Power and Politics in Health Care

The SHC challenged traditional systems, policies, and practices for the delivery of health care in impoverished rural communities. This included pushing against the legal and cultural boundaries of the roles that nurses had been traditionally permitted to play. Forty years later, some of the same struggles to expand health care for low-income people reappeared in the campaign to implement the Affordable Care Act.

 

Where can the SHC go from here?

Charles “Boomer” Winfrey and Maureen O’Connell ruminate on work left to be done in the eastern Tennessee region of Appalachia. Their focus pertains mostly to the ongoing need for augmented healthcare resources, drug education and reform, and meeting the needs… Continued

Decline of coal camp healthcare and subsequent basis of need for reform

Charles “Boomer” Winfrey and Maureen O’Connell discuss the local healthcare setting upon Save Our Cumberland Mountain’s (SOCM) and the Student Health Coalition’s (SHC) early stages of community organizing in East Tennessee. Maureen details several local factors which established a major… Continued

Reflections on the SHC’s approach to community healthcare

Charles “Boomer” Winfrey and Maureen O’Connell consider what set the Student Health Coalition apart from other community development efforts in the Appalachian region of East Tennessee. Boomer focuses on the Coalition’s and SOCM’s value of community empowerment (by way of… Continued

Dr. Daniel Gabriel’s legacy in St. Charles, VA

Ron Carson discusses Dr. Daniel Gabriel, MD and his local legacy in African American healthcare as the only doctor who in the 1940s and 50s would see black patients. Full footage of Ron Carson’s tour of the African American Cultural… Continued

Challenges facing nurse practitioners

Outside the old clinic building of what used to be Douglas Community Health Center, Margaret Ecker and Jean Carney discuss the multitude of challenges facing nurse practitioners and what legislative movement’s been made to overcome adversity of such restrictive practice.… Continued

Pushback against Douglass Community Health Center

Jean Carney shares how rhetoric against the black-run Douglas Community Health Center manifested as several false accusations and presented various legal challenges to both the clinic and associated nurse practitioners. Full footage of Jean Carney at the old clinic building.… Continued

Behind the scenes at Douglass Community Health Center

Jean Carney reminisces the early days of Douglas Community Health Center in Stanton, Tennessee. Following a brief overview of the clinic’s architectural layout and functional operations, she delves into the impact of race relations on healthcare at the time. Full… Continued

Barbara Clinton on the concept of psychological defensive denial and Medicaid expansion

During discussion with Randall and Meryl Rice about Medicaid expansion, Barbara Clinton comments on the role of psychological defensive denial in both the rejection of reality and voting against one’s best interest. Recorded June 2, 2018. Full footage of Randall… Continued

Randall and Meryl Rice on the miseducation about Medicaid expansion

Randall and Meryl Rice discuss misconceptions about and resulting aversions to Medicaid expansion, as well as the repercussions of refusing to adopt it—namely, rural hospital closures. Recorded June 2, 2018. Full footage of their discussion about rural healthcare.   Continued

Randall and Meryl Rice call for political change in the interest of Medicaid expansion

Randall and Meryl Rice discuss the influence of Tennessee’s political climate on Medicaid expansion and affordable healthcare in rural communities and introduce the resolution which developed in response, an initiative known as Insure Tennessee. They highlight the importance of applying… Continued

Meryl Rice shares an Affordable Care Act enrollment success story

Meryl Rice shares an enrollment success story focused on the impact of the Affordable Care Act across party lines. Her assistance in this case speaks to the importance of the expansion of affordable healthcare, particularly in low-income rural communities where… Continued

Randall and Meryl Rice on the Affordable Care Act’s enrollment process and their role as navigators

Randall and Meryl Rice explain the internet connectivity and computer literacy hurdles of online enrollment in the Affordable Care Act in rural West Tennessee and expand on their role as navigators in problem-solving the complexity of this process. Barbara Clinton… Continued

Randall Rice on the activist response to challenges imposed on the Affordable Care Act in West TN

Randall Rice discusses state-sanctioned roadblocks to the expansion of affordable healthcare among rural populations in West Tennessee. He also shares about his and others’ success in overcoming these challenges with the support of the nonprofit public policy advocacy organization, Tennessee… Continued

Randall Rice on the origins of his and Meryl’s work rolling out the Affordable Care Act in West TN

Randall Rice shares about his and Meryl’s involvement in assisting with open enrollment of the Affordable Care Act in rural West Tennessee communities. Their work began in 2013, developed from a need left by the absence of major enrollment organizations… Continued

Connecting the dots: from SHC to ACA

In 2013, just as the Affordable Care Act was about to get rolled out, Bill Corr took time out of his busy schedule as Deputy Secretary of Health and Human Services to reflect on the resonance between the Coalition work of forty years ago and… Continued

Nurse Practitioners, in the beginning…

Community leaders recognized early on the added value that expanded role nurses brought to the table.  In this video clip, community leaders Marie Cirillo and Betty Anderson recollect their efforts to lobby for legal changes that would support expanded role nurses. Continued

Bill Dow on Healthcare Policy, 1973

Video clip from Appalachian Genesis courtesy of Appalshop Film Archives (Whitesburg, KY). Continued

“Imagine, if you can, these two young Turks trying to give advice to the Governor of Mississippi”

[Contributed John WIlliams] Bill had a friend named Fortenberry who was a staffer for the Mississippi State Senate in the 1970’s.  In 1976 lignite coal (a low grade of coal) was discovered in Mississippi, so the state started considering the… Continued