>> LIVE FROM YOUR PUBLIC STUDIOS, WV IA PRESENTS KEYSTONE ADDITION HEALTH -- EDITION HEALTH.

>> GOOD EVENING, AND WELCOME TO KEYSTONE EDITION HEALTH.

WE ALL NEED A TRIP TO THE DOCTOR, BUT HAS DISTANCE OR TRANSPORTATION EVER PREVENTED YOU FROM GETTING CARE?

THERE ARE BARRIERS TO CARE PARTICULARLY IN RURAL AREAS.

TONIGHT, OUR PANEL WILL DISCUSS THESE BARRIERS AND WHAT THEY ARE DOING TO MAKE HEALTH CARE MORE AVAILABLE.

IF YOU HAVE A QUESTION, CALL, EMAIL, OR USE SOCIAL MEDIA.

FIRST, LET'S HEAR FROM WVIA.

>> HEALTH EXPERTS HAVE STATED THAT IN AN IDEAL WORLD, RESIDENTS SHOULD HAVE CONVENIENT AND TIMELY ACCESS TO EMERGENCY CARE AND PUBLIC HEALTH SERVICES, BUT THIS IS NOT ALWAYS POSSIBLE.

THE OFFICE OF PREVENTION REPORTED IN 2020 THAT ONE IN FOUR AMERICANS DID NOT HAVE A HEALTH CENTER WHERE THEY COULD RECEIVE MEDICAL SERVICES.

IN RURAL AREAS, RESIDENTS MAY DELAY CARE DUE TO A LACK OF TRANSPORTATION.

BUT THESE BARRIERS TO CARE CAN ALSO EXIST IN MORE METROPOLITAN AREAS AS WELL.

ORGANIZATIONS ARE WORKING IN NORTHEAST PENNSYLVANIA TO BREAK DOWN THE BARRIERS BETWEEN PEOPLE AND MEDICAL CARE.

I AM PAUL GOSAR -- LAZAR FOR KEYSTONE EDITION HEALTH.

TONYEHN: TONIGHT, I WOULD LIKE TO WELCOME OUR GUESTS.

KELLY IS THE SECOND OF DIRECTOR OF VOLUNTEER MEDICINE IN LOOKS VERY.

IN JOINING US FROM ZOOM IS THE EXECUTIVE DIRECTOR OF COLUMBIA COUNTY VOLUNTEERS AND MEDICINE.

THANK YOU FOR JOINING US.

IF YOU HAVE A QUESTION FOR ONE OF OUR GUESTS, CALL THIS NUMBER.

THANK YOU ALL FOR JOINING US THIS EVENING.

ACCESS TO HEALTH CARE IS NOT SOMETHING THAT ANY OF US HERE TEND TO THINK ABOUT AS SOMETHING THAT MAY PRESENT OBSTACLES, BUT FOR A VAST MAJORITY OF PEOPLE, IT IS.

SO I AM EXCITED TO HEAR HOW YOU ARE IMPROVING ACCESS TO CARE.

I WILL START WITH YOU.

CAN YOU TELL US MORE ABOUT THE VOLUNTEERS IN MEDICINE NETWORK BEFORE WE GET INTO THE INTRICACIES OF YOUR LOCATION?

>> WE ARE A VOLUNTEER INITIATIVE.

WE ARE NOT A FRANCHISE.

THEY ARE ALL RUN AND OPERATED ON THEIR OWN AND IT IS BASED ON COMMUNITY NEEDS.

VOLUNTEER MEDICINE AND WOKE SPIRA -- IN WILKESBORO STARTED IN 2008 TO PROVIDE HEALTH SERVICES TO LOW INCOME, WORKING FAMILIES.

TONYEHN: YOU ARE ALSO A PART OF THE VOLUNTEERS IN MEDICINE NETWORK >> CAN YOU TELL US ABOUT WHAT A TYPICAL DAY LOOKS LIKE FOR YOU AND ARE MOST OF YOUR PATIENTS SEEKING PRIMARY CARE?

>> WE OFTEN SEE PATIENTS ON MONDAY MORNING OR IN THE EVENING.

THAT WAY PATIENTS WHO WORK IN THE MORNING CAN ACCESS OUR CARE IN THE EVENING.

VISITS CAN RANGE FROM A SIMPLE DRIVER'S LICENSE EXAM, JOB PHYSICALS, AND EVEN MORE COMPLICATED VISITS SUCH AS MANAGEMENT OF CHRONIC DISEASES.

TONYEHN: FRANK, YOU DO HOUSE CALLS AND THOSE HAVE THEIR OWN BARRIERS.

HOW LONG HAVE YOU BEEN DOING THIS AND HAVE YOU SEEN THE NEED FOR HOUSECALLS INCREASE?

6 I -- >> I HAVE BEEN DOING HOUSECALLS FOR YEARS AND YES I HAVE SEEN THE NEED INCREASE.

IN SUSQUEHANNA COUNTY, I'M SEEING 10% OF PATIENTS BECAUSE PEOPLE DON'T KNOW IF THERE ARE OTHER BARRIERS FOR THEM.

I'M PAST THE AGE OF 70 AND WILL START WORKING 60 HOURS A WEEK ANYWAY.

THERE IS DEFINITELY A FAR GREATER NEED FOR HOUSECALLS THAN THE SUPPLY.

TONYEHN: HOW DOES ONE BECOME ELIGIBLE FOR CARE?

>> WE PROVIDE FREE SERVICES TO THOSE WHO WORK, OUR UNEMPLOYMENT, OR ARE ACTIVELY WORKING AND HAVE A HOUSEHOLD INCOME AT OR BELOW FEDERAL POVERTY GUIDELINES AND ARE UNINSURED.

WE DO SCREENING, THEY DO HAVE TO SHOW PROOF OF THEIR HOUSEHOLD INCOME, AND IT IS FOR PEOPLE WHO WORK A LITTLE MORE THAN ALLOWS THEM TO BE ON MEDICAID AND THE FOCUS IS ABOUT PROVIDING HOUSING AND FOOD FOR THE FAMILIES.

TONYEHN: ABOUT HOW MANY PATIENTS WOULD YOU SAY YOU HAVE?

>> ON AN ANNUAL BASIS, WE HAVE ABOUT 2500 PATIENTS A YEAR.

TONYEHN: WHEN PEOPLE COME TO YOUR PRACTICE, HOW DO YOU MAKE THEM FEEL COMFORTABLE?

I WOULD IMAGINE PEOPLE FEEL SOMETIMES THEY ARE NOT GETTING REAL CARE OR FEEL APPREHENSIVE ABOUT VISITING THEIR POSITIONS.

>> IT STARTS WITH PROVIDING THE BEST POSSIBLE EXPERIENCE THAT WE CAN DELIVER.

FROM THE TIME THEY CHECK-IN FROM THE TIME TO CHECK OUT.

ALSO BY LISTENING TO THEM, NOT JUDGING THEM.

WE DO HAVE A UNIQUE SET OF PATIENTS WHO WORK AT DIFFERENT JOBS SO WE NEED TO BE FLEXIBLE ABOUT THEIR SCHEDULES.

WE WANT THEM TO FEEL SAFE.

WE DON'T LOOK AT IMMIGRATION STATUS, WE DON'T REPORT ANYTHING.

AS FAR AS MAKING THEM FEEL SAFE AND WELCOME IN THE ATMOSPHERE OF THE PANDEMIC, IT HAS BECOME A WHOLE NEW DIFFERENT BALLGAME.

I KNOW A LOT OF PATIENTS SHOW APPREHENSION ABOUT WANTING TO VISIT US BUT WE TRY TO MAKE THEM FIELD -- MAKE THEM FEEL SECURE WE ARE ABIDING BY ALL CDC GUIDELINES AND HAVE INSTALLED AIR FILTRATION SYSTEMS IN ORDER TO MAKE SURE THEY UNDERSTAND WE ARE DOING EVERYTHING THEY CAN TO MAKE SURE THEY ARE SAFE.

TONYEHN: IMMIGRATION STATUS IS NOT SOMETHING I EVER THOUGHT ABOUT THAT SOMEONE MIGHT VIEW YOU AS A BARRIER TO CARE.

WHAT PERCENTAGE OF PATIENTS WOULD YOU SAY ARE IMMIGRANTS?

>> 20%, 25%.

TONYEHN: THAT'S QUITE A FEW.

WHEN YOU ARE IN A TRADITIONAL OFFICE SETTING, YOU NORMALLY CANNOT SPEND THAT MUCH TIME WITH YOUR PATIENTS.

AS A HOME CARE PROVIDER, WOULD YOU SAY YOU HAVE THE OPPORTUNITY TO SPEND MORE TIME WITH PATIENTS , AND BECAUSE YOU ARE IN THEIR HOME, YOU MIGHT BE ABLE TO ADDRESS OTHER THINGS ABOUT THE WAY THEY LIVE?

>> ONE OF THE BIG BENEFITS IS YOU ARE EXACTLY RIGHT.

YOU MIGHT SEE THERE ARE ONLY THREE ROOMS IN THE WHOLE HOUSE THAT KIND OF OPENS YOUR EYES TO WHAT ELSE YOU NEED TO ADDRESS.

I DO THAT ALL THE TIME.

THERE ARE GOOD REASONS FOR THAT.

THE WAY MEDICINE IS DRIVEN, YOUR DOCTOR HAS A RECEPTIONIST AND A CLERK AND A NURSE AND I DON'T.

I DON'T HAVE A NURSE WITH ME AND A BILLING CLERK.

THEY COVER THE MALPRACTICE.

SO WHEN I AM OUT THERE DON'T HAVE TO SEE FOR PATIENTS AND OUR , I JUST HAVE TO SEE ENOUGH PATIENTS TO TAKE PROPER CARE OF THEM.

SO I DO GET A CHANCE WITH THEM AND I TELL A FEW JOKES AND ASK A FEW QUESTIONS I OTHERWISE WOULD NOT BE ABLE TO ASK AND THE OTHER FAMILY MEMBERS CAN WANDER IN AND OUT AND THROW IN THEIR TWO BITS.

IT MAKES FOR A MORE COMPLETE LEVEL OF CARE WHICH FOR HOUSECALL PATIENTS IS GENERALLY NEEDED.

BY THE TIME YOU ARE SICK ENOUGH TO BE HOMEBOUND, YOU ARE SICK ENOUGH TO NEED MORE THAN A 10 MINUTE VISIT.

TONYEHN: SO NONE OF YOUR PATIENTS CHOOSE TO BE SEEN AT HOME OR MAY JUST BE HOMEBOUND.

>> I HAVE GOT A FEW OF THOSE.

I HAVE A FEW WHERE I PROVIDE SERVICES THEY WOULD NOT GET IF THEY DID GO BACK.

I DO A LOT OF CORTISONE SHOTS FOR EXAMPLE.

SO I HAVE PATIENTS WHO KIND OF STICK BY ME EVEN THOUGH I HAVE THEM WELL ENOUGH THAT THEY COULD GET BACK TO THE OFFICE IF THEY WANTED TO.

TONYEHN: DO YOU BELIEVE THAT IF MORE PHYSICIANS WERE TO TURN TO HOME HEALTH CARE, MAYBE WE COULD LOWER THE COST OF HEALTH CARE?

>> ONCE AGAIN, THAT'S A DIFFICULT THING TO DO.

IF YOU ARE LOCKED INTO A PRACTICE SITUATION, YOU CAN'T BREAK EVEN MAKING HOUSECALLS.

I USED TO DO THAT YEARS AND YEARS AGO.

ONCE I GOT A PHONE CALL FROM MY WIFE TO SEE IF WE HAD ENOUGH MONEY TO GET OUR HAIR DONE AT WHICH POINT I DECIDED IT WAS TIME TO GO BACK TO THE EMERGENCY ROOM.

THAT WAS DOING FULL-TIME HOUSE CALLS ON MY OWN.

WITH THE BACKING OF A HOSPITAL, IT MAKES IT FEASIBLE TO MAKE A REASONABLE LIVING.

YOU WILL NEVER GET RICH MAKING HOUSECALLS BUT WE HAVE SOME KIND OF GROUP OF DOCTORS WHO ARE OTHERWISE RETIRED.

THAT WOULD WORK OUT.

BUT A GUY WHO IS TRYING TO MAKE AN OFFICE WORK, UNLESS THEY ARE MAKING CALLS OFF OF OFFICE TIME, HE IS LOSING MONEY WHILE OUT OF THE OFFICE.

TONYEHN: A LOT OF THE TIME, POVERTY CAN BE PERSONALIZED SO THERE IS A SENSE OF SHAME INVOLVED.

DO YOU FIND YOU HAVE PATIENTS WHO HAVE MAYBE AVOIDED CARE BECAUSE THEY ARE ASHAMED OF THE POINT THEY HAVE GOTTEN TO, AND HOW THEY REACT WHEN THEY FINALLY HAVE THE OPPORTUNITY TO COME AND SEE YOU?

>> I AM JUST THINKING.

I HAD THE WHOLE THING IN MY HEAD.

TONYEHN: THAT'S OK. WE CAN COME BACK TO YOU.

I KNOW SOME OF YOUR PATIENTS ARE PROBABLY HAVING ISSUES WITH ACCESS TO FOOD, MAYBE JOB-TRAINING.

DO YOU HELP WITH THAT OR DO YOU HAVE RESOURCES YOU PROVIDE TO THEM?

>> WE IMPLEMENTED A BEHAVIORAL HEALTH SERVICE PROGRAM.

WE HAVE A FULL-TIME PRACTITIONER ON STAFF THAT THEY PROVIDE COUNSELING EVALUATIONS AND WE CAN PROVIDE PSYCH MEDS AS WELL.

ONE OF OUR KEY PROGRAMS IS OUR HEALTH EQUITY PROGRAM.

THE FOUR MAIN CATEGORIES ARE TRANSPORTATION, HOUSING, FOOD, AND A JOB.

SO WE'VE HAD A FUNDRAISER WHERE WE PURCHASE PUBLIC TRANSPORTATION VENTURES.

WE HELP PATIENTS WITH RESUMES, WE DO PROVIDE FOOD TO OUR PATIENTS.

WE FORGOT THAT SOCIAL DETERMINANTS OF HEALTH BECAUSE SO MUCH ISSUES -- SO MANY ISSUES FOR THE HEALTH OF THE PATIENTS.

TONYEHN: YOU MENTIONED PRESCRIPTIONS.

IS THIS SOMETHING YOU PROVIDE OR DO YOUR PATIENTS HAVE TO GO TO THE PHARMACY?

>> WE DO HAVE A LARGE MEDICINE CLOSET, SO WE DO SEND MEDICATION FREE TO PATIENTS.

WE ALSO WORK WITH A LOCAL PHARMACY THAT PROVIDES DISCOUNTED PRICES AND WE HAVE A PHARMACIST ON STAFF SO SHE IS ABLE TO GET INSULIN THROUGH THE PHARMACEUTICAL COMPANIES.

WE DO PROVIDE FREE MEDICATION TO OUR PATIENTS.

>> A LITTLE WHILE AGO, WE WERE TALKING ABOUT THE PERCENTAGE OF IMMIGRANT PATIENTS THAT YOU HAVE.

DO YOU EVER FIND THE NEED FOR A TRANSLATOR?

I WAS RECENTLY AT A PT APPOINTMENT AND THEY HAD SOMEONE ON THE PHONE SPEAKING TO A WOMAN FROM THE PAUL.

IS THIS -- NEPAL.

IS THIS ANYTHING YOU HAVE TO DEAL WITH?

>> ABSOLUTELY.

ABOUT 20% OF OUR POPULATION IS HISPANIC AND WE ARE FORTUNATE ENOUGH TO HAVE TWO STAFF MEMBERS WHO ARE QUITE FLUENT IN SPANISH AND IT REALLY HELPS.

I CAN ACTUALLY SPEAK HINDI AND PUNJABI.

WE ARE VERY LUCKY THAT OUR ADMINISTRATIVE ASSISTANT AS WELL AS RECEPTIONIST CAN SPEAK FLUENTLY.

IT'S IMPORTANT WE COMMUNICATE.

WITH THAT -- WITHOUT THAT, WE WOULD BE RELYING ON THE GOOGLE TRANSLATE.

TONYEHN: THAT WOULD BE A LITTLE BIT DIFFICULT WHEN TALKING ABOUT MEDICAL ISSUES.

FRANK, I CAN'T HELP BUT THINK, DO YOU SOMETIMES EVER WONDER ABOUT SECURITY WHEN GOING INTO SOMEONE'S HOME?

MAYBE YOU DON'T SEE PATIENTS BEFORE, BUT IF YOU DO, IS THAT A CONCERN?

>> I DON'T.

I THINK THE REASON IS MOST OF MY PATIENTS ARE REFERRED BY OTHERS AT THE HOSPITAL.

WHEN I WAS MAKING HOUSECALLS BACK IN THE LOOKS VERY AREA 25 YEARS AGO, I WORRIED ABOUT IT A LITTLE BIT AT FIRST.

BUT I ALWAYS HAD PHONE CONTACT WITH THE PATIENTS FIRST AND I HAVE TO TELL YOU THAT BEFORE I WAS ON THE PHONE WITH A PERSON, I WAS NOT WORRIED.

IT'S CHANGED AND THERE MIGHT BE A FEW AREAS I WORRY ABOUT, BUT BACK THEN I WENT WHEREVER I WANTED AND DID NOT WORRY ABOUT IT.

TONYEHN: IT HAS BEEN PROVEN THAT A ZIP CODE CAN BE MORE DETERMINANT OF HEALTH THAN SOMEONE'S GENETIC CODE.

WOULD YOU SAY A LOT OF YOUR CLIENTS COME FROM THE SAME COMMUNITIES AND IS THAT BECAUSE OF WORD OF MOUTH?

>> WE SURVEY QUITE OFTEN TO MAKE SURE WE ARE PROVIDING PASSIONATE QUALITY CARE.

YES, THE MOST RECENT SURVEY DID SHOW OUR PATIENTS ARE FINDING US MAINLY THROUGH WORD OF MOUTH.

ANY ARE COMING TO THE WILKES-BARRE ZIP CODE -- WILKESBORO ZIP CODE.

SO YEAH, WORD-OF-MOUTH.

TONYEHN: WOULD YOU SAY YOU HAVE THE ABILITY TO TAKE MORE PATIENTS?

HOW MANY ARE YOU SEEING A DAY?

AND ALSO, HOW CAN WE GET OUR COMMUNITY STAKEHOLDERS TO LET THEM KNOW YOU ARE THERE PROVIDING SERVICES?

>> DUE TO THE PANDEMIC, A LOT OF OUR PATIENT VOLUMES HAVE DECREASED.

IT IS SOMETHING YOU WOULD THINK IS THE OPPOSITE, BUT BECAUSE OF THE PANDEMIC, THERE IS A LOT OF HESITANCY TO SEEK MEDICAL APPOINTMENTS.

THAT IS COMMONPLACE AT EVEN MAJOR HEALTH CARE CENTERS.

IT IS VERY IMPORTANT TO INVOLVE A LOT OF OUR COMMUNITY ORGANIZATIONS.

THEY ARE DISCUSSING TREATMENT OPTIONS AND RESOURCES AVAILABLE IN THE COMMUNITY.

IT'S ALL ABOUT FINANCIAL SUPPORT, HAVING A GREAT PARTNERSHIP.

THEY BELIEVE IN THE MISSION AS MUCH AS WE DO, AND THEY BELIEVE THAT WE FORM PARTNERSHIPS WITH THESE ORGANIZATIONS JUST TO MAKE MORE PEOPLE AWARE OF OUR ROLE IN THE HEALTH CARE SECTOR.

TONYEHN: WHY DO YOU THINK IT HAS BEEN SO HARD TO ADVANCE HEALTH EQUITY IN THE U.S. AND THE BELIEVE THAT PUBLIC HEALTH SHOULD PLAY A STRONGER ROLE?

>> HEALTH EQUITY IS ALWAYS A FASCINATING QUESTION.

I SPENT 40 YEARS IN THE EMERGENCY ROOM, WE DID NOT SEE A PROBLEM THERE.

THE REASON WAS YOU TAKE EVERYBODY THAT SHOWS UP WHETHER THEY HAVE A NICKEL OR $6 MILLION.

SO I HAVE KIND OF A SKEWED PERSPECTIVE ON THAT.

I KNOW THERE ARE OTHER PARTS OF THE WORLD WHERE WHO YOU ARE AND WHAT TYPE OF INSURANCE YOU HAVE MAKES IT BIG DIFFERENCE.

BUT WHEN I'M MAKING MY HEALTH GOALS, I DON'T WORRY ABOUT WHAT INSURANCE PEOPLE HAVE.

SO I AM PROBABLY NOT THE RIGHT GUY TO ASK ABOUT THAT.

TONYEHN: KELLY, YOU MENTIONED YOU GET QUITE A BIT OF FOUND -- THEY MENTIONED THEY GET QUITE A BIT OF FOUNDATION SUPPORT.

I IMAGINE YOU DO AS WELL.

HOW MANY STAFF MEMBERS DO YOU HAVE IN COMPARISON TO VOLUNTEERS AND DO YOU HAVE AN EQUAL NUMBER OF PHYSICIANS AND DENTISTS OR IS ONE SPECIALTY MORE LIKELY TO VOLUNTEER THAN THE OTHER?

>> WE OPERATE PRIMARILY WITH GRANTS FROM FOUNDATIONS, DONATIONS, AND PROCEEDS FROM SPECIAL EVENTS.

WE ALSO PRIMARILY OPERATE WITH VOLUNTEERS.

THE ARE AMAZING, WE HAVE 150 CORE VOLUNTEERS AND SOME HAVE BEEN WITH US FOR YEARS.

AFTER BEING ESTABLISHED FOR 13 YEARS, WE DO HAVE FIVE FULL-TIME PAID POSITIONS.

BUT AS FAR AS A PATIENT NEEDING MEDICAL CARE, WE CAN REALLY GET THEM IN THE NEXT DAY THEY CALL.

THE CLINIC IS BACKED UP AND THE NEED IS EXTREME.

WE HAVE A GREAT GROUP OF VOLUNTEERS BUT WE ARE ALWAYS LOOKING FOR MORE.

TONYEHN: YOU ALSO HAVE FULL-TIME STAFF IN YOUR VOLUNTEERS.

IF YOU DON'T HAVE SPECIALISTS OR DENTISTS ON SITE WHAT DO YOU DO FOR THE PATIENTS?

>> IF IT REQUIRES A REFERRAL, WE HAVE A GREAT RELATIONSHIP WITH PEOPLE IN THE HEALTH CENTER.

THE SERVICES ARE USUALLY PROVIDED FREE OF COST.

THERE IS NO COST TO OUR CLINIC OR TO THE PATIENT AS WELL AS THEY ALSO PROVIDE FREE LABORATORY TESTING AND IMAGING.

WE ARE VERY FORTUNATE TO HAVE THAT RELATIONSHIP WITH OUR LOCAL HEALTH CENTER.

TONYEHN: I KNOW THAT WITH COVID-19, A NUMBER OF TRADITIONAL PHYSICIANS IN OFFICE TRANSITIONED TO TELEMEDICINE.

DID IT AFFECT HOW YOUR VISITING PATIENTS BEHAVE?

>> IT DID AFFECT IT AND IT WAS A TRANSITION.

I HAD PATIENTS WHO WOULD DO TELEHEALTH AND THE ENTIRE HOSPITAL TRANSITIONED THE SAME WAY.

THERE WERE SOME WHO JUST WE THOUGHT SHOULD NOT COME IN AND WE WOULD DO TELEHEALTH.

AND THEN AS OUR STAFF BECAME MORE VACCINATED, I BELIEVE EVERYONE IS VACCINATED AT THE CLINIC AREA AND THEN THE PATIENTS STARTED COMING BACK IN AND OUT THERE IS A VACCINATION CENTER ON THE CLINIC SIDE AS WELL.

I THINK MOST OF THE PATIENTS OVER 65 WHO HAVE BEEN VACCINATED HAVE ALREADY BEEN AND WE ARE WORKING ON OTHER GROUPS.

THE CLINICS ARE MORE OPEN THAN WE WERE.

THEY ARE RELUCTANT TO COME IN AND DO TELEHEALTH SERVICE AND A LOT OF THAT WAS DRIVEN MORE BY PATIENT ANXIETY THEREBY A TRUE ISSUE IN THE CLINIC.

-- THEY ON BY -- THAN BY A TRUE ISSUE IN THE CLINIC.

TONYEHN: IS IT HERE TO STAY?

>> IT IS A SIDE BENEFIT OF COVID.

THERE ARE PATIENTS WHO ARE IN MORE THAN THEY WOULD HAVE BEEN BECAUSE THEY DID NOT WANT TO LEAVE HOME AND YOU ARE IN TOUCH NOW.

I HAD PATIENTS WHO DON'T WANT TO BE SEEN AND I'M ABLE TO GUIDE THEM THROUGH THE PHONE AND OTHERWISE THEY WOULD NOT BE SEEN IN YEARS.

IT HAS BEEN AN ADVANCE IN SOME WAYS AND HAVING SAID THAT, THERE ARE JUST SOME THINGS YOU CAN'T SEE OVER THE PHONE.

THE PATIENT MAKES A FUNNY EXPRESSION, YOU ARE GOING TO MISS THAT.

THERE ARE IN MANY SITUATIONS SIGNIFICANT ADVANTAGES OVER THE OTHER OPTIONS.

TONYEHN: WHAT GIVES YOU HOPE ABOUT THE WORK THAT YOU DO AND WHAT GETS YOU UP EVERY DAY TO DO THIS WORK?

>> WE RECEIVED OUR HOME SERVICE NOTIFICATION AND THAT THERE ARE ONLY SIX FREE CLINICS OUT OF 13 IN THE NATION THAT HAVE THAT CERTIFICATION SO WE ARE VERY PROUD TO PROVIDE COMPREHENSIVE CARE.

I KNOW THAT THE SERVICES WE PROVIDE AT NO CHARGE ARE REALLY UNATTAINABLE TO OUR LOW INCOME PATIENTS.

THEY WOULD NOT BE ABLE TO AFFORD IT OUT OF POCKET AND THEY OBVIOUSLY CANNOT AFFORD INSURANCE.

I AM CONFIDENT WE ARE DOING OUR BEST TO KEEP OUR COMMUNITY HEALTHY AND WORKING.

TONYEHN: BEFORE WE CLOSE, IS THERE ANYTHING YOU WOULD LIKE TO SHARE WITH OUR VIEWERS ABOUT HOW THEY CAN HELP YOU AND YOUR LOCATION?

>> I THINK THAT WHAT WE CAN DO, I'M LOSING MY TRAIN OF THOUGHT.

TONYEHN: THAT'S OK. YOU CAN TELL US HOW VOLUNTEERS CAN CONTACT YOU.

>> IF YOU WANT TO BECOME A PATIENT OF OURS AND YOU LIVE IN THESE COUNTIES YOU ARE BETWEEN THE AGES OF 18-64, YOU CAN ALSO CONTACT US BY PHONE.

OR, YOU CAN VISIT US ON THE WEB AND WE WILL GLADLY TAKE YOU ON AS A PATIENT.

IF YOU'D LIKE TO VOLUNTEER AS A PROVIDER, WE WOULD GLADLY HAVE YOU AS A PROVIDER AS WELL.

WE HAVE A SHORTAGE OF PROVIDERS.

TONYEHN: I WOULD LIKE TO THANK OUR PANELISTS FOR PARTICIPATING, AND THANK YOU FOR JOINING US.

FOR MORE INFORMATION, PLEASE VISIT US ONLINE AND ARE NEVER YOU CAN REWATCH THIS EPISODE OR ANY PREVIOUS EPISODE.

FOR KEYSTONE EDITION HEALTH, I AM TONYEHN.

THANK YOU FOR WATCHING.