Remaining costs are covered by outside grants and corporate donors. Rite-Aid
and CVS pharmacies donate generous amounts of drugs, while Yale-New Haven
Hospital provides a limited number of free X-rays, ultrasounds, and lab tests.
The most important sponsor, however, is the Fair Haven Community Health Center
(FHCHC), a sliding-scale health care clinic that operates on the weekdays. FHCHC
offers its facilities and equipment to HAVEN each weekend, remaining the
structural background of the initiative. In addition, Fair Haven’s physicians
help administer and guide HAVEN ideologically. "We look up to FHCHC so much,"
says Sara. "They house us, direct us, and provide the expertise that we as
students lack."
HAVEN is more than just a successful clinic. As its creators envisioned, it
is an ongoing social experiment on the nature of health care in America. The
coordinators hope to prove several things with the program. First, that offering
free primary health care to the underserved and uninsured is actually
economically favorable to denying it and second, that running such a health care
system is efficient and inexpensive. The majority of HAVEN’s patients do not
regularly visit hospitals, often because they feel both culturally and
financially intimidated. When they do show up, however, it is because they have
contracted a serious or chronic illness. They enter the hospital system through
the emergency room, causing a backlog in Intensive Care units and incurring
immense amounts of debt. Since such patients cannot pay these astronomical sums,
the costs are absorbed by hospitals, who then raise rates for their paying
clients. This results in insurance rate hikes and more stringent claimant
regulations from insurance providers. Free care measures protect not only the
uninsured, but also insured patients, critical emergency room victims, and
doctors. Sadly, many such cases could have been prevented earlier in the
progression of the disease had the patient approached the health care system
through standard venues. As of May 2007, the average medical debt of a HAVEN
patient was $10,498. Their average yearly income was $10,274.
As for the financial situation of HAVEN, the remarkable efficiency with which
the clinic runs has proven its worth. Sara comments that many people, especially
those in policy and leadership positions, consider providing health care to be
more complicated and costly than it actually is. As explained above, HAVEN is
currently run through donations and grants. Taxpayer dollars are not directly
funneled to support the program. Sara believes that at the end of the current
term, HAVEN will continue to operate without a deficit of any sort. Almost all
of the personnel, from the phlebotomists to the attending physicians, are
students or volunteers.