By Ms. Bonnie Lefkowitz
The aftermath of typhoon Katrina has put a countrywide highlight at the shameful country of healthcare for America's bad. within the face of this hugely publicized catastrophe, public well-being specialists are extra involved than ever approximately continual disparities that outcome from source of revenue and race.This booklet tells the tale of 1 groundbreaking method of drugs that assaults the matter via concentrating on the wellbeing of complete neighborhoods. for the reason that their construction throughout the Nineteen Sixties, group overall healthiness facilities have served the wishes of the terrible within the tenements of recent York, the colonias of Texas, the operating type neighborhoods of Boston, and the dust farms of the South. As items of the civil rights move, the early facilities supplied not just fundamental and preventive care, yet additionally social and environmental companies, financial improvement, and empowerment.Bonnie Lefkowitz-herself a veteran of group well-being administration-explores the program's not going transformation from a small and beleaguered demonstration attempt to a community of just about a thousand sleek overall healthiness care corporations serving approximately 15 million humans. In a chain of non-public money owed and interviews with nationwide leaders and dozens of health and wellbeing care staff, sufferers, and activists in 5 groups around the usa, she exhibits how wellbeing and fitness facilities have persisted regardless of cynicism and inertia, the vagaries of politics, and ongoing discrimination.
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Additional resources for Community Health Centers: A Movement And the People Who Made It Happen (Critical Issues in Health and Medicine)
Most of them remain in the state today. Ollye Shirley pursued a career in teaching and child development, earning a doctorate in education along the way. She worked for the group that brought 34 Community Health Centers the Children’s Television Workshop, sponsor of Sesame Street, to Mississippi, and served as president of the Jackson School Board, where, she recalls, she had a chance to right some wrongs. She ﬁred the man who caused her to lose her ﬁrst teaching job, and gave a plaque to the teacher who couldn’t ﬁnd work because she had pursued equal pay.
62 One result was that Medicaid began paying much closer to its full share for covered patients. Another was that it replaced federal grants as the largest source of income for the centers. In 1990 such grants accounted for 41 percent of center revenues; by 1998 the proportion had fallen to 26 percent. 63 To some, cost-related payment under FQHC seemed to be bucking the trend to managed care and capitation, but it would survive repeated phase-out attempts. Eventually the FQHC provisions were converted to a prospective payment system that still approximated costs, but in a way that controlled for potential inﬂation.
Her approach to medicine went far beyond the standard government formula for maternal and infant care. But it wasn’t until Barnes started working at the center that she understood just how social science, environment, and medical care all came together. “If mothers and babies don’t eat, all the medicine in the world won’t work. We called Washington and said ‘Look fellows, we’ve got to be able to write prescriptions for baby formula,’ ” Barnes recalls. Two nurse midwives, Sister Mary Stella, a Sister of Charity from Indiana, and Elsa Johansen from Sweden, provided the prenatal care.