Thursday, January 19, 2006

Healthcare Access Considerations

A couple of days ago, the following letters to the editor appeared in the Kansas City, Star. They highlight the need for healthcare reform in our nation, and in our community. They also show that many who could benefit are unaware of the services that are out there for them.

January 16, 2006

Tales of two treatments

Imagine yourself in a situation that requires you to have a heart-related
surgical procedure. That’s not a problem for some because some are armed with
health insurance. In this particular situation, however, you are not.

Just try to get a doctor to see you or do anything for you if you don’t have health
insurance — much less to perform a potentially lifesaving procedure. One of
these “healers” of modern medicine recently saw one of his patients. The patient
was a man of some years, in need of a replacement pacemaker battery, a man who
had just started a business of his own and was consequently without
insurance.


“Well, you’d better get some insurance,” said the man of medicine.
This he intoned with the ease of brushing lint from his coat. He charged the man
$150 and walked away.


He offered no assistance whatsoever and refused his patient even a certificate of having had a physical exam. That vital piece of paper would be intended to allow him to continue to contract out his work, in order to pay for the high cost of individual health insurance.


The ways of human compassion, caring, helping someone in need and doing what is morally right and good have given way to salivation for the almighty dollar. It has
turned physicians into puppets.


Physician, heal thyself.


Denise Miller - Independence

Next to Ms. Miller's Letter, ran the following:


A few weeks ago my wife, Elena, slipped on ice and fell. Her arm began to throb and swell.


I called Overland Park’s paramedics, who arrived within minutes. They looked at the arm and advised us to go to an emergency room. I had recently gained employment here, but as yet had no insurance coverage.


My neighbor suggested an X-ray. I called Dr. Ragan Fairchild at Zafer Chiropractic. She took the X-ray, which showed the humerus broken. Dr. Fairchild gave us the X-ray and urged us to go to the Shawnee Mission Medical Center emergency room.
We arrived, showed the X-ray and advised that we had no insurance. My wife was admitted immediately. She was nervous and scared, as she had never been in a hospital, had never had an injection, was in pain and does not have a total understanding of English.


Dr. Ryan C. Reeves and his crew were speedy, compassionate and understanding.
They explained what needed to be done and patiently waited for translations. Problems arose during the casting, and Elena had to be sedated.


Shawnee Mission Financial Assistance personnel are making realistic arrangements about the bill. Believe me, this would never have happened when we were living in Los Angeles.


Marcus Purcell - Overland Park



First of all, Ms. Miller, the person that you write about needs to make an appointment at Swope Parkway Health Services and see a physician there. An EKG will be performed in the office, and if follow-up is needed, the nurse will schedule an appointment with Truman Medical Center's cardiology department. Yes there will be a wait, but the patients needs will be met.
Mr. Purcell on the other hand seems to be unaware of a federal law called EMTALA, which stands for the Emergency Medical Treatment and Active Labor Act. EMTALA assures that no patient can be turned away from an emergency room if they present with an emergent situation. A broken arm clearly qualifies as an emergency.
To those in my area who do not have health insurance, I encourage you to seek out the resources in our area that are available to you. Both Swope Healthcare and Samuel U. Rodgers Community Health Clinic offer comprehensive basic healthcare for routine, well-patient care and walk-in clinics for illness and minor injuries. Both facilities are easily accessable from the bus lines, and Swope has facilities in Independence, north of the river, and Kansas City, Kansas.
I have worked for both the Swope and Rodgers systems in my career, and I have seen up close the good they do in the community. If you need healthcare, let them serve you. If you have expendable income, please consider donating to either system through their respective websites. If you are in my area and need help navigating the system, feel free to email me, and I will try to point you in the right direction.