Reducing health care threats its own production solutions for the lack of rural doctors.

Chico, Calif. -Olivia Owlett decided to have a primary care resident at the village of California.

Owlett is one of the four residents in the inauguration class of a three -year family medical program operated by local non -profit organizations. Healthy rural California. She has an organization to the north of California, the region Lack of severe doctors.

Since Owlett knows what his lack of health care means, family members have seen or simply a family member in the hometown of Wellsboro, a Hamlet in Pennsylvania. She was trained in rural training at Colorado Medical School. And since her husband attended the Chico State, the couple had a strong social network here, so it is likely to remain.

Owlett said, “It is a good opportunity to bring more doctors to this area because of the growing home medical resident program, and I want to be part of it.”

Owlett shows what leaders in the northern California country want more. They have ambitious plans to attract more Owlets and expand their medical personnel, but recent states and federal spending cuts take the dollar from the worn health systems to worsen the lack of nursing and make their efforts more difficult.

Debra Lupeika, an associate associate professor of rural and community -based education professors of California Davis University of Davis School of Medicine, said, “We need help here and will not help to reduce funds.” We need a doctor. “

The northernmost part of California is a rare county collection that extends from the north side of Sacramento to Oregon and the Pacific coast to the Nevada border. The tribe is very widespread, and one of the most expensive solutions (the proposed $ 200 million health care training campus) is beyond the party.

James Gallagher, chairman of California Parliament, representing Chico and the surrounding area, said, “What is the priority?” I think it was quite both. This kind is of. “

Congress’s Republican Party, including nine GOP National Assembly members from the delegation of the California delegation, voted to cut almost $ 1 trillion from Medicade in July. Regional representative Dug Lamalfa said Bill is guaranteed “People who are eligible to benefit keep receiving.” Meanwhile, the California Legislature controlled by the Democratic Party Scaling Medical insurance benefits for immigrants who lack legal status.

California’s lack of health care is caused by the struggle of rural hospitals. Aging doctor personnel; A unique appeal to the upcoming doctors in more urban areas; And financial pressure to do business in a high percentage of areas Low wage government insuranceIn particular, Medicaid program version of Medicaid Program for those with low income and disability.

Almost everyone who lives here is influenced by the lack of complicated medical needs to simple and simple people.

When Lu Payca’s 24 -year -old Ashley injured his shoulder this summer, she could not get MRI for almost a month despite severe pain.

Ginger Alonso, a political and administrative professor of Chico State, said he drove 70 miles for Reading for OB-GYN Care.

The long waiting or streets that people need to travel often lead to delaying or giving up. As a result, they appear in the community clinic with emergency room, emergency treatment or disease.

Tanya Layne, the first medical doctor of Chico, said, “We see a painful patient, conclusion.

The patient passes the door with uniminated cancer, uncontrolled asthma, angry diabetes and severe hypertension, Layne said.

Many northern counties include neuroscientists, camouflage specialists, rheumatoid specialists, endocrine scholars, ob-gyns, tumor scholars and urology specialists.

“We are so long that there are no experts or too overworked, so people are truly treated.

After the fatal 2018 Camp Fire was devastated by the Paradise Town of Paradise, 15 miles east of the Chico, the lack of health care in the area was more serious. Local hospital And we dispatch dozens of doctors out of the area.

Accordingly, local leaders were created Healthy rural CaliforniaLast year, after four years of residence in psychiatry, family medical programs continued this year. The group also operates a program that exposes high school students to potential career in the field of health care, followed by an initial plan for the “professional” health care campus, “a $ 200 million” health care campus, which will train future doctors, nurses, doctors and other assistants and others.

Startup costs are likely to be available from the California Parliament, but lawmakers are limited by budget pressure. Nevertheless, James Schlund, a radiation and director and director of the organization, discusses with the officials of UC Davis and Touro University.

Schlund said, “We are building a coalition.”

Meanwhile, medical and political leaders of CHICO and REDDING, the two largest cities in California, are exploring the construction of medical schools under the sponsorship of medical schools, perhaps cooperation and UC DAVIS, respectively.

The medical school, which pairs with more resident slots, said it will graduate from the local students for a long time to root, buy a house, start a family, and strengthen the supply of local doctors.

But some people say that it is difficult for a small population in this area to train more residents.

Duane Bland, a doctor who runs a family training residence program at the Mercy Medical Center in Redding, said, “The number of residents that can be accommodated is limited to the ability to secure the right kind of patients that provide the right kinds of training for the right kind of patients.

Danuka said that in areas with low population, low births limit how many residents can train for family medicine. However, it is not applicable for other specials such as surgery, psychiatric, heart and gastrointestinal disease. And he said, “There are many hospitals as well as clinics that are absolutely looking for more residency participation.”

The residential program is funded by the federal dollar through Medicare, and the funds are not at risk of imminent, but the number of slots in Washington has not increased significantly for about 30 years.

However, some graduate schools have been funded by the state, and in California, many slots depended on the income generated by taxes for Medi-Cal Health Plan, and California voters passed for a different purpose. Initiative 35. That profit is expected It has plummeted to billions of dollars In accordance with the change of budget law and the similar rules proposed by Medicare & Medicaid Service Center.

Mark Servis, vice president of medical education at UC Davis School of Medicine, said, “We can lose 35 funds.” And we have planned for more than a year by building a graduate medical education.

It has already been started: Willows’s Glenn Medical Center, about 30 miles from Chico, was announced last month. It will be terminated ER and hospital services have provided higher payments and more regulatory flexibility after losing the federal name to the “Critical Access” hospital in October.

The $ 50 billion rural health care fund of the Budget Act will offset more than one -third of the money that rural areas are expected to be lost due to the reduction of Medicaid. Research shows In KFF. And it is not clear how the money will be distributed and which week is in.

Citizen and medical industrial leaders in Chico and Redding say that a powerful health care system should provide the interests of everyone in the political line.

Dhanuka said, “Health care is human needs because we all hurt the same regardless of race or color.” We can solve this. And we don’t have to take a side about this. “

I wrote this article KFF Health NewsPublished California Health LineEditorial independent service California Health Care Foundation.