Topic: Medicare
Interview of Sandy Praeger, October 18, 2019
Interviewed by Joan Wagnon
Former Kansas legislator Sandy Praeger describes in this 2019 oral history interview how she never anticipated having a career in politics when she ran for the Lawrence City Council. Praeger looks back on her service in the Kansas House and Senate and her time as the elected Kansas Insurance Commissioner. While in the Legislature, Praeger represented a Lawrence district that she described as being a place where "it was easy to run more on policy issues than any kind of political ideology." Praeger ran for the State Senate after one term in the House. Praeger built her Show Morebackground on health issues, including insurance, in the Legislature serving on the Public Health and Welfare, Children and Families, and Insurance and Financial Institutions committees. She recalls stepping into the role of committee Chair during her first session in the Senate and presiding as Vice President of the Senate many years later. Praeger's background on health policy came to the forefront while the country was implementing the Affordable Care Act which she strongly supported as Kansas Insurance Commissioner. Show Less
Interview of Kathleen Sebelius, October 28, 2022
Interviewed by Joan Wagnon and Duane Goossen
Kathleen Sebelius ran for the legislature to "go home." Her kids were ages two and five and she was eager to get out of a demanding job to spend more time at home--better work-life balance. In her 2022 oral history interview, she discussed the changes in the culture of the legislature and state government she experienced over the 30-plus years she served in public office. She observed that when both US Senate seats for Kansas came open in 1996, and Sam Brownback challenged incumbent Sheila Frahm for one of the seats, a fissure
Show Morewas created in the Republican party. Sebelius observed the insurance industry being very partisan and tilted toward the industry interests. Her discussion of budget issues during her terms as governor reveals her problem-solving process, even though her time in office was bookended by recessions. School finance also posed some unique challenges during her administration because the Great Recession got in the way of the court's mandates. Phill Kline, the Kansas Attorney General at the time urged Republicans to do nothing regarding school finance. The BEST teams created in the Sebelius administration were important to solving the budget crisis. This interview concludes with discussion of her selections of Lt. Governors and her experiences at the US Department of Health and Human Services (HHS) and her activities after leaving government service.Another oral history interview of Sebelius may be found in the Energy & Environment collection on this site.
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Interview of Eunice Rolfs, August 29, 2024
Interviewed by Joan Wagnon
Eunice Carlson Rolfs is a remarkable Kansan who, at the age of 97, has lived a fascinating life. She is the daughter of Frank Carlson who was a Kansas Legislator, U.S. Congressman, Senator and Governor of the State of Kansas. Her interview is filled with descriptions of growing up on a Concordia farm, where her chores included plucking eggs from underneath laying hens and carrying water from a well to the kitchen. She was surrounded by her family, including her Swedish grandparents and lots of friends. The Swedish Baptist Church of Concordia was a central focus Show Morein their family's life. She describes in great detail her father's unwilling entry into politics, the move to Washington DC upon his election to Congress, her great desire to return to Kansas which was the impetus for Carlson's run for Governor. She met her husband, E.J. Rolfs at Kansas University and they continued their productive lives in Junction City as part of a well-established banking family. Her father, now Senator Carlson, returned to Washington for another 18 years, filled with important legislation that benefitted Kansans and all Americans - Medicare, the Voting Rights Act to name a few. Show Less
Interview of Robert St.Peter, January 23, 2026
Interviewed by Jim McLean
This is the opening interview for the series, Healthy Kansans. Dr. Bob St. Peter will be interviewing all the rest of the participants in this series, so Jim McLean wanted to use this interview to establish his expertise. St. Peter was President and CEO of the Kansas Health Institute for 24 years, developing and expanding their services in Kansas. Prior to that he had extensive experience in Washington DC with health policy [see his biography]. For this series of interviews, St. Peter defines health in the broadest terms and points out why the health rankings Show Moreare valuable information for policy makers. The Kansas Health Foundation which created KHI really wanted the KHI to look at a broad set of issues that influenced how healthy we are as a city, as a county, as a state, and how education, housing and transportation influenced a person's health. St. Peter points out that health in Kansas isn't getting worse. People in Kansas are living longer, generally experiencing lower rates of cardiovascular disease, stroke, etc. So, it is not that our collective health is getting worse; it is that our relative standing compared to other states is getting worse. Other states are doing better and are faster than Kansas in improving the health outcomes for their citizens. Kansas should be working on this as well. Show Less
Interview of Tom Bell, March 6, 2026
Interviewed by Robert St. Peter
Tom Bell served as CEO of the Kansas Hospital Association from 2012 - 2020 when he retired. As the leader of the trade association representing Kansas hospitals, he provided education and advocacy for the 120 hospitals that were his association's members. Bell describes his work mainly as advocating for hospitals in the Kansas Legislature and with the Kansas Congressional Delegation on federal issues. During his interview he identifies several big state issues that impacted his members: Certificate of Need, scope of practice, rural hospitals, medicaid expansion and reimbursements (DRGs). The passage of the Critical Access Hospital Show Morelegislation saved a lot of hospitals and helped solve some problems. Bell said he was constantly looking for ways to balance the competing interests of all the parts of the health care system. He also noted the COVID pandemic had huge, negative impacts that are still being felt. The interview looks at the advantages or disadvantage of being a non-profit hospital vs a for-profit model. It also discussed the need for a state health planning agency to set policy. In response to the question, what are the "top issues that you think we as a state need to be addressing right now for the well-being of hospitals... and the community", Bell indicated workforce was at the top of the list as well as reimbursement and how to help the community access the best level of health care. He concluded the interview by saying, "...what's good for the hospital ought to be what's good for a particular community." Show Less
Interview of Maynard Oliverius, March 6, 2026
Interviewed by Robert St. Peter
Maynard Oliverius lays out in clear terms the policy choices the federal government made that shaped the health care system in the country today. Starting in 1946 with the Hill-Burton Act that paid for new hospital facilities, then the creation in 1965 of Medicare and Medicaid to ensure that seniors had a way to pay for health care and medical research, he tracks federal changes through the Affordable Care Act and Medicaid Expansion. He also notes that Kansas was leading other states in health rankings in the early 1990's, but now has fallen significantly behind other states' efforts Show Moreto improve the health of their residents. Access to health care has become a major problem for many Kansans. The interview also touches on the growth of Stormont Vail under his leadership and how it is now a major medical center serving northeast Kansas and is a locally owned, locally operated nonprofit organization. Oliverius concludes by offering his opinion that ideally the country needs to move to a single payer system in order to provide access for all - he describes it as "medicare for all." He expressed concern about the current direction of health policy nationally. Show Less
Interview of Robert Moser, March 10, 2026
Interviewed by Robert St. Peter
Dr. Moser had an unusual background because he went to pharmacy school before deciding to go to medical school. This interview really highlights the difficulties of practicing medicine in a rural area, and shows Moser's innovations in responding to those challenges. He did his residency in his hometown of Tribune, Kansas. He also credits the business training in Pharmacy school as being helpful in responding to challenges which included workforce issues. To meet that challenge, Dr. Moser used a multijurisdictional approach to expand staffing in both Greely and Wallace counties. Delivering babies was a Show Morerecurring problem - no backup, no personal time. Moser left Tribune in 2010 to work as Governor Brownback's Secretary of Health and Environment but left 3 years later because of opposition to medicaid expansion. In 2014 he joined the Kansas Heart-Stroke Collaborative - a CMS innovation - and also taught population health and family medicine at KU Medical Center. After surveying emergency room data regarding patients who came in with heart attacks and strokes, they were able to develop evidence-based guidelines for rural health care staff that improved patient outcomes. Show Less
Interview of Matthew (Matt) All, April 21, 2026
Interviewed by Robert St. Peter
This is a very important interview in this series about Healthy Kansans because it embraces the discussion on health care financing. It is also interesting because of All's experiences in the political arena that led him to his current role as CEO of one of the state's largest health care insurers. He was involved with the proposed merger of Anthem and Blue Cross when he worked for Gov. Sebelius who turned down the merger. He said, "It became really clear to me at the beginning that this was an important office, and that Kansans sometimes in Show Morethe biggests moments of their lives need somebody to stand beside them. So, I was proud to do the work!" The largest part of the interview is a discussion on how health insurance works, how costs affect premiums, and what the options for the future hold. Despite the difficulties in finding ways to control costs, Mr. All is optimistic about the future. Show Less