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LODI EAR, NOSE & THROAT JAN 2 I4 MEDICAL GROUP, INC. 441 South Ham Lane - Thomas E.Barnett Lodi,CA 95242 M.D.,F.A.C.S. (209)334.1558 January 6, 1994 Patrick Johnston 31 E. Channel Stockton, Ca 95202 Dear Senator Johnston: It has been some time now since I enjoyed meeting with you at the Lodi Outpatient Surgical Center luncheon forum. I am as disappointed as you were, I am sure, that there were not more of us in attendance but there was a conflict with the Lodi Independent Practice Association having a meeting at the same time and I am sure many of my colleagues attended that one. My reason for corresponding with you todayiato�express my concern over the state mandates as it relates to medical office's disposal of medical waste products including needles, drapes, gloves and other items that might contain human waste. From my own office standpoint, my recollection is that—as soon as this happened, IN the local health district obtained a mandate to tax us approximately $47.00 per year, something of which we have not really seen any dynamic benefit. At the same time, companies that would procure our waste were developed and in my office it costs $32.00 every time a container was filled and sometimes that may be as much as two containers per month. This seems rather- exorbitant to me for a container that is not very large. Finally, the original company that we were using was bought out by another company and a new company is now going to charge us $42.00 per container.I really feel this is outrageous and has been placed on our backs by a government mandate and yet there must be some other alternative that is a more economical way of managing this problem. Certainly we are not being reimbursed by our insurance carriers as we previously were and this is a health cost which is not going to be passed on to consumers. Any -help you might- offer us in this regard would be greatly appreciated. Very sincerely yours, Thomas E. Barnett, M.D.