Finally. rather than accepting a $400.000 grant for one project. the regional administrators persuaded HEW to divide the money in two $200.000 grants and later halved it again. In effect. through lack of interest. uninspired leadership. responsiveness to local political pressures and general bureaucratic inertia. the regional administrators induced HEW to reproduce the traditional inadequate and nonresponsive health project in the place of what had been a promising beginning for comprehensive. consumeroriented health care. This program can be made to work by doing the following things: Develop objective standards for program evaluation. rigidly apply these standards. fund the program at a more realistic level. redesign the program to emphasize a smaller number of projects. but ones providing comprehensive medical services to all migrants within a given radius. including the provisiin of transportation to and from the clinic for those without their own means. and implement the 1970 amendment specifying migrant input in program planning and execution.
Keywords matched
migrant migrants