Talk:Community health centers in the United States

Wiki Education Foundation-supported course assignment

This article is or was the subject of a Wiki Education Foundation-supported course assignment. Further details are available on the course page. Student editor(s): Ktmodi.

Above undated message substituted from Template:Dashboard.wikiedu.org assignment by PrimeBOT (talk) 19:22, 17 January 2022 (UTC)

Wiki Education Foundation-supported course assignment

This article is or was the subject of a Wiki Education Foundation-supported course assignment. Further details are available on the course page. Student editor(s): J0820.

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Wiki Education Foundation-supported course assignment

This article is or was the subject of a Wiki Education Foundation-supported course assignment. Further details are available on the course page. Student editor(s): Doatucsd.

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Wiki Education Foundation-supported course assignment

This article was the subject of a Wiki Education Foundation-supported course assignment, between 24 January 2019 and 24 May 2019. Further details are available on the course page. Student editor(s): Annajulia.se.

Above undated message substituted from Template:Dashboard.wikiedu.org assignment by PrimeBOT (talk) 19:22, 17 January 2022 (UTC)

To add to this article

• Patient experience at CHCs
• How CHCs fit into US health care safety net
• How health care safety net needs to be improved -- role of CHCs? Interventions at CHCs?
• Quality of care at CHCs (considering many quality measures/indices)
• Access to specialty care at CHCs? Referrals? (include as part of quality of care)
• Types of care at CHCs: primary/preventative care? specialty care? acute needs? chronic conditions?
• Primary sources of care for CHC patients

Ktmodi (talk) 07:56, 12 October 2017 (UTC)

I think we can work on integrating the Asian Health Services program into the article better. Potentially by relating it more to the CHCs and talking more about the history of Asian Health Services. Does anyone have any other recommendations or tips on how to improve on that section? Leamanda (talk) 18:15, 18 April 2022 (UTC)

Updating statistics

Under the Patient Demographics section, the statistics are from 2007 and 2008. I think it would be helpful if the statistics were updated to be more recent, and therefore more accurate. J0820 (talk) 08:31, 22 February 2018 (UTC)

Wiki Education assignment: Global Poverty and Practice

This article was the subject of a Wiki Education Foundation-supported course assignment, between 17 January 2022 and 15 May 2022. Further details are available on the course page. Student editor(s): Leamanda (article contribs).

I am planning to add to the history section and reformat the "Immigrant and community health center". I will break up the Asian Health Services section and potentially find a better page for this information since it feels a little out of place.Leamanda (talk) 22:31, 25 April 2022 (UTC)

Incoming Edits (Wiki Education assignment: Global Poverty and Practice)

Hello, I have been working on some edits for this page which I will list below. I'll make the changes in small sections at a time; let me know if anything is of concern. Thanks!

"History"
-adding a paragraph about federal grants and the Public Health Service Act

"Immigrants and community health centers"
-adding a sub-heading 1 and moving the "Project: Revive Chinatown" under this sub-heading
-adding an image to project: revive chinatown
-adding a section on community health centers in CA
-adding a section about a specific community health center in California, Asian Health Services Leamanda (talk) 19:22, 5 May 2022 (UTC)

I see the footnote mentioning ACA provides other choices but I see no "deemed" discussion about the bargain- which without knowledge of patients can be baddly wronged.

Informed consent even is absent, unless patients understand they are proceeding without the normal safety net should care hurt, not help.

REcently I verified what I learned when I first confronted silence from a family provider- about "how" they acted like they had no responsiblity. Googling it verified that shockingly! The bargain is without paying for insurance same employee's can pay themselves far more, pay for security guards and debt service for grand buildings, campuses, apparent paradises.

But you forfeit what for most states is a important advocacy and compensation system involving sharpest minds on planet presenting facts to juries, advancing law, and often getting a large piece for there work of many millions even tens of millions of dollars americans award to patients NOT OF SUCH CENTERS BUT OF NOT DEEMED providers.

Over a decade ago I received as-is care, for free, understanding the risk. Then family was destroyed by CHC and now I have returned to my 'free' provider, with insurance, and them still being 'as-is.'

They have grown, but are insanely dangerous and the months I went without instead of knowingly accepting there care are less likely to have killed me then the months I am with them.

I ask that mention, prominent mention if any is presently made, about the facts, be considered urgent.

I could say FAR FAR MORE. I now face urgent surgery needs, incredible complexity, and almost no assistance. I have had my dental health damaged further, without a dental plan, despite electing to ignore a dental need to get a plan on first visit.

I literally have a bunch of lumps all over my body. I literally may have incurred massive debt a day after scheduling referral procedures without warning. My decision to access such care may rob me of mobility soon, may have made me terminal, so it's not about losing my first tooth which will be that which had me first and only cavity about half a century.

We want drivers to have insurance in America- insurance that pays for advocates! But we deny patients who are poor such advocates, access to juries, and that matters and is not in the weeds.

The government deems the coverage to be infinite. Providers can satisfy ANY coverage requirement because it is not actual coverage, just a joke about out of pocket losses being reimbursed. So your bus fare gets refunded but the expensive care you need to survive? That won't be covered. Your wife died in childbirth? Perhaps burial expenses but no help raising children.

Those who have choice- but are underinsured, need advocacy not exploitation.

I had no idea medicaid reimbursement is kept low as CHC get money under the table, off schedule.

Private doctors, who pay for insurance themselves, get less then incompetent interns nearly certain to never get paid in the field but during schooling 'volunteer' with full cost recovery to clinic.

I learned from this article.

That knowledge is needed in the article. Supporting discriminatory cost recovery- guards and palace mortgages but not financial responsibility, lower patient load, actual medical care, is part of the bargain of enjoying new construction, architectural beauty.

Wikipedia can by sharing these facts, easily verified, roster journalism.

We need patient unions chiming in on "reform" proposals. THE VA, is like CHC's. Both blame patients when they get hurt- my home state has a constitution that prevents the amount of hurt from not being reimbursed if too high- as judged by juries.

That matters not for local CHC. My dead family member is hard to obtain reform by those facts- but now I am with standing, having lacked time to get actual medical care.

To be concrete an actual latest 'error'. The specialist notes there report is compromised lacking records from prior testing. Actually two discs could of been brought, and I already have one. NOBODY hinted I should pick up other and bring it, if not both!! I was denied that experts ability to help, and he has let me know in his report. I can't obtrain advocacy to fix it though. Even if it kills me.

I somehow assumed the risk, waived juries, waived punitives, waived most of the money you get otherwise.

I just wanted a quick test- a test delayed by pandemic despite good insurance, delayed by CHC catastrophe that prevented me from having time for myself.

My provider now wants me to switch to hmo, not be fee for services based- is that because they don't want to have costs reimbursed merely? But are more profit oriented? Want to pay executives more then could be reimbursed as 'costs' of care?

NObody wants or looks for trouble- if I wanted money I would of earned my living far less this nearly over life of mine. But CHC's hire those who can't get into medical school, they often are entirely elitist- rich families children buying diploma's and obtaining the most obscene welfare ever reported- full for profit diploma mill loan forgiveness. They become wealthy, providing bad medical care, and do not even have to pay the mill for the 'diploma' and that means reimburse the bribe included inthere tuition for there residency.

FOr those without SSN's- seperate and unequal care will always be good enough?? Until someone demands better. It's too much to ask of me- to what- sue for a doctor who already takes the 'insurance' I have to get cost reimbursement as least as much as his 'competition.'

The free clinic had great dentist volunteering. I have a filling in my mouth from one. He supported my decision to not pull the tooth mentioned- and the clinic ground it down after he left. Before there dentist saw it. So they could fill it as he refused to believe a crown could work on it.

Same provider now sends me away for crown lol.

I sought a second opinion- that dentist greeted student from behind me and vanished. Did not speak to me or have me see her at all. I waited over a week extra to complete my cleaning to see if she would tell me how many cavities I had! I never found out if she would of lol. The prior dentist called them out I think- maybe not, she only told me she saw them. It's absurd and my teeth matter little.

Compared to deadly cancer I went with academic medicine for last year and so far CHC.

I am a real patient . . . of CHC, a rare informed one. You see the system makes my insurance useless.

I don't understand till now. Medicaid is not supposed to be insurance in the eyes of those elected by those who pay for it. The ceo's of CHC's and diploma mill's etc. They want to keep more of that ill gotten gain. And they do- by have first class providers get too little to compete. Insured care is higher quality care producing health not illness for CHC's to butter bread by. Nannies get not just no retirement in America duh- they goto CHC's and after being deported suffer the medical neglect of there working years.

It is a states rights issue. If you can sue if hurt, with attorneys adequate to task- don't let feds further CHC industry at loss of that right I say.

Wikipedia needs to be candid about DEEMED facts. 64.183.43.88 (talk) 22:01, 8 May 2022 (UTC)

Wiki Education assignment: Global Poverty and Practice

This article was the subject of a Wiki Education Foundation-supported course assignment, between 17 January 2023 and 19 May 2023. Further details are available on the course page. Student editor(s): Jigmelamo (article contribs).

— Assignment last updated by AleutianTea (talk) 18:23, 24 April 2023 (UTC)