South Florida Doctor Cares For The Uninsured

Attached some bad and good news regarding the situation of the Uninsured in Florida.

Whats the BAD news?

The Miami Herald today reported that according to recent Census Bureau report more than five million Floridians were uninsured for at least a month during 2007 and 2008.

That works out to 38.1 percent of residents under 65. Almost four out of five of those were uninsured for six months or more, the report said.

Those figures reveal that Florida is slightly worse than the national average of 33.1 percent uninsured at some point during 2007 and 2008.

Other information from the study about Florida:

• More than four out of five uninsured Floridians, or 80.8 percent, were in working families.''

• More than three-fifths, or 60.7 percent, were individuals or families with incomes below twice the poverty line -- $42,400 of annual income for a family of four.''

Hispanics and African Americans were much more likely to be uninsured than non-Hispanic whites: 54.4 percent of Hispanics, 42.5 percent of African Americans, compared to 30.2 percent of non-Hispanic whites.

The study was based on the most recent Census Bureau reports and the Agency for Health Care Research and Quality.

Whats the GOOD news?

Some doctors are doing something about it and one of them, a South Miami radiologist, was featured in the Miami Herald.
Congratulation Dr. Kallos and we should honor her as an outstanding doctor and humanist.

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Posted on Thu, Mar. 19, 2009
South Florida doctors offer options for uninsured

BY JOHN DORSCHNER
With the number of uninsured rising daily, a prominent South Miami radiologist is offering free mammogram screenings for women who have lost their jobs and health insurance.
''In the spirit of Barack Obama, we need to volunteer to help our country,'' said Nilza Kallos, who operates the Breast Health Center and Diagnostic Ultrasound.

She challenged other physicians to make similar offers. ''This could be like an invitation to other doctors to step up,'' she said.

``I've heard surgeons say they don't have enough work. Well, how about helping those who need help?''

Kallos' offer comes as many financially pressed patients are curtailing care because they can't afford it. Some are insured and can't even afford the co-payments. Few doctors in South Florida are matching Kallos' free offer, but many in Broward and Miami-Dade are offering discounts to those who need them.

''The situation has reached the crisis stage,'' says Bernd Wollschlaeger, a North Miami Beach physician and president of the Dade County Medical Association.

``I think we need to do something.''

He says he and others are lowering their prices for their uninsured patients or giving them other help if they can't afford to pay. ''If you donate some of your time, it comes back to help you,'' because patients will remember helpful doctors when the economy improves.

Tony Prieto, president of the Broward County Medical Association, said in a statement: ``Patients need to understand that doctors have bills to pay, staff salaries, and office expenses, but we are compassionate, reasonable people who want to help our patients.

``Patients who have lost their insurance should know that most doctors are willing to work with their patients, set up payment plans and give cash discounts so that the patients can still have access to care.''

Those doctors include Barbara Martin, a Tamarac internist. ''In my office we are not charging for any visits to patients who are in bad situations,'' Martin wrote in an e-mail. ``Also we are trying to get them medications that they can afford at Wal-Mart, and samples at the office.''

''I would be happy to offer services discounted to anyone who has lost a job,'' wrote Richard Rubenstein, a Tamarac dermatologist, in an e-mail.

Some doctors note they have always offered help to the uninsured.

Alan Routman, a Fort Lauderdale orthopedic surgeon, said: ``I've been giving patients without insurance 30 percent discounts for cash or credit-card payments forever.''

The burden of more people seeking cheaper healthcare often falls on publicly-funded health centers, who take all patients regardless of whether they have insurance. Jennifer Capezzuti, a primary care doctor at Broward Health, notes that she has been spending ``excessive amounts of time evaluating patient's prescriptions and switching to generic alternatives.''

At the Breast Center in South Miami, Kallos has long been known as a doctor who reached out to help the community.

In 2008, she was honored as a ''Woman of Vision'' by the American Committee for the Weizmann Institute of Science.

''The worst thing,'' Kallos said, 'is when I hear a woman say, `Oh, I lost my job and my insurance. I'll skip my mammogram this year.' Well, this could cost her a life,'' if a cancer went untreated for a year.

Kallos said she might have to spread out the appointments over time if she is inundated by request for free services.

''If it's a regular mammogram, it can wait a little bit. But if she says she has a lump, we'll do that right away,'' she said.



Edited and Published by

Berdn Wollschlaeger,MD,FAAFP,FASAM
President,Dade County Medical Association