COMING UP ON THE HYPOTHESIS WE SIT WITH THE EUREKA HIGH SCHOOL GRADUATE DR. ERIC NELSON FROM THE UNIVERSITY OF FLORIDA'S'S MOTHER-IN-LAWING PATHOGENS TO TALK ABOUT MOTOMEDS A PROGRAM TO DELIVER EMERGENCY MILLIGRAMS TO STRANDED PATIENTS IN HAITI.

BECAUSE OF PAPERWORK ISSUES EVEN THOUGH THEY STILL QUALIFY.

COMING UP NOW ON HEADLINE HUMBOLDT.

FROM THE TOP OF THE HUMBOLDT.

I'M JAMES FACTUAL THANKS FOR JOINING US.

BACK IN THE EARLY 1990s THAT OUR CLASS OF 1994 WAS SPECIAL.

LOOKING BACK ON MY OWN EXPERIENCED AND THOSE OF MY CLASSMATES SUCH A PROGNOSIS HAS BORNE OUT.

WHO HAD COME OUT OF EUREKA AND PROVIDING MUCH NEEDED MEDICAL ASSISTANCE TO FOLKS IN HAITI.

THE STORIES FROM THE HAITI HAVE BEEN APPEAR YOU APOCK CLIP PARTICULAR.

SUCH AN EFFORT TO AID THE RESILIENT PEOPLE OF HAITI WOULD BE A STORY NO MATTER WHAT.

AND HAD GONE TO DO AMAZING THINGS WITH HIS LIFE AND CAREER.

HE'LL JOIN US AFTER THE BREAK.

WITH THE EMERGING THE PATHOGENS FROM THE UNIVERSITY OF FLORIDA AND HE'S MADE GREAT PROGRESS TO PROVIDE INNOVATIVE TO SEEMINGLY INTRACTABLE PROBLEMS.

TO MARK AND REFLECT UPON.

WE'LL BE RIGHT BACK.

>> THANKS FOR JOINING US ERIC.

CAN YOU HEAR ME.

>> I CAN HEAR YOU JUST FINE.

>> THAT'S GOOD.

THANKS FOR JOINING US.

I DON'T KNOW IF YOU MANAGED TO HEAR MY SPIEL.

1994 READY TO SOAR WHEN WE FIRST SPOKE.

IT SOUNDS LIKE YOU'RE SOARING.

THE PROGRAM MOTOMEDS WHAT EXACTLY IT IS, AND WHAT IT ACCOMPLISHES IN HAITI?

>> YES.

SO MOTOMEDS GETS AT A VERY CORE ITEM THAT UNIFIES MANY PARENTS AND ANYONE THAT HAS A LOVED ONE IN THEIR LIFE.

IN THAT MOMENT OF ISOLATION IF A LOVED ONE FALLS SICK HOW DO YOU ACCESS THINGS LIKE KNOWLEDGE AND IN THIS CASE MEDICATION AT HAND.

THIS IS A PROBLEM WE FACE IN GAINESVILLE FLORIDA.

AND WHAT WE DID WE LOOKED AT THIS COMMONALITY OF A PROBLEM AND TRIED TO FIND WHERE THE WORLD MIGHT THIS BE MOST DIFFICULT TO ACHIEVE.

SO WE WORK IN HAITI.

AND WE WORK AT NIGHTTIME AND WE WORK WITH FAMILIES IN THE MOUNTAINS ACROSS THE COASTAL REGIONS OF HAITI.

FAMILIES AT 6:00 P.M. TO 5:00 A.M.

IN THE MORNING THEY CAN CALL INTO THE SERVICE, AND IT'S NURSE RUN AND NURSE-PRACTITIONER RUN AND THE NURSES GO THROUGH A TRIAGE ASSESSMENT AND PLAN.

IF YOU HAVE AN EMERGENCY WE HELP DIRECT THAT FAMILY TO A HOSPITAL DOWN THE MOUNTAIN.

THERE'S NOT 911.

THERE'S NOT ELECTRICITY.

THERE'S NOT FORMAL ADDRESSES OR FORMAL ROADS.

WHAT YOU WANT TO DO IS GET THE FAMILIES TO THE PRE-EMERGENCY STATE.

AFTER THEY GO THROUGH A TRIAGE IF THEY DON'T HAVE YOU KNOW EMERGENCY THAT FLAGS IMMEDIATELY WE GO THROUGH THE ASSESSMENT AND PLAN AND THEN IF THEY LIVE WITHIN THE DELIVERY ZONE WE COORDINATE BASICALLY AN UBERIZED POOL OF MOTORCYCLE DRIVERS TO TRANSPORT MEDICATIONS TO WHAT WE CALL GREEN CASES WHICH ARE MILD CASES OR IF THERE ARE MODERATE CASES WE TRANSPORT A NURSE AND MEDICATION TO THE HOUSE TO DO AN EXAM.

WE HELP BE A BRIDGE SAFELY ONWARDS IN THEIR CARE >> WHAT ARE THE CHALLENGES.

BUT YOU COULD GET WHAT THE CHALLENGES ARE ON THE GROUND IN HAITI, AND I GUESS YOU'RE LOOKING TO DO IT IN GHANA.

>> WE'RE DOING A TEST OF TRANSPORTABILITY TO GHANA.

ALL OF THIS WORK UNDER THE DOMAIN OF A RESEARCH INITIATIVE BECAUSE THERE'S A WHO GUIDELINE FOR HOW TO DO IT.

THERE'S NOT A LOGISTICAL ROADMAP TO DO THIS.

THE NATIONAL INSTITUTES OF HEALTH HAS BEEN FUNDING THIS FOR FOUR YEARS.

IT'S BEEN A VERY COMPLEX INITIATIVE.

AND YOU KNOW THE STORY REALLY BEGINS BACK IN 2010 WHEN I WAS A FIRST RESPONDER TO A CHOLERA OUTBREAK IN PORT AU PRINCE.

WE DID AN OUTSTANDING ARE FROM 2:00 A.M. TO 3 IN THE AFTERNOON.

BUT IN THE REMAINING 18 HOURS OF THE DAY WHEN THE CLINIC WAS CLOSED BECAUSE OF VIOLENCE AND WE HAD HIGH RATES OF MORTALITY AND THEN IN THE MORNING THERE WAS A QUEUE OF PATIENTS IN SHOCK OUTSIDE OF OUR CLINIC.

AT THAT MOMENT IF WE CAN'T GET TO FAMILIES OFF HOURS WHEN THE CLINICS ARE CLOSED MY MISSION IS NULL.

SO AT THIS POINT I BEGAN TO HOW DO WE PROVIDE EARLY ACCESS TO CARE IN REALLY DIFFICULT PLACES.

SINCE THAT TIME THE UN PEACEKEEPING FORCE LEFT THE COUNTRY.

THE GOVERNMENT COLLAPSED.

THE CURRENT STATE COLLAPSED.

ACCESS TO FUEL BECAME VERY DIFFICULT.

GANGS TOOK OVER THE COUNTRY, AND HAVE ROADBLOCKS AND IT BECAME A REFLECT ZONE.

AND THERE ARE MANY CONFLICT ZONES ACROSS THIS PLANET.

AND DEVELOPING A LOGISTICS TO GET EARLY ACCESS TO CARE IN A CONFLICT ZONE.

IT SOUNDS LIKE AN OPERATIONALIZING AND GETTING IT APPROVED WOULD BE ALMOST IMPOSSIBLE.

BECAUSE THE COUNTRY FELL APART DURING THE DEPLOYMENT OF MOTOMEDS WE BECAME A SINGULAR OPPORTUNITY TO PULL OFF THESE LOGISTICS.

I'M REALLY PROUD BECAUSE WE'RE APPROACHING OUR FOURTH YEAR ANNIVERSARY.

IT'S BEEN AN AMAZING GRASSROOTS INITIATIVE.

TODAY THERE IS A TROPICAL STORM GOING ACROSS HISPANIOLA.

OUR CASE COUNTS BECAUSE DISEASES WILL SPIKE AND WE'LL BE THERE TO RESPOND.

>> THAT SOUNDS LIKE AN AMAZING AND SORT OF INSPIRED THINKING ON THE PART OF YOU AND YOUR PARTNERS.

HOW DO YOU GUYS ABOUT RECRUITING THE DRIVERS.

IS THERE ANY SPECIAL TRAINING THAT GOES INTO THAT.

ARE THERE MEDICAL PROFESSIONALS.

WHERE DOES THE POOL OF PEOPLE COME FROM.

>> SO THE POOL OF PEOPLE COMES FROM POOL OF MOTORCYCLE TAXIS THAT DRIVE THEIR MOTORCYCLES UP TO TOP OF MOUNTAINS.

THEY PICK UP CHILDREN AND THEY FIND THEIR WAY DOWN THE MOUNTAIN TO SCHOOL IN THE MORNING AND SAFELY DRIVE THEIR KIDS DOWN OFF THE MOUNTAIN THERE IS A LOT OF TRUST AND PROFESSIONALISM THERE.

THERE'S A GRANULAR SENSE OF THE ROAD NETWORKS THAT IS NOT ON GOOGLE MAPS.

WE ENGAGED THOSE POOLS OF DRIVERS, WORKED WITH THEM, TO PROFESSIONALIZE THEM AND TEACH THEM SOME BASICS AROUND MEDICINE AND THEN PAIRED THEM WITH NURSES THAT COULD TAKE ON THE MEDICAL SIDE OF THINGS.

SO IT'S KIND OF BRINGING UBER TO HAITI AND LEVERAGING THAT SCALABLE TALENT POOL.

>> YEAH.

NOW I SAW IN ONE OF THE PRINTOUTS YOU SENT 2,000 KIDS YOU HAVE SUCCESSFULLY TREATED SO FAR?

SO WE'VE CONDUCTED NOW THREE CLINICAL STUDIES AND WE'RE INTO THE THOUSANDS BETWEEN 2 AND 3,000 PEOPLE.

>> NOW JUST TO BE CLEAR IF YOU GUYS WEREN'T THERE TO PROVIDE THIS SERVICE IT'S LIKELY THESE KIDS COULD NOT GET MEDICAL ATTENTION WHICH COULD LEAD TO MORTALITY.

AND A PARALLEL STORY IS IN OUR STUDY ABOUT A YEAR AND A HALF YEARS, TWO YEARS AGO, WE WERE WORKING OUTSIDE OF THE SOUTHERN PENINSULA OF THE COUNTRY, AND WE LAUNCHED A SCALED STUDY WHAT WE'RE DOING, AND THEN SHORTLY AFTER WE LAUNCHED THERE WAS AN EARTHQUAKE IN THE SOUTHERN PENINSULA.

WHAT HAPPENS TYPICALLY WITH A LARGE EARTHQUAKE YOU HAVE FIRST RESPONDERS AND THEY STABILIZE THE SITUATION, AND THEN IN ABOUT A MONTH THEY PULL OUT.

AND WE WERE POSITIONED TO PIVOT AND THEN RESPOND IN THAT SITUATION.

AND WE DIDN'T HAVE FUNDING.

BUT WE HAD THE TOOLS AND WE WENT AHEAD AND LAUNCHED AND IT JUST SO HAPPENED THAT A FUNDER CAME TO THE SURFACE AND FUNDED THAT ENROLLMENT AND WE STILL OPERATE.

BECAUSE THAT'S THE THIRD LARGECITY BEING OH KAI IN HAITI.

>> IT'S QUITE BUSY AND EFFECTIVE.

>> IT'S THE ONE CITY IN HAITI.

WE WORK IN A COUPLE OF REGIONS.

THEN THE CITY OF OKAI AND IT'S GOT URBAN AND THEN RURAL AREAS AS WELL.

>> NOW IT'S INTEREST TO ME I THINK THAT'S WHAT YOUR APPROACH YOU CAN DEPLOY IT IN A LOT OF DIFFERENT PLACES AND IT'S A MODEL THAT CAN WORK IN A BUNCH OF DIFFERENT ENVIRONMENTS.

WHAT ARE SOME OF THE LESSONS LEARNED OVER THE PAST FOUR YEARS THAT ARE GOING TO BE IMPORTANT IN MOVING IT AHEAD ELSEWHERE.

>> SCALTABILITY IS REALLY TRICKY.

AND SUSTAINABILITY IS REALLY TRICKY.

THE REASON FOR THAT IF YOU ARE TRYING TO HELP THE POOREST MOST MARGINALIZED PEOPLE ON THE PLANET IT CAN'T INHERENTLY SUSTAIN ITSELF.

IF YOU WANT TO CREATE A BUSINESS MODEL THAT DOES SUSTAIN YOU'RE GOING TO PROFITERR OFF OF POOR PEOPLE WHICH IS COUNTER TO THE WHOLE MISSION.

SO WE HAVE THREE DIFFERENT CAMPS OF DUTIES.

ONE IS TO CREATE A MODEL OF FINANCIAL SUSTAINABILITY.

AND THAT SHOULD BE AN ELEMENT OF GOVERNMENT SUPPORT, PRIVATE DONOR SUPPORT, GRANT SUPPORT, AND SOME FORM OF BUY IN FROM THE COMMUNITY AND THE FAMILIES WE SUPPORT.

IT DOESN'T HAVE TO BE FBL THE SUPPORT.

THE SECOND WE HAVE TO WORK WITH THE WORLD HEALTH ORGANIZATION TO THE WHO AND HAVE THEM CRITICALLY ANALYZE TO MAKE A STANDARD OF CARE THAT NOT WE CAN ADHERE TO BUT OTHER PARTIES THAT WANT TO REPLICATE WHAT WE'VE DONE.

THE THIRD PART IS TESTING PORTABILITY.

HAITI IS VERY BURDENED WITH TEASES AND HAS SOME GENERALIZED VIABILITY TO THAT.

WE'RE WORKING IN A K.K.R.

A WHICH HAS ONE OF THE HIGHEST AREAS OF SLUMS.

TO FIT THAT NEED.

THE NEXT THING IS PROBABLY TO MAKE A PIVOT TO SOUTH AFRICA AND NEPAL AND THEN PUT TOGETHER THE MOTOMEDS PACKAGE IN A WAY THAT CAN BE PUT ON A SHELF.

IF A COUNTRY IN NEED THE COUNTRY REACHES OUT TO US, AND WE CAN TAKE IT OFF THE SHELF AND DEPLOY IT.

I THINK ABOUT IF YOU KNOW A FAMILY WAS UP LATE WITH A KID WITH VOMITING AND DIARRHEA OUTSIDE OF McKINLEYVILLE OR WHO PAW AREA OR OUTSIDE OF GARBERVILLE HOW DO THEY ACCESS KNOWLEDGE AND MEDICATIONS TO AVERT EMERGENCY.

>> WE HAVE SOME VAST UNDERSERVED AREAS THROUGHOUT HUMBOLDT COUNTY AND THROUGHOUT HUMBOLDT COUNTY IF THEY DON'T HAVE A VEHICLE OR WHATEVER OTHER REASON CAN'T READILY TRANSPORT THEMSELVES.

CAN YOU ABOUT QUICK CARE CAN MAKE IN TERMS OF A PATIENT'S OUTCOME?

HOW IMPORTANT IT IS YOU GET THE PATIENT TO A DOCTOR RIGHT AWAY IN SOME OF THESE INSTANCES?

>> >> IT IS SUPER IMPORTANT.

ONE REASON WHY PEOPLE DO NOT GET INTO PEDIATRICS.

CHILDREN WILL LOOK FINE.

THEY WILL BE SMILING AND PLAYING WITH THEIR TOES AND THEY STILL LOOK OKAY AND THEN SUDDENLY THEY DECOMPENSATE.

AND THAT'S BECAUSE PHYSICIAN LODGE KLEE CHILDREN CAN SQUEEZE ALL OF THEIR BLOOD VESSELS THAN THEY CAN SUSTAIN THEMSELVES EVEN AS THEY'RE GETTING SICK.

THE TRICK IS IDENTIFYING KIDS EARLY AND ALBUTEROL FOR ASTHMATICS BE OR AMOXICILLIN FOR SOME SORT OF EAR INFECTION OR.

THERE'S LESS TIME FOR CHILDREN.

ADULTS THERE'S OFTEN MORE TIME AND THE PACE CAN BE MORE MEASURED.

AND WE DO SO ACTUALLY AT A BETTER RATE THAN.

WE AVERAGE ABOUT 72 TO 80 MINUTES FOR DELIVERY.

>> WHAT KIND OF MEDS ARE YOU DELIVERING.

IS IT ACROSS THE GAMET OR JUST A FEW SELECT FEW.

>> SO WE TRY TO KEEP THINGS SIMPLE AND I SAW YOU SHOWED A SLIDE FROM A DESIGN CONCEPT FROM IDO DOCTOR WHICH IS OUT OF SAN FRANCISCO.

HEARING, PROTOTYPING, ITERATING, AND IN OUR CASE THE HEARING PHASE STARTED WITH WHAT ARE THE DOMINANT DISEASES IN THIS SPACE.

WE TOOK ALL OF THE FIELD OF PEDIATRICS AND BOILED IT SIX CHIEF COMPLAINTS.

NUMBER 7 IS OTHER.

WHAT WE DO OUR GUIDELINES MANAGE THOSE SIX CHIEF COMPLAINTS.

THE OTHER 5% OF CASES ROLL OVER TO ON-CALL DOCTORS.

IT'S YOU SEE IN HUMBOLDT.

IT'S FEVER OF UNKNOWN SOURCE.

IT'S TROUBLE BREATHING.

IT'S VOMITING AND DIARRHEA.

IT'S SKIN INFECTIONS.

IT'S JUST MORE INFECTION THAN WHAT YOU HAVE IN HUMBOLDT.

>> THERE IS A TROPE OUT IN POP CALL WHICH YOU ARE WHICH IS UNFORTUNATE ABOUT THE WHITE SAVIOR OR THE WESTERN WORLD COMING TO RESCUE IT'S MORE ASSOCIATES IN THE THIRD WORD.

IT'S NOT JUST YOU WHO'S DOING IT.

COULD YOU EXPLAIN WHAT YOUR CONCERN IS THERE AND HOW YOU GUYS ADDRESS THAT.

>> THERE'S A MOVEMENT DECOLONIZING GLOBAL HEALTH.

AND WHAT THAT MEANS IS THAT THERE ARE MECHANISMS THAT HAVE BEEN AROUND FOR MORE THAN A CENTURY IN WHICH OFTEN IS A FUNDING AGENCY OR A DONOR THAT COMES FROM A RICH COUNTRY, AND THEN WANTS TO DO GOOD IN A POOR COUNTRY.

AND BECAUSE THE MONEY IS FLOWING FROM THAT DEVELOPED COUNTRY OFTEN THROUGH A U.S. BASED INVESTIGATOR OR SOME SORT OF PHILANTHROPIST ONWARD TO THAT POOR COUNTRY THERE IS A FINANCIAL UMBILICUS THAT'S JUST NATURALLY HAS COME TO BE OVER THOSE YEARS.

WITH THAT JUST LIKE ANYTHING IN LIFE THERE'S AN ASPECT OF CONTROL AND POWER THAT COMES FOR THAT UMBILICUS.

AND HOW I SEE THINGS THROUGH MY EYES AND THROUGH ACADEMIA, THROUGH MY EYES AS A PEDIATRICIAN IN THE STATE OF FLORIDA I SEE THINGS DIFFERENTLY.

IT'S REALLY IMPORTANT THAT WE APPROACH THIS WORK FROM AN EQUITABLE STANDPOINT AND MORE IMPORTANTLY HAVING THE FOREIGN PARTNERS LEAD AND PEOPLE LIKE MYSELF BE THE CONSULT AND THE THERE'S A EMPOWERMENT OF IDENTIFYING LEADERS WITHIN FOREIGN PARTNER COUNTRIES IF THEY NEED CAREER DEVELOPMENT.

WE PROVIDE THAT CAPACITY BUILDING AND THEN THOSE PEOPLE ARE LEADER AND OF THOSE ORGANIZATIONS.

THAT'S HOW WE'VE WORKED TO BUILD THINGS IN HAITI AND GHANA.

OUR CALL CENTER IS 100% HAITIAN.

WE'VE HELPED TRAIN OUR LEAD NURSE WHO GREW UP IN OUR STUDY AREA.

AND THE SHE RUNS MOTOMEDS.

THE ON-CALL DOCTORS ARE BASED IN PORT AU PRINCE.

THEY ARE ALSO HAITIAN TRAINED AND SOME OF THE BEST PHYSICIANS IN THE COUNTRY.

SO THAT IS AN EXAMPLE OF FOCUSING ON EQUITIABILITY AND EMPOWERMENT TO MAKE SURE THAT IS NOT FALLING INTO THE COLONIZATION MODEL OF THE PAST.

>> YEAH.

I THINK THAT'S IMPORTANT.

ESPECIALLY CONSIDERING SOME OF THE POLITICAL PRESSURES SURROUNDING THE WHO IN PAST YEARS.

SOUNDS LIKE YOU GUYS HAVE DONE YOUR HOMEWORK AND ARE TAKING A SOUND COURSE IN THAT REGARD.

HAVE YOU BEEN TO HAITI RECENTLY.

THAT'S A COMPLEX QUESTION.

>> SURE.

>> I'VE MANY IN MANY CONFLICT ZONES AND MANY UNSTABLE SITUATIONS, AND HAITI RIGHT NOW IS INCREDIBLY HARD LOGISTICALLY, AND WE DON'T WANT TO MAKE OUR VISITS TO THE COUNTRY BECOME A LIABILITY.

AND WE DON'T WANT TO PUT AT-RISK OUR PRIMARY MISSION SIMPLY BY ME DOING A FIELD VISIT.

RIGHT NOW TO SAFELY GET TO OUR FIELD SITE IS REALLY DIFFICULT AND IT'S NOT PROBABLY WORTH THE RISK AND LIABILITY.

SO THAT FORCES US TO RELY ON ZOOM.

IT FORCES US.

>> IT WORKS.

>> IT WORKS OF OUR SUPPLIES.

WE HAVE A SMALL ARMADA MOTORCYCLE DRIVERS THAT WILL FIND THEIR WAY SAFELY INTO PORT AU PRINCE.

MOST ROADS HAVE ROADBLOCKS.

MOST OF THOSE ROADBLOCKS ARE ARMED.

STRANGELY ONE OF THE THINGS ABOUT MOTOMEDS BECAUSE WE AT NIGHT THOSE ROADBLOCKS ARE NOT ARMED.

WE LITERALLY DRIVE OVER THEM.

A LOT OF THE DAYTIME CLINICS HAVE TO SHUT DOWN BECAUSE IT'S TOO VIOLENT.

AND I'M HOPING TO GO SOON IF IT'S SAFE.

>> WELL CERTAINLY SAFE.

WE HAVE TWO MINUTES SAFE.

THE THE URL DONATING.

YOU DO ACCEPT PRIVATE DONATIONS.

IT'S CORRECT.

IT'S PLAYED AN IMPORTANT WHEN GRAHNS AREN'T AVAILABLE.

ONE OF THE PARTS OF SUSTAINABILITY IS SO WE HAVE DIGITIZED THE GUIDELINES AND WE'RE ABOUT TO DEPLOY THAT INTO THE HAITI.

IF WE CAN PUT THAT WITH OUR HUB AND SPOKE MODEL OF DELIVERY MODELS WE HAVE A PATHWAY TO SCALE FOR THE PEOPLE ACROSS THE PEOPLE WHICH IS 10 MILLION PEOPLE.

>> A LOT OF US DON'T HAVE A LOT OF EXPERIENCED WITH HAITI.

IT HAS A BEAUTIFUL HISTORY.

THE PEOPLE ARE COMPLEX CULTURALLY AND VIBRANT.

IS THERE ANYTHING ABOUT THIS THE HAITIANS THAT PEOPLE SHOULD KNOW MEMBERSHIP THEY CAN'T SEE FROM THE SURFACE LOOKING OUT.

>> HAITI IS UNLIKE ANY OTHER COUNTRY I'VE BEEN TO.

THERE'S A PASSION A SENSE OF CARING A SENSE OF FINDING JOY WHEN THERE DOESN'T SEEM TO BE ANY VENUE TO DO SO.

I FIND THAT INSPIRING.

AND THEN OUR FORMER CHAIR OF OUR DEPARTMENT OF PEDIATRICS HERE AT UNIVERSITY OF FLORIDA.

THE A SOCIETY IS JUDGED BY HOW WELL THEY TAKE CARE OF THEIR MOST VULNERABLE.

>> WELL, ERIC DR. NELSON I APPRECIATE YOU TAKING THE TIME, AND SHARING YOUR -- SHARING WITH US YOUR WORK.

I THINK YOU'RE TO BE COMMENDED FOR THE EXCELLENT OPPORTUNITIES YOU'RE TRYING TO BRING TO HAITI.

>> ALL RIGHT.

LIKEWISE WITH YOUR WORK TO PBS.

>> AND GOLA GURS.

>> GO LOGGERS.

>> WE'LL BE BACK AFTER THE SHORT BREAK.

>> OVER THE COMING YEAR ABOUT 2.3 MILLION CALIFORNIANS A MILLION OF THEM CHILDREN ARE EXPECTED TO LOSE MEDI-CAL AS THE STATE R RECESSES ELIGIBILITY.

INCLUDING 64,000 KIDS.

AN ESTIMATED 89% OF THOSE PEOPLE STILL QUALIFY FINANCIALLY.

JOAN ALKER AT GEORGETOWN MANY FAMILIES EITHER MOVED OR HAVEN'T RECEIVED THE A RENEWAL LETTERS.

THE PROCESS IS CONFUSING AND THE BURDEN IS FALLING ON THE FAMILIES TO PUSH THROUGH THE RIGAMAROLE.

OR NOTIFY PEOPLE THAT THEIR PACKETS ARE BEING PROCESSED.

HELP IS AVAILABLE ON THE KEEP MEDI-CAL COVERAGE.org.

AND ON THE CHILDREN'S ALL IN FOR HEALTH.org.

THAT'S ALL FOR THIS WEEK AND OUR MEDICAL EPISODE.

STAY TUNED, STAY INFORMED.