How transgender people in the South are helping each other get health care

*Medical research has done wonders to rid populations of diseases; however, the U.S. health care system has failed to appropriate the right resources to Medicare patients with one or more chronic conditions. Health Quality Partners in Doylstown, PA enrolls Medicare patients with at least one chronic illness and hospitalization and sends a trained nurse to see them on a routine basis, whether they are healthy or sick. As a result, the HQP program has reduced hospitalizations and cut Medicare costs.

Across the country, hospitals are embracing intensive intervention programs to help victims of violence — including those who have criminal histories — after they have been brought in for treatment of injuries. Such programs can help prevent retaliation, reduce the chance a patient will be violently injured again, and put people on track for success.

Prescription drug mointoring programs provide a doctor with information about a patient’s prescriptions and—in some states—drug-related hospitalizations and arrests. With this tool, doctors are better able to identify drug-seeking behavior and intervene with at risk patients.

In Uruguay, illegality and stigma surrounding abortions resulted in problems with maternal mortality rates. Utilizing a unique solution, a medical protocol was created to provide initial information and followup care to women seeking abortions.

Fearing that consistent homophobic street harassment by a resource center for queer youth was detrimental to their mental health and safety, activists set up a weekly counter protest to drown out the harmful messages. The counter-protest grew from a single person to the Pride Corner on Whyte movement with several hundred social media followers. Over time, the participation of dozens of unhoused and housed queer and trans youth provided opportunities for social service outreach, including a mentorship program that paired youth with older queer and trans participants who offer friendship and emotional support.

Mexico's Pilot Program for Licensed Physicians brings Mexican doctors to the states to address the lack of culturally relevant healthcare and Spanish-speaking healthcare providers, particularly in rural areas with large immigrant populations. Currently, the program has 30 Mexican doctors working in various counties throughout the state.

A pair of doctors are working to make healthcare more accessible and affordable by training area hospitals to use new technology, like ultrasound devices, to detect non-communicable diseases. Through their newly established non-communicable disease clinic staffed with personnel trained to provide more precise medical care, about 1,100 patients have been cared for.

Birth in Color's doulas are filling the maternity care gap as rural labor and delivery rooms close, disproportionately impacting people of color. Doulas provide physical, emotional and informational support before, during and after childbirth, and advocate on the mother’s behalf. Doula care leads to improved birth outcomes and lower rates of C-sections, and in April 2022 doula services were added under the state’s Medicaid program.

Amidst electricity shortages, Health System Consultant Limited came to a local hospital’s aid, outfitting the medical center with solar panels to ensure patients can still access healthcare services. Since the installation, patients at the General Hospital in Maru say diagnosis speed and the quality of care they receive have improved.

Anambra State’s telemedicine program is closing the healthcare access gap in rural communities, making universal health coverage more possible. The program began in 2022 and has since hired and trained 42 doctors in providing remote healthcare. As more people use the telemedicine program, public trust in primary healthcare across the region is increasing.