Federally-funded community health centers (CHCs) are a significant part of the safety net. They provide care to low-income Americans, most of whom either have no health insurance or rely on Medicaid. The G.W. Bush Administration expanded CHCs dramatically, and the Affordable Care Act signed by President Obama does so even further, to the point they may serve as many as 30 million Americans a year in the near future. While seeing CHCs as laudable, many progressive health care policy analysts have fretted that the care provided in these centers is not at the same level of quality as that received by privately insured patients in other settings. A new study published in the American Journal of Preventive Medicine shows that this is indeed the case.
The research team examined over 30,000 ambulatory care visits to assess quality measures such as providing adequate medications for chronic illnesses, screening for high blood pressure, counselling patients about the need for exercise and the like. The quality of care provided in CHCs was compared to that provided by primary care doctors in private practice.
The difference in health care quality across the two settings was profound: CHCs provide much better primary care than do private practice doctors. Of the 18 quality measures examined, CHCs were superior on 11, equal on 6 and inferior on 1. When the researchers adjusted the findings for difference in patient characteristics, private sector care was not superior in any respect, and was on most indexes significantly worse.
Hey guys. I know times are tough and money is tight for everyone, but if you could spare a few dollars to help out a friend of mine, I’d be forever grateful. The following is copied from my friend Junior’s facebook:
My family is coming together to raise money for my aunt Griselda Lopez’s medical expenses, treatments and related costs due to her Systemic Lupus that she was diagnosed with back in 1997. Unfortunately she has been uable to work as of late because of this (and other complications with her illness) and now we are holding a fundraiser Saturday, July 28th from 6pm-2am at Viv’s tap Room in Crystal Lake, IL. There is a $5 dontation at the door, raffels and all the proceeds of this event are going to the Griselda Lopez Medical Fund.
Please check out www.griseldalopez.com for more information about Gris and how you can make a dontation! Also there is a facebook event that was created so if you are interested in coming please let me know and I will be more then happy to give you all the info!
Again, if you could spare a few dollars I (and Junior) would greatly appreciate it. If you can’t (completely understandable) could you please give this a signal boost?
Worst TB outbreak in 20 years kept secret. Florida government covered up TB outbreak while rushing to close hospitals as a part of Gov. Rick Scott’s cost cutting campaign.
Palm Beach Post Staff Writer
JACKSONVILLE — The CDC officer had a serious warning for Florida health officials in April: A tuberculosis outbreak in Jacksonville was one of the worst his group had investigated in 20 years. Linked to 13 deaths and 99 illnesses, including six children, it would require concerted action to stop.
That report had been penned on April 5, exactly nine days after Florida Gov. Rick Scott signed the bill that shrank the Department of Health and required the closure of the A.G. Holley State Hospital in Lantana, where tough tuberculosis cases have been treated for more than 60 years.
As health officials in Tallahassee turned their focus to restructuring, Dr. Robert Luo’s 25-page report describing Jacksonville’s outbreak — and the measures needed to contain it – went unseen by key decision makers around the state. At the health agency, an order went out that the TB hospital must be closed six months ahead of schedule.
Had they seen the letter, decision makers would have learned that 3,000 people in the past two years may have had close contact with contagious people at Jacksonville’s homeless shelters, an outpatient mental health clinic and area jails. Yet only 253 people had been found and evaluated for TB infection, meaning Florida’s outbreak was, and is, far from contained.
The public was not to learn anything until early June, even though the same strain was appearing in other parts of the state, including Miami.
Last year I was diagnosed with cervical cancer and endometriosis, and had to have several procedures and finally a partial hysterectomy. I was unemployed for quite awhile, and got behind on my house payments, because my husband also lost his job. I bought the house in 2006 for 70k, we struggled and tried but finally the payments became too high and now the house is in foreclosure.
I agreed to do a short sale, and I’ve got an unexpected cash sale offer for 43k, but the buyers want to close and take possession of the house on 7/2. Whatever isn’t out of the house by that date will belong to the new owners.
The problem is that the house and most of my clothes, books, and furniture is in South Dakota, and we’re in Montana with my parents trying to work and start our lives over.
So I need your help, tumblr. I’ve found an inexpensive-ish truck rental, and I’m just hoping against hope that I can scrape together some money to get down to South Dakota and get out whatever I can before the 2nd.
Our paypal email is firstname.lastname@example.org, or (maybe) the donate button on my tumblr.
I can’t give a lot in return except my undying love, and any kind of rude and amusing (and terrible) sketch you’d like, or editing services if you write.
Thank you to anyone who has read this far.
This is my IRL bestie. Please help if you can, via donation or signal boosting, on account of she’s great!
Signal boost, everyone!
This story is from a year ago, but I feel it needs to be posted, this is what happens when you don’t look at an issue from all sides.
Danielle Deaver was 22 weeks pregnant when her water broke and doctors gave her a devastating prognosis: With undeveloped lungs, the baby likely would never survive outside the womb, and because all the amniotic fluid had drained, the tiny growing fetus slowly would be crushed by the uterus walls.
“What we learned from the perinatologist was that because there was no cushion, she couldn’t move her arms and legs because of contractures,” said Deaver, a 34-year-old nurse from Grand Isle, Neb. “And her face and head would be deformed because the uterus pushed down so hard.”
After having had three miscarriages, Deaver and her husband, Robb Deaver, looked for every medical way possible to save the baby. Deaver’s prior pregnancy ended the same way at 15 weeks, and doctors induced her to spare the pain.
But this time, when the couple sought the same procedure, doctors could not legally help them.
Just one month earlier, Nebraska had enacted the nation’s first fetal pain legislation, banning abortions after 20 weeks gestation. So the Deavers had to wait more than a week to deliver baby Elizabeth, who died after just 15 minutes.