County Fair
Wednesday, August 7, 2024 at 8:00 am
www.crookcountyfairgrounds.com
August 7-10
Crook County Fairgrounds



Douglas County Fair
Wednesday, August 7, 2024 at 8:00 am
www.douglasfairgrounds.com
August 7-10
Douglas County Fairgrounds Complex



Grant County Fair
Wednesday, August 7, 2024 at 8:00 am
www.grantcountyoregon.net
August 7-10
Grant County Fairgrounds



Josephine County Fair
Wednesday, August 7, 2024 at 8:00 am
https://www.josephinecountyfairgrounds.com/
August 7-11
Josephine County Fairgrounds & Events Center



Polk County Fair
Wednesday, August 7, 2024 at 8:00 am
https://www.co.polk.or.us/fair
August 7-10
Polk County Fairgrounds



Tillamook County Fair
Wednesday, August 7, 2024 at 8:00 am
www.tillamookfair.com
August 7-10
Tillamook County Fairgrounds



Umatilla County Fair
Wednesday, August 7, 2024 at 8:00 am
www.umatillacountyfair.net
August 7-10
Umatilla County Fairgrounds



Wheeler County Fair
Wednesday, August 7, 2024 at 8:00 am
www.wheelercountyoregon.com/fair-board
August 7-10
Wheeler County Fairgrounds



Clackamas County Fair
Tuesday, August 13, 2024 at 8:00 am
clackamascountyfair.com
August 13-17
Clackamas County Event Center



Morrow County Fair
Wednesday, August 14, 2024 at 8:00 am
https://www.co.morrow.or.us/fair
August 14-17
Morrow County Fairgrounds



Wasco County Fair
Thursday, August 15, 2024 at 8:00 am
https://www.wascocountyfair.com
August 15-17
Wasco County Fairgrounds



Gilliam County Fair
Thursday, August 29, 2024 at 8:00 am
http://www.co.gilliam.or.us/government/fairgrounds
August 29-31
Gilliam County Fairgrounds



Lake County Fair
Thursday, August 29, 2024 at 8:00 am
https://www.lakecountyor.org/government/fair_grounds.php
August 29 - September 1
Lake County Fairgrounds



Oregon State Fair
Saturday, August 31, 2024 at 8:00 am
www.oregonstateexpo.org
August 31 - September 9
Oregon State Fair & Exposition Center



Linn Laughs LIVE with Adam Corolla
Saturday, September 7, 2024 at 5:00 pm
Linn Laughs LIVE with Adam Corolla 5pm-9pm
Albany, OR


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The Takeover by Corporate Practice of Medicine
Small doctor-owned clinics are being bought up by large corporations and private equity firms

Oregon Representative Ben Bowman (D-Tualatin) participated on a panel at a Salem City Club event about the rapid trend of corporations and private equity firms acquiring local medical practices. He writes, “In the last 10 years, there has been a 100,000% increase in private capital invested into primary care. The scale of that increase alone should give us all pause.”

Bowman reports, “Across our state and the country at large, small doctor-owned clinics are being bought up by large corporations and private equity firms. When you replace a locally-based physician owner with a private equity firm there are serious, negative consequences. Prices go up, quality of care declines, injuries increase, and physicians burn out. In short, worse care at higher prices. We are seeing the harm of not acting in real-time.”

Bloomberg writer, Angelica Peebles, says, “Several large companies are also making a push towards primary care in an effort to control access to more expensive specialists and influence patients' treatments over time. For example, CVS Health plans to put doctors in up to 350 of its retail pharmacies…Walgreens Boots Alliance last year purchased a controlling stake in the primary care clinic chain VillageMD, which it previously partnered with to open new primary care clinics across the United States…health insurers are expanding their primary care capacities. UnitedHealth Group's Optum unit now has more than 60,000 physicians, around half of whom are in primary care… Humana plans to open 26 new primary clinics under its CenterWell brand this year and will add between 30 to 50 more annually.

According to Peebles, this interest in primary care is partly motivated by a shift in how medical care is paid for. Private health plans, as well as government programs like Medicare, are increasingly turning towards value-based payment, which links doctors' pay to patients' health outcomes, rather than volume-based payment. This change may increase the risk that profit motivation could eventually outweigh patients' best interests.

Bowman wants to bring legislation in 2025 that will address this growing problem. He sites thousands of patients in Eugene received letters informing them that their local clinic, the Oregon Medical Group, could no longer provide care for them. They would have to find a new doctor.

Independent Health News reports that UnitedHealth’s vehicle for growth – and more profits – is its Optum Health division. Observers say the consolidation could improve the quality of care — or lead to higher prices as the corporate owners exploit their greater control.

Since the purchase of Oregon Medical Group, close to 30 physicians have left the clinic and, due to the contracts they signed with United Health, were forced to either retire from the practice of medicine or leave the community they had made their home. Those leaving the clinic reported that UnitedHealth’s focus on efficiency and profit left them feeling disillusioned and unable to provide the best care for their patients.

Bowman also reports that Oregon’s Coordinated Care Organizations (CCO), are having very important and very-under-the-radar conversation going on around the Oregon Health Plan and CCO’s model serving Medicaid population. The goal of Oregon’s CCO model is to provide a coordinated service delivery model to promote physical, behavioral, and oral health.

CCO’s were established in 2012 and is thought to have bent the cost curve. The second round of “procurement” in 2020, CCOs were given contracts and performance metrics setting the goals for the entities that provide care to low-income families. The behind closed-door meetings are for a third round of procurement. This will likely be the largest procurement process the state has ever done according to Bowman. It involves investing millions of dollars to ensure Oregonians are well cared for, and how it is distributed, and what benchmarks are set for the entities who are awarded contracts.

A D V E R T I S E M E N T

A D V E R T I S E M E N T

Bowman releases his goals for legislation to enact the next procurement process: These sound oddly familiar to the Oregon State University 2023 Health Care Workforce Needs Assessment report done in accordance with HB 3261 for the Oregon Health Authority. It exposed a severe health care crisis and higher than expected, partially from burnout after the pandemic. The report recommended improved support for health care professionals, expand telehealth and integrated care models, and increase the use of community-based care providers like health interpreters and peer wellness specialists to connect on a more personal level with their local communities. Had this report been acted on, would the small doctor-owned clinics been saved?

Since voters passed the right to health care, Governor Kotek hasn’t supported the universal health care board proposed cost of $2 million plan. She says it’s costly and cited potential duplications. Kotek has prioritized behavioral healthcare in response to HB 4002. Oregonians shouldn’t be surprised that UnitedHealth is positioning their clinics to meet Kotek demands on cost reduction while expanding free care to non-insured non-residents, covered treatment for reproductive care (abortions and transitioning), the need for specialized behavioral health physicians, and the projected CCO procurement process to cover universal healthcare. It all adds up to unsustainable budgets and higher taxes.


--Donna Bleiler

Post Date: 2024-06-03 11:37:59Last Update: 2024-06-03 22:56:48



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