_- in state government through fed-
~~ eral_action in 1981, including the
st “ possibility. for application for state ©

waivers. We view the current ap-

ra’ plication for home health care for

myc ie ues against it. They said : .
_Missouri was not in the best fiscal Ags
“shape “and ‘that ‘the Division of |

- Health “in. the state had a major

but.was located i in. ‘the Department

of Social Sciences. The fact that.
the Division of Health is linked to

-the ‘Division “of Family Services

through’ the. . Department of the>
Social Services, is the bright spot.
The biggest challenge was how to .

get the best possible health care

system established in the. state.

within resources available.
Although the resources are on

the verge of shrinking again, many

new opportunities have come to us

a ee ea tee MD; re.
vs defferson City, MOQ.

. the chronically ill child as a major
_ breakthrough. It allows us to get

past many of the bureaucratic : stum-

“bling blocks that have been built at
_- the state, local and federal levels,
liability” in the fact that it was re-
“sponsible for environmental health, ,

to get to the heart of the problem.
‘The possibility of delivering ex-

‘gellent careina humane 2 Setting at

less cost is an immensely desirable

~ goal for all of us. We look forward
‘to the’ challenge of implementing
this program as soon as we get
“approval: from our friends at the
- federal level. | think the environ-
: ment in this century will be one of
very tight fiscal resources and one

in which only through innovation,

.- cooperation and teamwork will we
‘ continue to deliver much needed

services. @