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Protect area health centers
November 29, 2011
By Frances M. Anthes and Antonia G. McGuire
Patients receiving their annual checkups at
the Edward M. Kennedy Community Health Center and Family Health Center in
Worcester may be hundreds of miles from the halls of the U.S. Congress, but how
lawmakers decide the future of federal health care spending will likely have an
immediate impact on their future.
Despite Sen. John Kerry’s efforts, last week’s failure of the deficit-cutting
Supercommittee means that once again lawmakers will be scrutinizing every
federal program to stave off $1.2 trillion in automatic spending cuts that now
have been triggered. This could include cuts to state Medicaid funds and cost-effective
programs such as community health centers.
Many residents who live in communities served by health centers are worried
about what these changes will mean in tough economic times. They are low-income
families, elderly or disabled Americans and children, many of whom depend on
Medicaid as their source of affordable health coverage and their local
community health center for access to primary and preventive health care.
In Worcester, we have seen firsthand how health centers are a win across the board
for patients, states, the federal government and communities. Community health
centers are recognized as one of the most successful federal health programs
ever created, with thousands of studies documenting their quality care, ability
to keep costs down for Medicaid and other insurers, and role in creating jobs
in economically challenged communities.
Here in Massachusetts, health centers represent the largest primary care
network in the state, serving nearly 800,000 people. Equally compelling, Massachusetts
health centers care for 30 percent of the commonwealth’s Medicaid patients at a
cost of only 1.3 percent of total state Medicaid spending.
As the states and Congress grapple with how to improve the nation’s health
care, we are proud of the fact that community health centers remain ahead of
the curve, providing a time-tested, comprehensive approach to health care that
saves money and improves health. According to a recent study by George
Washington University, health centers generate annual savings of $24 billion
($1,263 per person) as a result of reducing the rate of preventable
hospitalizations, inpatient days, and emergency room use across the health
system. They also bring economic benefits to our communities, generating more
than 10,000 jobs in Massachusetts and nearly 200,000 across the country.
Disruptive changes to Medicaid, as well as potential cuts to health centers,
could not come at a worse time. Health centers are already stretching their
budgets to care for more of the working poor who are struggling to keep their
jobs and health insurance, or have already lost one or both.
What’s more, harmful changes to Medicaid could also increase the costs borne by
taxpayers as patients lose a regular source of primary care and turn to
expensive emergency rooms as their only option for health care.
Likewise, Congress should be wary of deficit-cutting proposals that shift costs
and provide more flexibility to states — but also run the risk of weakening the
provision of basic medical care for which community health centers were
created.
Yes, we must address the growing national debt as a nation. But now is the time
to be thoughtful about investing our limited resources where they will do the
most good. We cannot afford to break or endanger what is working well.
Community health centers are proven local solutions for improving the health of
millions of Americans while significantly reducing costs across our health
system.
Isn’t that the goal in the first place?
Frances M. Anthes is president and CEO of Family Health Center of Worcester,
and Antonia G. McGuire is president and CEO of the Edward M. Kennedy Health
Center.