Bulletin Daily Paper 10/24/10

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Tyler Eklund

Blazers look to make waves • SPORTS, B1

LOCAL, C1

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Update at age 18

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WEATHER TODAY

SUNDAY

Cloudy, rain likely High 52, Low 36 Page C8

• October 24, 2010 $1.50

Serving Central Oregon since 1903 www.bendbulletin.com

Kitzhaber’s 3rd shot

ELECTION 2010: OREGON’S TOP RACES

8 interviews

Examining his first 2 terms, partly from a Central Oregon perspective margins? The talented state legislator who authored the groundAs Oregonians cast their breaking Oregon Health Plan? votes for governor this fall, they The fly fisherman from Roseburg have the unique opportunity of who averted an endangered spechoosing a man who already cies listing for coho salmon with held the job, and not long ago. the Oregon Salmon Plan? The Unlike most elections, in which head of a state that experienced voters must guess how a candi- John Kitzhaber seven years of economic prosperdate will perform based on his ity and booming job growth? or her career in business or in the Or was Kitzhaber the aloof Legislature, Oregonians can look to eight and combative man his political opponents years of governing on which to judge John saw? The “Dr. No” who vetoed 204 bills in Kitzhaber, the Democratic candidate. eight years? The governor who presided It seems simple. But even almost eight over one of the most poisonous budget years after he left office, in 2003, Kitz- fights in the state’s political history? The haber’s legacy is far from settled. man who, in his last speech as governor, Is he the charismatic emergency room described state government as defined by doctor in cowboy boots who won two gu- “rancor and partisan gridlock”? bernatorial elections by overwhelming See Kitzhaber / A6

By Keith Chu The Bulletin

What the governor, U.S. Senate, treasurer and House District 54 hopefuls told The Bulletin’s editorial board • PERSPECTIVE, F1

Coming up in The Bulletin • Tuesday: Halloween photography lessons

• Nov. 1: Pulse,

Also: Spooky fun and flavor in At Home

the quarterly health magazine

• Friday: Bulletin costume winners unmasked

• Highlights of Kitzhaber’s eight years as governor, Page A7

Coming up • Examining Chris Dudley’s background

Health care battle now on 3 fronts

ON THE HUNT BEFORE HALLOWEEN

As area medical groups jockey for control, where does that leave patients?

New York Times News Service

Julian Assange is used to being denounced by governments, but now some colleagues are abandoning him for what they see as erratic behavior.

By Markian Hawryluk The Bulletin

The man behind all the leaks By John F. Burns and Ravi Somaiya New York Times News Service

Ryan Brennecke / The Bulletin

Matteo Larsen, 4, carries his pumpkin out of the field during the Great Pumpkin Hunt at Miller’s Landing on Saturday. Held at the weedy Bend property across the Deschutes River from McKay Park, the pumpkin hunt raised funds for the possible purchase of the 4.7-acre property to turn it into a public park. For story, see Page C1.

In a changing media world, avoiding the cameras By David Lightman McClatchy-Tribune News Service

ELECTION • Do costly ads pay off? Page A4

WASHINGTON — Many major candidates are treating the news media as enemies this year, refusing to release schedules, admit the press to campaign events, give interviews, even answer routine questions. While Republicans appear to be shunning journalists more than Democrats, some in that party are doing it, too, and journalists are find-

ing it unusually hard to get routine information. (Now some poll numbers: About a quarter of Americans in a July Gallup poll said they had confidence in newspapers or television news; that compares with 11 percent who expressed confidence in Congress.) The trend has a range of nonpartisans worried; shutting out reporters could compromise readers’ and viewers’ (and voters’) ability to get fair ac-

TOP NEWS INSIDE WIKILEAKS ANALYSIS: Why Iraq remains troubled; how contractors intensified the war’s chaos, Page A3

counts of who candidates and their financial backers are and where they stand, leaving them dependent instead on news packaged by the candidates and their supporters. “It’s only going to spread, and it’s not a good thing for our democracy, if we’re going to hold candidates accountable,” said Steven Greene, an associate professor of political science at North Carolina State University. See Media / A4

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Community D1-8

Local

Business

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Crossword D7, E2

Milestones

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Perspective F1-6

TV listings

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Classified

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Editorial

Movies

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Sports

Weather

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Relationship between hospital and doctors Concerns over the hospital system’s plans were front and center at the recent annual meeting of the Central Oregon Independent Practice Association, a group formed by physicians in the early ’90s to thwart the entry of managed care plans into Central Oregon. Rather than allowing plans to create networks of doctors that would pit one practice against another, COIPA contracted on behalf of all of the region’s physicians as a group. Initially, COIPA represented almost all of the physicians in the region. But last year, BMC opted to leave the group and contract for its providers on its own. See Health care / A5

The Bulletin

INDEX Abby

Central Oregon has been mired in a rancorous health care civil war over the past few years that has split the provider community mainly into two camps, those allied with St. Charles Health System and those with close ties to the Bend Memorial Clinic. Now a third group is emerging — independent physicians who want to maintain their autonomy, but still rely on both organizations for referrals. As the hospital system moves forward with plans for an integrated delivery system that could fundamentally alter the way care is delivered throughout the region, independent physicians have grown increasingly distrustful of hospital leaders and are contemplating a new model of their own. For patients, the increasing balkanization of health care providers could have a profound impact, influencing which doctors they can see, how those doctors practice and how much that care will cost. “I am concerned that this may turn into a three-way power struggle,” said Dr. Daniel Fohrman, a rheumatologist who owns his own practice in Bend.

Obituaries

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Stocks

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We use recycled newsprint

An Independent Newspaper

Vol. 107, No. 297, 52 pages, 7 sections

SUNDAY

LONDON — Julian Assange moves like a hunted man. In a noisy Ethiopian restaurant in a rundown part of London, he pitches his voice barely above a whisper to foil the Western intelligence agencies he fears. He demands that his dwindling number of loyalists use expensive encrypted cell phones and swaps his own like other men change shirts. He checks into hotels under false names, dyes his hair and uses cash instead of credit cards, often borrowed from friends. “By being determined to be on this path and not to compromise, I’ve wound up in an extraordinary situation,” Assange says. In his remarkable journey to notoriety, Assange, founder of the WikiLeaks whistle-blowers’ website, sees the next few weeks as his most hazardous. Now he’s making his most brazen disclosure yet: 391,832 secret documents on the Iraq war. He held a news conference Saturday in London, saying the release “constituted the most comprehensive and detailed account of any war ever to have entered the public record.” See WikiLeaks / A3

ELECTION

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