August 11, 2016 Healthy Communities worker has ended up in hospital, under the care, if possible, of a doctor they’ve already met in the fields. “Specialty care isn’t covered by our grant, although we can help a worker apply for emergency Medicaid,” Jason said, remembering a recent case of appendicitis. Neale talked about numbers: The program serves over 400 workers a year. It works with nine farms, for now, scattered across Columbia County and reaching into Dutchess and Rensselaer counties. The one farm in Greene County that had been part of the program has since decided to hire only local farm help, as an experiment.
F
ield clinics include six or seven specialists, including educators and the county’s new representative for the state’s emerging Healthy Neighborhoods program, which helps people identify and solve potential health problems in their homes. “Last year we started in February,” Jason explained. “It always depends on the weather and when crops are going to go in. There’s always work, though, from maintenance jobs like trimming trees to picking and packing. There’s also a growing number of return workers, some now in their eighties.” “They’re all hard workers,” Neale said. “The farm owners need experience, and these men and women have it. We’re all very proud of this program, as is everyone in our county government.” Both women talk about how much healthier a population is when issues are treated quickly, be
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they illnesses or mental health challenges. They point out how the people they serve “are in our community.” “They go to Walmart to send money home,” she said. “To keep this population healthy keeps the whole population healthy.” It would be a much greater cost to the taxpayers if these people were not being treated, Neale said. “And it’s a unique project in New York State. We go to state conferences, and the only things similar are a few programs in the western part of the state.” “On a county level we can work with smaller agencies to fill in the gaps in our healthcare,” Jason said. “We get groups such as the Lions Club to donate the materials we need, pro-lifers to help
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with our STD screenings …. We work to make our program a manifestation of the caring these workers know they’ll find in our country.” On both sides of the river, stretching from Columbia County’s pioneering program to the nonprofit efforts elsewhere, it’s a start to fill in our many gaps in community healthcare.
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