On Wednesday, when I returned to
work, my supervisor at the MEMPHIS Plan asked me about the bus activity,
because she had gone to the supervisor luncheon thing that had been put on for
our supervisors before we even started our fellowships, and the bus activity
was one that she thought was really interesting. She wanted to know about my
experience with an afternoon riding around Memphis’ public transportation system.
I told her about it, and filled her in on what we had reflected about afterwards, and then
she and I proceeded to reflect a little bit more, specifically about the people
that we reach and the issues that they have with transportation.
Because
basically what the Church Health Center (and, by proxy, the MEMPHIS Plan), is
focused on is providing access to affordable healthcare to the working poor
population in Memphis and the surrounding areas, transportation pretty easily
plays into this equation as a confounding variable. Andreana, my boss, was
explaining to me that part of the real value of the MEMPHIS Plan versus just
being assigned to the Church Health Center Clinic or Wellness Center was the
wide geographic range that it can serve; for patients on the MEMPHIS Plan, the
doctors that donate services range geographically from Northwesternmost TN to even Northern
MS (to qualify for the MEMPHIS Plan, you only have to be employed in Tennessee, which means that technically you can live
wherever, and so a sizeable number of our customers do actually live in AK or
MS.
However,
like we briefly discussed in our reflection session after the activity on
Tuesday, the problem is that when you’re sick, the bus is by far not the ideal
option, and sometimes people simply are assigned to the Wellness center or the
Clinic, and because that is the only place that the patients can access
affordable healthcare, that is where they must go, even if it means sitting in
the extreme hot and/or cold waiting for the bus, and then on said crowded bus for inordinate amounts of
time, all while perhaps juggling numerous children, some of whom may be sick, or even you yourself
may be sick. There is a bus stop directly in front of our Clinic on Bellevue,
and Andreana says that it is well utilized. She also mentioned the bus stop in
front of Crosstown, where the CHC is moving in 18 months, and how necessary
that will be (where my group actually waited last week). Lastly, she mentioned that transportation is something
that Dr. Scott Morris, Founder of the CHC, is very concerned with and is always
working towards making the healthcare more geographically and physically
accessible, not just fiscally feasible (alliteration!). I was definitely
impressed by the way that the leadership of the CHC and MEMPHIS Plan is already
aware of these issues and constantly works to make them better.
Hannah I think the conversation you had with your bus is very interesting, seeing the connection between health and the public transportation system. Last Tuesday when we rode the bus, I noticed the route my group had would have probably taken about 15-20 minutes to complete if we had done it by car took over 2 hours to complete. If you look at it on day-to-day bases, someone who depends on MATA to accomplish simple tasks like going to work or the grocery store becomes limited. They have to be mindful of how long a bus ride takes, and this limits what all they can do in a day. In Edible City, it talks about the poor regions of suffer from poor diets and greater health issues. Riding the MATA made me aware that people who depend on public transportation might not have time or are too tired to try to cook a healthy and nutritious meal and might opt for meals that are quick and easy to make but might not have the best nutrients.
ReplyDeleteI believe you made a good point with how the bus or public transportation in general is not the ideal transportation for sick individuals. Not only for the inconvenience of it, but also because having sick people use public transportation may not be the best option for the health of others. They will be stuck in close proximity to others and it may not be the good for the public.
ReplyDeleteI believe you made a good point with how the bus or public transportation in general is not the ideal transportation for sick individuals. Not only for the inconvenience of it, but also because having sick people use public transportation may not be the best option for the health of others. They will be stuck in close proximity to others and it may not be the good for the public.
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