The Surprising Rural Health-Care Legacy of the ‘60s

*Medical research has done wonders to rid populations of diseases; however, the U.S. health care system has failed to appropriate the right resources to Medicare patients with one or more chronic conditions. Health Quality Partners in Doylstown, PA enrolls Medicare patients with at least one chronic illness and hospitalization and sends a trained nurse to see them on a routine basis, whether they are healthy or sick. As a result, the HQP program has reduced hospitalizations and cut Medicare costs.

Across the country, hospitals are embracing intensive intervention programs to help victims of violence — including those who have criminal histories — after they have been brought in for treatment of injuries. Such programs can help prevent retaliation, reduce the chance a patient will be violently injured again, and put people on track for success.

San Francisco considers the scaling of safe injection sites, which were successfully piloted in Vancouver, to become the first city in the United States to offer this service. However, the main challenge of starting such a service in San Francisco is helping the public get over the concern that safe injection sites encourage drug use for non-abusers. Community groups actively educated the public on the benefits of safe injection sites and politicians made trips to Vancouver to observe the success in action.

To reduce maternal mortality in the Masai region of Tanzania, Catholic nuns with Sisters of Notre Dame are building hospitals and educating local women about the importance of giving birth in a medical setting. Although this goes against the community's use of a "traditional birth attendant," delivering in a hospital allows for emergency situations to be better addressed and is receiving positive feedback from women in the region.

Vermont has opened its first donor milk center which acts as a breast milk bank for mothers that are in need of milk for their newborn babies. The Vermont Donor Milk Center aims to be a "one-stop shop," and also offers lactation consultation, maternal education, and supports for non-lactating partners.

Rather than send local residents to city-run testing sites in the East Bay of California, clinics in East Oakland are now running their own testing sites to better serve their community. Although one of the sites has already tested nearly 100 people and residents who are underinsured or uninsured can be tested for free, some believe the effort should have started much sooner.

Amid the pandemic, medical researchers and an abortion-rights advocacy group in the U.S. are working to make the abortion pill available via mail. Although there is ambiguity surrounding the rules and regulations of how the pill must be distributed to patients, some doctors have helped efforts by agreeing to register with F.D.A.-approved manufacturers and a handful of states are allowing the pill to be mailed after an in-person ultrasound has been conducted.

Mexico's Pilot Program for Licensed Physicians brings Mexican doctors to the states to address the lack of culturally relevant healthcare and Spanish-speaking healthcare providers, particularly in rural areas with large immigrant populations. Currently, the program has 30 Mexican doctors working in various counties throughout the state.

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.

To enhance rural access to healthcare in Nigeria, the Parkers Mobile Clinic partners with local volunteers, healthcare professionals, educators, and community development advocates to identify and remedy unique healthcare gaps. Outreach programs are then designed to provide localized mental health support, nutritional counseling, and other reproductive health services.