June 2015 Health
Despite ACA, Thousands Show Up at Free Health Fair
BY VIJI SUNDARAM
Jackie Mason said she had been waiting for nearly four months to get an appointment with a primary care doctor. She enrolled in her insurance plan about a year ago after being uninsured for two years. More than once she considered going to the local hospital emergency room, she said, especially when she had episodes of dizziness she believed were triggered
by
her hypertension and diabetes. But she knew from experience that one visit to the ER could set her back by several hundred dollars.
“I go from welfare check to
welfare check and that money is barely enough to put food on my table or cover my rent,” said the 45-year-old African-American woman, who lives in a public housing project about an hour away from here. “By luck, I found out about this health fair.”
Mason was among more than
2,000 people who went to the ninth annual Free Health Fair co-sponsored by the City of Anaheim and
the
Anekant Community Center, May 29-31. This year, for the first time, organizers teamed up with Remote Area Medical (RAM), a Tennessee- based nonprofit that has been taking
its mobile clinics to cities across the United States since 1985.
health
Some of those who came had insurance
but, like Mason,
couldn’t cope with the wait time to see a doctor. Others lacked insurance, or had coverage that did not meet all of their needs, or were on plans where the co-pays were too high.
The line outside the cavernous
Anaheim Convention Center clearly indicated that despite the ACA, whose aim was to make health care accessible to all legal
American residents,
hundreds of thousands of people have fallen through the cracks.
By the time the three-day event
ended, organizers had provided a total care value of $337,188, according to RAM California.
More patients on Medi-Cal, same number of doctors
Mason, like program one-third of the
state’s population, is on Medi-Cal, California’s name for the health insurance
for low-income
people, known as Medicaid in the rest of the nation. She was able to get on to it, she said, when California opened the program to childless adults like her a year-and-a-half ago under the ACA.
Expanding the Medi-Cal program
has swelled its total enrollment to 12.3 million, an increase of 3.7 million people since the implementation of the ACA. But there has been no proportionate increase in the number of primary care doctors in the state’s Medi-Cal network,
a situation that
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health care advocates say is because of the state’s low reimbursement rate -- among the lowest in the nation.
“Medi-Cal is very difficult
to access,” said Dr. Jim Keany, an emergency medical care specialist and head of RAM California, who was among the more than 1,000 volunteers at the fair. “Because of poor payments, not many doctors want
to the ACA’ No one who came to the fair was
asked for an ID, or questioned about their immigration status or income level. Instead they were asked a simple question: What can we do for you?
The bulk of those who came to
the fair wanted to fix their teeth or get prescription eyeglasses. On all three days, every one of the 60 dental chairs RAM had provided was occupied from the time the fair began at 7 a.m. and ended at 4 p.m. The whirring sound of drills and cleaning instruments pierced the air.
RAM founder Stan Brock said
even many working Americans are in desperate need of dental and vision care, which are not adequately covered benefits for adults by Obamacare. Unmet dental needs can lead to serious medical conditions, he said.
“It’s a shortcoming of the ACA,”
observed dentist Dr. Ramesh Kothari, during a short mid-morning break.
The state agreed last year to
restore Denti-Cal, the dental program for its Medi-Cal patients that it had eliminated in 2009 for budgetary reasons, but only partially. It does not cover gum treatment, rear root canals, or partial dentures for one or a few
HEALTH FAIR PAGE 11 accept
Medi-Cal patients.” Dental care – a ‘shortcoming of
primary care close to home & health insurance enrollment
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