Health Care Systems Try to Cut Costs by Aiding the Poor and Troubled

An elementary school in Detroit works to give low-income students the resources and education they need to be successful. From supplying children with uniforms and breakfast to cleaning the school to provide a better work environment, teachers and staff address the underlying affects of poverty in the classroom.

The Veterans Health Administration's Caregiver Support Program offers resources to family caregivers looking after veterans, including a monthly stipend, medical services, counseling and mental health care, respite care and coverage for travel expenses. The Program launched in 2011 and by 2014 about 15,600 caregivers had been approved for support — greatly exceeding the Program’s original estimate of 4,000 people.

A community organization in Indiana called Cultivate "rescues" food from local caterers, hospitals, casinos, and businesses to then be packaged into take-home meals for students at Woodland Elementary School that come from food-insecure homes. Cultivate is in its second year of existence, has three staff and 400 volunteers, and hopes to expand beyond their pilot program to reach all 21 schools in the district.

In Los Angeles, the city-led effort, Project Roomkey, is working to get 15,000 people experiencing homelessness into hotel rooms in the fight against COVID-19. Working with the LA Homeless Services Authority and state negotiators, partnerships with hotels are being developed and are already housing some of these individuals. While costing nearly $190 million, it is helping save lives and hopefully keeping hotels afloat.

The United Kingdom's health-care system – which has been lauded as one of the most equitable models for care – is built around a government agency that decides "which treatments are worth covering, and for whom." Although the measures used to determine these recommendations are controversial and the agency doesn't always sustain public trust in their decisions, the overall outcome has increased both social solidarity and life expectancy.

Project ACT provides support services to 1,000 Cleveland public school students experiencing homelessness or living with guardians other than their parents. Students are set up with a life skills coach who provides emotional and academic support to cope with traumatic life experiences. To ensure stability during COVID-19, Project ACT distributed hotspots and Chromebooks to all 1,000 children they work with. Life coach sessions transitioned to Zoom, where weekly online tutoring sessions were also hosted. Students could also receive gift cards, enrichment packets, school supplies, and hygiene items if needed.

The Delta State Contributory Health Scheme provides affordable healthcare services to residents and has enrolled over one million people since its establishment. The scheme is designed to improve the healthcare system, while also enhancing the capacity of healthcare facilities so that people can get quality healthcare.

The Maternal and Neonatal Emergency Transport Scheme helps to increase access to healthcare services for women and newborns in rural areas through its informal transport/ambulance service. There are currently 2,500 registered drivers with the program willing to transport those in need of care and they serve about 70-90 women in labor each month.

Drug Aid Africa sources unused, unaltered drugs from people who don’t need them anymore and distributes them to people who do need them but can’t afford or access them. Drug Aid Africa provides free routine medications for conditions like sickle-cell anemia, as well as antimalarials, antibiotics and frequent visits to communities where they provide healthcare support and supplies. So far, the organization's efforts have helped more than 10,000 people.

A pair of doctors are working to make healthcare more accessible and affordable by training area hospitals to use new technology, like ultrasound devices, to detect non-communicable diseases. Through their newly established non-communicable disease clinic staffed with personnel trained to provide more precise medical care, about 1,100 patients have been cared for.