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¶ … Uninsured on San Francisco
Development of Community Health Support Services
San Francisco has one of the most extensive and successful health support systems for uninsured individuals in any major metropolitan area in the United Stats, and though budgetary concerns are a constant issue for this system and its constituent organizations the increasing numbers of uninsured individuals will likely not cause a major burden to these organizations in the near future (SFFC 2010; SFHP 2010; USCB 1998). Support services will almost certainly develop at a slower rate than during times of economic surplus and overall abundance, and service provision and program development alike will both focus more on general care provision rather than more intensive and long-term preventative care and education campaigns (SFHP 2010; SPUR 2010). These will be the major impacts on health service and support development programs of increasing uninsured citizens in San Francisco.
Communication with Stakeholders
Due to the longstanding nature of the principles, infrastructure, and organizations involved in the provision of health services and support to uninsured and underinsured individuals in San Francisco, it is not expected that increases in the number of uninsured and underinsured citizens in the city will have a major impact...
Government officials and community leaders have well-established communications channels and links and historic events have already shown a large measure of flexibility in communications capacities for these systems (USCB 1998; OLSE 2010).
Impact on San Francisco Free Clinic
As a major neighborhood provider of medical services to the uninsured and underinsured, the San Francisco Free Clinic has experienced a definite downturn in its financial statements in terms of the level of reimbursement for its costs as numbers of uninsured rose in the past three to five years (SFFC 2010; SPUR 2010). The clinic is still able to provide services to most individuals that seek medical assistance there, but without receiving funding increases the level of reimbursement per-procedure and per-patient has definitely been reduced (SFFC 2010). This has made operations somewhat more difficult, especially as resources become more difficult to obtain and other overhead expenses have been rising, but due to city support there is also no great fear concerning future stability or security (SFFC 2010; SFHP 2010).
Future Risks
This does not mean that a continued rise in the number of uninsured and underinsured individuals in San Francisco would not have an adverse effect on the San…
References
OLSE. (2010). Office of Labor Standards and Enforcement. Accessed 29 November 2010. http://www.sfgsa.org/index.aspx?page=391
SFFC. (2010). San Francisco Free Clinic. Accessed 29 November 2010. http://www.sffc.org/
SFHP. (2010). San Francisco Health Plan. Accessed 29 November 2010. http://www.sfhp.org/about_us/inside_sfhp/demographics/who_are_working_uninsured.aspx
SPUR. (2010). A healthier San Francisco. San Francisco Planning and Urban Research Association. Accessed 29 November 2010. http://www.spur.org/publications/library/article/healthier_san_francisco
UCSB. (1998). State and Metropolitan Area Data Book. U.S. Census Bureau. Accessed 29 November 2010. http://www.census.gov/prod/3/98pubs/smadb-97.pdf
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