Tula benefits from Albany's helping hand
by Charlotte Buchanan
Reprinted from the Albany TIMES UNION
April 19, 1998
Page B6
During a State Department briefing on her trip to the New
Independent States formerly the Soviet Union, Hillary Rodham Clinton focused on the
achievements made in their six years of existence. Many of those achievements resulted
from public/private partnerships, such as the Albany-Tula Alliance.
"Economic and political stability in the NIS
contributes directly to the security and prosperity of the United States and is being
strengthened by a relatively modest assistance budget carefully targeted toward building
grass-roots support behind economic and political reforms in each of the 12 states,"
Clinton told the session, which I attended.
When it was clear that the Soviet Union was falling apart
in 1991, a number of Capital Region citizens assembled, determined to help one city and
one region accomplish what our country has been working toward for more than 200 years.
With he support of the city of Albany and then-Mayor Thomas Whalen III, we selected Tula,
Russia, an area with similarities to ours.
Tula is the capital of the state of Tula, has a population
of 600,000 and is one of Russia's oldest cities. It has an educated work force and several
institutions of higher learning. Albany has William Kennedy; Tula has Leo Tolstoy.
The Alliance has worked primarily on health care, education, humanitarian aid,
business development and agriculture. New undertakings are planned for the environment,
civics and government. We hope the Alliance and Tula can develop civics education and a
governmental structure to support environmental cleanup and that, at the same time,
business development will grow.
Tula has significant pollution from heavy chemical and
metallurgical industries and the Chernobyl meltdown. Health problems have been linked to
environmental problems.
The Alliance's work in health care probably has been the
most significant to date. With a U.S. Agency for International Development grant, plans
were laid to create one of Russia's first managed health care organizations. With the
leadership of Warren Paley, founder of the Community Health Plan, and Dr. Robert Chodos of
Albany Medical Center, Tulan physicians came here for training in primary care as a way to
move the focus of health care away from hospital-based treatment. People working with
computers and in insurance came to learn about those aspects of managed care.
With funding from the state of Tula and pharmaceutical
companies, a clinic serving 70,000 people was opened. Albany's name has such credibility
that the plan is called the Tula Albany Health Care Plan.
In the Soviet Union, all doctors were trained in Moscow or
St. Petersburg. Now, regional medical schools are starting, including one at Tula State
University, which hopes to have a specialty in endocrinology.
The Alliance -- assisted by the U.S. Commerce Department
and Dr. James Figge -- brought two Tulan scientists here for three months. Among other
things, Dr. Figge, a St. Peter's Hospital endocrinologist, taught them how to make
recombinant DNA for use in evaluating health problems caused by environmental factors.
Many professors from Tolstoy State University and Tula
State University have studied American educational systems at Capital Region institutions.
Area professors and graduate students have taught at Tolstoy State University, while six
Tulan college students have studied here.
Under the Special American Business Intern Training
Program, funded by the U.S. Commerce Department, 14 Tulan interns have worked here in such
diverse fields as tourism, marketing, banking and radio/TV advertising. One intern, the
counsel to the Tula state governor, studied local government and election law. Nine months
later, Tula held its first free elections.
In her briefing, Clinton noted that U.S. policy toward the
12 NIS in their struggle for democratic forms of government and market-oriented economies
is "to use all the diplomatic and assistance tools available to ensure that this
transformation is successful."
Those involved in the Albany-Tula Alliance have been
enormously rewarded knowing that they have made positive differences in the lives of
people struggling for freedom and decent quality of life. It is also rewarding to realize
we have developed, independently, programs that support U.S. policy.
Charlotte Buchanan is a member of the board of
directors of the Albany-Tula Alliance.