04

12.09

5:59

Grady Needs Public Support

By Benjamin Nanes


Grady Memorial Hospital’s decision to close its outpatient dialysis clinic has brought protesters to hospital board meetings, sparked a lawsuit, and generated headlines across the country. The clinic’s patients, mostly undocumented immigrants who cannot get regular care elsewhere, will be forced to leave Atlanta or to seek care through emergency rooms.


They will face delayed and inadequate treatment, spend more time in hospitals and die sooner.


It’s a dramatic story, but the closing of Grady’s dialysis clinic is only one symptom of a larger problem. Grady is in trouble, largely because the state and county governments, while claiming to support the services that Grady provides, have failed to support the hospital financially. That needs to change. Without adequate funding, Grady will be forced to cut more services, leaving even more people without the medical care they need.


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Posted by Author Name in Access/Budget/Coverage/Medicaid / No Comments.

05

11.09

5:23

Barriers to Care at Grady: The Big Picture

By Benjamin Nanes, HealthSTAT


HealthSTAT previously reported concerns from students and health professionals that it is becoming more difficult for immigrants to access care in the Grady Health System, which includes Grady Memorial Hospital and its eight neighborhood health centers. Though this issue has not been widely reported, there have been similar worries in the community at large as well. Yolanda Hallas, Executive Director of the Hispanic Health Coalition of Georgia, has collected reports from immigrants who have been denied discounted care at Grady due to apparent changes in how the health system enforces its policies. Among them are unemployed patients and family members of Medicaid-eligible children, people who clearly cannot afford health care anywhere else. In order to understand what is happening, it is important to look at the big picture: how the Grady system delivers care to those who are unable to pay, and the financial and political pressures that system faces.


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Posted by Author Name in Access / No Comments.

21

10.09

2:23

The Grady Controversy and ESRD Policy

By Mike King

The current controversy over closing Grady Memorial Hospital’s outpatient kidney dialysis clinic is indicative of more than just the struggling Atlanta hospital’s hard choices about what services it can afford to make available for the region’s poor and uninsured.


While much of the focus on the closing has centered on what to do about the illegal immigrants who depend on Grady’s dialysis unit, the pathology of the problem lies within flaws in the nation’s complicated and – at times nonsensical – policies for covering end-stage kidney disease.


To fully understand Grady’s dilemma, it helps to understand how we got here and why we’re stuck now.


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Posted by Author Name in Access/Health Insurance Reform / No Comments.

Nearly two million Georgians are uninsured.Source: CPS data
Georgia’s infant mortality rate is among the worst in the nation.Source: KidsCount
Georgia ranks 38th in health system performance.Source: Commonwealth Fund State Scorecard
2012 is a critical year for health care advocacy--your voice matters!Source: GHF

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