County needs fixing, not another Stroger

By Dennis Byrne
Chicago Tribune

Concerned about the impoverished, alienated and Godforsaken among the 5 million residents of Cook County? Then pay particular attention to who gets elected in November to be president of the Cook County Board.

That's because perhaps no single person or institution directly touches so many of the dispossessed, especially when it comes to health care. Too poor to afford even the most basic medical services, they rely on the county's three hospitals and its 25 outpatient ambulatory and community health network facilities for emergency, primary, acute, outpatient, rehabilitative, long-term and preventive care.

Coordinated care for expectant mothers, clinics and health education in elementary and high schools, family-planning services, CT scans and other diagnostic services, lead-poisoning prevention, treatment of childhood diseases, the nation's first free-standing, specialized outpatient health-care facility serving the needs of people with HIV/AIDS, more than 150,000 health service visits in suburban Cook County ... the list goes on and on.

The county also touches those caught up in the criminal justice system by providing legal counsel for the indigent. The county's public guardian protects abused children, and its court system is in the front lines defending those held captive in dangerous neighborhoods. It is a conservator of open space and the environment.

This is the progressive agenda, one deserving of support. The best way to do so is to make sure the apparatus that delivers these services is efficient and productive. It isn't.

A felon was hired to oversee finances. Too many lazy, incompetent and no-show employees staff the health-care and other facilities. Workers are hired for their political connections, not for their competence. Just last week, the feds raided the offices of the Cook County Human Resources Department and carried away boxes of personnel records. It's the county version of Chicago's political spoils system. Progressives now face a choice for Cook County Board president. They can ill serve the poor by fundamentally continuing the system under the direction of Democrat Todd Stroger, the Chicago alderman who is himself a progeny of the system. Or they can better serve the most needy by supporting suburban Republican Tony Peraica.

If you don't believe these are the choices, go to the Chicago Tribune's videotaped endorsement interview with the two candidates at chicagotribune.com/county.

In this valuable, unvarnished setting, if you can't tell which candidate has the moxie, creativity, experience and leadership to pull off reform, then you're hopeless. What's clear is that Stroger is caught in the bind of having to defend or reject the work of his own father, former President John Stroger. Not to his credit, Todd Stroger wants it both ways: He insisted that he understands county government, having been immersed in it since his father was elected Cook County commissioner in 1970.

Yet he strains credibility by trying to act as the reformer who would undo the very political system his father built.

Peraica called such a system "criminal" when it makes emergency room patients wait up to two days to see a doctor, two weeks to get a prescription filled and six months to get an MRI. Stroger did not dispute those figures.

Here it is, just over two months before the election, and all that Stroger could offer were platitudes and promise more studies. Peraica, who demonstrated substantially greater understanding of county government, offered specifics. Stroger made a lame--to the point of embarrassment--attempt to appeal to his base by bringing up such hot social issues as abortion and gun control. Peraica successfully parried by pointing out that the County Board could do little on either score and clarifying his own position as a sensible moderate.

Stroger's political strategy is to take progressives for granted, to assume that, witless and sheeplike, they'll fall in line with the party bosses who crowned him the candidate. Stroger's strategy leaves voters with no answer to the question of how the 5 million county residents best fulfill their moral obligation to assist the most needy. Stroger's strategy is to assume that progressives will find voting for a Republican too distasteful to contemplate. That progressives will buy the stereotype that Republicans are coldhearted ogres who don't care about the poor.

Perhaps few progressives will have read this far, but in their hearts, they know what is best for the disadvantaged. A government run efficiently to serve its people, not a clanking, obsolete machine dedicated to serving its builders.

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