When any patient of any illness or any injury gets to the point with that medical condition where they want care by a professional medical provider they go to the appropriate place. They make an appointment with their primary care physician or go to the local emergency room. With a sudden severe cut or unexpected fall or traffic accident they will, out of something resembling a knee jerk reaction, go to the local emergency room.
An unexplainable severe pain in any part of the body or symptoms of a cold or virus will send them with little thought to the same or to their primary care physician.
Far more often than not, they will be greeted with dignity and respect as they arrive and go through the health care receiving process. The medical providers will do what they do so well as they begin to provide healing to their patient.
For some of these patients, the need for medical care is noticeable but not so severe that they go immediately for that care. The medical situation builds with time and eventually, the pain is severe enough that the patient goes to the appropriate facility.
This second category of patient more accurately describes the plight of the person of Substance Use Disorder combined with homelessness. At first, the pain of the situation is not severe enough to knee jerk them to the emergency room. Eventually, pain builds to the point when it's time to seek care.
With every ounce of their soul's determination, this human being makes their way to the local crisis center and not the local emergency room. I have provided two blogs that clearly show what people go through in this Medicaid required process:
Why is one of my loved ones from the streets of Kensington having to go back to a crisis center for the third consecutive day so as to MAYBE be admitted to a detox unit that accepts Medicaid patients?
The bottom line is this:
The patient with a sudden cut, unexpected fall, traffic accident, cold, virus, or Substance Use Disorder, immediately or eventually are all patients of people who have vowed their professions to the ideals of Hippocrates.
No system of health care provision is perfect and every process of health care provision warrants self-examination and improvement of the identifiable weak areas within existing processes.
Medicaid reliant street residing patients of Substance Use Disorder have clearly expressed their concerns regarding the failures of the system in which they are required to seek care. Undignified environments and unreasonable wait times combined with an absence of comfort care during that wait lead to giving up on receiving care, seeking their own comfort care and for some, overdosing and dying before they build up again enough soul determination to enter the Medicaid required process one more time.
With every ounce of their soul's determination, these patients have decided to seek care for their condition. It is not the place of representatives of Hippocrates to institute additional obstacles to receiving that care. It is the privilege of these providers to welcome and encourage and to celebrate this moment of desired care and to connect in a healthful way with these human beings who are worthy of dignity, honor, respect, and love.
The representatives of Hippocrates within this Medicaid health care system required of street bound Substance Use Disorder patients MUST review their processes of health care provision! They can seek the input of these patients, make corrections, and improve their processes. In so doing, much of this crisis of mind-blowing and staggering unnecessary suffering and overdose and death will be eliminated.