Preventative care

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BY Steve Mangala: For decades now, would-be health care reformers have claimed that if we just invest more in preventive care we will cut big chunks of spending out of our health system. In the early 1990s, for instance, Medicaid administrators and hospital executives argued that if we built more satellite health clinics in poorer neighborhoods, residents would get check-ups more often and visit hospital emergency rooms, where care is expensive, less frequently. So hospitals built the clinics, often with government grants, and we got more clinics but just as many emergency room visits, and Medicaid costs continued to spiral upwards.

Interesting article and the lead in paragraph is really misleading; while the grants were used for building some of the specified clinics maintaining the staff to keep the doors open became problematic (there were never enough volunteers and professional people interested in sticking to a working schedule)...at least not in the ones around KCMO.

And then the Medicaid Administrators neglected or just didn't have a clue that in order to get the locals to utilize the neighborhood clinics (when and if they were open) you had to retrain them to use their local facilities instead of the years of family conditioning to just grab a bus to the emergency room and the quickest service available instead of sitting in a waiting room that may or may not be open if you should need to see someone! These low income families weren't used to a regular check up, used to seeing a doctor unless it was for an emergency service and just because the 'PLAN' look feasible on paper (as with most things in theory) the paper work went better then the implementation and working model!

But Steven Mangala wrote a good short story...to bad that the genre is 'FICTION'. ;)
 
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Interesting article and the lead in paragraph is really misleading; while the grants were used for building some of the specified clinics maintaining the staff to keep the doors open became problematic (there were never enough volunteers and professional people interested in sticking to a working schedule)...at least not in the ones around KCMO.

And then the Medicaid Administrators neglected or just didn't have a clue that in order to get the locals to utilize the neighborhood clinics (when and if they were open) you had to retrain them to use their local facilities instead of the years of family conditioning to just grab a bus to the emergency room and the quickest service available instead of sitting in a waiting room that may or may not be open if you should need to see someone! These low income families weren't used to a regular check up, used to seeing a doctor unless it was for an emergency service and just because the 'PLAN' look feasible on paper (as with most things in theory) the paper work went better then the implementation and working model!

But Steven Mangala wrote a good short story...to bad that the genre is 'FICTION'. ;)

Um, everything you said seems to agree with the author of the article that the preventive care clinics did not work.
 
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