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Conservative Perspectives on the Future of Community Health Centers

In this episode, we zoom out to examine the future of community health centers within America’s rapidly evolving health care landscape. As debates over Medicaid, coverage reform, and market-based solutions intensify, what role will CHCs play—and how can they continue to thrive while staying true to their mission of serving communities in need? Amanda Pears Kelly is joined by Ed Haislmaier of The Heritage Foundation for a thought-provoking conversation about how conservative health policy ideas could reshape the safety net and where opportunities for common ground might emerge. 00:00:00 - Introduction 00:02:25 - What is The Heritage Foundation? 00:04:18 - Supply vs. Demand: Where Health Centers Fit In 00:08:04 - Medicaid Reform: Rebalancing Federal-State Financing 00:10:34 - Two Medicaid Populations: Acute Care vs. Long-Term Support 00:16:33 - The De-Facto Right to Emergency Care 00:18:02 - Moving from Indigent Care to a Claims-Based System 00:19:44 - Market-Driven Reforms: Direct Primary Care 00:25:23 - Rural Health: Employer Plans vs. Safety Net 00:28:27 - The Problem with a Hospital-Centric System 00:31:10 - The Utah Model & Rethinking Graduate Medical Education 00:35:15 - Spray and Pray Funding: vs. Targeted Investment 00:44:25 - Conclusion