The Post-Crescent du lieu suivant : Appleton, Wisconsin • 4

A-4 Sunday Post-Crescent, Appleton-Neenoh-Mtnosha, Wi. June 30, 1 985 Competitor! key to area hospitals' survival "A F7J hospitals aren't so sure they ti don't want "They are sicker patients while they are here. Some of that is mandated by Medicare and insurance." "Two years ago, something had to be done. There was no evidence that the competitve model would be them (regulations) to protect them from others coming in." Neal Darrow William Freeby president, Applehxi Medical Center Otto Cox president St. Elliabtttt Hospital vice president for finance, Theda dark Ret tonal Medical Center is one from the state.

After Wisconsin had a 20 increase for its health insurance one year, bids for the next health care package gave the state a comparatively small 4.5 cost increase. "That was the result of competition, not regulation," Cox said. Darrow recalls that before 1983 when the rate setting commission was created, there had been major cost increases and the impact of competition had not really begun to be seen. In the two years since then, the competitive nature of the hospital business in the Fox Valley has heated up. At the same time, mandates from the federal government for Medicare patients have changed the length of hospital stays, insurance companies and employers have joined in efforts to change premiums, and health maintenance organizations and preferred provider plans have been created.

"They are sicker patients while they are here. Some of that is mandated by Medicare and insurance," said Freeby. Freeby wonders whether the pend- tion from statistics," he said. Meanwhile, everyone tries to grapple with the question which is key to the debate: "How much is the public willing to spend for how much care?" Similar questions were raised in this area two years ago after the United Health Service was disbanded. It had been an umbrella organization which coordinated services in Applet on's two hospitals.

Physicians, boards of directors and interested consumers formed committees to study community health care delivery. Some predicted the ever-increasing competition. Others predicted "things we can't even imagine now." The committees are no longer active. "The difference between past regulation and present regulations is the difference between night and day," Darrow said. There has been regulation in Wisconsin since the early 1970s.

For awhile it was voluntary but most hospitals participated. Even now, there are probably some hospitals which do not mind the idea of having rates reviewed, area hospital people say. "Probably not every hospital in the state backs abolishment (of the com- BY JANE DWYRE CARTON Pttt-Crttctnt wHtd eOltor Variables which enter into the formula (or health care have expanded dramatically especially in the last two years and have altered the way people view the services provided by their hospitals. Not the least of the variables is the cost of hospitalization which has been widely discussed and extensively diagnosed. Legislative action taken last week leaves the state Hospital Rate Setting Commission in business with some moderations.

The key word is business. Hospitals advertise and market. They produce brochures and distribute information. They compete. Area hospitals are all non-profit organizations but they are big businesses.

They are major employers and a major source of expense to their users. In Wisconsin, the Fox Valley is considered to be a leader in competition probably third after Milwaukee and Madison. When the word "competition" comes up, the word "regulation" does, too. When the discussion is with mission). Some hospitals are not going to make it.

Some felt they could be regulated into existence," said Freeby. "A few hospitals aren't so sure they don't want them (regulations) to protect them from others coming in," said Darrow, predicting that if regulations are removed, some for-profit hospitals will be coming into Wisconsin. Cox and Freeby see that as likely, too, if there is deregulation. Continued on page 6 ulum has swung too far from the days of longer hospitalization. Insurance will buy a certain amount of service.

People are being admitted to hospitals later and being sent home earlier. Some are having cataract surgery as out-patients, for instance, whereas they used to be hospitalized for it. "Ninety-eight of 100 (people) will do well," he said, but for the others there could be adverse con sequences. "Every patient is a potential devia hospital administrators, they make it clear that their preference is to compete rather than to be regulated. C.

William Freeby is a physician and is president of Applet on Medical Center. Otto Cox is a businessman and is president of St. Elizabeth Hospital. Neal Darrow is an accountant and is vice president for finance at Theda Clark Regional Medical Center. The most convincing evidence that competition works, according to Cox, Frustration grows in quest for prison 4 jections of nearly a dozen southeastern Wisconsin sites, that a new prison would be constructed at Portage.

The 450-inmate prison, which had considerable local support, is now under construction. 'lobe a king, you had to be seen as king' William Chaney Middle Ages expert Gimmick turns chic .1,1 MADISON (AP) Gov. Anthony S. Earl's recent flip-flop on state prison site priorities is bringing his efforts to win support for a suitable site under increased legislative scrutiny. Citizens in Racine or Stevens Point wondering why the state has been stuck so long on dead center in its quest for a prison site have plenty of company in Madison.

"It's as if the governor has fallen into political quicksand." said a fellow Democrat, Sen. Mordecai Lee of Milwaukee. "The more he moves about, the deeper he appears to sink." Lee was analyzing the governor's decision to abandon a two-site prison plan, one for a 200-inmate facility in Milwaukee County and the other for a 300-inmateprison in RacineCounty. Only 12 days earlier the governor had declared the two-site plan was his "top priority," and placed the proposed 450-in mate prison planned near Milwaukee County Stadium on a back-up status. When legislative support for the two-site plan failed to materialize, Earl declared he had "run out of options" and was once again pushing for the stadium site.

The governor has "vacillated" on the issue despite the pressing need for an additional prison, said Rep. Tommy Thompson of Elroy, a potential GOP candidate for governor in 1986. Daniel Wisniewski, Earl's executive assistant, scoffed at that notion. "The governor said he would be flexible, Wisniewski said. "He said he wanted a site that would have local support and legislative support." But Thompson said Earl has failed to take advantage of that kind of backing for a third prison in Wau- pun, a decision that would ease prison overcrowding and move the state toward compliance with a federal court order to stop housing two inmates to a cell.

It would be similar to the action former S. Dreyfus took when he decided, after legislative re Infatuated with the Middle Ages BY DAVID HORST Post-Crescent stoft writer KAUKAUNA What started as a centennial promotions gimmick here will become nostalgic chic in a Madison department store. Seventy-one of the over 1,000 old hats being sold at the centennial store at kaukauna City Hall left this week for the Antique Boutique in the Madison Chap-mans store. The boutique is associated with a shop of the same name in New York. The hats were donated to the city Centennial Committee by the estate of Blanche Gerend, whose family operated Gerend's Millinery in downton Kaukauna for nearly a century.

The committee has been selling the hats for 50 cents a piece, for lack of anything else to do with them. When Julia Killian, dress buyer for Chapmans, heard of the hats several weeks ago through relatives in Kaukauna, she offered to buy all 700 remaining hats sight unseen. She spoke of them in the manner a diver would talk of a find of sunken treasure. The committee decided to give residents more of a chance to buy the relics before selling them to a Continued on page 6 BY PETE BACH Post-Crescent staff writer For William Chaney, life back in the Middle Ages was nothing to be ashamed about. But referring to the period as the Dark Ages, and thus i mplying the people of the period were utterly ignorant, well now, that's something to be ashamed about.

Even the term Middle Ages is something of a misnomer. "They," says Chaney, "didn't know they were in the middle." Chaney, professor of ancient history at Lawrence University, author and accomplished expert on the period, brought the era alive during a recent interview. The Middle Ages refers to the time in European history between the fifth century and 1450 to 1500. It was an era of kings and castles, Germanic invaders and, ultimately, Anglo-Saxons converted to Christianity, yet tinged by pagan roots. Those of us in the 20th century can learn from the period when kings and theism were domi nant influences, he said.

Kings were as visible as President Ronald Reagan. "To be a king, you had to be seen as king." Shunning the expression Dark Ages as "a subjective, judgmental term," Chaney chops through myth after myth as he talks about a study so much a part of his life since boyhood. "Actually," he says, "medieval people knew a lot more about science than we give them credit for. But they didn't measure things that way. The mirror of life to them was theology, which they called the 'queen of Chaney couples brisk, scholarly narratives of Middle Age times with generous doses of wit and humor.

His obvious delight and intimate familiarity with the fascinating period, and his ability to impart that knowledge, enliven the era and give it flesh, body and soul. That is undoubtedly one of the main reasons he is still lecturing at Lawrence after 33 years at the univer-sity. Soon he'll be "putting on my fifth hat, as historical researcher" and set off yet again for Oxford University in England where many a sum mer has been spent doing research in an outstanding library. "I think over the years I've been in Oxford twice as long as an undergraduate," he said. Chaney said he owes a debt of gratitude to the late Ernst Kantorowicz, one of his professors at the University of California-Berkeley, who obtained an honorary doctorate from Lawrence.

It was Kantorowicz who helped point up the vast differences not only between the Middle Ages and the 20th century, but the sharp contradictions of the age itself. The millennium is too often misportrayed "as having a unity. In fact, there was all kind of disunity," Chaney said. Chaney is a prolific author. He has penned no fewer than 100 books and articles during his career.

Further, in addition to holding four titles at Lawrence, he is a member of some rather select groups and is a fellow of the Royal Society of Arts in London. His books have won critical acclaim in Great Britain. His love of the Middle Ages started early in Continued on page 6 Kaukauna fades in film 's outlook Irate husband shoots man Hi i "No decision has been made on the site." Paul Covert Author, coprolucer of "Cotes" Earl glad he didn't tip hand MADISON (AP) Gov. Earl said Saturday he was glad legislators were in the dark about his political plans as they deliberated the 1985-87 state budget. "I genuinely believe that my not having been an announced candidate helped, not hindered, the process," Earl told reporters as the Legislature gave final passage to the $18.7 billion spending plan.

Earl, who has said he would withhold his announcement until after the budget is signed, was asked when he would be announce for re-election or the U.S. Senate. The governor said he would known "what I am not going to well before he formally announces, his own plans. He noted that a number of promi-! nent Democrats are waiting for him to reveal his 1986 intentions, mentioning two of them, Senate Majority Leader Timothy Cullen of Janesville and Assembly Speaker Thomas Lof-tus of Sun Prairie. "I owe them the courtesy of letting them know," Earl said.

BY WILLIAM D. ZAFEROS Post-Crescent stoff writer The film "Cages" has a new director, a new producer, a new production company and a new script. It is, according to co-producer Paul Covert, "better than it was before." But there is a chance that the 120-minute movie will not be shot in Kaukauna. "No decision has been made on the site," said Covert, who authored the book "Cages," on which the movie is based. Covert said the director, whose name has not yet been released, will make the decision on thesite later.

Asked whether that meant Kaukauna may lose the film, Covert said: "Yeah, there's a chance, depending on the weather and so forth." Test filming for "Cages" took place at Kaukauna High School last February, when nine local residents were chosen from 57 finalists to star in the movie. Four of the nine stars, Matthew Lee Hassler, Keith Gonnering (whose surname will be changed to Michaels), Sean Geoffrey Ross, and Douglas Clark are from Green Bay. Names of the other five local stars are being withheld, Covert said. None of the stars have been in a film before. The film is set in a small Pennsylvania town in the 1950s and will involve teen suicide, according to Covert, who added that although the script will be re-written the story will remain the same.

Shooting is set to begin sometime between November, 1985 and Jaunary, 1986, according to Covert. The filming TOWN OF WINNECONNE A 35-year-old Town of Winneconne man is being held in the Winnebago County jail on a charge of attempted first-degree murder for shooting a 20-year-old Winneconne man early Saturday morning in a domestic disturbance at his home. According to a press release from the Winnebago County Sheriffs Department, the man was arrested at his home on Clow Road northeast of Winneconne after a call was received at 1:14 a.m. Saturday for a domestic disturbance there. A spokesman for the sheriffs department said the man "found his wife with a younger man" and fired a gun at him three times, striking him once in the left side of the body.

The spokesman said the victim then fled the house but was located about 300 yards away when police arrived. Bruce Williams, 20, of Winneconne, Continued on page 6 schedule calls for 14 weeks of shooting and eight weeks of "post production." The film is currently in "pre-production." "We're trying to get all the machinery together and the personnel lined up," Covert said. Multexfilm, of Milwaukee, had been schduled to produce the film, but was unable to to continue with the project because of contractual and financial problems. A California firm, "Tangerene Dreams" has taken over the production. Covert said the new director has not been named because he is currently working on another project and "he doesn't want to get deeply involved with this one until he's done with the first one." He added, however, that the director was well-known.

"When the name is released you'll recognize it," Covert said. "I have not worked with him before, but I know from talking with him he's a very gentle man and I think the kids are going to like him." The film, which has a budget of about $2.5 million, is scheduled to be distributed in August, 1986. "I genuinely believe that my not having been an announced candidate helped, not hindered, the process." Gov. Anthony Earl Alarm Sexual assaults create concern niles. "There's been a dramatic increase in these incidents," says Dr.

Max Bowen, a clinical psychologist for Human Services who handles sexual assault referrals for family counseling. "I'd like to see the general population made more aware of this so they can take steps to defend against it." "It's scary," said Mike Robinson, chief juvenile intake worker for Outagamie County. "I personally would never hire any male babysitter for my kids. There's too much risk involved." Robinson feels that most of these incidents of sexual abuse center around "control issues" where the babysitter "takes advantage" of the younger children. "A lot of kids don't have too much decisionmaking power in the home," Robinson said.

"When they get in a control situation with kids, there's some acting out of power "A lot of kids don't have too much decision-making power in the home. When they get in a control situation with kids, there's some acting out of power Sexually." -Mike Robinson Outagamie County juvenile intake worker "The number of males involved with this is just frightening," he added. "It's the highest percentage of our cases the male babysitter." Only one of the nine cases of sexual abuse of children in a babysitting situation so far this year involved a female. Last year, there was one 13-year-old girl and 10 teen-age boys referred to juvenile authorities for sexual assault in a babysitting situation. In late January of this year, a 12-year-old girl sexually assaulted a 3-year-old boy while babysitting for him in his home.

As a result of the juvenile court referral, Outagamie County Judge Harold "Froehlich has issued a consent decree ordering the girl to undergo counseling and refrain from babysitting. Laurie McCulloch, a county social worker in the child protection unit, said there probably are fewer females than males who are perpetrators in babysitting situations. But, Continued from page 8 An alarming increase in the number of sexual assault cases involving teen-age babysitters has led juvenile authorities to issue a warning to parents to exercise caution in who they choose to watch their children. During 1983 and 1984, roughly 27 of all sexual assault cases reported by police to the Outagamie County juvenile intake office involved juvenile perpetrators who were babysitting for their victims at the time. Through mid-April of this year, however, nine of the 13 sexual assault cases (nearly 70) reported to the intake office involved perpetrators who were babysitting.

Some county juvenile authorities feel this may only be the beginning of information to be gathered. Although they don't have statistics broken down like Outagamie County, juvenile authorities in surrounding counties say they have experienced a similar increase in the number of sexual abuse cases involving juve BY MICHAEL KING Past-Crescent staff writer.