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Medical providers, Moss Free Clinic needs you

November 4, 2012 12:10 am

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Medical professionals assist patients during evening hours at the Moss Free Clinic.

THE Clinical Services meeting recently was anguished. We sat around tearing at our hair because we haven't got enough medical providers to cope with the number of patients who need to be seen. There was even talk of again having a moratorium on taking new patients.

The Moss Free Clinic is a very busy place, doing 10,000 patient visits a year and dispensing 63,000 prescriptions. We have two full-time-employee providers (one donated by Kaiser Permanente) who are very busy. Otherwise we rely on volunteers, as we don't have the funds to employ more paid providers.

But there are many people who have fallen on hard times. People like the woman who spent the last of her savings to come here for a job that never materialized; people on their spouses' insurance whose marriages have fallen apart; people living in tents in the woods behind Central Park or rotating through homeless shelters; people who are working but still don't earn enough to pay for health insurance (which I don't have to tell you is a pricey commodity).

People who got sick, and are unable to keep working, so they lose their health insurance--the "Catch-22" of our health care system.

Sure, these folks aren't always the best at taking care of themselves--which is not so different from the population I was treating when I was in practice. But they are not a lot of spongers who are happy to be taken care of. Nor are they all victims of their own neglect and sloth, as some people seem to think.

To be eligible to be a patient at the Moss Clinic you have to be in fairly desperate straits. You have to have an annual income below 125 percent of federal poverty guideline (that guideline is an income of $11,170 for a single person or $23,050 for a family of four), and no health insurance.

What will happen to these people if the Moss Clinic, or other clinics that participate in the so-called "safety net," can't fit them in?

One of my bad jokes is that working at the clinic is reminiscent of working in mission hospitals in Zimbabwe and Haiti--at least with people who have been deprived of health care for a while and show up at Moss.

But this is America.

So here I am again, on behalf of the Moss Clinic trying to get the message out through the good offices of The Free Lance-Star, to persuade more primary care volunteers to come and join us--family physicians, internists, nurse practitioners, and physician assistants.

Health care providers in primary care tend to be busy, and often are already seeing quite a lot of indigent patients who don't pay.

I hate to play on people's guilt, good nature, and sense of community, but to quote Karen Dulaney, the clinic administrator: "Throughout the Moss Free Clinic's history--representing nearly two decades of continual growth in services and patients served--one truth has remained constant: The need for essential health services for the uninsured in the Fredericksburg area remains urgent."

So, Fredericksburg-area providers, may I urge you to give it a try? Or just to come and take a look, and see what you think?

Although you are already in a caring profession, you would be doing something extremely worthwhile. And it's a little easier than regular practice at the Moss Clinic, which makes most providers enjoy the experience.

WHAT YOU NEED TO KNOW

WHO: Primary care providers (FP, IM, hospitalist, ER), physicians, physician assistants, nurse practitioners.

WHERE: Moss Free Clinic on the Mary Washington Hospital campus, 1301 Sam Perry Boulevard.

WHEN: Tuesday or Thursday evenings, starting between 6 and 7 p.m., for approximately two hours. Work as often as you want, but at least once per quarter.

WHAT: See non-acute primary care patients for new-onset or chronic conditions, just as in your office/practice.

SUPPORT: Full staff on-site to triage patients and pick up discharge orders. Multiple specialists available for referrals.

ANCILLARY: On-site pharmacy for medications; access to lab and X-ray with results sent to the Moss Clinic, not you.

BENEFITS: You are covered by the Good Samaritan Act, providing you with civil immunity and liability protection for malpractice.

You would be doing something very worthwhile for your community.

Dr. Patrick Neustatter is medical director at the Moss Free Clinic.





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