Otte-Coleman - City Magazine

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People’s expectations are higher than they used to be. They say that what was a luxury to one generation is an absolute necessity to the next. What are N.D.’s CM: most popular destinations? Otte-COleman: Theodore Roosevelt National Park is our number one attraction. It gets over a half-million visitors per year. The International Peace Gardens is one of our gems. It’s one of the only places where you can still cross the border without a passport. The Ralph Engelstad Arena and the Fargo Dome, as major event centers, draw huge numbers of visitors to the cities in which they are located. It’s the “oddities” that attract attention, as well. We’ve gotten so much press on the Enchanted Highway—it’s whimsical and different. People come from Germany to see the albino calves at the Jamestown Buffalo Museum—that’s one that’s really sought out. Peace Garden ad placed in the skywalks in Minneapolis, Minn. Tourism by The Numbers What are your CM: personal keys to success? Otte-COleman: Balance. And that goes beyond balancing being a mother and a professional. You need to take care of yourself, too. Everybody knows I’m a lot happier if I get that run in the morning. You also really have to believe in what you do. At the end of the day, if you really feel your work is worth something, then you feel good about it and it all comes together. • More than 16 million visitor trips are completed in N.D. each year. • Each visitor adds $81 to the gross state product. • Advertising N.D. adds a 1:8 return to the state tax base. • 68 percent of visitors/travelers are from out of state. • One of every 12 workers in the state owes their job to tourism. • Approximately $733 million in wages and salaries are generated through state tourism. Source: N.D. Department of Tourism See Sara Otte-Coleman answers to the “City Mag 10” questionnaire by signing up for City Magazine’s online magazine at www.thecitymag.com. 8 thecitymag.com
CM SMARTS | Beginning Conversation: Healing America’s Health Care System A good conversation to have these days, with a variety of people, is about health care reform. It helps to understand how other countries’ health care systems work, to see what some options are. T.R. Reid, a Washington Post journalist, went on an expedition to research alternatives to our nation’s health care system, as well as hoping to treat his bum shoulder. His new book, “The Healing of America. A Global Quest for Better, Cheaper, and Fairer Health Care,” offers a picture of four different types of health care systems. Reid describes Britain’s National Health Service, inspired by Willliam Beveridge, as probably closest to what Americans imagine when they think of socialized medicine (Spain, Italy, and New Zealand also follow this model). In this model, the government is as responsible for taking care of people’s health as they are for picking up trash. It’s paid for with taxes. The government owns the hospitals, employs the doctors and nurses, buys the pills and pays the bills. Patients must see a general practitioner first and, if a specialist is needed, there’s a waiting line. Administratively, it’s simple because it cuts out the need for insurance. Germany, Japan, France, Belgium and Switzerland all utilize the “Bismarck Model”, which has all private doctors, hospitals and insurance plans. The difference is there are about 200 non-profit insurance companies in Germany. It’s not single-payer, and you can drop it and switch companies, and they can’t raise your premium. By Candace Brannan Gerhardt The third type is the Canadian Model which is a blend of both the Beveridge and Bismarck Models. They have private doctors and private hospitals, but the payment system is public. In some provinces, people pay a premium; in some provinces, it’s a tax. But, you don’t get a hospital bill, so anybody can go. The last and most common model of health care operates on one rule: if you can pay your doctor out-of-pocket, you get treated. If you can’t pay, you stay sick or die. Brutal, but that’s the fact of life in most countries. In the United States, all four models exist. According to Reid, if you’re Native American or a veteran relying on government care, you live in Britain. If you share your health insurance premium with your employer, you live in Germany. If you’re a senior and you buy Medicare insurance from the government and go to a private doctor, you live in Canada. And, if you’re one of the tens of millions of Americans who can’t get health insurance, you live in Nicaragua or Honduras. Reid points out this difference: all other countries have decided that health care is a right, not a privilege, and these countries have decided that it’s more fair and affordable to provide one model where everyone has access to the same care at the same price. How should Americans reform our health care system? There are no easy answers, but we can’t ignore it any longer. Let’s look at it, and let’s continue this dialogue. November 2009 9
Page 1 and 2: NOVEMBER 2009 BISMARCK • MANDAN D
Page 3 and 4: Publisher’s Note Study and Work H
Page 5 and 6: GOOD READS | Still Alice A book rev
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Page 13 and 14: Ingredients 2 pheasant breasts seas
Page 15 and 16: MANDAN ON THE Move | Mandan Offers
Page 17 and 18: homelessness in Bismarck-Mandan.”
Page 19 and 20: FEATURE Captain Freddy's is the new
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Page 23 and 24: Last month, we traveled with this g
Page 25 and 26: YP UPDATE Choices Today- Changes To
Page 27 and 28: WE Drive | Modern Day Hot Rodders-
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Page 31 and 32: $150,000 for married couples, and $
Page 33 and 34: B E R M C A S H S P A I D E A L O T
Page 35 and 36: CITY WORKS | Reducing Winter Injury
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Page 39 and 40: printable coupons in one location.
Page 41 and 42: Tuesday, November 24: Girls High Sc
Page 43 and 44: Last month, I gave a brief descript
Page 45 and 46: Unlocking Opportunities: This year,
Page 47 and 48: WESTERN NORTH DAKOTA | Are You a Re

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