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Commissioner Wheeler felt that Dr. Sadow's program was appealing; however, he <br />believed Dr. Sadow should work with our staff (as the other company did), then direct staff to <br />bring it to the Board with a list of pros and cons, for discussion and final decision at that time. <br />Commissioner Solari felt the same as Commissioner Wheeler. He believed that <br />competition "keeps everyone on their game," and that two proposals would make it easier to <br />develop and ask the right questions. He wanted staff to provide the information to the <br />Commissioners ahead of the normal Agenda schedule, so they could have extra time to review the <br />bids. He also asked staff to ensure that when the presentations are made that the data be kept as <br />similar as possible for accurate comparisons. <br />There was a brief discussion regarding whether the program would be voluntary for <br />the County employees, to either choose to go to the Medical Center or their own physician. <br />Director Sexton clarified that the County was not out to bid at this point; and County <br />Administrator Joe Baird reiterated that this was not the proper process, for one doctor to come <br />before the Board and say "here is what I can do." He said he appreciated Dr. Sadow's <br />presentation, but recommend that all interested parties be given the same opportunity, and to do it <br />through the proper and formal process. <br />Director Sexton acknowledged that there had not been a formal recommendation <br />sent to the County Attorney. <br />Vice Chairman Flescher pointed out that there was no start up cost in Dr. Sadow's <br />facility, as in the other facility, regarding the partnership and Interlocal Agreement. He wanted to <br />ensure that Dr. Sadow would have the opportunity to bring some of the objections to closure. He <br />felt there were a lot of high points in the presentation that would benefit the County employees, as <br />well as the taxpayers. <br />12 <br />March 10, 2009 <br />