Zarepath Health Center

8/3/2019 Zarepath Health Center

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HE HISRY F HE

ZAREPHATH

HEALTH CNTER2003-201

H S UY SU WYS UY '

Alieta Eck, MD

.ZAREPHATtL �





The Vision

-ZAREPHAT�HTH CNR

The Zarepath Healt Center was bon out of a vision,a book and a dsaster.

Two prima care phsicians in prvae pracce waned o be sre

ha he had a wa o care for hepoor. The were frsrae wih hesae and federal Medicaid programdesgne o care for hose wihomeans o pa for medica care.Privae pracice ofce overhead is high and Medicaid rembrsemen

is low coming severa monhs afer he visi Raher han lose mone wih each Mecaid encone,mos phsicians choose o avoidhe program an rea he poor for free Ye he Meicaid program has expane in New Jerse cosingaxpaers a hge sm of mone

occurred o Drs. John and Aliea Eck ha a facili esablshe in he vcini of a ocal church coldilize voluneers an charable

donaions o involve he broaer commun in implemening a

comprehensive sraeg o see each poor person as an inivdua Moshave needs far greaer han jsmedical. And his woul cos heaxpaers nohing.

In 992 Dr Marvin Olask wroea book called he Tragedy of erican

Compassion. (c. 1 992 b Marvin Olas pblished b Crosswa Books) He was a Jewish MarxisYale sden who rea a Russian Bble an became a Chrisan believer He was inerese in how Amercans cared for he poor

an his book chroniced he anipover programs beginnng wh he founding of he naion Themos sccessfl programs werefaih based gradal indivalized



4

chalenging an calthe

exact ppsite f the crrent breacratic, tpheavy gvernment systems.

Zarephath, name aer the Biblicalwiw f Zarephath," means a place f renng" It s a cmmnity in central New Jersey starte in the

early 1 900's. Wile t a egingMethist grp calle the Pllar f Fire by a wiw wh cl nt pay her taxes, it riginay cnsiste f 1 000 aces mch f t farman.Many ifferent Christian ministries were lanche at Zarephath. t

nce ha a prnting faciity that prce an male s mch literatre, Zarephath was grante ts wn zip ce.

A ra statin, WAWZFM, Star 991 was begn in the early 1 930's, an a grae schl,

a cllege an a chrch wereestablishe. Several hmes, largean smal, were bil n thecamps t hse thse wh chset ve as a cmmnity Mst f the bilings were ilt n a plain, cate between the Raitan River an the Canal.

When Hrrcane ly rarethrgh in Septemer f 1999,a lttle 900 sqare ft hse at the far en f the prperty was cvere ner 1 feet f brwn mrky water. It was empte t

an remaine rmant fr tw

years. n 200 he Pilar f Fireleaership athrize th planningan recngrng f th hse sit cl ecme a clinic. Vlnteers an nrs pe resrces anskils, s that it was ebtfree when it pene its rs in Setember,

2003

Volunteers renovatng the origal budg that

wa ruied by Hurrcae Flod.

a the Grad Opeg



The Mission

W at th Zarphath Halh Ctr wr larig th root ass of port Th gormt oos o port as a smpl la of fdsad has a hard tm atgorizgth poor. Idd th gormt is ritiizd hail wh it attmpts to distigish btw thworth poor thos who ar poor throgh o fat of thr ow adth poor who la fds d topoor hos ad bad haior Both ma d hp bt th id of hlpds o b r difrt.

Olas tahs th ABCs of Compasso" ad rommds that sssl pop prsoal rah ot to hos who ar i d. A brf smmar of his s priipls of ompassio is as

folows

ASSERTIVE -

Atil sg was to mt ds ght soial ills adar.

BASIC - oo for popl osst o th idiidal to mt thdsrst th am th th

ommit ad a th loa adstat gormts. This dsribs ssidart" whr thos arst th problm ar most rsposad ar ssidizd b th xt llof arig ommitmt. Sbdiarit rprsts th most fit wa toar ad s th last sbjt to fradad wastflss

CHALLENGNG - G prssrpopl to ma hags istadof pamprg thm. Hlp dopharatr traits tha lad to morslfsf ad growth.

DIVERSE -Trat ah prso as a

idiidal withot a o-sz-tsal approah. Eah is a diida mad i th mag of God.

EFFCIVE -Tr to aoid bigbrarati ad hagg.Utiliz oltrs with thir iqgift ad apablitis. Th bottom

li s hagg lis ot otigth mbrs of popl tratd

FAITH-BASED - Wll maagd Chrsttrd haritis ar mor ftiat ghtig port ad hagiglis tha thir o-rlgos otrparts

GADUAL - Cotal r-alatad h th rslts of thprogram Grada sstaid rsltststd at ah stp of th wa wll ma hlpig th poor most sssf ad sstaid.

5



6

HERE ARE A FEW OF THE PEOPLE OUR PHYSICIANS, NURSES AND SPPORT

VOLUNTEERS HAVE HELPED;

• A 28-yearold woman came to u x month ater her ather had ded rom a long

llne She had been h prmary caretaker whle holdng down a job n a drugtoreW hen he became depreed, he lot her job and her apartmen When he appled ornancal ad rom the tate, he wa toldby the caeworker ha n order o qualyor und he needed to get pregnan She needed medcne hat cot $230 per monthWe helped her acce a progam degned byhe pharmaceutcal compane, allowng herto receve a three month upply or ree he

company reued to gve her more unle he had a letter om he ate agency explanng

ther denal o ad They would o wre So we prced around eveal tore and bough her

medcne o carry her oer She getng back on her ee, ha enrolled n a coure o become a phlebotom, and wll be on her own by he end o he ummer She wll no need our care any more

• A 2yearold jut gaduaed rom college

and wa removed rom her paret' nurance.She tayed a home or everl month, carng or he ckly grandmoher who wabedrdden wth advanced zheer deae

and eenually ded. Wh o paycheck and nonurace, we were able o ake are o th



youg woma's smpe ess a o os o he. She s ow a wok a oes o ee he seves o he Zaephah Heah Cee ay

moe

• A 52-yea-o wom says home wh he4 yea o sse who s yg o measabeas ae. He husb's payhek a keep he househo gog bu o oe he house has heah suae. She hese s a

hgh sk o geg beas ae bu ha o ha a mammogm S yeas. She weo he oa sae subsze hospa hopgo ge ow os mea ae. The physashee a physa exam a boo wok

hagg he $95 The hey hae he a pespo o a mammogam. Whe she

ame o us we heke aou o he bes pe a he Zaephah Heah Cee gave he a hek o pay o he mammogam. She eey o me ha he yg sse was oha she w uay o Mea o Juy 1wo a ha mohs om ow. Ths vey

sk sse w key o ve ha og.

• A 9yeao s sabe wh ompae abees. Hs saby ome s $1000 a hs e s $72.Whe he s o Meae he sae u pespo p o he poo he ao eve ao he $ opay.We se up a aou hs ame a he oa

phamay o w ow eah me he s a pespo. The oa oo samp oe o hm ha he uae o oy $0 pe moh oo samps so hs huh suppes hm w h g eaes o he oa goey soe.

May hs ae hepg hs ma maa hs gy a ge he heah ae a ohe suppo he ees.

• A 2yeao ma was ee ha he was yg. He ou o ho ow a job He mae seve vss o he emegey oom aess a ame bak oma. He ha $30000

e a eb a was paaye wh ea.We spe a o o me wh hm mosy

phoe as hee mes a week o seve mohs. Eah me we saw hm we eassue hm o hs goo heah a pae hm o mee ha seeme o hep.We eve hage hm bu eah me we eouge hm o wok. He ay eoe a uk vg shoo a ae o he Sauay mog he

passe he vg es. He ow has a goo ob s ove ha he s heahy a o oge ees us Hs mohe s eeay gaeu.

7



8

When peope ask why we stared

the Zaephath Health Cener for

the poor and uninsured we repy by teling the story of the Good

Samaritan It is a story that Jesus

tod about a man who was ying

by the side of he road injured

and bleeding A minser walked

by quicky, hnking that he had o

hurry to preach his sermon. Then

a Bibe eacher came by and also

felt that he did not have the tme

or skills o sop and help. Finally aSamaran, a religious outcast saw

he man, stopped and gave of hiown time and resources to see h at

the man was cared for

We have determined to live out our

faith by following the example of

he Good Samarian When we see

TO ME, 1.L WHO RE

peope in need, we are nt going

to demand another government

progam, but rather, we wll donateour own tie and nd ohes

willing to hep us do the same

We believe hat here is a God in

heaven and ha He would haveus show compassion by meeing

he physical, emotional spiritual

and elaional needs of peope with

whom we come in contact We donot impose reigon on anyone

bu are ready to give an answe

if anyone asks why we have an enthusastic optimism aout the

future We are free to tell them how a reationship with God provded

the missing link in our lives andhow it can be the same fr them

ANIlWR Y ANU BUDNl WILL GIVE O RES T.

T AKE MY Y OE UPN Y U AND LEARN FRO ME,

lAM GNDHB AND YOU W FI ST FR UR L.

MYK IS A AND

MY BURE IS LIGH T. " -J M;\V ,8·10

The wal of the wang area in he origial Zaephah Heah Cete.



The Operation

tilizng a commited gop of knd volnteers we ave grown toa reglar staff of 6 psicians aot 0 nrses and dozens of spport staf We are fnded comleel donations and dolars eft in tefront ox te 00400 grateflpatents we see eac mont. A vsts and medicines are free. e vonteers and patients are essedTis is te Biical wa to care for te poor and it costs 0% of wat it

coss te government at a taxpaer fnded federall qalied ealtcenter.

All services are ree and medcines are often given ot fee of cageto tose wit te greatest needsWe el on a donation ox at te

front desk and caritale donations from crces and individals wo elieve in o mission We geno government grants or axpaer dollars

We leaned as we progressed andfond tat psicians and nses cold get free medica mapractcecoverage sppied te federal

govenment va te Federal ort Claims Act of 996.Tis madeit feasile for reired psicians to donate teir time Doctors were now ae to vontee teitime wtot jeopadizing teilveliood

B 200 t was clear tat so mcmore cold e accompsed wita move to a arger faclit Wtonl one intake room and twoexam rooms it was difct tospend exta tme wi a patient wo needed it Te ZaepatCristan Cc ad grown from

200 to 2 ,000 and word of te freeclinic ad eaced as far awa as Pennslvania We expressed or concern wit te leadersip of tecrc and te Pillar of Fire and

,

9



10



the identied a biding which cd be recngred int a new clinic.

Vonr rvtng t nw h ctr

cro h t o Zh Cm

Dnatin and vnteer wredhard nce again t create a eatifl5 qare ft facilit that

wd prvide an envinent t cae fr the pr and tilizemre cnelr and prfeinalt meet the need a the are.Medical tdent rtate thrgh.A einar tdent thghtfll cntempating a new re fr ene wit hi training nw

help with the intae whereindividal new patient arelitened t and netwring ptinare cnidered. The chrch hadevelped pprt grp r inge mm peple wh aegieving peple wth addictin

and peple wh are lne A fdpantr and ed clthing exchange wa etablhed a a part f M eighbr' Mnitrie lcating in a irrr image bilding directl

acr frm the Zarephath Health Center

Dctr c have been thinngabt wa t imprve n themdel and have determined that mre phician wld vnteer if te cld lwer their wn fceverhead Thi i what led a gpf plic peple t develp thecncept f the Vlnteer hican

Prtectin Act (VPA) where inteadf blling fr charit care ervicethe tate wld imp pridemedical malpractice prtectin fr the entire practce f phician wh dnated fr hr per wee in a nn-gvernent free clinic

Thi wd iprve acce tedical care fr the pr relievethe phician f the expene andbrden f having t care fr thepr with fll liabilit and give a hge brea t the taxpaer Thetate wld nl incr an expeneif a lawit were led and thee

wd bece le prevaent.

In Ma f 2, Alieta Ec MD wa aed b Senatr Rand a(RK) t g t Wahingtn DCt tetif at a Senate bcmitteeeaing. The tpicHw t eepnn-rgent illnee t f ctl

emergenc rm. She t thepprtnit t expain what i dneat the Zarephath Heath Center Teflng i her tetin

1 1



ESIMONY O HE US SENAE COMIEE ON HEALH. EDUCAION

LAOR AND PENSIONS

On educng InappropiateEmergency oom Use by e Poo

May 2Aleta Eck, MD

Phyian n Prvate Prte n InternaMedne Piatawa NJ

Cfunder arephath Heath Cenerarephath N

Predenteet Aatn f eanPhyan and Surgen

Gd rning. Ia a psician speciazng in Internal Medicine I welce te pprtunit t speak in frnt f ts cittee and expain wat I ave bserved n t y 2 years private edic practiceand te 7 ears f vlunteering in a free clnc. I believe tat I can giveinfratin that be valabein elpng t develp plicies hat wld e effective in deerring tennecessar se f the eergency r



Bt n te patie ere earn my iving an te free ini ere see te pes f te p I unt

it a pivege t e ale t mae a fferene in te lives f my patients

My usan E an rppe ut f te Meaiprgram a fe years after erllingealizng tat t as ausg ur pratie t lse mney tus

epaizng u livei. Te st f ling te laim as greate tan te sum eiai ul pay us several mnts ater

The Founng of a

NonGoerent Fee Cc

After Hurrane ly e a smal use n te ege f ur ur ampus at Zaepat N, e nvne te ur leaersipt all us t renvate it an tun t int a lin We a rea arvin Olasys Tagey f merian Cmpain an e etermine

t tngs ifferentlyt see tepr fr free t slit te elp f ang vluntee nurses a supprt sta an t r t ientfy tert auses f te pverty tat rugt te patents t us elpngin any patia ay e u Te

lni egan peatin n Septemer f 23. It as a 51 ()3 arity status an perates mpletey y prvate natnsit n taxpayer llars n fat e ul turn

taxpayer ars as e mly eieveaity sul e vunta

Vunteers lsten t te stries f ea persn mes in fferngin enuragement. A versestenle t te all n te aitngr reas Cme unt me al yu a an are eavylaen an il gve yu est esus) "Ten a nuse an pysian see te patent

t anle mmn mplaints su as a sre trat rnitisypertensin aetes tyrisease an smetimes nesses tat ae mre serus an lfe teatenngWe in up te uns f teir lims an tei earts e ur

as a f pantry an a tingtft sp ee sme peple pay a fe llars fr ltes an may an

get tem fr fee t is nt nesize

ts al arity situatin ut vaieep fr very fferent types f peple.

We ave never avertise ut te

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patent comefrom a fa aay aPennyvana an Ne Yor an ou

an a af aaPatient are reere y teir fren,oter patent or cuc memer

Patient are refere y teemergency room after tey aveeen een tere

Patient are reere y nre n te opital en poor patientae eng carge an ave noprimary care pyician

Patient are refere y ocalparmacie.

Patient are actualy eferre to u y

te Meica ofce en patientave complane tat tey counot n a pyician o acceptecai.

Patient are refere y al e ocalevice agencie n te aea

e ee paient o ave ut een

releae from prion referre y teir paroe ofcer.

e ee patient o ave een releae from pyciatrc opital,precription n an an no meanto pay for tem Tey are celeto ee a pycatrit 6 ee ence at

a tate run pycatric faclty, ut arenot given any elp in eteen ean tem teir meicine if tey are availale n our little parmacye anle tem meically ntl

tey can get to te proper pecialt.A loca commnity foo an a

a fun et ae for emergency precription

e ee unemploye union memer o are eecte onering o to pay teir mortgage an ale topay for mecal care

e ee inge moter o ring

teir litte one to play it volunteer i ou play area ile etae cae of mom meca neee try to ave e cilren eave it mle on ter face an often a onate tey ear

e ee cren en a peatrician

or famly practtioner are teee ee peope o are tempoarily unempoye an feeling figtenean vunerale.

e ee patent o ae refere tou y te unemployment ofce

e ee people o are livng n teir car or une rige avingeen evcte from teir omeetrange from teir famie fomany reaon incuing teir opoor eavior

e ee patient reee to u y

uge in family courtNo one pay a enny, ut ome put a fe ollar into a onation oxat te front e Ti cover omeof te $ 1 3 average cot pe patent



TESTMONY O HE US SENAE COMMIEE ON HEALT. EDUAON LABOR AND PESONS

eiatons are ane out for freonae by pamaeutialompanies ug epresentaives

sample loses of fello pysiansan some purase olesae.Often e ill ite fo e $4presriptons tat te free maet as mae avaae to Every patient eaves it a gratefu eart as tey no ta peope are for tem

beause ey ane to no beauseit as ter ob. Alare reate trespet empay an inness.

ome peope are poor toug no

faul of teir on but many avemae ba oies aong e aey nee goo avie roe moels

an people o wpatieny enouage tem to mae anges at il empoer em to be lieout of povety. aepa Cistian Cur as many progams tat lleir soial voismen's breafass omens uneons Bible stuies

suppor groups fo ose o grievesuppor groups fo baee omenmarage mnistres an oter groups for all ages

5



Who gets Care at the Zrephath

Health Center?

Let me give o ome exmpe of ptien e ve een

A 54 year od enteman, a carenter wth no wor came n wth eere naa obtrcton from n oy He wa on Medcad bt cod not nd an ENT reon who wod oerate for the amont Medcad wod a

Why hod a reon tae on f abty for ch a ow fee? Th mn wa an meto f ot dabty form Intead, caed an

ENT frend and ed what he wod chareWe areed on a far amont and the rery wa done nd we ad ot of donaton we had receed. The ery tef atent came to a

men breafat at the chrch where onteer worer are endn ther free tme xn or new cnc fact He wnt to oteer a we

A 4 year od woman came n wth atato and a tender thyrodWth no r factor for heart deae, we ae her medcne

to ow her heart and had her come bac he next day where or oteer retred cardoot aw her ad conrmed the dano She wa00% better The charty ytem wa aed

robaby $0000, a a t to the ER wod hae trered that mch n adanced cardactetn.

A 25 year od enemn waed n wth a a of an antychotc medcaton that wa to be admntered month He had the aeorbt no one to admnter t.We dd

A 5 year od wth no nrnce came

n wth ataton nd hore of breathOr retred cardoot danoed a cardac

condcton defect that wod rere a rca abaton to cre He caed a coeae who wa hay to tae care of her for no chare Her tef mother come n and onteer to do cerca wor at the cnc

A coe oerhemed wth two eerey attc chdren The chrch ha deeoed a

roram whereby thee chdren are one onone eron n Snday cae and the arent c attend chrch erce toether. The arent are extremey tef and the father, an ar cond tonn ecat ha offered to mantan or ytem n or new fact

A 48 year od woman came n hn a

the of the drement of acromea a deae of the ttary nd where rowth hormone contne ncheced after bert Th wa danoed ten year ao bt he had no mean to ay for care She wt to the Medcad oce where he wa tod that the ony way to et Medcad wa to be on wefare She aredthat he wanted to wor, bt t needed he wth medca b She wa th ted away and referred to by the emoyment ofce

A SO year od woman wth extreme weht o ad a breat ma wa ben wored for canceren no cancer wa fond, he wa referred to or cnc t trn ot that her erybad teeth were eedn her boodtream and

can the abcee Antbotc heed her an weht and a dentt areed to tae care of her teeth for no chare

A 5 year od mn who had had a dneytrant came n wth no way to ay for h



ESMO HE US SEAE CMMlnEE N HEAH EDCAO LAR AD PENSOS

tnpnt eection meicine Thi tueemegenc We ce the tohip n kei thee ome type o chity fun o thi

type o thing Ftunte e ee e to gethim the meicine he neee

Today we se 30000 patiets per moth ad the chrch has madeew space aailable for s We w go fro 900 to 000 sqarefeet wth ve exam rooms tree

itake ad coselig rooms, ada age classoom to teach casses o dabetes d other topics Or ew cic have a detal chaifor detists to volteer It is beigblt by biders plmbers adelectricas who are workg at

a edced rate ad may fomer patiets wh ae volteerig todo the sheetrock d spacklg hetoship bldig ispector soispired by he stories, has agreedto pt the st coat of pat o

the wals for free Moey is begdoated for the work, ad we wilope a moth o so completey debt free The chrch has goe froma attedace of 50 to 2000 the years the cliic has bee existece A clte of carg attracs people

ho goes t the Emergeny Rooms

for Non-Ugent Complnts?

May patets brig their emegecy room epos th descriptos of the er aches, sore throas or rashes

Whe we ask why hey wt to theER for sch mior illnesses, they telhat they wold have come to or

cic, bt we were ot ope Becaseof ack of physicis who re able to voteer, or clc is oly ope 1 2hors a week

Patiets who re poor ad ithot y assets have absoltely o estt whe it comes to goig to the ER

They kow that thee is a physici thee 2 so do ot bothe toc ofce or cliic to make a appoitmet Whe I was a residet my years ago I emember oepaet shwg me her rash at 3 .Whe I asked why she was comig

fo sch a mior complt at that hor she said she gred t wodbe a good me becase we woldnt be bs To her, this was a perfectly reasoable aswer

Patiets o Meicaid are twce as ikey to visit the ER for oget

codiios th patets th oisce at Ther sese of etitlemet havig that Medicaidcard combied with the poor magemet of heir o resorces mkes a wrm, ce ER eviomet a pleast pace o sped a afteoo Sce they are ot tredaway, they cotie to come They have absotely og to ose, as they ever se a bi y attempts to vert them are fle

17



The Cos of Provdng

Cre for the Poor

note that on the description of today's hearing you claim thatthe cost to povide care in theemergency oom is $1,000, whichis 7 times the cost of providing caein community health centes. Thiscorelates with the informaton

have gathered where the costs inthese centes ae between $140-$280 per patien visit Compaethat to the cos of poviding caein a nongovenment fee clinicsuch as ous$13, one tenthto one wentieth the cost of afederaly qualied clinic If thee were an adequate numer of nongovernment fee clincs, thesavings to the taxpaye by keepingpeople out of the emegency ooms would e 100%, and the cost to thechaiale donors would e minimal.

A fedeally qualied heath center inthe next town has a yealy budgetof $14 milionall fom taxpayedollas (from he RS Fom 990)Ous is $58,000none fom hetaxpayes. For the amount it costs tofund one FQHC, we coud fund 50clinics like ous, and I submit that

the patients woud get better, moepesonalized cae

I do not ike to disparage the workof others, but the follwing is aneyewtness account of someone who

woked in one of those $4 millionFQHCs

"The bureauccy was nbeievable Theadmiistrtors had no clue how the care of paits worked Tons of rues Lack of proper suppies Poor quaiy of the staff working there,mostly from he indigen areas Patiets had to wait hours to go hrough the registion andvericatio process which was very frustrtig

for them A ormal visit to the cinic ook over two hours for a patient Patiets cme there ot by choice but because they had o placeelse o go t ws not a caring atmosphere. Theadministrtion made everythig very dicut

This is not really surprising, for when providingchrity is a job instead of a voluntary giving of

one's services for no compensatio he dynamichnge. This is not a new concept. In 15 Rev.Wiliam ufer oted that :

Chariy is work requirig great tenderessad sympath nd agents who do their workfor a price rather han love should no be trustedto execute the wishes of donors The keepers of

poor-houses fll nto a business, Ufeeing wayof doig teir duies, which is woundig ndofte partial nd cruel to the obecs of heir attention

The NJVoluteer hysicns

roection Act

So the question is, "What woud

it ake t have thousands of nongovenment fee cinics satteedthoughout the county?

The Zarephath Healh Cente isopen only 12 hous pe week as



STMONY UNA OMM ON HEA EUAON. AOR AN PNSONS

we hae toble nding hysiciansto olunee Physicians hae manystesses and oten stgge to meet

al thei obgatons sffeng fomeedeceasing thid pay aymentsand eeinceasing admnisatebuden. Volnteeing does noteasy t nto thei schedules Eenhough the Fedea To Cams Act(FTCA ges us fee fedea medical

malactice coeage fo the wok we do in th fee cnc it is still hdto nd hysicans

So we in New Jesey ae woking ona solution hysicians and cizens

hae come togethe o opose theN Volntee Physcans Potection

Act wheeby physicans would olunee o donae fou hous pe week in nogoenen fee clincs.nstead of blling fo ou seices weae askng a he state extend thesame medical malacice coeage tnow podes to the medcal schooatendings esidens nd students tothe enie pactices of the physicians who ountee. The state couldsimly take the same paperwokused by the FCA to identfy hosehyscians ho ualfy fo coeage

Medca maacice coeage wouldbe he physicans ony ewardno clam foms no CPT codes nosecetaes a eihe end no moneywng fo he goenment to caefo he poo us liability potecton

The est of the clinic wok woud bedone with a leas 90% ountees with minimal key paid staff

fded by ate donos localfunraises and copoate donatonsFom ou exeience thee wold beno shotage of ountee nuses andsuppo staf And he baby boomesae poised to become a huge poolof olunees with expetse and

exeience Thee wold be noaenue fo faud and abuse as nomoney woud be coming in fomthe goenment.

An oganization founded by ahilathoic couple in Texas caledEcho Cinics (echoclincs.og

has the mission of facilitaing thefounding of 0000 fee clncs bythe yea 030 We look forwado woking with hem hee n They facilitae in identfyng coediectos choosng a fee clinic steesablishing he 1 (c 3 and gongthough he FTCA appicaton

Senato Benie Sandes you haifom the eft whee you oclaima deep concen fo the oo andndeeged So I wold hnkthat ou idea would aeal to you.Geate and moe satisfacoy accessfo the poo to see hysians of eey seciat This is niesaaccess

Senao and Paul as a membeof the Tea aty moemen you

9



hai fom the ight whih belevesn feedom smae govenment

and lowe taxes. Ou plan oughtto appea to you as the fee linis woud opeate with no tax doas atal This is limted govenment

The N state Mediaid budget is 1 0 bllon in a tota state budgetof 28 bllon Haf of that s fo

ndigent edely and half is fo auteae. Of the 5 bilion o auteae 2 biion goes to Mediaidmanaged ae and 800 miion goesto fedeally qualied lns. (datafom statehealthfatsog) Assumngan aveage 20 aministatveost that means a total of 500milion of these two entities spayng administatos of thesystempeople who do not touhthe patients n the N Medaidbdget 90 mllon goes dietlyto physiians. Thee is a bit of adisonnet in ommon sense hee

Sine the Mediad oe is uentlydieting fustated patients to oufee ini why do we need themidde man And why woud weneed Mediaid managed ae f wephysans ae willng to manage theae of the patients fo fee? Who

an ague with fee? Sine the state would not be puhasing medalmalpatie polies the ony ost tothe state taxpaye woud be inuedif an atua lawsut wee bought

Fom the expeiene of the FTAthese wold be ae t does not take

too muh aounting to ealize thatN woud Uikly save 2 biion if this pogam wee implemented andthe 50 states ould save 00 billonpe yea

The fedeal govenment would beabe to lowe its Mediaid spenng

as wel. An added benet wouldbe the edution of the estimated2030 ost of defensive mediineby the edution of unneessaytesting done puely to avet potentialawsuits. This would edue Mediaespending as well anothe 200bilion in savings aoding tostudes done duing the Bushadministation

am not suggestng that wedsmante the Mediaid pogamn one fel swoobut give thepatients in need a hoie f someonends hmself il and with no

insuane and no funds he oud goto a Mediaid ofe and spend timelng out foms whee he might beejeted o he ould go to a neabyfee lini One the wod got outa welstaed fee ini that is openfo many hous a day would be a

huge deteent fom nappopiateuse of the emegeny ooms Alsoeah hospita ould have seveaooms set up whee nonugentases ould be seen by physiians



who woud doate the tme theehe fee s woud ot have to befeestad

Ad stead of hav a ettemetfo what mht be a temoaytouh tme, why ot have a aeto o fo oy the tme that seeded Afte atets have bee heed ad ae ba o he feet, we w eouae those who d

wo to aess ad ay fo ae atou ates ovety shoud e atemoay state, ot a way of fe

We have a websteN]AASohee hysas ad tzes aead about the Vouteehysas oteto At ad s

u to voe the aova. So fa we have 40 hysas who aee whthe oet ad do ot beeve thatstaf these s be dfut.

We have a sema om u extmoth to teah hh eades adoeed tzes how they a

oae ad estabsh a fee the aea. ometmes t s ood toevst deas fom the ast. ovdmeda ae fo he oo andusued s oe of them

hak you fo ths ootuty toaddess ths ommttee

esetfuy submtted,

Aeta , MD

2



22

Trbute to issy Glespy RN

My m D Ait Eck ix yrgo my ub o pyicitrt f ciic p

cuc cog cmpu i x tow v W tougt w poib to c fo t po uiu i wy tt gvt ptit igity d t u ytxpy Vur tppdup o p d of ou riccio w Miy Gp cot mmb ow dbout cc bu dy wut t ki d dctu, ut w w d d up v d g to wok wit c viio f wt w w bout d w tyg t o

w truy god Atoug my ubd d d u pivt pctc fo my y wd v f cic, omuc w ifft Bu mmb



Ti i a ribue o Miy Gillepy RN., our r nue wo

epe in e ealy eabimen of e free cinic Se i

an exaple of e voluneer im a i e ear of i

miniy e ie i 2009 a e age of 42 Ti meage

wa elivee a er funea

Missy being tere just abot eveytime hat was, an she took the oleo hea nuse She ha a winningsmle, a ot o common sense an a

cano attitue She hepe organizethe phamacy an the exam rooms wit us an ust whatever wasnecessay to get a new cinic up anunning

eople who coe to a ree clinc have oten een batere by lie an

who have a ough exero They al have a story Some have just ecentlylost a job but others ae chonicalyunemloye an nee more hansome meicnes an a pat on theback Missy was the type o nuse

who coul be pitive wih anyone

an put tem at ease Missy lovethe Lo an saw the clinc as heission that it was a place wheepeope coul ean tha Go ovethem Our ob was to emonsate

that love an carng

Ater her ca accient a ew yearsback, she cou no longer wok with

us She woul call om time to timeto see how things wee going an togive an upae o her own meicalsituation knew she wante to coeback an he heat was there withus Toay we ae seeing between 300an 00 patients per month

Missy exemplie the vese oun nMatthew 5: 16

et you light so shine beoe menthat they may see your goo woksan goiy you athe in heaven

We are all saene by the passngo Missy Gllespy but we know

that we will see he again someayan we l see people who weetouche by he an met thei Saviothough that little cinic

23



DR. ALiTA ECK MD gu fom h RugsCollg of Phamy i NJ th ouis hool

of Mi i ouis M h sui IlMii Rob Woo ohso ivsiyHospil i Nw Buswi NJ hs b piv pi wih h hsb D. oh E MD fmily p physii i Piswy NJ s988.h si bfo h o Eoomi Comm of

h Cogss i 200 bou b wys o liv hlh i h i s.

J & Aa Eck. MDsFud f

Zaa Hal C

20 sh si bfo subommi o wys o kppis wh oug oos ou of h mgy oom hpp o ug Aw Npoliaos Fo Wh

D s log im mmb of h Chisia Ml Dl Assoiio i 2009 ji h bo of h Assoio of Ami Physiias

ugos bomig h Psi i 20 I io sh svs oh bo of Chisia C Mih fh bs mil os shaigMis

h is mmb o Zphh Chsi Chh sh h husb hv v hi o mil shool i N.

FOR MORE INFORMATION:Zphh Hlh CLoo: 595 Wso Cl R Moula A, os NJ 08873Miig ss P Box 982 Zphh, NJ 08890732-37-0737FAX [email protected]

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