News / USA

    Free Health Clinic Treats Uninsured Americans

    Laurel Bowman
    ARLINGTON, Virginia - The U.S. Supreme Court on Thursday ruled that President Barack Obama’s health-care reform law is constitutional, including a requirement that most Americans buy health insurance.  Most now get health insurance through their employers, but many workers are not able to get coverage at work. Those workers often don't earn enough to buy insurance on their own, but they are not poor enough to qualify for the free government care known as Medicaid. 

    For 25 years, Wilber Smith of Arlington, Virginia, had health insurance through his job as a steam engineer.  Then he lost his job and his insurance.  A few months later, he was diagnosed with cancer.  He tried to get health insurance, but he says he was turned down by every provider he contacted.  Sales people told him his pre-existing health condition -- cancer --barred him from obtaining coverage.

    "It was no everywhere and a quick no," he recalls.  "They were like, 'Now?  Now you are coming to us?' I never needed it before because I had always had it."

    Smith then found his way to the Arlington Free Clinic in Arlington, Virginia, where he went through chemotherapy and radiation treatment for free, paying only $5 each for some prescriptions and nothing at all when he couldn't afford to pay.  The clinic, which treats 1,600 of Arlington's roughly 20,000 uninsured, is funded mostly by foundations and private donors.

    "Most of our patients work," says Jody Kelly, director of Clinical Administration at the Arlington Free Clinic.  "That's perhaps a myth about people at free clinics.  That they don't have jobs."

    Kelly says the clinic's patients include day laborers, nannies, painters and housekeepers -- people in jobs where employers don't typically provide health coverage.

    And, Kelly says, by the time patients reach her door, they are already very sick.  

    "Our patients typically face the choice of buying food, paying rent or seeing a doctor, and you are probably going to take care of the other two before you come here, " she says.  "We have a lot of diabetics, people with cancer, diagnosed or undiagnosed, high blood pressure.  It's one of those things that kind of builds on itself because you are ill and you are not treated, and then you get more ill."

    Extending health care coverage to more of the 50 million people in the United States without health insurance is part of President Barack Obama's sweeping healthcare reform legislation.  It's called the Patient Protection and Affordable Care Act, widely known as "Obamacare," and it is set to take effect in 2014. But the U.S. Supreme Court will rule Thursday on the constitutionality of the law.

    The legislation not only would extend coverage to more uninsured Americans but also expand the government's free health care service known as Medicaid to millions of low-income childless adults who currently don't qualify.  Parts of the law are popular, including a provision that allows adults under age 26 to stay on their parents' health insurance plans. 

    Other aspects are more controversial.  At the heart of the new law is what's called an individual mandate.  It requires all U.S. citizens to purchase health insurance either through private companies, their employer or state-sponsored exchanges.  Failure to do so is subject to fines.

    Supporters of the mandate say it's critical to the law's success, because it increases the number of people paying for insurance while making sure that healthy people don't opt out until they need it.  But 26 states have rejected this part of the legislation.  And they argue that, if the individual mandate is ruled unconstitutional, then the entire law must go.  Critics of the mandate say Republicans and Democrats alike oppose it.

    "Repubilicans are against it because they see it as an impingement on their personal freedom," says Ed Haislmaier, who works on healthcare policy at the conservative-leaning Heritage Foundation in Washington. "The Democrats are against it because they don't like health insurance companies in the first place, and they don't like to be told they have to go buy from someone they don't like."

    Haislmaier and his colleagues at Heritage support a more consumer-driven system, where patients have a wide variety of healthcare plans to choose from, outside of what their employers offer.  In this scenario, people who have always been covered remain covered, even if they get sick.

    "What has happened in this system for too long is that the patient has kind of been second or third in line behind everybody else," Haislmaier says.  

    In the consumer-directed plan he envisions, there might be one health insurance company that cares for all diabetics, for example.  If you are a diabetic, that company would offer the most competitive rates and the lowest-cost medications for your condition.  Your employer wouldn't matter.  Liberals see this as a way to free employers from providing health insurance to their workers.

    Meantime, each day at the Arlington Free Clinic, the waiting room fills with patients.  Most have been chosen by lottery.  

    "We get about 150 people here a month who would like to become patients, and of that number, we can take only about 25," Jody Kelly says.

    Wilbur Smith falls into a category that President Obama's legislation is designed to help cover: people who are not poor enough to qualify for Medicaid but too poor to afford health insurance on their own. Under the president's plan, Smith would be insured, even with his pre-existing cancer.  But Smith says that even if he had secured health insurance, he would have struggled to pay the premiums, which can cost many thousands of dollars each year.

    He says he never thought much before about health insurance.  And people who criticized the health care system annoyed him.   

    "I had always had it and I thought, 'What are they complaining about?'" he says. "You don't get hurt, you don't fall down but so many times, an accident here or there, what are they complaining about?"

    Now he knows.

    His cancer makes it difficult for him to talk, but he says he is grateful for the care he has been receiving.

    "It's a big burden lifted," he says.  

    There are a multitude of theories on how the Court will rule Thursday.  Will it uphold the legislation in full or strike it down in full? Will parts of the law survive and, if so, which parts? No matter what the court decides, a study by the Pew Research Center says the public won't be happy.  Pew researchers found that fewer than half of Americans will approve of the court's ruling.

    You May Like

    S. African Farmer Goes From 'Voice in the Wilderness' to Sought-After Expert

    Margarest Roberts has authored more than 40 books on subjects like organic farming, urban agriculture, herbs and ‘superfoods'

    Millennial Men Prefer Bucks Over Beauty

    U.S. men aged 18 to 34 say the finances of a potential significant other are more important than her looks

    Multimedia Lebanese Clown Troupe Marks Valentine's Day Amid Stink

    Activists resort to unusual approaches to raise public awareness of country’s ongoing trash crisis

    This forum has been closed.
    Comments
         
    There are no comments in this forum. Be first and add one

    Featured Videos

    Your JavaScript is turned off or you have an old version of Adobe's Flash Player. Get the latest Flash player.
    Valentine's Day Stinks for Lebanese Clownsi
    X
    February 09, 2016 8:04 PM
    This weekend, on Valentine's Day in Lebanon, love is not the only thing in the air. More than half a year after the country's trash crisis began, the stink of uncollected garbage remains on the streets. Step forward "Clown Me In," a group of clowns who use their skills for activism. Before the most romantic day of the year the clowns have released their unusual take on love in Lebanon -- in a bid to keep the pressure up and get the trash off the streets. John Owens reports from Beirut.
    Video

    Video Valentine's Day Stinks for Lebanese Clowns

    This weekend, on Valentine's Day in Lebanon, love is not the only thing in the air. More than half a year after the country's trash crisis began, the stink of uncollected garbage remains on the streets. Step forward "Clown Me In," a group of clowns who use their skills for activism. Before the most romantic day of the year the clowns have released their unusual take on love in Lebanon -- in a bid to keep the pressure up and get the trash off the streets. John Owens reports from Beirut.
    Video

    Video Rocky Year Ahead for Nigeria Amid Oil Price Crash

    The global fall in the price of oil has rattled the economies of many petroleum exporters, and Africa’s oil king Nigeria is no exception. As Chris Stein reports from Lagos, analysts are predicting a rough year ahead for the continent’s top producer of crude.
    Video

    Video Foreign Policy Weighs Heavy for Some US Voters

    VOA talks to protesters in Manchester, New Hampshire who sound off on foreign policy issues such as the Guantanamo Bay Prison, the Israeli-Palestinian conflict, Middle East Affairs and national security.
    Video

    Video 'No Means No' Program Targets Sexual Violence in Kenya

    The organizers of an initiative to reduce and stop rape in the informal settlements around Kenya's capital say their program is having marked success. Girls are taking self-defense classes while the boys are learning how to protect the girls and respect them. Lenny Ruvaga reports from Nairobi.
    Video

    Video New Hampshire Voters Are Independent, Mindful of History

    Once every four years, the northeastern state of New Hampshire becomes the center of the U.S. political universe with its first-in-the-nation presidential primary. What's unusual about New Hampshire is how seriously the voters take their role and the responsibility of being among the first to weigh in on the candidates.
    Video

    Video Chocolate Lovers Get a Sweet History Lesson

    Observed in many countries around the world, Valentine’s Day is sometimes celebrated with chocolate festivals. But at a festival near Washington, the visitors experience a bit more than a sugar rush. They go on a sweet journey through history. VOA’s June Soh takes us to the festival.
    Video

    Video 'Smart' Bandages Could Heal Wounds More Quickly

    Simple bandages are usually seen as the first line of attack in healing small to moderate wounds and burns. But scientists say new synthetic materials with embedded microsensors could turn bandages into a much more valuable tool for emergency physicians. VOA’s George Putic reports.
    Video

    Video Bhutanese Refugees in New Hampshire Closely Watching Primary Election

    They fled their country and lived in refugee camps in neighboring Nepal for decades before being resettled in the northeastern U.S. state of New Hampshire -- now the focus of the U.S. presidential contest. VOA correspondent Aru Pande spoke with members of the Bhutanese community, including new American citizens, about the campaign and the strong anti-immigrant rhetoric of some of the candidates.
    Video

    Video Researchers Use 3-D Printer to Produce Transplantable Body Parts

    Human organ transplants have become fairly common around the world in the past few decades. Researchers at various universities are coordinating their efforts to find solutions -- including teams at the University of Pennsylvania and Rice University in Houston that are experimenting with a 3-D printer -- to make blood vessels and other structures for implant. As VOA’s Greg Flakus reports from Houston, they are also using these artificial body parts to seek ways of defeating cancerous tumors.
    Video

    Video Helping the Blind 'See' Great Art

    There are 285 million blind and visually impaired people in the world who are unable to enjoy visual art at a museum. One New York photographer is trying to fix this situation by making tangible copies of the world’s masterpieces. VOA correspondent Victoria Kupchinetsky was there as visually impaired people got a feel for great art. Joy Wagner narrates her report.
    Video

    Video German Artists to Memorialize Refugees With Life Jacket Exhibit

    Sold in every kind of shop in some Turkish port towns, life jackets have become a symbol of the refugee crisis that brought a million people to Europe in 2015.  On the shores of Lesbos, Greece, German artists collect discarded life jackets as they prepare an art installation they plan to display in Germany.  For VOA, Hamada Elrasam has this report from Lesbos, Greece.
    Video

    Video E-readers Help Ease Africa's Book Shortage

    Millions of people in Africa can't read, and there's a chronic shortage of books. A non-profit organization called Worldreader is trying to help change all that one e-reader at a time. VOA’s Deborah Block tells us about a girls' school in Nairobi, Kenya where Worldreader is making a difference.
    Video

    Video Genius Lets World Share Its Knowledge

    Inspired by crowdsourcing companies like Wikipedia, Genius allows anyone to edit anything on the web, using its web annotation tool
    Video

    Video In Philippines, Mixed Feelings About Greater US Military Presence

    In the Philippines, some who will be directly affected by a recent Supreme Court decision clearing the way for more United States troop visits are having mixed reactions.  The increased rotations come at a time when the Philippines is trying to build up its military in the face of growing maritime assertiveness from China.  From Bahile, Palawan on the coast of the South China Sea, Simone Orendain has this story.