European Stars and Stripes (Newspaper) - November 11, 1992, Darmstadt, Hesse                                Wednesday november 11, 1992 the stars and stripes a Page 9health care fees Likely to keep rising boosts probably will be smaller than this year s by Ray Rowden staff writer Washington a civilian employees can expect further increases in health care charges at military hospitals and clinics Over the next few years but not As big As the one levied oct. 1. Changes made in this fiscal year in the Way medical rates Are computed increased the Cost for an outpatient visit to a military medical facility from $72 to $94. The Price of inpatient care also Rose sharply. The rates apply to All patients in military facilities but Only defense department civilian employees who Are authorized to receive care actually pay the fees themselves. Pentagon officials anticipate moderate increases Over the next two years based on inflation pay raises for health care professionals and a shrinking patient base that requires fixed costs to be recovered from fewer people. The rates set for this year reflect the inclusion of some medical costs that previously were not used to compute fees according to Pentagon responses to written queries from the stars and stripes. Analysts in the office of the Pentagon comptroller who set rates each year now Are Basing costs on meeting the payroll of medical personnel in the system. That move added the costs of a special medical pays a which arc paid to military doctors dentists and nurses whose skills Are in Short Supply. One such incentive can boost a doctor s income a and a clinic s operating Cost a by $36,000 a year. The higher outpatient fees reflect the new accounting methods. And inpatient costs which previously Cost a Flat $6s7 a Day now vary with the Type of care. For example charges for psychiatric care and substance abuse Are less than the old Flat rate this year while a Day in surgical intensive care will Cost More than $1,600. The Pentagon analysts said they were following requirements of the office of management and budget. However they added that the changes also matched the military s goal of a establishing patient level  though far less precise than itemized charges at civilian hospitals the analysts said the new accounting method provides better estimates of actual health care costs. An bomb analyst estimated the Pentagon is accounting for 80 percent to 90 dec recent of the actual Cost of providing health care helping ensure that Federal budget Money is properly spent. The bomb has been trying to make Federal agencies account for their spending with a actual Cost information instead of estimates he said. Russia to fight off any rightist coup Yeltsin tells britons London apr russian president Boris n. Yeltsin warned tuesday that right Wing forces want to stage a coup in Russia but he said his government would not allow a the ghosts of the past to Triumph. He hinted that he might assume emergency Powers if necessary. Yeltsin addressed russians political and economic problems in a speech to both houses of Britain a parliament the first by a non Western Leader and a recognition of his commitment to democracy and capitalism. Later he had lunch with Queen Elizabeth ii. At Buckingham Palace. Yeltsin was led into the soaring gothic chamber of the Royal gallery at the Palace of Westminster to the accompaniment of a trumpet fanfare. The 500 lawmakers and Peers including prime minister John major and his predecessor Margaret Thatcher gave him a two minute standing ovation when he said Russia and Britain were now allies. A we must directly recognize there Are in our country forces interested in a Revan Chist coup a Yeltsin said. He identified the potential coup plotters As members of the former communist party and government elite militant nationalists some traditional economic managers and a political  a fall these forces have come to life in recent times. They Are trying to switch to open massed attack taking advantage of the difficulties which russian citizens Are experiencing Quot he said. A but i am convinced such plans Are not destined to succeed. The majority of russians oppose them. And Are not falling prey to panic and  despite predictions of widespread unrest after he began economic changes in january Yeltsin said a Russia is now quieter than it was 10 months  Captain of escort ship accused of recklessness Wall of shame two men build a new Wall in front of Berlin s Brandenburg Gate on monday the third anniversary of the opening of the Berlin Wall. The stunt was a test by a German television Channel to gauge the reactions of passers by to the Wall. Most people found the event to be in bad taste. Paris a unruffled by its collision with an armed escort ship a Greenpeace ship continued to track a freighter carrying 1.7 tons of lethal photon cum on a secret route Back to Japan. Greenpeace added another ship to the Case and accused the japanese escort ships Captain of poor seamanship and recklessness. The environmental group said he should be court Martiale. Greenpeace said that the escort ship Shi Kishima rammed Greenpeace a Craft the Solo in the English Channel on sunday. The group said the solos helicopter Landing decks were damaged but it reported no injuries. Japan is shipping the plutonium Home to fire up a new generation of nuclear fast breeder reactors. Greenpeace opposes the shipment and is tracking the freighter Akatsuka Maru to Alert countries along its route. The environmentalist group says the plutonium poses huge dangers ranging from a spill to an attack by terrorists seeking nuclear bomb making material. Greenpeace said it had chartered the dutch owned Smit new York As a sister ship to join the Solo in tracking the plutonium ship. The solos Captain Albert Kuiken said the Shi Kishima was badly dented in sundays collision. The Solo carries 16 Crew members. Cutbacks in programs set for european space Agency Granada Spain apr european space Agency ministers on monday voiced general approval of major cuts in projects and budgets planned by the Agency Over the next eight years an Agency official said. A the meeting went quite Well with no major disagreements Quot Esa press chief Roger olaerts said. The decisions were made during the first round of a two Day conference in Granada. Under discussion by the 13 member nation ministers was a revised plan by Jean Marie Luton Esau a director Generator the Agency a operations through 2000. The plan includes an Overall budget of $25.6 billion about $4 billion less than the amount that was rejected by the Agency a ministers in Munich Germany a year ago the proposals in effect end Esau a original strategy of achieving self sufficiency in manned space technology. But their rejection would be a major blow to the Agency and any plans Europe has of playing a leading role in the Field. The Agency has been Hurt by economic crises plaguing member nations As political developments such As the reunification of Germany and the breakup of the East bloc have eroded interest in space technology