It has been an interesting journey – from anticipation to
implementation – of the healthcare law. Connie and I became Certified
Application Counselors in order to assist those looking to purchase healthcare
insurance; we had very mixed results – some success, some who couldn’t afford
to purchase the insurance that was offered. There were some who were skeptical
about the whole process – they didn’t trust the system or didn’t understand
what insurance would do for them.
Then, April 1, 2014 finally arrived and we were able to sign
people up for the Healthy Michigan Plan (HMP), which is Michigan’s version of
the Medicaid Expansion, a key part of the Affordable Care Act. It has been
beyond our wildest imagination. From January to April we were seeing an average
of 65 patients each week; we are now seeing an average of 31. And lately, that
number is dropping.
So, who do we see? We see people who have fallen through the
cracks – maybe they don’t qualify for Medicaid, but cannot afford insurance;
maybe they were not aware of Medicaid expansion or the fact that this program
is very different from the Medicaid of the past, so we provide them with
healthcare, and we help them enroll in the Healthy Michigan Plan. We see
immigrants, who have not lived in the country long enough to qualify for any of
the programs; we see those who have enrolled in HMP, but have not received
their insurance card in the mail – or who can’t get an appointment for another
month; we see those that are new to our community and have no healthcare
insurance. We are seeing fewer with chronic conditions and more with acute
conditions. Most of the people we see are working and need to be healthy to
keep their jobs.
We continue to help with enrollment; we are teaching those
newly insured how to be healthcare consumers; we are offering smoking cessation
sessions; we are going to start a program this fall or winter helping people
make better lifestyle choices.
The clinic will be here as long as there is a need in our
community. Our mission has always been to fill the gap in healthcare in our
community. The gap has changed, but the fact that there is a gap has not.
Honestly, I feel like I can take a breath – we are able to
be more present to those who walk through our doors when we are not so
overwhelmed by the numbers. We can teach, we can listen, and we can provide a
better quality service.
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