Professional Documents
Culture Documents
Madie Minch
PS 1010 Discussion
16 February, 2017
Memo 2
There are several non-profit organizations and personal projects in Michigan, and Detroit
more specifically, that focus on providing affordable healthcare to those who are normally not
able to afford it. Those who cannot afford quality healthcare include immigrants/minority groups
as well as those living just above the poverty line. It is my groups intention over the course of
this semester to either create a new project or join one of the existing local projects to further
One of the individuals fighting this problem is a man in Detroit named Dr. Herbert
Smitherman has been working since 1997 to the uninsured and underserved find healthcare, (A
Success Story). During the research portion of this great project, Dr. Smitherman tracked the care
of over 33,000 uninsured patients and eventually transferred 55% of them to a family physician
or private practice where they were able to pay a fraction of the cost of an emergency room and
still receive the same if not better quality of healthcare. Dr. Smitherman estimates that two out
of three deaths in my state and in my city [Detroit] are due either to cardiovascular disease,
cancer, stroke, diabetes or chronic obstructive lung disease. Most of those are not only common
in the population I deal with but also very preventable with very basic care, (A Success Story).
Dr. Smitherman continues to use his own experience and expertise to help those in need of more
affordable healthcare options while at the same time continuing his career as the Associate Dean
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at Wayne States School of Medicine. The initiative has reached out and collaborated with local
schools such as Wayne State University and the University of Michigan in recent years in an
attempt to expand their domain (Szilagyi and Smith 2). If more projects like Dr. Smithermans
Voices of Detroit Initiative existed most if not all of Detroits population would be able to receive
affordable healthcare. The government is also working on a federal level combined with the civic
sphere (i.e. independent agencies) to achieve better access to healthcare. In 2015 the Agency for
Healthcare Research and Quality made a report on their research and their goals for the future.
Their first three goals include improving the overall quality of healthcare, improving the health
of the U.S. population in general, and reducing the cost of quality healthcare.
An organization called Color Me Healthy sells kits of recipes and educational activities
to parents of young children which are meant to instill healthy lifestyle choices in the children
while they are still impressionable. While they are not a non-profit organization (due to charging
for the kits previously mentioned), it is still my opinion that this organization has some small
part in the Civic Sphere. An online pamphlet called Health Equity in Michigan was written by
Color Me Healthy which details several recommendations and strategies meant to close the gap
between those who have access to healthcare and those who do not. Some of these
of government and communities to develop and sustain effective partnerships and programs to
equitable access to quality healthcare, and strengthening community engagement, capacity, and
empowerment, (Michigan Health Equity Roadmap). While it is unclear whether or not this
organization has ever or plans to directly fight against unequal healthcare, they have certainly
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made it easier for others to do so. This pamphlet does not have a direct impact on closing the
healthcare gap but it is available and of great use to those who would like to try their hand at
There are many healthcare advocacy projects and agencies already in place that are
working hard to improve everyones access to quality healthcare. It is my opinion that healthcare
equity has the most potential to be improved through the Civic Sphere with projects such as Dr.
Smithermans Voices of Detroit Initiative and the guidelines laid out by the Color Me Healthy
Works Cited
Anecdote:
"A Success Story: Expanding Health Care Options For Detroits Poor-The KHN
Interview." Kaiser Health News. Kaiser Family Foundation, 11 May 2011. Web. 02 Feb.
2017.
Report:
Szilagyi, Paul, and Lucille Smith. Voices of Detroit Initiative Annual Report 2010. Rep. N.p.:
United States. Agency for Healthcare Research and Quality. 2015 National Healthcare Quality
and Disparities Report and 5th Anniversary Update on the National Quality Strategy.
Other Sources: