Federally qualified health centers under pressure

Category: Health

Listening

Unlocking Word Meanings

Read the following words/expressions found in today’s article.

  1. designated / ˈdɛz ɪgˌneɪ t̬ɪd / (adj.) – officially chosen or assigned for a specific role or purpose
    Example:

    The designated representatives of each country will attend the economic conference next week.


  2. safety net / ˈseɪf ti nɛt / (n.) – something, especially a government program, that helps people experiencing a difficult situation
    Example:

    Government social services serve as a safety net for many low-income people.


  3. chasm / ˈkæz əm / (n.) – a very large difference between two people, groups, etc.
    Example:

    The economic chasm between developed and developing countries could result in a huge problem.


  4. boot (someone) off (something) / but ɔf / (phrasal v.) – to force someone to stop participating in an activity or a situation
    Example:

    He was booted off the club because he didn’t meet its standards.


  5. inequity / ɪnˈɛk wɪ ti / (n.) – the fact that a situation or something in it is not fair
    Example:

    There are inequities in the distribution of social services to different communities.


Article

Read the text below.

One in 11 Americans rely on community health centers to get routine medical care, as well as social services and, in some cases, fresh food. Plaza del Sol is one of two dozen sites run by Urban Health Plan Inc., one of nearly 1,400 federally designated community health centers, which serve as a critical safety net for low-income people of all ages.


Nine in 10 health center patients live at or below 200% of the federal poverty line, according to the U.S. Health Resources and Services Administration.


It’s a safety net under stress.


“Without us here, there’d be a huge gap and chasm in terms of poor people being able to receive care. And that has ripple effects across the country,” said Dr. Matthew Kusher at Plaza del Sol.


Since 2012, community health centers – also called federally qualified health centers – have seen the number of people coming to get care rise by 45%. The health centers have opened more and more service sites, expanding their footprint to more than 15,000 locations in every state and U.S. territory.


The centers are there serving people who may have few other options: newly arrived migrants, rural residents, people who lost their job and, with it, their health insurance.


“We’re not checking the insurance status or refugee status,” said Dr. Acklema Mohammad at Urban Health Plan’s El Nuevo San Juan location. “My motto is a patient is a patient is a patient. We’re here. Open for everyone. Everyone in the community.”


Many centers are short-staffed and struggling to compete for doctors, mental health professionals, nurses and dentists. They’re at the forefront of helping people obtain insurance as millions are booted off. Medicaid leaders also say funding is an ever-present concern, especially with the months-long debate over the federal budget making it all but impossible for the centers to plan and hire for the long term.


“We always worry about the budget,” Dr. Kusher said.


Despite that, the centers are trying to improve their communities’ health and access to primary care in the face of inequities that start well before a patient steps into an exam room.


This article was provided by The Associated Press.


Viewpoint Discussion

Enjoy a discussion with your tutor.

Discussion A

  • In the United States, some people rely on community health centers to get routine medical care, as well as social services and, in some cases, fresh food. What kind of services do community health centers in your country offer? What other services do you think community centers should provide? Discuss.
  • Acklema Mohammad said, “My motto is a patient is a patient is a patient. We’re here. Open for everyone. Everyone in the community.” What do you think this means? Do you agree with this motto? Why or why not? Discuss.

Discussion B

  • Community health centers always have to worry about the budget. In your opinion, how would this affect the services the community health centers provide the people? Why? Discuss.
  • Many centers are short-staffed and struggling to compete for doctors, mental health professionals, nurses, and dentists. Why do you think this is the case? How do you think this issue can be solved? Discuss.