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Future Uncertain for Federal Health Program

Sep 08, 2017 03:48PM ● Published by Editor

If Congress fails to act, it will have huge impact on community health care centers, including Sawtooth Mountain Clinic in Cook County.  Write your representatives in Congress!

By Gaby Galvin - U.S. News and World Report  • Sept. 7, 2017

As Congress weighs North Korea, Hurricane Harvey and DACA this month, funding sits in limbo for thousands of community health centers that serve 27 million impoverished and uninsured Americans. 

If Congress fails to act by Sept. 30, more than 10,400 community health centers will lose 70 percent of their federal funding – about $3.6 billion – despite bipartisan support from lawmakers and President Donald Trump's administration. 

The inaction would force 2,800 of the federally funded centers to shut their doors, leaving 9 million patients without access to health care and 50,000 people out of work, according to estimates from the National Association of Community Health Centers. 

These health centers provide high-quality primary and preventive care to underserved rural and urban communities, where many people are either uninsured or insured through Medicaid, or don't qualify for Medicaid but can't afford private insurance. 

The centers save the health care system more than $24 billion annually by reducing the number of hospital visits and helping patients manage complex and chronic health conditions, according to a 2016 study published in the American Journal of Public Health. And about 500,000 babies are born in community health centers annually, says Dan Hawkins, NACHC's senior vice president for public policy and research. 

Yet amid seemingly more-pressing national concerns, there is no sense of urgency in Congress to approve the funding by Sept. 30, Hawkins says. That's because funding renewal for these health centers will begin in January 2018 , giving members of Congress the impression that this issue can wait. 

But without funding in the interim period, clinic leases and staff contracts will not be renewed, and other operational costs will become too high for many health centers to bear. Hawkins says that by the time Congress addresses the issue in December, it will be too late for many centers to recover. 

"We've gotten assurances from everybody on the Hill that they're going to take care of the problem," Hawkins says. "But what happens when they finally do – they've got a monster facing them in December. A trainwreck. And what's going to make it through? There could be a lot of debris by the tracks by the time this is over." 

That debris could include vehicles, clinicians and physical space, Hawkins says. Community health centers operate like businesses, and although they may have the resources to treat patients for now, they need money to pay for leases on clinic space, staff contracts and other overhead costs. 

"Although we are a nonprofit like all community health centers, the electricity companies don't give you free electricity," says Gary Wiltz, CEO of Teche Action Clinic in Franklin, Louisiana. "Our expenses have to be met, and we can't sustain that big of a hit, that 70 percent funding cut." 

Wiltz's health centers in "Cajun Country" serve about 26,000 people, about 16 percent of whom are uninsured, down from approximately half before Louisiana expanded Medicaid in 2016, he says. His clinics have identified more than 2,000 cases of breast cancer, colon cancer, heart disease, diabetes and hypertension. 

Still, if Congress does not approve the health center funding soon, at least three of Teche Action's 13 clinic sites will be shuttered, affecting 6,000 to 10,000 patients, Wiltz says. 
"I can't make any long term plans based on month-to-month funding," Wiltz says, citing the difficulty of hiring new doctors when he can't guarantee pay or employment beyond the next few months. "The only plan I have now is this: I have enough money to last maybe two months in reserves to keep us going from the end of September." 

If community health centers close, uninsured people in regions such as Wiltz's will likely turn to the emergency room, a costlier alternative, Wiltz and Hawkins agree. 
The potential cuts come as health centers react to recent natural disasters – Hurricane Harvey in Texas, Hurricane Irma in Florida and other storms forming off the Florida coast – after which the poor and uninsured who were unable to evacuate have overwhelming medical needs. 
In Houston, for example, where people have been wading in contaminated water, there is a great need for tetanus shots, Hawkins says. And despite flooding in their own homes, many health center staff members returned to work immediately. 

While the responsibility of handling emergency health care needs generally falls to local health authorities, Hawkins says community health centers provide additional support and will be affected by an influx of patients. 

And as Congress grapples with how best to provide emergency relief to states hit by the natural disasters, it has been difficult to “cut through the noise” to ensure immediate funding for community health care centers, Hawkins says, even though the hurricanes and the health centers’ involvement in the recovery efforts make the issue all the more urgent. 

"Policymakers don't always see the reflection of the people that the policies affect. We see it on the frontlines every day," Wiltz adds. "It's hard enough living paycheck to paycheck, but when you try to apply that to health care, that equation costs human lives. They've got to understand that we can't continue in this unstable environment. No one can."

Read the original article here:   

https://www.usnews.com/news/health-care-news/articles/2017-09-07/federal-health-program-funding-may-...
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    11/30/2017
    12:00PM — 12:30PM

    BBQ Chicken/Baled Potato/Coleslaw/Jello/Milk


  • 20th anniversary exhibit, Begin | Continue

    11/30/2017
    04:00PM — 06:00PM

    A celebratory 20th anniversary exhibit titled Begin | Continue will feature the work of North Hou...


  • Alcoholics Anonymous

    11/30/2017
    06:30PM

    Alcoholics Anonymous is a fellowship of men and women who share their experience, strength and ho...


  • Square Dance Lessons

    11/30/2017
    07:30PM — 09:00PM

    Modern Western Square Dance Schedule for November 30 through January 25. Time: 7:30 – 9:00 PM...


  • Terra Bella Floral fall hours

    12/01/2017
    12:00AM

    Monday and Tuesday Noon to 6 Wednesday through Friday 10 to 4 Saturday 10 to 2 Sunday Closed


  • YMCA Classes

    12/01/2017
    12:00AM

    Click to view our current list of Group Exercise classes, pool schedule and gym schedule!


  • Annual 20% off Customer Appreciation Sale

    12/01/2017
    09:00AM — 05:00PM

    Come in to Lake Superior Trading Post and save 20% off on all merchandise in stock, this includes...


  • Lunch at the Senior Center

    12/01/2017
    12:00PM — 12:55PM

    Polish Sausage/ Sauerkraut/ Potato/Dessert/Milk


  • 20th anniversary exhibit, Begin | Continue

    12/01/2017
    04:00PM — 06:00PM

    A celebratory 20th anniversary exhibit titled Begin | Continue will feature the work of North Hou...


  • Terra Bella Floral fall hours

    12/02/2017
    12:00AM

    Monday and Tuesday Noon to 6 Wednesday through Friday 10 to 4 Saturday 10 to 2 Sunday Closed


  • YMCA Classes

    12/02/2017
    12:00AM

    Click to view our current list of Group Exercise classes, pool schedule and gym schedule!


  • Trails Final Check

    12/02/2017
    09:00AM — 02:00PM

    We welcome you to join us at 9 a.m. at the Groomer building on Caribou Trail to do the final trai...


  • Annual 20% off Customer Appreciation Sale

    12/02/2017
    09:00AM — 05:00PM

    Come in to Lake Superior Trading Post and save 20% off on all merchandise in stock, this includes...


  • Northwoods Fiber Guild Annual Holiday Sale will be on Saturday, December 2nd from 9:00am-2:00pm. ...


  • 20th anniversary exhibit, Begin | Continue

    12/02/2017
    04:00PM — 06:00PM

    A celebratory 20th anniversary exhibit titled Begin | Continue will feature the work of North Hou...


  • Square Dance Lessons

    12/02/2017
    07:30PM — 09:00PM

    Modern Western Square Dance Schedule for November 30 through January 25. Time: 7:30 – 9:00 PM...


  • Terra Bella Floral fall hours

    12/03/2017
    12:00AM

    Monday and Tuesday Noon to 6 Wednesday through Friday 10 to 4 Saturday 10 to 2 Sunday Closed


  • YMCA Classes

    12/03/2017
    12:00AM

    Click to view our current list of Group Exercise classes, pool schedule and gym schedule!


  • Holiday Movies in the Brewery

    12/03/2017
    12:30PM — 02:00PM

    Are you craving some beer with your holiday cheer? We will see you at Voyageur Brewing Company on...


  • 20th anniversary exhibit, Begin | Continue

    12/03/2017
    04:00PM — 06:00PM

    A celebratory 20th anniversary exhibit titled Begin | Continue will feature the work of North Hou...


  • Alcoholics Anonymous

    12/03/2017
    06:30PM — 07:30PM

    Alcoholics Anonymous is a fellowship of men and women who share their experience, strength and ho...


  • Terra Bella Floral fall hours

    12/04/2017
    12:00AM

    Monday and Tuesday Noon to 6 Wednesday through Friday 10 to 4 Saturday 10 to 2 Sunday Closed


  • YMCA Classes

    12/04/2017
    12:00AM

    Click to view our current list of Group Exercise classes, pool schedule and gym schedule!


  • Lunch at the Senior Center

    12/04/2017
    12:00PM — 12:30PM

    Chicken Stew with Dumplings/Brussels Sprouts/Fruit/Milk


  • 20th anniversary exhibit, Begin | Continue

    12/04/2017
    04:00PM — 06:00PM

    A celebratory 20th anniversary exhibit titled Begin | Continue will feature the work of North Hou...


  • 1/2 Price Burger Night

    12/04/2017
    04:00PM — 08:00AM

    1/2 Price Burgers at Moguls Grille and Tap Room


  • Co-Dependents Anonymous

    12/04/2017
    05:30PM

    Co-Dependents Anonymous is a Fellowship of men and women whose common purpose is to develop healt...


  • Open Mic Every Monday at 6PM!

    12/04/2017
    06:00PM — 11:55PM

    Grand Marais Music Collaborative presents "Open Mic Night", every Monday at Grandma Ray's! The s...


  • Square Dance Lessons

    12/04/2017
    07:30PM — 09:00PM

    Modern Western Square Dance Schedule for November 30 through January 25. Time: 7:30 – 9:00 PM...


  • Terra Bella Floral fall hours

    12/05/2017
    12:00AM

    Monday and Tuesday Noon to 6 Wednesday through Friday 10 to 4 Saturday 10 to 2 Sunday Closed


  • YMCA Classes

    12/05/2017
    12:00AM

    Click to view our current list of Group Exercise classes, pool schedule and gym schedule!


  • Overeaters Anonymous

    12/05/2017
    11:00AM

    Overeaters Anonymous is a fellowship of individuals who, through shared experience, strength and...


  • Lunch at the Senior Center

    12/05/2017
    12:00PM — 12:30PM

    Tuna Hotdish/Salad/Fruit/Milk


  • 20th anniversary exhibit, Begin | Continue

    12/05/2017
    04:00PM — 06:00PM

    A celebratory 20th anniversary exhibit titled Begin | Continue will feature the work of North Hou...


  • Kids Eat Free

    12/05/2017
    04:00PM — 09:00PM

    1 free kids meal with any paid adult meal Available after 4pm


  • Trivia Night at Grandma Ray's

    12/05/2017
    07:00PM — 09:00PM

    Trivia Night from 7:00-9:00pm every Tuesday down at Grandma Ray's.


  • Terra Bella Floral fall hours

    12/06/2017
    12:00AM

    Monday and Tuesday Noon to 6 Wednesday through Friday 10 to 4 Saturday 10 to 2 Sunday Closed


  • YMCA Classes

    12/06/2017
    12:00AM

    Click to view our current list of Group Exercise classes, pool schedule and gym schedule!


  • Anxiety/Depression Support Group for Women

    12/06/2017
    10:00AM — 11:00AM

    Weekly support group for women. $2.00 suggested donation. No registration required. Please joi...


  • 1/2 Price Bottles of Wine

    12/06/2017
    11:00AM

    1/2 Price Bottles of Wine


  • Lunch at the Senior Center

    12/06/2017
    12:00PM — 12:30PM

    Meatloaf/Baked Potato/Beets/Dessert/Milk


  • 20th anniversary exhibit, Begin | Continue

    12/06/2017
    04:00PM — 06:00PM

    A celebratory 20th anniversary exhibit titled Begin | Continue will feature the work of North Hou...


  • Craft and a Craft Market

    12/06/2017
    04:30PM — 06:30PM

    Voyageur Brewing is proud to host weekly craft markets until Christmas with local Cook County art...


  • Square Dance Lessons

    12/06/2017
    07:30PM — 09:00PM

    Modern Western Square Dance Schedule for November 30 through January 25. Time: 7:30 – 9:00 PM...


  • Terra Bella Floral fall hours

    12/07/2017
    12:00AM

    Monday and Tuesday Noon to 6 Wednesday through Friday 10 to 4 Saturday 10 to 2 Sunday Closed


  • YMCA Classes

    12/07/2017
    12:00AM

    Click to view our current list of Group Exercise classes, pool schedule and gym schedule!


  • Lunch at the Senior Center

    12/07/2017
    12:00PM — 12:30PM

    Linda Johnson's Treat!!!


  • 20th anniversary exhibit, Begin | Continue

    12/07/2017
    04:00PM — 06:00PM

    A celebratory 20th anniversary exhibit titled Begin | Continue will feature the work of North Hou...


  • Light Up a Life

    12/07/2017
    05:30PM — 06:30PM

    The 9th Annual “Light up a Life” offers community members the opportunity to celebrate the life o...


  • Alcoholics Anonymous

    12/07/2017
    06:30PM

    Alcoholics Anonymous is a fellowship of men and women who share their experience, strength and ho...


  • Square Dance Lessons

    12/07/2017
    07:30PM — 09:00PM

    Modern Western Square Dance Schedule for November 30 through January 25. Time: 7:30 – 9:00 PM...


  • Terra Bella Floral fall hours

    12/08/2017
    12:00AM

    Monday and Tuesday Noon to 6 Wednesday through Friday 10 to 4 Saturday 10 to 2 Sunday Closed


  • YMCA Classes

    12/08/2017
    12:00AM

    Click to view our current list of Group Exercise classes, pool schedule and gym schedule!


  • Caregiver Coffee - Tofte

    12/08/2017
    10:00AM — 11:30AM

    Caregiver Coffee Join us to get to know other caregivers in a casual setting. Take part in a d...


  • Lunch at the Senior Center

    12/08/2017
    12:00PM — 12:30PM

    Beef Stew/Salad/Biscuit/Dessert/Milk


  • Legends of the Wilderness

    12/08/2017
    01:30PM — 02:30PM

    Experience the wilderness through reenactment of the 1800s with French Canadian Voyageur Jacques ...


  • 20th anniversary exhibit, Begin | Continue

    12/08/2017
    04:00PM — 06:00PM

    A celebratory 20th anniversary exhibit titled Begin | Continue will feature the work of North Hou...


  • Terra Bella Floral fall hours

    12/09/2017
    12:00AM

    Monday and Tuesday Noon to 6 Wednesday through Friday 10 to 4 Saturday 10 to 2 Sunday Closed


  • YMCA Classes

    12/09/2017
    12:00AM

    Click to view our current list of Group Exercise classes, pool schedule and gym schedule!


  • 20th anniversary exhibit, Begin | Continue

    12/09/2017
    04:00PM — 06:00PM

    A celebratory 20th anniversary exhibit titled Begin | Continue will feature the work of North Hou...


  • In the spirit of gratitude, pride, and recognition of the community that has valued and fostered ...


  • Square Dance Lessons

    12/09/2017
    07:30PM — 09:00PM

    Modern Western Square Dance Schedule for November 30 through January 25. Time: 7:30 – 9:00 PM...


  • Terra Bella Floral fall hours

    12/10/2017
    12:00AM

    Monday and Tuesday Noon to 6 Wednesday through Friday 10 to 4 Saturday 10 to 2 Sunday Closed


  • YMCA Classes

    12/10/2017
    12:00AM

    Click to view our current list of Group Exercise classes, pool schedule and gym schedule!


  • Holiday Movies in the Brewery

    12/10/2017
    12:30PM — 02:00PM

    Are you craving some beer with your holiday cheer? We will see you at Voyageur Brewing Company on...


  • 20th anniversary exhibit, Begin | Continue

    12/10/2017
    04:00PM — 06:00PM

    A celebratory 20th anniversary exhibit titled Begin | Continue will feature the work of North Hou...


  • Alcoholics Anonymous

    12/10/2017
    06:30PM — 07:30PM

    Alcoholics Anonymous is a fellowship of men and women who share their experience, strength and ho...


  • Terra Bella Floral fall hours

    12/11/2017
    12:00AM

    Monday and Tuesday Noon to 6 Wednesday through Friday 10 to 4 Saturday 10 to 2 Sunday Closed


  • YMCA Classes

    12/11/2017
    12:00AM

    Click to view our current list of Group Exercise classes, pool schedule and gym schedule!


  • Lunch at the Senior Center

    12/11/2017
    12:00PM — 12:30PM

    Boiled Dinner/Biscuit/Fruit/Milk


  • 20th anniversary exhibit, Begin | Continue

    12/11/2017
    04:00PM — 06:00PM

    A celebratory 20th anniversary exhibit titled Begin | Continue will feature the work of North Hou...


  • 1/2 Price Burger Night

    12/11/2017
    04:00PM — 08:00AM

    1/2 Price Burgers at Moguls Grille and Tap Room


  • Co-Dependents Anonymous

    12/11/2017
    05:30PM

    Co-Dependents Anonymous is a Fellowship of men and women whose common purpose is to develop healt...


  • Open Mic Every Monday at 6PM!

    12/11/2017
    06:00PM — 11:55PM

    Grand Marais Music Collaborative presents "Open Mic Night", every Monday at Grandma Ray's! The s...


  • Over 75 talented Cook County singers and musicians in the Borealis Chorale & Orchestra continue t...


  • Square Dance Lessons

    12/11/2017
    07:30PM — 09:00PM

    Modern Western Square Dance Schedule for November 30 through January 25. Time: 7:30 – 9:00 PM...


  • Terra Bella Floral fall hours

    12/12/2017
    12:00AM

    Monday and Tuesday Noon to 6 Wednesday through Friday 10 to 4 Saturday 10 to 2 Sunday Closed


  • YMCA Classes

    12/12/2017
    12:00AM

    Click to view our current list of Group Exercise classes, pool schedule and gym schedule!


  • Overeaters Anonymous

    12/12/2017
    11:00AM

    Overeaters Anonymous is a fellowship of individuals who, through shared experience, strength and...


  • Taco Tuesday Fundraiser Luncheon

    12/12/2017
    11:30AM — 01:30PM

    We are raising money for our dear friend & co-worker, Jennifer Rue, who is dealing with long term...


  • Lunch at the Senior Center

    12/12/2017
    12:00PM — 12:30PM

    Sweet & Sour Pork/Broccoli/Rice/Dessert/Milk


  • 20th anniversary exhibit, Begin | Continue

    12/12/2017
    04:00PM — 06:00PM

    A celebratory 20th anniversary exhibit titled Begin | Continue will feature the work of North Hou...


  • Kids Eat Free

    12/12/2017
    04:00PM — 09:00PM

    1 free kids meal with any paid adult meal Available after 4pm


  • Trivia Night at Grandma Ray's

    12/12/2017
    07:00PM — 09:00PM

    Trivia Night from 7:00-9:00pm every Tuesday down at Grandma Ray's.


  • Terra Bella Floral fall hours

    12/13/2017
    12:00AM

    Monday and Tuesday Noon to 6 Wednesday through Friday 10 to 4 Saturday 10 to 2 Sunday Closed


  • YMCA Classes

    12/13/2017
    12:00AM

    Click to view our current list of Group Exercise classes, pool schedule and gym schedule!


  • Anxiety/Depression Support Group for Women

    12/13/2017
    10:00AM — 11:00AM

    Weekly support group for women. $2.00 suggested donation. No registration required. Please joi...


  • 1/2 Price Bottles of Wine

    12/13/2017
    11:00AM

    1/2 Price Bottles of Wine


  • Lunch at the Senior Center

    12/13/2017
    12:00PM — 12:30PM

    Fish/Baked Potato/Corn Pudding/Cake/Milk


  • 20th anniversary exhibit, Begin | Continue

    12/13/2017
    04:00PM — 06:00PM

    A celebratory 20th anniversary exhibit titled Begin | Continue will feature the work of North Hou...


  • Craft and a Craft Market

    12/13/2017
    04:30PM — 06:30PM

    Voyageur Brewing is proud to host weekly craft markets until Christmas with local Cook County art...


  • Square Dance Lessons

    12/13/2017
    07:30PM — 09:00PM

    Modern Western Square Dance Schedule for November 30 through January 25. Time: 7:30 – 9:00 PM...


  • Terra Bella Floral fall hours

    12/14/2017
    12:00AM

    Monday and Tuesday Noon to 6 Wednesday through Friday 10 to 4 Saturday 10 to 2 Sunday Closed


  • YMCA Classes

    12/14/2017
    12:00AM

    Click to view our current list of Group Exercise classes, pool schedule and gym schedule!


  • Lunch at the Senior Center

    12/14/2017
    12:00PM — 12:40PM

    Swedish Meatballs/Potato/Green Bean/Dessert/Milk


  • 20th anniversary exhibit, Begin | Continue

    12/14/2017
    04:00PM — 06:00PM

    A celebratory 20th anniversary exhibit titled Begin | Continue will feature the work of North Hou...


  • Alcoholics Anonymous

    12/14/2017
    06:30PM

    Alcoholics Anonymous is a fellowship of men and women who share their experience, strength and ho...


  • Square Dance Lessons

    12/14/2017
    07:30PM — 09:00PM

    Modern Western Square Dance Schedule for November 30 through January 25. Time: 7:30 – 9:00 PM...


  • Terra Bella Floral fall hours

    12/15/2017
    12:00AM

    Monday and Tuesday Noon to 6 Wednesday through Friday 10 to 4 Saturday 10 to 2 Sunday Closed


  • YMCA Classes

    12/15/2017
    12:00AM

    Click to view our current list of Group Exercise classes, pool schedule and gym schedule!


  • Caregiver Coffee - Grand Marais

    12/15/2017
    10:00AM — 11:30AM

    Caregiver Coffee Join us to get to know other caregivers in a casual setting. Take part in a d...


  • Caregiver Coffee

    12/15/2017
    10:00AM — 11:30AM

    Caregiver Coffee Join us to get to know other caregivers in a casual setting. Take part in a d...


  • Lunch at the Senior Center

    12/15/2017
    12:00PM — 12:30PM

    Beef, Rice, Cabbage Hotdish/Bread Pudding/Milk


  • 20th anniversary exhibit, Begin | Continue

    12/15/2017
    04:00PM — 06:00PM

    A celebratory 20th anniversary exhibit titled Begin | Continue will feature the work of North Hou...


Boreal Ship Spotter - larger view here