HEALTH CARE:

Increasingly, not just the poor are uninsured

Officials say economic downturn is leaving those in the middle class without insurance

Sam Morris

Theresa and Archie Wolfe pay a visit Friday to a Nevada Health Centers clinic in Henderson, where the uninsured receive affordable medical care.

By Timothy Pratt (contact)

Monday, April 27, 2009 | 2 a.m.

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The free-falling economy is sending many more people to the state’s clinics that treat the uninsured.

Last month, 2,498 patients without health insurance went to the clinics of Nevada Health Centers, a federally funded program that charges on a sliding scale. That’s 52 percent more than in March 2008, when the clinics saw 1,642. If you look at the past six months compared with the previous six months, the increase is less, but still striking: 21.5 percent.

Patricia Durbin, executive director of the Great Basin Primary Care Association, a nonprofit organization that promotes health care for people in need, said she didn’t find those numbers surprising, given double-digit and growing unemployment rates.

At the same time, she said, “some of the demographics are (surprising).”

“It’s no longer just a poor person’s problem,” Durbin said. “The lack of health insurance and affordable health care is affecting more of the middle class.”

At the Eastern Family Medical and Dental Center in Las Vegas on Friday, Archie Wolfe had spent half his day traveling from Pahrump with his wife, Theresa. She has arthritis and back problems. But taking a shuttle that cost Wolfe half a day’s pay was still the best option.

Wolfe, 54, is without health insurance for the first time in his life, four months and counting.

He made the 63-mile trek to the clinic on Eastern Avenue because it was the closest of 29 Nevada Health Centers statewide.

Wolfe said he had worked as a chef for 15 years, most recently at the Millennium Hotel in Anchorage, Alaska, before moving with his wife to Las Vegas last year. He never had to think about finding a doctor who charges on a sliding scale. The couple moved to Las Vegas because they thought the climate would be better for Theresa, and that there would be work for Archie.

But then the local economy shattered. For six months, the couple got help from Clark County Social Service. Wolfe applied for jobs at Wynn, Encore, MGM. “They all said, ‘We’ll call you back.’ ” They didn’t.

A friend told him in January that Irene’s, a casino in Pahrump, was hiring. The couple moved.

But there’s no insurance with the $8-an-hour job.

Others at the clinic Friday also work for hourly wages, but they are earning less than they were six months ago — too little to afford private insurance plans and too much for government assistance.

Sylvia Mijarez considered herself lucky, holding onto her job as a supervisor at Summit Medical after her husband lost his job as an electrician. Mijarez was at the clinic on Eastern for her 4-year-old daughter Lajiyah’s checkup. But she can’t afford to put her husband on her insurance plan.

Andrea Thurman, regional operations director for Nevada Health Centers, says the issue of the uninsured in the valley’s clinics becomes more acute every day.

“It’s a challenge to accommodate the need,” she said.

At the Eastern clinic, up to 45 percent of the patients lack insurance, she said.

Carl Heard, chief medical officer for the program, noted that the federal stimulus dollars now trickling into Nevada include $1 million for Nevada Health Centers.

“It’s a big help,” he said. “But it’s not the solution ... We’re doing everything we can to bring in any resources we can to meet the needs of the population.”

Durbin thinks the state could use at least 20 more clinics from the federally funded program. Facing the likelihood of unmet need, she is worried about the effects on people’s health.

“Uninsured folks are putting primary health care, preventive care and chronic disease management further down the list,” she said. “They’re choosing between groceries and tests.”

“That’s going to show up later in the emergency room when problems become acute,” she said.

“There will be a lot more people without adequate care. People are going to die.”

Discussion: 6 comments so far…

By LasVegas2009

4/27/09 at 7:31 a.m.

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Some more bad news:
Top 5 Most Dangerous Cities:

No. 1 Detroit, Mich.

(Detroit-Livonia-Dearborn, Mich., metropolitan statistical area)

Population: 1,951,186

Violent Crimes per 100,000: 1,220

No. 2 Memphis, Tenn.

(Memphis, Tenn.-Miss.-Ark. metropolitan statistical area)

Population: 1,295,670

Violent Crimes per 100,000: 1,218

No. 3. Miami, Fla.

(Miami-Miami Beach-Kendall, Fla. metropolitan statistical area)

Population: 2,401,971

Violent Crimes per 100,000: 988

No. 4 Las Vegas, Nev.

(Las Vegas-Paradise, Nev., metropolitan statistical area)

Population: 1,834,533

Violent Crimes per 100,000: 887

No. 5 Stockton, Calif.

(Stockton, Calif., metropolitan statistical area)

Population: 684,406

Violent Crimes per 100,000: 885
By afveteran

4/27/09 at 4:07 p.m.

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Moral of the story?
Stay out of the Las Vegas-Paradise corridor.
By afveteran

4/27/09 at 4:10 p.m.

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The story on the Wolfes' predicament places an urgency for the national legislature and the executive branch's need to fix this problem that can consume people and resources, if left untreated.
By carrieon

4/28/09 at 4:02 a.m.

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This story is great news for the consumer. Now, if more people and employers did the same, our health care crises would be resolved.
By smoke14

4/28/09 at 3:08 p.m.

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lets raise taxes some more and borrow more from china to solve this "problem"...isnt that how the current admin. "solves" everything?
By linusstephens

4/29/09 at 9:46 a.m.

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If you agree with the U.S. Chamber of Commerce that the private sector and competitive market forces, not the federal government, are the best means to meeting our country's rapidly expanding health care needs and support their efforts to:

Encourage employers to proactively adapt their health plans to focus on wellness, prevention and chronic disease management. Healthier employees and families will reduce health care spending.

Gain passage of legislation to help businesses provide affordable coverage for employees as health care is a benefit employers want to provide their workers.

Provide consumers with unprecedented access to quality and cost data that they can use to select the health care services that best fit their needs.

Please visit http://www.friendsoftheuschamber.com/tak... and take action!

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