Resources. Thank you for joining us. We get started, tell our viewers exactly what is the National Association of free insurable clinics and it Charitable Clinics . Guest we represent 300 free clinics and journal pharmacies in the United States of america. Have no idea that these exist unless youre are one of our patients. We are organize at the grassroots level, not at the government level. He received little to no state or federal funding and last year help of 200,000 volunteers, 94,000 of those medical volunteers, we provide access to health care for 60 million patient visits. 300 e who are 100 to below poverty, 18 to 65 years old can find help. One of the biggest misconceptions of you Affordable Care act was when i was passed, there was going to be no more need for a clinics, nothing could have been farther from the truth. Last year, we had 100,000 more patients than the year before. Host how are you funded . Guest we rely on the generosity of individual donors and volunteer foundations and private Public Partnerships which help us Lower Health Care costs in the United States. For every dollar donated, five dollars in services are given to our patients. 83 of them comfortable working household and 50 of those are women. By having a strong donor base, people who believe in the cause as well as step up and volunteer for us, we really are able to build Healthy America one person at a time. Host what is the difference between these that i can federally funded clinics . Guest federally funded clinics receive federal taxpayer dollars. Our clicks do not do that. Thats the first difference. For federally close ally of, they have specific rules they must follow. You must have a certain patient fromso many people must be an urban area or oral area. Its not odd or rural area. There are so many people who need that help and its not odd for there to be a Rural Health Center in more rural areas and have a free clinic right on the street from them as well. What were finding is that more and more people need access to health care and federally qualified Health Centers accept medicaid and medicare and only 10 of our clinics do that. Host were joined by Nicole Lamoureux, ceo of the National Association of free and Charitable Clinics, here to talk about the role of these free clinics and how they might be impacted by a repeal of the Affordable Care act. Democrats, call 202 7488000. Republicans, call 202 7488001. , call 202 7488002. You talked about the need for frequent exposed aca, and there still is a need for that. Is there a roof of need required to be treated at one of your clinics . Patients aref our 100 to 300 power level, 18 years old is 65 years old. When you are zero to 18, you qualify for chip. In taxes, we have a number of childrens clinics. We find that people who are coming to the clinics need things that are not covered under the aca. Dental care, Mental Health care, prescription medicine access, those things were left out in the Affordable Care act. We are fighting and clinics and states that did choose to expand medicaid, those clinics had to relook at what their services were provided. They totally shifted and became full dental clinics because that was not covered. In states like texas, they did not expand the aca and we are seeing a 40 increase in patients who are looking for care. Host lets talk a little bit about how these tax proposals that are currently being considered by congress could affect you. Lets start with the house bill that was just past last week. It makes changes to the standard deduction and charitable giving. How might that impact your organization and its members . 2013, andestified in as much as things change, things stay the same. In 2013, we were concerned about changes to terrible giving avenues. Any piece of legislation that limits the ability of people to give funds to journal organizations charitable organizations is something the National Organization at our counterparts in the journal sector cannot support. Specifically for us, we would support a universal deduction for charities. Rather than doubling the standard deduction for people. Not only really incentivizes the top 1 to be giving. We know for a fact that 40 of our donors of thomas have told us they would not donate any longer is in the house bill. 40 of those. If you think about 44 of our clinics have an operating budget of 100,000 or lower. If they lose 40 of their donors, that makes them shut their doors and then we have a health care gap, and more people go to the emergency room to receive health care. Host this shows the five largest u. S. Tax inductions, state and local taxes, the second, mortgage and student Loan Interest in the third is charitable deduction expenses. Of 2013 inn as charitable contributions. Catherine is on the line from ohio on the democrats line. Caller good morning. Im so happy to hear from you. I live in Hamilton County in the great state of ohio. Are there any of these clinics in this area . I know people who would qualify. They dont qualify for anything else in any dental care, eye care, and health care. Do you provide those things . You are providing the service we cant get anyplace else. Thank you. Guest what a great question. We absolutely can help you in ohio. There are 51 clinics in ohio that can provide care. Go to war website and type in your zip code and find a clinic near you to get care for you or your neighbors. We dont anyone to forgo health find acause they cant location, and we dont want people going to the Emergency Department. They are supposed to be for emergencies, so check out our website, you can type in your zip code and find a clinic. Afcclinics. Org. The Senate Tax Proposal includes the repeal of the individual mandate. How might that affect you and your member clinics . Guest the biggest concern we have with the repeal of the individual mandate is first and foremost, there are 29 Million People who are still uninsured that everyone seems to forget. Right now, there are still 29 Million People who do not have access to Health Insurance. If we repeal the individual mandate, depending on whether you look at the cbo or the s p numbers. From 5d be anywhere million to 8 million more people, you look at the cbo, is 13 million more people. S p says its going to say of the government 50 million, cbo million, 318 billion. Doesnt matter. First, theres one more person that is not going to have Health Insurance or access to Health Insurance. I think the concern is we have more people going to the Emergency Department. To go to an Emergency Department when you have a car accident or a heart attack, not sitting behind someone who has uphold a cold. Are 29 Million People who are looking at social servants social Service Agencies to help them. If we start cutting ways that people are able to give money to social Service Agencies, then we have more people going without. Host you talk about the potential for an influx of patients. About who is at least on a and is there a concern about finding enough people to handle if you do see an influx of patients . Guest we are always looking for more medical volunteers. We rely primarily on volunteers. Us,000 volunteers helped 94,000 of those were doctors, nurses, pas, let text. Lab techs. Have staff members, but they are communities coming together, who came from hospitals and doctors who started the clinics. A librarian who said she kept seeing kids come into the library with cold or they were sick and their parents were using the computers of the library to find a doctor that would be able to help them. She started a clinic in her community. We rely on volunteers. ,f we have influx of patients we are going to need more people who are going to volunteer with us and we really need more medical volunteers. We already are searching for more medical volunteers to come and see us. We know that the next generation of doctors are looking at other fields. They are not looking at primary medicine to do the next round of residencies. Were looking at workforce development. We need everyone to stop and think by making this tax reform go through, what type of influx and drain when you place on social Service Agencies that are filling in the gaps that we are not doing in this country . Host were joined by Nicole Lamoureux of the National Association of franchisor will clinics. Democrats, call call 202 7488000. Republicans, call 202 7488001. Independents, call 202 7488002. Have the clinics already seen an increase in the number of people visiting them, even since the passage of the Affordable Care act . Guest absolutely. Weve seen 100,000 more patients in 2016 and we did in 2015. As a huge increase. One of the largest concerns we has people think the aca been passed that everything is fine, but nothing could be farther from the truth area there are some states that chose to expand medicaid and some states that did not. The states that did not choose to expand medicaid, its not on for us to see patients lining up at 3 00 in the morning to make sure they get a space so they can be seen. Seeing more and more people present at clinics with hypertension, with diabetes, and then find the Opioid Crisis right now, more and more people are coming in looking for help. We have to look at have see and Needle Exchange programs, hep c and Needle Exchange programs. People saying i have diabetes, what does that mean . how to lie what does that mean . Food, i come the from a different country, that doesnt make sense to me. Its a constant need. Health care is not something you can say you are sick now, take a pill. It takes more time for people to understand how they can have a healthy lifestyle. Is calling in from pennsylvania on the independent line. Caller good morning. Do you have anything in pennsylvania or outside of philadelphia . Do you advertise it all . Guest we have clinics, everyone can go to our website to find a clinic that is closest to them. We are located in all 50 states in the United States of america and we do get the word out as much as we possibly can. With the money we do receive goes to direct patient care. We are not on tv or radio. If you visit nafcclinics. Org in your zip code, you can find a clinic that may be able to help. Host talk about the impact of your clinics on places like texas and florida, where we have seen really catastrophic weather and hurricanes. Have you seen an influx . Guest absolutely. We will start with texas and move on to florida. We saw washat clinics in the houston area that were absolutely ravaged by the hurricane. I was amazed, they still got up the next day and were putting on backpacks and going on the street and performing street medicine. There were people who were stuck on higher floors of apartment buildings. One clinic tells the story of when they were walking in an apartment building, they went to the top floor and they were five elderly people, all diabetics, who hasnt you hadnt had medicine or food for five days. We started a program with direct Relief International that helped our clinics really rebuild. They needed some money to rebuild because their buildings were ravaged. There are still more people. In texas, they are still rebuilding and people dont have homes or anywhere to go. We are looking for people who got cut and put dirty water on top of the cut. We had everything from have see , and illnesses, but make sure you dont get an infection and have to lose an arm. In florida, when Hurricane Maria hit in puerto rico, now they are finding more and more people are coming to florida and their health care is not being accepted. Our clinics are meeting them at the airport. They are meeting them in saying this is where you can come to get health care. This is where you need to go. When he to make sure everyones vaccinations are uptodate and that everyone has access to health care. Floridaanother drain on for people being able to rebuild health care. We can make sure people can assimilate the best we can now theres no place for them to go back to. Host you mentioned to direct relief, they had committed 5 million in Health Centers and click next in the wake of these hurricanes and is helping those efforts. A 1. 5 million charitable commitment to our clinics so to help everyone rebuild. Host leon is on the line from taxes on the democratic line. You . R hi, how are host go ahead, leon. Caller i was going to see if you have any clinics of free dental, where i can get dental work or at least get looked at. Guest its a great question. Dental care is probably the most overlooked issue we have in our country right now. We can go to war website and type in your zip code. If the clinic doesnt have Center Dental services, contact our offices and we will help you find a location for dental clinics. We will have a list of other places you can refer to. The dental society, missions of mercy. Theyre able to get you to care for your mouth you can stay healthy. Host we talked about the Opioid Crisis. We have a segment on that earlier. Treatments what and services do you offer people who are dealing with the Opioid Crisis, and how has that impacted your centers . Guest its made a huge difference, dramatically increase the people asking us what do i do, i have a Family Member and im suffering from this myself. Clinics, we do not prescribe narcotics in any sort of way. There are clinics that started Needle Exchange programs, education programs. There are clinics to have mark on right there. Narcon right there. Happeninging thats with people who are fighting opioids is theres also an c that is hep happened. We have connections to resources in the communities. Many people arent aware of. Thats the amazing thing about free interval clinics. They can connect you to local resources if they are not able to help you at their facility. Sometimes the hardest part of getting healthy is knowing where to go and how to ask everyone. As you have seen, they dont know where to go. That is what we are able to help them do. Host we have colleen colling and from fort pierce, florida. I did tell the person i spoke to line a registered democrat, but i know differently. In florida you have to register. This woman is great with great information. I just want to say that i really believe in National Healthcare. I have a plan would pay for it and i wish people would listen to it. We all deserve health care and im on medicare. Im 68 years old i still work part time to pay the bills. To pay for any extras, would pay the deductible, etc. Im lucky, we can have a 1 federal sales tax and every person who shops in this country would pay for National Healthcare plan. I dont know whos working out they are, but god bless you, and we do have a clinic in fort pierce, florida. Can i say the name of it . Started by a here, or several doctors. Hands clinic. The do wonderful work for people who cant afford it. Guest they are one of my member organizations. Comments. For your before the ongoing conversations only talk about health care is the full issue of what about National Healthcare system and what about a universal health care system. We look forward to congress brings something forward we can read. As with everything, we really have to read every single piece of legislation line by line to make sure it addresses all of the needs for every Single Person as it moves forward. Your member of congress and let them know about your plan. Opedthere was a recent in the hill, that says you see no signs to access you have seen the signs to access a fire alarm, break last december the alarm. Host talk a little about the johnson amendment, this was written by the president and ceo of independent inspector and also by the president and ceo the council on foundations. How does that affect nonprofits . Member ofare a proud the independent sector and we do stand with the independent sector very firmly on this issue. We believe the job the memo should be upheld. It givesities charities the ability to get services who needed the most and not bow under pressure from anyone else about who we should support during the election. It helps us to remain as connected to our mission as we possibly can. I think thats where we want to focus our efforts. How do you cover liabilities . Talk about that issue with these free clinics . Guest a couple of ways they can cover liabilities in states that have strong Good Samaritan acts, they take advantage of that. Florida has an amazing Good Samaritan act piece of legislation that you utilize. Theres also a federal tort claims act, where clinics can receive medical malpractice insurance if they work towards the quality measures that need to happen. They can purchase their own medical malpractice coverage and entity coverage that we Hope Congress will expand at some point and allow entities to be covered in the federal courts claim act. We dont ask doctors to bring their own liabilities with them. Important and theres a sense of comfort and where they are providing care. We provide Quality Health care to patients who need it. About what the impact of certain proposals before congress, revealing parts of the aca and things like that. What proactive measures would you like to see Congress Take that you think will help these organizations . We would like to see the senate remove the individual mandate. Is a better standalone piece of legislation needs to be discussed. And we would like to see a universal Tax Deduction put into the tax bill. I think its an important thing that allows people to just universally say this is what i gave to a charity and take off of their taxes. Then they can decide about itemization or standardization. There are some issues we know we need congress to address, affordable medications. Thats one of the biggest concerns we have. Two days ago i was standing in line picking up a prescription or mother was telling the story about how she has to get her sons as medicine every other week because thats the only way she can afford it. That shouldnt happen. Her son isnt taking the medicine he needs to help them. We really need to address the issue of affordable medication. We have to address the issue of people being able to know where they are supposed to get care and make it more affordable for them to access that care and not just talk about it. Recently, there has been a lot of talk, and the democratic side we talked a lot about now we want to repair the aca. We didnt talk about that before. Republicans were talking about lets repeal the aca, there are 29 Million People who need some action to be taken. We need to think about how we can make access to medical care more affordable. Host patrick on the democratic line from oregon. Good morning. Youre on with Nicole Lamoureux. Caller you were talking about volunteers. , doing4yearold man well and i have good medical coverage. Layman, where my volunteer and how can i volunteer to help a clinic . What skills i need . The other thing im curious about this about the new tax law , the attack on the Affordable Care act. I was just wondering if your clinic is for that, is that a good thing or not a good thing . Guest we would love to have you volunteer with one of our clinics. Our clinics need medical and nonmedical professionals to help us provide care to people. The skills we need are you being willing to learn. Greet someone when they walk in the door. Say hello and check people in. If you only have a little bit of time, clinics are always looking for people to help them spruce up the court next just like we have to do spring cleaning, so to the clinics. You can sign up to volunteer on our website. We will connect you with the clinic closer to you, or you can contact our office and we can help you through that. Stated a few times, we would like to see the senate remove the repeal of the individual mandate from their tax bill. Without think it should be in this bill. Think it should be in this bill. Host caroline from tennessee. Caller do you know a place the kenexa medicine thats prescribed to somebody else who cant use it anymore, but its bubble wrapped, it could be used by people, theres a lot of it. Guest i would say would be great for us to have a conversation at some point in time off camera, because there are different laws in different states and theres a piece of legislation called the track and trace legislation which means medication has to be tracked from the minute it came off a similar line all the way to where it needs to go. Onould be happy to help you a phone call later to see where we can do that in your states, because certain states have certain rules. Host you can get information at nafcclinics. Org. Amount not only locations, but also is to contact those locations on after that, we will take a look at how Sexual Harassment is affecting politics and social media. Ohanlon talks about Foreign Policy challenges facing the Trump Administration come up live tomorrow on cspan. Is an arizonat congressman, the top democrat on the Resources Committee and cochair of the progressive caucus. He talks about hurricane rico,ry efforts in puerto and allegations that Sexual Misconduct among members of congress. Watch the interview tomorrow here on cspan
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