More Street Medicine Teams Tackle The Homeless Health Care Crisis

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Through a series of incentives and regulatory changes, the Health Care Services Department is encouraging Medi-Cal insurers to fund and partner with organizations that bring primary care into encampments.

, heart disease is the second-leading cause of death among people experiencing homelessness, second only to overdoses.— yet in San Francisco, overdoses cause 82% of deaths among the unsheltered.

“People are dying every day,” Galat said. “So we have to try with what we know best in the medical field right now to limit people who are dying.” Take Danny Doran, 56, who visited L.A. County’s mobile clinic at Whittier Narrows Park on a recent Thursday to pick up insulin. He spent his career as a plumber and owned a home in Bishop. Three years ago he fell into a diabetic coma and was hospitalized for months. A friend Doran trusted to pay his bills while he was hospitalized emptied his bank account and disappeared — Doran has been unhoused ever since.

“Until we can end our crisis of homelessness ... we have to find a way to deliver care for people on the streets,” Schneidermann said.Prior to CalAIM and the Health Care Services Department’s rule changes, street medicine programs operated outside of traditional health care, funded by philanthropies or the rare health organization willing to lose money. Now, the department’s changes offer some hope for stability, Feldman said.

 

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