Carlos Manzano for Manhattan Borough President - 2005
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-1820 DAYS TO ELECTION DAY! SEPT. 13, 2005

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HEALTH CARE


As President of the McManus Midtown Democratic Association, I have long been involved in community health care issues. At the Association, we had forums with Roosevelt Hospital and St. Clare’s (now St. Vincent’s Midtown) to inform the community about health services, especially for seniors and the uninsured. With the help of the Ryan Center, we had blood-pressure screenings to bring awareness about hypertension, high cholesterol, and other precursors of heart disease.

It is a simple, regrettable fact that the cost of health care continues to skyrocket, far outpacing increases in incomes or the rate of inflation. According to most statistics, one in four residents of New York City under the age of 65 lacks health insurance. This is not only a tragedy; it is a crime, and it is getting worse.

The health of our society determines the health of our economy, our productivity, and of our place in the world. A sick society ceases to function. We are reaching a critical point in the city and in our country where something must be done. Unfortunately, few viable solutions to the current situation emanate from Washington, D.C. That is why New York City must take the situation in hand and create local solutions, as is being done in other places.

Through my appointees to the advisory boards of Manhattan's municipal health facilities, I will work in every community in Manhattan to advocate and work for people in the following areas:

Drug Access and Re-importation


I strongly support drug re-importation from safe supplies around the world. I will lobby our local, state and federal officials to create legislation that will allow prescription medications to be purchased legally in New York City.

Free and Low-cost Care


Our city government must face the fact that low-wage jobs do not provide for basic necessities, especially health care. We must embark upon a campaign to educate the public about the many public health programs that are currently up and running. These programs are vital to low-wage earners and others who are not provided or cannot afford health insurance. As Borough President, I will also lobby legislators to extend health insurance eligibility to those New Yorkers without coverage.

Public Hospitals


The Health & Hospital Corporation provides 45% of the care that is delivered to the uninsured in New York City. As Borough President, I will work alongside unions to lobby city and state officials to prevent layoffs. Just as important is finding funding so that vital services like radiology, lab testing, and radiation therapy are not further cut. Unfortunately, when these programs are cut, they are often never replaced.

Free Screenings/Prevention and Education Programs


Prevention and knowledge are the best medications, which is why tests for asthma, osteoporosis, cancer, HIV/AIDS, heart disease, and more are so vital. As Manhattan Borough President, I will take a community-based approach to finding ways to let residents learn about the public options available to them. I will also seek to boost public/private initiatives, so that testing and screening is more visible in all neighborhoods in Manhattan and information is disseminated more widely.

Diet and Exercise


Talking about diet and exercise will be a centerpiece of my approach to health care. Eating well and staying active are the keystones to preventing obesity, diabetes and a host of other diseases. As Borough President, I will set up a task force to examine how we can get our city, particularly our youth and seniors, moving again, losing weight, being healthier, and feeling good about themselves.

AIDS/HIV


We must acknowledge that New York continues to have arguably the largest HIV/AIDS community in the nation. New York should be seeking new and creative ways to deliver the message, particularly to youth, that protection is a necessity. The city must also support programs that will reduce rates of HIV infection among intravenous drug users.

Crystal


Not since the explosion of crack has the city seen such an alarming development in drug use. The city must support an aggressive education campaign targeting both adults and youth about the dangers of this party drug that is now being blamed for a stark increase in STDs, particularly HIV.

Prescription Price Abuse


Where there is vulnerability there are predators. This is unfortunately illustrated by egregious price-gouging by drug vendors in some of the city’s poorest neighborhoods. This type of opportunism should be illegal and punished accordingly.

Mental Health


In New York City alone, there are approximately 450,000 adults and children who suffer from chemical dependencies, developmental disabilities, mental retardation, or mental illness. One of the great failures of our healthcare system is inadequate funding and treatment for these issues, whether they are defined as disabilities or dependencies. This is true in prisons, in hospitals, and in the general population. As Borough President, I will advocate on behalf of strengthening and expanding our current means of treating mental health and hygiene issues. We must make early intervention with children below the age of three a high priority. I will meet with experts in organizations such as the Early Intervention Coordinating Council to discuss how we can strengthen public-private partnerships. In addition, any discussion of mental health and hygiene issues can not ignore New York's homeless population and the degree to which these issues may contribute to the problem of homelessness. In the end, as with physical health, study after study shows that prevention is the best medicine.
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