Paramedic Jaclyn Kloecker has experienced her share of tension, turmoil, rising adrenaline and blaring sirens. She's been responding to 911 calls and rushing the sick or injured to emergency rooms for 15 years.
On a recent rainy morning, however, Kloecker wasn't responding to an emergency. Rather, she was on a calmer, quieter mission, performing medical screenings aimed at reducing the number of 911 calls that Christian Hospital’s Emergency Medical Service system handles.
Last week, people all over St. Louis – and all over the Midwest and East Coast, probably – celebrated the official start of spring. They celebrated because the winter has been unusually long and cold and, somehow, darker than usual. And they celebrated with a tinge of worry that the brutal winter could give way to an equally brutal, hot summer.
If that does happen, be prepared for a lot of talk about climate change.
Rodney Coe, a sociologist who led Saint Louis University’s Department of Family and Community Medicine for a decade, wanted medical students to be more than healers with a great bedside manner. He wanted them to know and understand the communities they would be serving. A medical school program that bears his name made his hope a reality.
“He was very proud of that,” said his wife, Elaine Coe.
Lisa Schofield regards her business as an example of the future of health care in rural Missouri.
She owns the Theodosia Family Medical Clinic in south central Missouri, a region with a big demand for medical care and too few doctors to meet it. Theodosia is situated in Ozark County near the Arkansas border. The clinic serves about 900 patients, all of whom are treated by a nurse practitioner, or an N.P.
He woke up in the middle of the night late last year, one hand swollen and the rest of his body was shaking all over.
John Redford realized the symptoms were the consequences of several bites and scratches the day before from his struggle to put the family's 40-pound cat into a cage. He managed to calm himself enough that night and drive an old Mustang 50 miles to a hospital emergency room in Jefferson City. There doctors began weeks of treatment and ultimately saved Redford from losing a finger.
The sun is shining; bees are buzzing; your arms move through warm air; you even have to mop a thin veil of perspiration from your brow. And on the news in the morning, Geri Mitchell intones the familiar admonition: “It’s a red air quality day. Sensitive groups should avoid exercising outdoors.”
Secretary of Health and Human Services Kathleen Sebelius holds a press conference with St. Louis Mayor Francis Slay in north St. Louis. Law student Nathaniel Carroll spoke about the benefit of having health insurance.
Credit Jason Rosenbaum, St. Louis Public Radio and the Beacon
U.S. Health and Human Services Secretary Kathleen Sebelius tried to put a price tag and a face on the government’s health reform push in Missouri when she visited the Grace Hill Water Tower Health Center on Friday.
The price tag: $5 million a day. That’s how much she says Missouri is losing by refusing to expand its Medicaid program under the Affordable Care Act.
The face: a local resident who praised the law for the help it is providing his family while he attends law school.
The state of Missouri recovered more than $47 million in fraudulent claims made by Medicaid providers in 2013.
That's about an average year for Attorney General Chris Koster's Medicaid Fraud Unit. The office has recovered as much as $100 million, and as little as $20 million, in a year.
Koster, a Democrat, says those wide variations are triggered by how much money Missouri receives from national settlements. But even though more national settlements means more money for the state's coffers, he says the fraud that concerns him the most is conducted by the smaller providers.