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Located in a
low-income Philadelphia
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. |
The
Patch Adams Free Clinic
therefore
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. |
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Philadelphia Inquirer 7/24/13 � Daily News � City Paper |
CLINIC
FUNCTIONS FLOOR PLANS BENEFITS OF OWNERSHIP MEMBERSHIP TRAINING NEED STATEMENT CONSTRUCTION BUILDING MATERIALS PERMITS LEGAL LABOR PAY |
BENEFITS
TO CITY BROADER AIMS FINANCING CREDIBILITY CONTRACT WITH PATCH CORE VALUES CORE FUNCTIONS CORE FACILITY BYLAWS HOW YOU CAN HELP COMMITTEES CREDIBILITY NETWORKING CONTACT LINKS |
Decoration and Whimsey
plants banners mobiles waterfall in atrium: solar pump large puppets kinetic sculpture 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. KALEIDOSCOPE mounted SNAKE SLIDE FUNHOUSE MIRROR OCTOBIKE PLAYPUMP to raise filtered water MEDALS FOR VOLUNTEERS MUSICIANS (acoustic) & CHOIRS |
BASEMENT:geothermaltoilet containers vermiculture storage water tanks generators spiral staircase dumbwaiter shout room Storagetoolsfood medical supplies dental supplies linens musical instruments art materials costumes: clown |
ROOFTOPwater catchment on and around domemosaic walking paths picnicking benches bike path orchard garden apiary SURROUNDSbasketball courttennis court soccer field bike shelter spyramid orchard and farm (vegetables/herbs) windmills and whirligigs pageant fields and tents Recirculous & Remote Area Medical amphitheatre |
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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. |
MEMBERSHIP
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.
CORE FACILITY
� 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.
CONSTRUCTION Core fireproof structure is transit-oriented single-story underground oblong octagon, with basement. LABOR 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. Liability insurance. PAY Many good things cannot happen, for lack of dollars. So we organize labor to meet needs with least dependence on dollars. � MediCash � MediBarter � Equal Dollars � HOURS � barter � sweat equity --land --college tuition credits � gift certificates � transit passes � maximum wage: twice sustainable |
PERMITS
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.
We�ll seek signed agreement with the council member offering best
assurances.
FINANCING
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
IN-KIND DONATIONS
materials, equipment, labor
GRANTS
federal, state , local (foundation, angels). Donors may
receive certificates, plaque, etc.
MediCash BACKING
medical centers
healers
businesses
individuals
businesses
government
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 |
NETWORKING
VOLUNTEERS
heal visitors:
doctors
nurses
aides
dentists
massage
chiropractic
acupuncture
reiki,
cranio sacral
greet visitors
clowns
musicians
artists
instructors
mentors
recreation
office:
budget
and accounting
board of
directors minutes
library
files
MediCash
PhilaHealthia
Time
Dollars
clean
repair
decorate
gardeners and orchardists
architect
outreach: public relations, media
grantwriting
NETWORKERS
(stimulate involvement):
donations: in-kind
volunteers:
students, members,
community service,
neighbors, NESTS
MediCash,
PhilaFEL,
PRAISE
DONATIONS
Construction materials
Medical and Dental equipment
Solar equipment
land
dollars
discounts
gift certificates
furnishings
tapestry, quilts
decorations
statuary and art
lab exams
COORDINATORS
(manage involvement)
same
categories as networking
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. MEMBER-OWNED:
Members may vote for the clinics board
of directors and serve on its committees. bylaws |
CORE VALUES
Member-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. CORE FUNCTIONS � 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. |
LEGAL When land is purchased, we'll convert it to a LAND TRUST
and/or CONSERVANCY BYLAWS |
CORE FACILITY |
VOLUNTEERS |
REWARDS o barter o MediCash, Time Dollars o discounts, gift certificates o sweat equity: land, college credit PUBLICITY o social networking o slide show o documentary o speaking o media |
ENVIRONMENT o clean water o clean food o clean air o building o transit FINANCE o grants: foundation, private, government o donations: web etc. o barter |
LEGAL o incorporation: articles/bylaws o land trust and land purchase o permits EQUIPMENT & SUPPLIES o medical, dental, optical, restaurant, office CONSTRUCTION RETURN TO INDEX |
DONATE: TAX-DEDUCTIBLE: Community Health Collaborative, 431 West Walnut Lane, Philadelphia PA 19144 |
CONTACT
(215) 805-8330 � [email protected] INTERIM BOARD MEMBERS ADVISORY BOARD |
Volunteers win their Patch Scout badge! |