About 20 years ago, Rick Cesar was working as a nurse in the Aurora Sinai Emergency Room, treating patients that often had no reason to seek care in an emergency room except for the fact that they had no insurance. The sad truth was that the ER was their only option for medical care, which is still the case for many people today. In the same hospital, Cesar knew a doctor, Tom Jackson, and a residency student, Barbara Horner-Ibler, who were both frustrated with the treatment system they were a part of.
Cesar, Jackson and Horner-Ibler watched as patients came in to the hospital to be treated for an illness, temporarily recovered from their symptoms, were discharged with a prescription and would start the process all over again a few months later. These patients would not be cured; they were simply sent off with a quick fix. If patients do have health care, their level of care is dictated by what their insurance covers, which often limits follow-up appointments and other necessary treatments like behavior health assessments. These three health care providers came together to find a solution to these problems and make health care more accessible to those who cannot afford it.
In 2000, Cesar, Jackson and Horner-Ibler co-founded the Bread of Healing Clinic (1821 N. 16th St., in the basement of Cross Lutheran Church) with help from partners including Aurora Health Care and United Way. Although the clinic has grown to treat almost 2,000 patients and accommodate around 6,800 visits per year in three locations, it started much smaller. In the beginning, Cesar was stationed as a parish nurse at Cross Lutheran Church and began seeing a few patients a week to keep them out of the ER for needs like removing stitches and checking vitals after starting a new drug. Horner-Ibler then joined Cesar and prescribed medications to patients. She would leave her credit card on file at the pharmacy so that when patients went to fill their prescriptions, the pharmacist knew to put the bill on her credit card. Jackson became the medical director, and the clinic grew quickly with the needs of their patients.
At Bread of Healing, they consider themselves to be an integrated health provider, understanding that an illness comes from medical, social and behavioral problems. That is why all their patients interact with someone from their social work, behavioral health and medical team that are available at every location. But there’s more to health than that; there’s hope, explains Michele Cohen, the clinic’s behavioral health director. “I hold hope when other people can’t hold it for themselves, and that’s what this place is,” she says. “I’ve learned how much of a difference we can make in someone’s life by just listening, by just telling them the truth.”
The clinic’s health care providers are used to their patients telling them that no one cares about them, that they have been forgotten. These are fellow citizens of this city that feel alienated. Bread of Healing was founded to show Milwaukee’s underinsured that “you need hope, and somebody does care,” states Cesar. “You have to be willing to accept people and understand you are not the one doing the favor. You’re going to learn more from people than anything. And if you can have a heart that’s open, and you can encourage caregivers to do that, it’s going to make them better practitioners and provide better care to the patients.”
View the article on the Shepherd Express website, part of my regular Hero of the Week column.