No matter how you feel about the shutdown, the effects on the chronically ill, poor, and others are absolutely terrible: I work for the Indian Health Service on the Navajo reservation. My rural hospital is “essential” and we are still open for business. We are continuing to get paid, although we cannot take sick leave or vacation. It was heartbreaking to see one of our medical records employees coming back into work on Tuesday less than two weeks after having a baby. Like most of our staff, she is Navajo. The unemployment rate on the reservation nears 50%, so anyone with even a low wage job supports many extended family members. She could not afford to take unpaid leave. As much as the shutdown impacts our staff, it hurts our patients more. On October 1st, we got an email stating that we do not have funds to pay for medical care outside of our system. We do not employ cardiologists, oncologists, neurosurgeons, etc. All pending appointments that are not urgently life or limb threatening are cancelled until further notice. Today, October 3, we got another email stating that our pharmacy does not have funds to buy medicines. We are only ordering medications that are “of a life saving and sustaining nature.” We already work hard to keep medication costs low. But now, for just one example, we are no longer able to stock medications to treat rheumatoid arthritis, a disease with particularly high rates in our population. The United States government is bound by treaty to provide health care for Native Americans. The lack of a budget is gravely impacting our ability to honor that that obligation.
Posted on: Fri, 04 Oct 2013 12:43:19 +0000
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