Suffredin- An Advocate for All of Us  

Forest Preserves
Public Safety
Cook County Budget
Forest Pres. Budget
Property Tax Appeal
Health & Hospitals
Land Bank Authority
Policy Resolutions
Unsung Heroine


  Office phone numbers:  

Search current and proposed Cook County Legislation in Larry's exclusive legislative library.


The Cook County Code of Ordinances are the current laws of Cook County.

  Cook County is the second most populous county in the nation. It is the 19th largest government in the U.S.

First, stabilize the patient

Friday, October 26, 2007
Chicago Tribune

Patronage and empire-building have so harmed Cook County's delivery of health care to poor citizens that it may take years to repair the damage. The decades of abuse and neglect trace straight to the offices of the County Board president and a generation of board members -- local pols who have no business managing an $800-million-a-year health system.

The Bureau of Health debacle is so severe that the most urgent question isn't how to fix it: First, someone needs to stabilize the patient. That means pushing aside the Cook County politicians and introducing new oversight.

County Commissioner Larry Suffredin, in league with an ad hoc coalition called the Emergency Network to Save Cook County Health Services, proposes an independent interim board of trustees. That would rescue management of the health system from county government's disastrous rule for at least three years.
The County Board would retain its taxing and funding role for the system. But the interim board and an outsider CEO recruited to run the system would take over its mission: ensuring primary and preventive care for indigent citizens. That would mean pushing the County Board, and Board President Todd Stroger's administration, out of the now-politicized functions of hiring, firing, awarding of contracts and financial operations. Local Democratic machine bosses would lose their grip on a health system with 7,000 jobs.


Suffredin will soon introduce an ordinance that would hand the dysfunctional Bureau of Health to an interim board. One purpose would be to rebuild public trust in a wasteful system, rife with political hires, that taxpayers now have no reason to view as competent.

Under former Board President John Stroger, Bureau of Health officials and board members knew the system was about to lose many millions in federal transfer payments. But they continued to pad staffing and spend at unsustainable levels, cynically figuring that county taxpayers someday would ride to the rescue.

Given Cook County's miserable financial stewardship of the Bureau of Health and the rest of county government, that infusion of tax money isn't likely. Taxpayers are furious.

Suffredin's proposed interim board would have nine members, most of them chosen by medical and public health groups. Who gets to do the choosing is of crucial importance: Cook County's idea of an "independent outsider" is someone who has fewer than five blood relatives on the payroll. The interim board would include two County Board members.

Hiring a CEO would be critical: Suffredin wants to recruit a pro who has managed big hospital systems and who would want to cap his or her career by salvaging a health system that once had a worldwide reputation for excellence.


A professional CEO, backed by an independent trusteeship, could force Cook County to revamp its health care priorities for the 21st Century. That should mean:

- De-emphasizing inpatient care, which has been in steep decline as Medicaid and Medicare patients increasingly choose other hospitals. The county's Stroger Hospital is roughly two-thirds filled; closing the under-used Provident and Oak Forest Hospitals would free up vast resources now devoted to empty beds.

- Expanding community care clinics. Decentralizing the system away from the underutilized hospitals would re-emphasize primary and preventive care: County patients could expect close-to-home care on par with what many of us receive from private physicians in their offices.

- Creating the modern planning function that the Bureau of Health now lacks. This means building a system to better measure such basic information as how many people of what demographics use which county services, and where. Tracking trends would let the bureau anticipate tomorrow's care needs today -- and deploy its resources accordingly.

- Demanding medical and financial accountability. Breast cancer screening, immunizations, prenatal care, diabetes and so on -- who's the one person answerable for each major area of care? The citizens of Cook County deserve to know how every area is performing: How many procedures a year? At what costs? What are the outcomes and follow-ups? What are the major problems that hinder better care?

In sum: A truly independent trusteeship, and an outsider CEO, could recommend the changes that would give more poor citizens better care, at a price county taxpayers can afford.


We support the trusteeship proposal for the Bureau of Health with one eye sharply focused on a similar arrangement this page also advocated: the installation of an independent outsider to run the county's shabby Juvenile Temporary Detention Center. The arrival of new management there should mean smarter use of existing resources.The stakes at the Bureau of Health are even higher. The Cook County Board slept through years when the county's health administrators sabotaged a once jewel-like system of care with rampant patronage, uncontrolled spending and failure to bill insurers for reimbursements. The clientele and the taxpaying public have paid steep prices for county politicians' lack of scrutiny.

Proposals to offload critical missions that county government has bungled have produced one comic effect. On Oct. 16 the Tribune quoted Commissioner Jerry Butler, a delightful gentleman, reacting to a blue ribbon panel's suggestion that county government relinquish control of its struggling health system, as it has with the county's juvenile detention center.

"If we're not going to do juvenile detention and now you're saying we're not going to do the hospitals, then what is the [Cook County] Board going to do?" Butler asked. "If they keep taking pieces out of the job, pretty soon you won't need commissioners either."

Hmm. We think Commissioner Butler said that as if it would be a problem.

Recent Headlines

Top prosecutor Kim Foxx apologizes as 18 convictions linked to corrupt cop vacated
Monday, September 24, 2018
Chicago Tribune

Preteens out of detention before trial under new ordinance
Friday, September 14, 2018
Chicago Daily Law Bulletin

Cook County Board bars detention of youth under 13 years old
Thursday, September 13, 2018
Injustice Watch

Preteens accused of crimes won't be locked up at Cook County juvenile center
Thursday, September 13, 2018
Chicago Sun-Times

Slowik: Cook County offers residents last chance to comment on strategic plan
Thursday, September 13, 2018
Daily Southtown

Settlement over Cook County's 2007 decision to cut inmates' dental care will cost nearly $5.3 million
Wednesday, September 12, 2018
Chicago Tribune

Anti-patronage Shakman pact requiring federal oversight of Cook County hiring, firing to end
Friday, August 31, 2018
Chicago Tribune

1st District upholds merit board in firing of deputy
Thursday, August 30, 2018
Chicago Daily Law Bulletin

Neighborhood program helps Cook County residents buy homes
Sunday, August 26, 2018
Chicago Sun-Times

Judge upholds Cook County firearm, ammunition taxes
Thursday, August 23, 2018
Chicago Daily Law Bulletin

Editorial: E-filing should make Cook County courts more accessible. It doesn't
Wednesday, August 22, 2018
Chicago Tribune

Cook County tax incentive could pave way for Wingstop, Dunkin' Donuts on Elgin's Summit Street
Tuesday, August 21, 2018
Chicago Tribune

Editorial: What happened to the elk?
Friday, August 10, 2018
Chicago Tribune

Wells Fargo to offer $15,000 grants to potential Cook County homebuyers
Thursday, August 09, 2018
Chicago Tribune

Suit alleges Cook County detainees secretly monitored in bathrooms in holding cells at courthouses
Wednesday, August 08, 2018
Chicago Tribune

Half the elk at Busse Woods died last year, and officials arenít sure why
Tuesday, August 07, 2018
Chicago Tribune

A letter from Dr. Jay Shannon regarding gun violence and Stroger Hospital
Tuesday, August 07, 2018
Special to

As Evanston adapts to minimum wage hike, nearby towns say they have no plan to join in
Tuesday, August 07, 2018
Chicago Tribune

Lawsuit could blast a $250 million hole in county budget
Monday, August 06, 2018
Crain's Chicago Business

Pappas: Automatic refunds of $19.5 million going to 53,000 homeowners because of property tax cuts
Monday, August 06, 2018
Special to

all news items

Paid for by Larry Suffredin and not at taxpayer expense. A Haymarket Production.