www.mercedsunstar.com/183/story/33338.html -
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Published on: 9/12/2007
Last Visited: 11/19/2007
"It's a huge, huge problem," said Mike Sullivan.The chief executive officer of Golden Valley Health Centers said his clinics see more than 68,000 patients a year, and most are either uninsured or on Medi-Cal.
Because Golden Valley is grant-funded, its clinics are able to see people who wouldn't be welcome anywhere else.
Sullivan is worried that the numbers of uninsured patients are going to surge in the next few years."It's very simply becoming more unaffordable for individuals and for employers to pay for health insurance," Sullivan said."That leaves the safety net clinics like us to take care of people."
Specialists out-of-bounds
Although Golden Valley offers all types of health plans, from primary care to dental care, one problem that Sullivan has watched worsen for his patients is access to specialists.Because of low reimbursement rates, most specialists in Merced County refuse to see uninsured or Medi-Cal patients.Because of the refusal of specialists to see these people, the safety-net clinics are treating more and more extremely sick patients."It's very, very hard for the uninsured to see specialists.In some cases, it's almost impossible," Sullivan said.
Patients end up being sent out of town -- to Modesto, Fresno and sometimes even San Francisco.Or they just keep seeing a primary care doctor, who struggles to take care of a very sick patient."The consequence is that a lot of the patients get incomplete care, no matter what we do," he added.
One local primary care doctor who does see Medi-Cal patients faces formidable problems getting his patients in to see specialists.