New Mexico, El Centro, Yola New Mexico discussed on ABC Perspective


El Centro, a group of safety net clinics that offer care to all of those who walk through its doors. It is certainly a challenge. Asked up by ABC. And I talked to her about the film. Got you interested in the whole idea of there being and lack of medical facilities doctors in rural communities, so Laura Mico director, and I were both a children of doctors ourselves. So we have a long standing interest in health and healthcare issues, and we were reading in two thousand fourteen about communities that after the passage of the Affordable Care Act. They were still struggling to meet the needs of the communities because there weren't enough doctors. And so we set out on a six month journey of talking to people all around the country involved in rural medicine and primary care and trying to find out what is today's country doctor so to speak look like in rural America, it's face. Seeing so many challenges. I know that a lot of people talk about food desert's in parts of the country where they can't get healthy groceries. They've been talking about now news desert's where you can't get local news. It sounds like you've come up with the same thing when it comes to healthcare and doctors sort of a medical desert for people who are in areas. How far do some people have to drive to find a facility that will help treat? What the have? Yes. So we definitely have discovered medical desert's. We see patients in our clinics that in the film that have to travel an hour to go to their primary care practitioner, and especially when you're looking at communities that are strained financially. That can be a real challenge not just in terms of the cost of the gas to get to the doctor. But also the time taking time from work. And juggling. So many different things tells a little bit about the communities, and then were there any that really stood out to you that this is a real problem in this particular area of the country. So are filmed the providers is set in northern New Mexico in the towns of last Vegas, New Mexico. The other last Vegas and espe- in Yola New Mexico and the clinic that we set the film at El Centro family health. They have a number of sites and they cover over twenty two thousand square miles of northern New Mexico, which is about the size of West Virginia. And so their clinics are really serving a need in the community for healthcare and people otherwise wouldn't be able to access care and. El Centro family health. The clinic where the film is set is a federally qualified health center, and it really serves as the safety net in these small town communities in northern New Mexico. How big a deal is the opioid crisis, and these places the opioid crisis is really damaging communities, and what we've found particularly in northern New Mexico, which actually before the current opioid crisis has a long history of heroin use dating back to the Vietnam war that what we see a lot is intergenerational use and really a cycle of addiction trauma, and poverty and the stories in the film show that healthcare can really be a point of intervention in that. Cycle the doctor in that you profiled in the documentary his father died of an opioid overdose. While you were filming. Yes. So first of all, he's actually not an MD. He's a physician assistant. And so we're seeing in rural America advanced practitioners, so nurse practitioners and physician assistants really becoming the workforce. And yes, over the course of us making the film is father dies of an overdose. Which was absolutely devastating in the film. You also see his sister struggling with addiction repealing the Affordable Care Act is that a big deal to people in these areas. Are they on that kind of healthcare? Do they have their own insurance in New Mexico did expand, Medicaid, and that has really dramatically impacted how many? People can access care in the community. And the clinic that our film is set at the vast majority of the people at the clinic are on Medicaid or Medicare and without that expanded access to Medicaid. They would really be in trouble. Really what we see often in rural communities is practitioners come for a few years, and then leave and that lack of continuity of care is really damaging because patients than don't trust the medical system. Really, those long term relationships are absolutely critical to patients health doesn't sound like people are moving into reviews rural communities drastic pace, but any solutions. Absolutely. So the research shows that the best way to get more healthcare providers into. To rural communities is to grow your own..

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