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	<title>Comments on: Senate Health Bill Keeps Federally Qualified Health Centers on the Gravy Train</title>
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	<link>http://healthblog.ncpa.org/senate-health-bill-keeps-federally-qualified-health-centers-on-the-gravy-train/</link>
	<description>Health Care Policy and Reform Insights &#124; NCPA</description>
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		<title>By: Family and General Practice in Florida</title>
		<link>http://healthblog.ncpa.org/senate-health-bill-keeps-federally-qualified-health-centers-on-the-gravy-train/comment-page-1/#comment-79375</link>
		<dc:creator>Family and General Practice in Florida</dc:creator>
		<pubDate>Sat, 02 Oct 2010 06:19:18 +0000</pubDate>
		<guid isPermaLink="false">http://www.john-goodman-blog.com/?p=7231#comment-79375</guid>
		<description>Very interesting post. George W. was a big fan of these clilnics and I think they were greatly expanded under King George&#039;s rule. Just shows that Republicans can be as bad as Democrats on these issues.</description>
		<content:encoded><![CDATA[<p>Very interesting post. George W. was a big fan of these clilnics and I think they were greatly expanded under King George&#8217;s rule. Just shows that Republicans can be as bad as Democrats on these issues.</p>
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		<title>By: Katrina</title>
		<link>http://healthblog.ncpa.org/senate-health-bill-keeps-federally-qualified-health-centers-on-the-gravy-train/comment-page-1/#comment-50774</link>
		<dc:creator>Katrina</dc:creator>
		<pubDate>Mon, 21 Dec 2009 15:46:00 +0000</pubDate>
		<guid isPermaLink="false">http://www.john-goodman-blog.com/?p=7231#comment-50774</guid>
		<description>$23B Medicaid cost savings from $10B investment in community health centers to reduce ER and other costs based on an independent study at George Washington University: http://www.gwumc.edu/sphhs/departments/healthpolicy/dhp_publications/pub_uploads/dhpPublication_61D685D5-5056-9D20-3DDB6CDE10382393.pdf 
We need to have informed discussions, not misleading or inflammatory statements to move our nation toward a healthcare solution</description>
		<content:encoded><![CDATA[<p>$23B Medicaid cost savings from $10B investment in community health centers to reduce ER and other costs based on an independent study at George Washington University: <a href="http://www.gwumc.edu/sphhs/departments/healthpolicy/dhp_publications/pub_uploads/dhpPublication_61D685D5-5056-9D20-3DDB6CDE10382393.pdf" rel="nofollow">http://www.gwumc.edu/sphhs/departments/healthpolicy/dhp_publications/pub_uploads/dhpPublication_61D685D5-5056-9D20-3DDB6CDE10382393.pdf</a><br />
We need to have informed discussions, not misleading or inflammatory statements to move our nation toward a healthcare solution</p>
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		<title>By: Katrina</title>
		<link>http://healthblog.ncpa.org/senate-health-bill-keeps-federally-qualified-health-centers-on-the-gravy-train/comment-page-1/#comment-50772</link>
		<dc:creator>Katrina</dc:creator>
		<pubDate>Mon, 21 Dec 2009 12:46:33 +0000</pubDate>
		<guid isPermaLink="false">http://www.john-goodman-blog.com/?p=7231#comment-50772</guid>
		<description>FQHCs do not get 100% of their costs reimbursed. The author should do valid research before publishing misleading information about a meaningful way to deliver healthcare. Many of the clinic&#039;s operating costs are not eligible for reimbursement and that is why these clinics have to raise anywhere from 30-60% of total expenses through grants and fundraising. If you truly cared about how these clinics work in the communities they serve, spend a few minutes in one and you will be a supporter as well. I salute Luther and all other professionals who choose to work at these community health centers because it is meaningful work for humanity.</description>
		<content:encoded><![CDATA[<p>FQHCs do not get 100% of their costs reimbursed. The author should do valid research before publishing misleading information about a meaningful way to deliver healthcare. Many of the clinic&#8217;s operating costs are not eligible for reimbursement and that is why these clinics have to raise anywhere from 30-60% of total expenses through grants and fundraising. If you truly cared about how these clinics work in the communities they serve, spend a few minutes in one and you will be a supporter as well. I salute Luther and all other professionals who choose to work at these community health centers because it is meaningful work for humanity.</p>
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		<title>By: Luther Ruckerson</title>
		<link>http://healthblog.ncpa.org/senate-health-bill-keeps-federally-qualified-health-centers-on-the-gravy-train/comment-page-1/#comment-50229</link>
		<dc:creator>Luther Ruckerson</dc:creator>
		<pubDate>Mon, 07 Dec 2009 23:25:37 +0000</pubDate>
		<guid isPermaLink="false">http://www.john-goodman-blog.com/?p=7231#comment-50229</guid>
		<description>Disclosure: I work at an FQHC.

I really wonder how much the author of this article knows about FQHCs.  FQHCs provide primary care to under-served populations in under-served areas that would not likely receive primary medical care.  This means that rather than waiting until a health care problem becomes an crisis, it can be dealt with early on when it is still manageable.  It is true that FQHCs receive a higher reimbursement from Medicare and Medicaid than other providers.  However, it has been shown that FQHCs&#039; role in keeping people out of the ER is an over all money saver in the communities they serve.
 
At my job I see people every day who have lost their insurance after losing their jobs and who therefore lose access to meaningful health care.  I also see people on a regular basis who have lost their house and gone into bankruptcy because of medical bills.  I just recently saw a patient who lost his leg to diabetes because he had no meaningful access to medical care.

I have lived in my hometown my my whole life, and before this FQHC was here, people who did not have insurance simply didn&#039;t get healthcare until it was an emergency or until it was too late.  

Of course I am biased, but from where I sit I would like to see a lot more FQHCs in a lot more places where people still don&#039;t have meaningful access to health care.

Luther</description>
		<content:encoded><![CDATA[<p>Disclosure: I work at an FQHC.</p>
<p>I really wonder how much the author of this article knows about FQHCs.  FQHCs provide primary care to under-served populations in under-served areas that would not likely receive primary medical care.  This means that rather than waiting until a health care problem becomes an crisis, it can be dealt with early on when it is still manageable.  It is true that FQHCs receive a higher reimbursement from Medicare and Medicaid than other providers.  However, it has been shown that FQHCs&#8217; role in keeping people out of the ER is an over all money saver in the communities they serve.</p>
<p>At my job I see people every day who have lost their insurance after losing their jobs and who therefore lose access to meaningful health care.  I also see people on a regular basis who have lost their house and gone into bankruptcy because of medical bills.  I just recently saw a patient who lost his leg to diabetes because he had no meaningful access to medical care.</p>
<p>I have lived in my hometown my my whole life, and before this FQHC was here, people who did not have insurance simply didn&#8217;t get healthcare until it was an emergency or until it was too late.  </p>
<p>Of course I am biased, but from where I sit I would like to see a lot more FQHCs in a lot more places where people still don&#8217;t have meaningful access to health care.</p>
<p>Luther</p>
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		<title>By: Bret</title>
		<link>http://healthblog.ncpa.org/senate-health-bill-keeps-federally-qualified-health-centers-on-the-gravy-train/comment-page-1/#comment-50040</link>
		<dc:creator>Bret</dc:creator>
		<pubDate>Thu, 03 Dec 2009 14:03:48 +0000</pubDate>
		<guid isPermaLink="false">http://www.john-goodman-blog.com/?p=7231#comment-50040</guid>
		<description>We should give the poor a pile of money, provided we don&#039;t care what they do with it. But what if the givers (taxpayers) do care? Then free care clinics seem to be not such a bad idea, provided they are free to deliver care efficiently and not follow guidelines written by people miles away in some distant place.</description>
		<content:encoded><![CDATA[<p>We should give the poor a pile of money, provided we don&#8217;t care what they do with it. But what if the givers (taxpayers) do care? Then free care clinics seem to be not such a bad idea, provided they are free to deliver care efficiently and not follow guidelines written by people miles away in some distant place.</p>
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		<title>By: claira</title>
		<link>http://healthblog.ncpa.org/senate-health-bill-keeps-federally-qualified-health-centers-on-the-gravy-train/comment-page-1/#comment-50039</link>
		<dc:creator>claira</dc:creator>
		<pubDate>Thu, 03 Dec 2009 13:06:36 +0000</pubDate>
		<guid isPermaLink="false">http://www.john-goodman-blog.com/?p=7231#comment-50039</guid>
		<description>Very informative blog for health care. Do want to know more on medical billing training visit http://www.manhattaninstitute.com</description>
		<content:encoded><![CDATA[<p>Very informative blog for health care. Do want to know more on medical billing training visit <a href="http://www.manhattaninstitute.com" rel="nofollow">http://www.manhattaninstitute.com</a></p>
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		<title>By: Linda Gorman</title>
		<link>http://healthblog.ncpa.org/senate-health-bill-keeps-federally-qualified-health-centers-on-the-gravy-train/comment-page-1/#comment-50011</link>
		<dc:creator>Linda Gorman</dc:creator>
		<pubDate>Wed, 02 Dec 2009 22:53:42 +0000</pubDate>
		<guid isPermaLink="false">http://www.john-goodman-blog.com/?p=7231#comment-50011</guid>
		<description>No, we should give the poor people a pile of money for health care and let them spend it where they choose. 

What if the poor want private medicine rather than clinic care?</description>
		<content:encoded><![CDATA[<p>No, we should give the poor people a pile of money for health care and let them spend it where they choose. </p>
<p>What if the poor want private medicine rather than clinic care?</p>
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		<title>By: Stephen C.</title>
		<link>http://healthblog.ncpa.org/senate-health-bill-keeps-federally-qualified-health-centers-on-the-gravy-train/comment-page-1/#comment-50010</link>
		<dc:creator>Stephen C.</dc:creator>
		<pubDate>Wed, 02 Dec 2009 22:48:48 +0000</pubDate>
		<guid isPermaLink="false">http://www.john-goodman-blog.com/?p=7231#comment-50010</guid>
		<description>If we could just give these clinics a pile of money and let then help poor people any way they choose -- with no strings attached -- they would probably work very well. They would find their market niches and provide services not being provided -- or at least not being provided conviently -- by others.

I think all their problems arise from the fact that Washington wants to dictate how they operate.</description>
		<content:encoded><![CDATA[<p>If we could just give these clinics a pile of money and let then help poor people any way they choose &#8212; with no strings attached &#8212; they would probably work very well. They would find their market niches and provide services not being provided &#8212; or at least not being provided conviently &#8212; by others.</p>
<p>I think all their problems arise from the fact that Washington wants to dictate how they operate.</p>
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		<title>By: Larry C.</title>
		<link>http://healthblog.ncpa.org/senate-health-bill-keeps-federally-qualified-health-centers-on-the-gravy-train/comment-page-1/#comment-50007</link>
		<dc:creator>Larry C.</dc:creator>
		<pubDate>Wed, 02 Dec 2009 22:41:57 +0000</pubDate>
		<guid isPermaLink="false">http://www.john-goodman-blog.com/?p=7231#comment-50007</guid>
		<description>Very interesting post. George W. was a big fan of these clilnics and I think they were greatly expanded under King George&#039;s rule. Just shows that Republicans can be as bad as Democrats on these issues.</description>
		<content:encoded><![CDATA[<p>Very interesting post. George W. was a big fan of these clilnics and I think they were greatly expanded under King George&#8217;s rule. Just shows that Republicans can be as bad as Democrats on these issues.</p>
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