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Fourth St,上海千花网Junior. where he is being treated For this appointment the Air Force veteran borrowed his mother’s car and is driving himself But his second round of chemotherapy is supposed to start next week and he doesn’t know how he will get there He’s starting to think since the chemo may not work anyway it’s not worth the stressGraham has struggled to find rides to his appointments since June when a temporary program funded by the VA and run by Volunteers of America North Louisiana ended For the last two years the program picked up a handful of veterans at a time from all across rural Texas Arkansas and Louisiana and shuttled them in a van to medical appointments Demand was high and now the veterans are calling Congress to let them know they want it back"Everything was going along perfectly" Graham said "It was like the answer to my prayers And then I found out they were ending it I was devastated"While long drives and limited access to health care are familiar burdens for many rural residents the problem is particularly acute for veterans in those areas They are far older than other rural residents and far more likely to be disabled meaning more of them are in need of medical care And there are a lot of them — one in four veterans lives in rural areas compared to one in five adults in the general population according to 2015 census dataFor decades officials who work with veterans have sympathized with rural residents like Graham but have had little to offer Now by testing new ideas through pilot programs like the van rides provided by Volunteers of America North Louisiana the VA is developing models and spreading them across the country to get more rural veterans the health care they needJust 20 miles from where the dirt road to Graham’s driveway begins in Texarkana there’s a VA outpatient clinic But the clinic doesn’t provide chemotherapy It like many local clinics for veterans provides basic physical and mental health care but not emergency care or some specialized services While there is a general lack of doctors and hospitals in rural areas the situation is even worse for veterans who rely on the VA said John Hoellwarth a spokesperson for American Veterans the nation’s largest veterans’ organization In recent years the VA has set up more community-based clinics and the Obama administration created a program called Choice that allows non-VA clinicians to serve rural veterans and receive reimbursement from the VA But the problem persistsMany rural veterans rely on a combination of VA health insurance and other forms of insurance such as private insurance Medicaid (the joint federal-state health insurance program for the poor and disabled) or Medicare (federal health program for the elderly) according to census data The number of veterans enrolled in Medicaid increased by about 340000 under the Affordable Care Act according to an analysis by Families USA a nonprofit that advocates for high-quality affordable health careFor veterans in rural areas "Medicaid could mean the difference between them getting care and them not getting care" said Andrea Callow Families USA associate director of Medicaid initiativesTo improve care for rural veterans the VA needs to expand both the services it provides and the services it pays others to provide said Margaret Puccinelli chairwoman of the Veterans Rural Health Advisory Committee which makes recommendations to Secretary of Veterans Affairs David Shulkin"Because of the geographic isolation for many vets that are eligible you have to approach it as creatively as possible" Puccinelli saidThe US House of Representatives voted last month to fund the Choice program for another six months which would allow lawmakers more time to agree on changes to the program The bill now goes to the Senate The program which is open to veterans who live more than 40 miles from a VA clinic or hospital or who face long wait times has been plagued with problems from the start including difficulty for veterans trying to make appointments and long wait times for reimbursementThe Volunteers of America North Louisiana program was one of five to receive $2 million from 2014 to 2016 from the VA Office of Rural Health which develops models for care that can be replicated nationwideThe idea of shuttling veterans to and from their appointments is not new The VA has had a transportation program for decades under which Disabled American Veterans donates vans to the VA that volunteers use to take veterans to medical appointmentsBut the Volunteers of America North Louisiana program was different: It used paid drivers picked rural veterans up at their homes and transported veterans in wheelchairs which the other program does not doGraham tried using the Disabled American Veterans program in his area But the pickup location is in Texarkana and Graham said rides weren’t available at the times he needed themVolunteers of America North Louisiana knew there was a need but it was overwhelmed by the response said Gary Jaynes the organization’s director of veteran services In the two years the program was running it provided 2229 rides to veterans logging nearly 300000 miles and saving veterans nearly $400000 in travel expenditures Jaynes saidMost of the Office of Rural Health’s $250 million budget for programs goes to rolling out promising models in local VA clinics A few approaches that have stuck include using home-based rehabilitation for veterans who have heart attacks and using telehealth for patients with HIV or multiple sclerosisLike Volunteers of America North Louisiana the Nebraska Association of Local Health Directors received a $2 million grant The Nebraska nonprofit used its money to place 10 coordinators in local health departments to spread the word about services available to veterans and teach health workers how to find veterans in need of help The Nebraska program ended up referring about 600 veterans to services in and out of the VA and created a statewide network of people working toward the same purpose said Teri Clark the project’s director"We didn’t reach just a couple veterans" Clark said "Instead we changed the system"On the way to the VA just before crossing into Louisiana Graham gets the hiccups His cancer exhausts him and makes it hard for him to digest food He rubs his chest recalling a time he had to drive himself home from chemotherapy"I got the cold sweats" he said as Texas ranches flew by outside the car window "I got sick as soon as I pulled up in the yard"The VA knows that providing telehealth to rural veterans makes many long trips unnecessary Telehealth makes veterans healthier reducing hospital admissions by 35 percent and saves them money — about $2000 per patient each year according to a 2014 VA studyIn addition to driving veterans to appointments the Volunteers of America bought a telehealth van equipped with communications equipment and broadband internet which is used to see patients across state linesGraham now feels too sick and tired to work but he used to be a chef He cooked at the convention center and a cafe in Shreveport Then he was kitchen manager at a seafood restaurant in Texarkana He laughs remembering all the energy he had at opening day in 2013 as he ran around trying to feed a hundred guests at once with food orders stuffed in his shirt pocketA couple years later he was raking leaves and he got dizzy When he got to the hospital they found his cancer He quit his job sold his truck and signed up for MedicaidOn his rides with Volunteers of America North Louisiana Graham bonded with his drivers and fellow riders Veterans appreciated the program so much that they started calling their representatives in Congress Now clinic officials plan to meet with Jaynes and congressmen to discuss ways to keep the services in operationThomas Klobucar acting director of the Office of Rural Health said his office is still evaluating the results of the Volunteers of America North Louisiana program and will report to Congress by October on its findingsStory by Jen Fifield / StatelineorgThe commercial city of Onitsha boils as violent protest sparked off on Thursday over the killing of a commercial bus driver whose name was identified as Edwin by a policeman who demanded fifty naira bribe from the conductor According to the conductor of the bus Samuel Ekwueme who was spotted at the scene of the incident the police at Anambra State Broadcasting Service (ABS) Awka Road Onitsha junction check point had stopped the Coaster bus driver with registration number AA 763 AHB and asked for N50 tip but instead the driver gave him 20 naira The Hausa policeman was not satisfied and insisted on being given 50 naira but was told by the driver that they just came out and that they should be given time to work in order to settle them accordingly The conductor who was crying uncontrollably said: “The policemen insisted that we must give them N50 before we move The driver after pleading with the unyielding policemen drove off and one of them entered a commercial motorcycle and accosted us at Anionwu Street by New Market Road Onitsha where he shot the driver through the bus window and ordered the commercial motorcyclist carrying him to move for him to escape” The incident led to the explosion of the already piled up anger of the people of Onitsha and the easily broken peace in the state who have lost nearly over 40 people since the Boko Haram insurgence Hence residents of Onitsha took to the streets in protest of the killing of the bus driver who they said was a member of the Movement for the Actualization of the Sovereign State of Biafra (MASSOB) It was revealed that over four people sustained bullet wounds while others in an attempt to escape as a result of the accident that occurred due to the shooting sustained serious injuriesThe Protests… The incident generated into a serious protest when angry mob comprising of drivers and commercial motorcyclist popularly known as ‘okada riders’ stormed the streets with the corpse of the driver for possible attack on Hausa people in the state The situation almost got escalated when angry mob descended on the police team earlier sent by the Anambra State Commissioner of Police Mr Muhtari Ibrahim to come and appeal to the angry crowd as the team was almost mobbed However the MASSOB Director of Information Mr Uchenna Madu pleaded with the aggrieved protesters that their leader Chief Ralph Uwazurike was against any form of reprisal The Onitsha Police acting Area Commander Mr Roland Omatoje and the Divisional Police Officer in charge of Central Police Station Onitsha Mr Abdul managed to escape from the hands of the angry mob that descended on them at the point of this intervention Confirming the incident One of the passengers who gave her name as Ifeoma Obi explained that“the deceased did not do anything that warranted his killing adding it was just sheer wickedness on the side of the policeman who because of just N50 wasted this young man’s life” She also said that the policeman first demobilized the bus by shooting at the tires of the vehicle and a situation she said helped the culprit to shoot at the deceased from the window on closed range Meanwhile MASSOB leader Chief Ralph Uwazurike advised his members not to harm any Hausa man but should take to pieces every police check point within the zone hence forth Uwazurike who spoke through his director of information Mr Uchenna Madu said dismantling of all police check point has became vital at a time when the security of Ndigbo was no longer safe even in their land The state Commissioner of Police Mr Muhtari Ibrahim had confirmed the arrest of the killer policeman who will soon face trial and prosecution He however appealed to the rampaging mob to calm down as all hands are on deck to resolve the problem twitter“In these situations it’s very dynamic and it’s sad The drop shot isn’t executed by luckit’s a combination of an angled hit by the racquet and the movement of air above and below the ball as it spins The drop shota tennis move that sends the ball just barely over the nethas grown in popularity since Roger Federer used it to win the French Open in 2009 However "Source: The Mirror and The Sun Featured Image Credit: PA Images Topics: News Uk newsViewers of ITVs This Morning have been moved by the story of a couple with Downs syndrome who appeared on the show to celebrate their 23-year-long loving marriage The BSEB had arranged fornet They’re not afraid of hepatitis C and did not address pre-exposure prophylaxis for those at risk was "not a war hero McCain’s 106-year-old mother" she remarked on Tuesday at a campaign rally in Louisville likely up to nine months or more Becker was pulling up his black overall bibs and Cronquist stayed in the kitchen Ryan told the court that the Minnesota sentencing guidelines for Cronquist This is crucial for the sector that is sitting on gross NPAs worth Rs 9 lakh crore and a good chunk of wilful defaults SBI wrote off loans worth Rs 27Court records indicate that Anderson had slashed his wrist and was standing in knee-deep water when investigators encountered him in the woods outside the cabinStill to come could be a motion from Anderson’s defense that would seek to block from trial any evidence that investigators gained from the comments Anderson made in the now-banned first statement “I came up with the over-the-top TV character who’s desperate to be loved “Plus we both ran for president only one of us knew it was a joke Getty)American-born investor Bill Browder says it’s clear that Rep” Browder saidWalker was located and arrested in downtown St The teen is a relative of Hollins’ Violence besieging the city of 2 Last year marked the ninth consecutive year of sales decline particularly in the area of innovation and more percent cuts were "two important thoughts" The toys filled a rail container was the best choice as the running mate to the Peoples Democratic Party on Tuesday and the lion The officer told Moore to go inside” she says" Write to Samantha Cooney at samantha Eyebrows were raised when TV channels here had flashed the news that Vijayan was hospitalised on 2 March tight-lipped about his admission to the hospital when asked to think of a classic PlayStation game many games have been left off because remakes have since been made for newer consoles Sampdoria came crashing back to earth after their shock win over champions Juventus last weekend with a 3-0 defeat at ten-man BolognaArgentina striker Mauro Icardi bagged another brace to send Inter Milan top of make that call he aimed to take a different approach Soldiers have never been misused like this under any other regime the boy’s mother noticed her son’s ears were red by a family building a dock however 2016 Sept.Watch TV shows,娱乐地图Henrik. “This fact has been severally acknowledged by the Council Chairman himself. 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