Tara Meyer, Nurse Practitioner, Burlington
I was in my last semester of my Family Nurse Practitioner program at UVM. Vermont has a program called Ladies First, which basically covers some preventive care (like mammograms) for women without health insurance. When I was a new student I thought this was great– “Wow, in Vermont, all women theoretically have access to preventive services.” But one day at the clinic, a patient came in who had previously applied for Ladies First because she had no health insurance. She had been denied because she had a modest house and some family land (that had been passed through her family for generations) so she did not qualify for the program because she was technically over the income/asset limit (even though she did not make a lot of money by any measure). So she kept putting off going to her primary care provider. Consequently, she presented this day with a lump in her breast that had been there for a little while, which ended up being Stage IV breast cancer– basically a very bad diagnosis.
She was referred immediately to an oncologist and started chemotherapy and radiation. [...]
