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Commentary: May 3 2007
May 3 Commentary: Focus on covering uninsured
Nancy Frazier O’Brien
Catholic News Service
Catholic News Service - 

At Cabrini Clinic in the Corktown neighborhood of Detroit, “every week is Cover the Uninsured Week,” says Mercy Sister Mary Ellen Howard, who has directed the free clinic for more than a dozen years.

In a city with some 200,000 uninsured adults, the clinic provides medical care, prescription drug assistance and mental health services to about 150 people a week, completely free of charge.

“We’re not billing anybody,” Sister Howard said. “If you’ve got Medicaid, you’ve got options” that those without any health coverage do not have, she added.

But Sister Howard would like everyone to have more health care options, and so she joined a coalition of union members, small-business owners, insurers, medical professionals and religious leaders at one of hundreds of events around the country marking the fifth annual Cover the Uninsured Week April 23-29.

Sponsored by the Robert Wood Johnson Foundation and supported by a variety of national organizations, including the Catholic Health Association, the week was aimed at raising awareness about the nearly 46 million uninsured Americans and mobilizing a commitment to solve the problem.

In a joint letter to U.S. bishops, Bishop Nicholas DiMarzio, chairman of the bishops’ Committee on Domestic Policy, and Sister Carol Keehan, a Daughter of Charity who is Catholic Health Association president and CEO, said, “We cannot afford to remain silent while quality, affordable health care is not a reality for everyone in the country.”

“A problem of this magnitude and moral urgency requires the leadership of the Catholic community as we work to address this crisis with compassion and a commitment to justice,” they added in the March 29 letter.

Bishop DiMarzio heads the Diocese of Brooklyn, N.Y. In the borough of Brooklyn alone, more than 100 Cover the Uninsured Week events were scheduled.

Catholic organizations found a variety of ways to join in, both before and during the week.

In the Archdiocese of Louisville, a community forum on state health care issues was held at the Basilica of St. Joseph Proto-Cathedral in Bardstown, Ky., April 17. The forum was hosted by Catholic Charities Parish Social Ministry Department and Flaget Memorial Hospital in Bardstown.

During Cover the Uninsured Week, Flaget Memorial Hospital held a public awareness program on April 27 that included several speakers, including people without health insurance.

In Michigan, activities related to Cover the Uninsured Week included a community forum at Sacred Heart Major Seminary in Detroit, dozens of health fairs and enrollment sessions, an uninsured awareness walk sponsored by St. Joseph Health System in Tawas City and a smattering of campus events and seminars for small businesses.

The 57-year-old Cabrini Clinic in Detroit, believed to be the oldest free clinic in the nation, operates with a network of volunteer health care professionals and runs a prescription assistance program that leverages a budget of about $60,000 a year into $3 million in drugs for patients, through the indigent drug programs run by leading pharmaceutical companies.

But it isn’t easy. Sister Howard, the clinic’s director, told the story of a 39-year-old mother of four who arrived at the clinic with a diagnosis of stage-three cancer and was not only uninsured but undocumented and unable to speak English.

Cabrini Clinic does not provide cancer treatment or surgery, but “everyone who’s uninsured gets sent to Cabrini,” she said. “So you get on the phone and start begging.”

Eventually Sister Howard found a hospital willing to take the patient and a surgeon willing to perform the surgery — both for free. “But I cannot tell you how long it took” to meet the needs of just this one patient, she added.

Currently Cabrini Clinic is closed to new patients and will probably remain that way at least until August. “Most other free clinics (in Detroit) are in the same situation,” Sister Howard said. “So where are these people going?”

Sister Howard admitted with a sigh that she is no longer enthusiastic about Cover the Uninsured Week events that involve talking about possible solutions.

“I’m sick of this, I’m tired of it,” she said. “We’ve got to get to the point where we move beyond talking to doing something.”