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| Located in a
neighborhood, this clinic will provide community-based health
care that is genuinely non-profit, preventive, humane and
fun. It is a refuge for doctors and nurses who want time to
heal patients. It is a refuge for patients who want to be
treated with dignity.
Members will own this clinic, gaining diagnosis and referral, dentistry, chronic and urgent care, counseling, pediatrics, birthing, hospicare, massage, family planning, chiropractic, acupuncture, and other therapies.
More than a health facility, the clinic is an economic development model which solves several urban problems. Existing medical facilities are overcrowded and underfunded. Suffering is untended, both mental and physical. Infectious disease rates are high. 200,000 are un-insured here. Unemployment and resultant crime are high.
Patch Adams Free Clinic
offers healing, learning, play, food and work. Designed and
decorated whimsically in the spirit of Dr. Patch Adams, our clinic
reminds that true healing touches the soul. Permission to
establish this clinic has been given by Patch Adams and the Gesundheit!
Institute, according to standards below.
The clinic will contain meeting rooms, quiet rooms, cafeteria (local foods), musical instruments, art materials, clown costumes and health library.
These spaces face a central circular atrium featuring plants, mosaic paths, and acoustic concerts. The waiting areas offer ergonomic chairs, cushions, cots, playpen, board games and health literature.
Because clean air and clean water are foundations of personal health, this building will exemplify green technologies. Building materials are regional, recycled, hypoallergenic.
The entire single-story building will be passive solar and earth sheltered to reduce heating and cooling costs.
The green roof mound features walking paths with wheelchair access to the peak, an edible labyrinth, berry bushes, amphitheatre, picnicking and playground.
Because meaningful jobs are fundamental to self-esteem and public safety, green jobs training will be available.
Philadelphia Inquirer 7/24/13
¥ Daily News
¥ City Paper
BENEFITS OF OWNERSHIP
CONTRACT WITH PATCH
HOW YOU CAN HELP
concerts in atrium: acoustic
cafeteria: onsite and regional food processing
retail shop: local goods only
|Decoration and Whimsey
waterfall in atrium: solar pump
art by local artists
clowns and acrobats
RUGS shaped like giant tongues, ears, feet.
THEATRE of Healing: COSTUMES for people dressed like giant hypodermic needle, tooth, eyeball, ear, intestine, nose, foot, mouth, heart, lungs, brain, cochlea, etc.
PLAYPUMP to raise filtered water
MEDALS FOR VOLUNTEERS
MUSICIANS (acoustic) & CHOIRS
ROOFTOPwater catchment on and around dome
mosaic walking paths
orchard and farm (vegetables/herbs)
windmills and whirligigs
pageant fields and tents
Recirculous & Remote Area Medical
Ownership gives power. Members decide what services are available. We control prices.
We set examples for government to follow. We prove there are practical alternatives to corporate domination of health.
Ownership makes our lives more secure. When government gives it to us, government can take it away.
Ownership gives dignity. Our fellow citizens are more willing to respect, volunteer and fund those who help themselves.
Poor health care for poor Philadelphians gets poorer. Federal, state and local subsidy for Philadelphia's 200,000 un-insured declines as need increases. Our State's Medicaid waiting list is 350,000. Our City's ten free clinics are understaffed and underfunded, with three-month waiting lists. Medical centers are closing. Emergency room diversions are more frequent. Ambulance response time drags.
Families who choose between heating and eating become ill and contagious. Food pantries run short. 60,000 children here are chronically hungry. Gas shut-off rates are increasing.
An estimated 450 Philadelphians die yearly from lack of health insurance. These Philadelphians, and millions of Americans, cannot wait for the success of a century-old campaign for universal coverage. To survive, they need to take control. They need to build and manage their health system. They need to own rather than depend.
The Patch Adams Free Clinic is reviving the American traditions of mutual aid.
They can work in the clinic (see list).
They can work in the community (see list).
They must complete full payment/work before renewing membership.
Members who work in the clinic more than the minimum hours needed, or pay more than the base member fee, may get labor credits (Time Dollars), barter credits, MediCash, or gift certificates as available.
Non-members may work on behalf of members.
Members paid-in-full are entitled to ALL SERVICES and VOTE, to serve on the BOARD OF DIRECTORS.
Casual visitors are invited to donate. Their donations may apply toward membership.
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dreams come true
Volunteers should teach visitors
how to do therapy for self,
family and neighbors.
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¥ Earth-sheltered passive solar (incl. hot water). Maximum natural light via atria, suntubes, skylights. Solar electric, pedal power. Nontoxic operation and maintenance, waterless toilets, transit-oriented location.
¥ Orchards and farming on and around roof.
¥ No bottled water; no sodas containing high fructose corn syrup.
¥ Waterless toilets.
¥ Priority office space for accessory functions such as green job development, microfinance, community credits, dental, optical.
¥ Restaurant soup kitchen (pay what you like) relying extensively on local foods.
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Core fireproof structure is transit-oriented single-story underground oblong octagon, with basement.
Contractor is Philadelphia minority-owned.
Half of paid workers from immediate and contiguous census tracts.
All paid workers from Philadelphia.
Maximum reliance on community build.
Many good things cannot happen, for lack of dollars. So we organize labor to meet needs with least dependence on dollars.
¥ Equal Dollars
¥ sweat equity
--college tuition credits
¥ gift certificates
¥ transit passes
¥ maximum wage: twice sustainable
Councilmember will be needed to facilitate land transfer, permits, grants, variances. We will present this plan to Council members whose districts include lowest-income neighborhoods. WeÕll seek signed agreement with the council member offering best assurances.
Expenses are kept low by by relying least on dollars. To the maximum possible we rely on the gift economy, barter, and alternate credit systems (Time Dollars, LETS, HOURS, MediCash, etc.)
1. Staff are primarily volunteers: professionals, students, religious congregants, neighbors, members. Membership fees may be paid half with labor to maintain the facility and its grounds. Both volunteers and staff may be rewarded with Philadelphia MediCash, gift certificates, health care, sweat equity credits, college course credit and scholarships. Barter agreements meet many personal needs. Administrative pay is maximum twice the livable wage.
2. Constructed extensively of recycled materials bartered and donated.
3. Equipped with donated supplies.
4. Fueled primarily by energy efficiency
materials, equipment, labor
GRANTS federal, state , local (foundation, angels). Donors may receive certificates, plaque, etc.
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BENEFITS TO CITY AND ITS ECONOMY
¥ Diversions from Emergency Rooms
¥ Decreased tax burden for city clinics
¥ Increased sales taxes through increased household discretionary spending not lost to medical costs
¥ Stabilized property values
¥ Stimulation of neighborhood investment and business development
¥ Reduced high school dropout rate through increased interest in learning
¥ Increased sales taxes from medical tourism and greater media attention to Philadelphia
¥ Greater competitive advantage for medical conventions through side trip
¥ Trains workers for green jobs
¥ Increased worker productivity through reduced sick time
¥ Reduced public health costs through reduced contageon risks
¥ Reduced air conditioning costs through urban heat island abatement
¥ Reduced city carbon footprint
¥ Reduced rainwater runoff to storm sewers, reduced sewage to rivers
¥ Expanded reliance on transit
¥ We intend this clinic to become a medical center with overnight beds and surgeries.
¥ We intend to establish a nonprofit medical college that generates hundreds of competent caring doctors, dedicated foremost to serving humanity.
¥ We intend to democratize health care by training ourselves to heal one another.
¥ We intend to democratize health finance by self-insuring and by creating our own credit systems. Medicare for All can be kept affordable, democratic and honest when based on a national network of local and regional member-owned co-op plans that self-insure for simple emergencies, and that pool surplus to start free clinics for preventive care.
¥ We intend to stimulate the local economy through reducing the costs of healing. This clinic will restrain gentrification by prompting equitable development and land trusts.
¥ We intend to facilitate rebuilding of Philadelphia toward balance with nature. The public foundations of personal health are clean food, clean water and clean air.
¥ Our free clinic will be likewise a freedom clinic.
reiki, cranio sacral
budget and accounting
board of directors minutes
gardeners and orchardists
outreach: public relations, media
NETWORKERS (stimulate involvement):
MediCash, PhilaFEL, PRAISE
Medical and Dental equipment
statuary and art
same categories as networking
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CONTRACT WITH PATCH ADAMS
This free clinic in Patch Adams name will meet general and explicit standards for spirit and practice approved by Patch Adams and the board of the Gesundheit! Institute.
Members may vote for the clinics board
of directors and serve on its committees. bylaws
CORE VALUESMember-owned (elected board with public meetings) with right to referendum and committee participation..
* Elected board at least 50% from neighborhood; 25% volunteers, 25% other Philadelphians.
* Maximum wage and maximum employed staff: twice livable wage
* Tax-exempt, land trust and/or conservancy
* Financed maximally by gift, barter, sweat equity and alternate credits.
* Stimulate equitable development
* Healing soul as well as body, with laughter, fun, revolutionary spirit. Humane service (Love and Time), playful as appropriate.
* Always member-driven rather than staff driven. Maximum wage for any employee is twice livable wage.
* Maximum reliance on member labor and volunteer labor.
* Community credits are welcome (MediCash, Equal Dollars, neighborhood currencies, HOURS, Time Dollars, barter, sweat equity).
* Low-overhead (donated and second hand equipment, recycled building materials).
* Cooperative health financing lowers member fees. Sweat equity accepted for part payment.
* Endorsement of a national health plan (MediCare for All) which is democratic, transparent, affordable.
* Endorsement of local and regional co-op health financing plans which meet standards at http://healthdemocracy.org/legislation.html
* Public meetings announced in advance. Minutes posted on Clinic website.
¥ Preventive, diagnostic, palliative and referral health services via both conventional and holistic therapies.
¥ Minor medical community-rated health plan regulated according to healthdemocracy.org/legislation.html
¥ Family planning upon request.
¥ Learning center for apprenticeships, internships, NESTS.
¥ Neighborhood-serving green job and green business development.
When land is purchased, we'll convert it to a LAND TRUST
HOW YOU CAN HELP
o MediCash, Time Dollars
o discounts, gift certificates
o sweat equity:
land, college credit
o social networking
o slide show
o clean water
o clean food
o clean air
o grants: foundation, private, government
o donations: web etc.
o incorporation: articles/bylaws
o land trust and land purchase
EQUIPMENT & SUPPLIES
o medical, dental, optical, restaurant, office
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|DONATE: TAX-DEDUCTIBLE: Community Health Collaborative, 431 West Walnut Lane, Philadelphia PA 19144|
(215) 805-8330 ¥ email@example.com
INTERIM BOARD MEMBERS
|Volunteers win their Patch Scout badge!|