safety net

California 'Safety-Net' Hospitals at Risk Amidst Health System Changes

Mar 17, 2015
Andrew Nixon / Capital Public Radio

Throughout California, many hospitals that serve mostly low-income patients face financial strains. And as Health Care Reporter Pauline Bartolone in Sacramento found, changes in the health care system are making the problems even worse.

Safety-net hospitals serve a higher percentage of the uninsured, and low-income patients who have Medi-Cal. Jan Emerson-Shea with the California Hospital Association says these hospitals often don't have enough patients with higher-paying commercial insurance to offset losses.

Community Hospitals / UCSF Fresno

The Fresno County Board of Supervisors voted today to end specialty health care services to its undocumented residents and took a step to end its contract for medical services for the poor.

The county took advantage of a recent court ruling to exclude undocumented residents from the program. The change would take effect December 1.

In a majority vote, the county also took a step to end its long running contract with Community Regional Medical Center for its indigent population.

Diana Aguilera / Valley Public Radio

Juana Paredes is a farmworker who lives in Fresno. A couple days ago, she took her daughter and niece with her to the Mosqueda Community Center and joined others in a rally to stop Fresno County from dismantling a program that offers health care to undocumented residents.

Sitting in the front row, Paredes says she showed up because she has a clear message to Fresno County— continue health care services for the undocumented.