What Happens After a Rural NC Health Clinic Closes?

Dec 4, 2017

The former Warren Community Health Clinic in Warrenton sits empty and quiet, across the parking lot from the county health department. Until last year, the clinic served low-income patients who often were unable to pay for medical services and didn’t have Medicare or Medicaid.

Without paying patients, the clinic was forced to shut down, sending more than 4,000 people to find health care someplace else.

The closure was a big blow for Warren County, an area of the state considered a primary care desert, where doctors are few and patients are often forced to go without healthcare. The county has 0.49 physicians for every 10,000 people – among the lowest in the state, according to the annual 2017 NC Roadmap of Need, a report released by the Public School Forum of North Carolina. Patients traveled from Vance, Franklin and other nearby counties for care at the Warren clinic.

Arthur Pinder, left, at the African American Cultural Festival. Pinder used to visit the health clinic in Warren to treat his asthma.
Credit Christine Nguyen, The Daily Dispatch / For WUNC

Finding Former Clinic Patients Becomes A Challenging Task

Earlier this fall, I attended the annual African-American Cultural Festival in Warrenton in search of former clinic patients.

“Everybody having a good time?” a bandleader said to the crowd. “That’s what we like to hear.”

To meet residents and find former patients of the Warren Community Health Clinic, my colleagues and I pitched a tent at the festival, served up some hot pulled turkey barbecue, and enjoyed the music.

Arthur Pinder of Warrenton used to visit the health clinic to treat his asthma. Most of the clinic’s patients were treated for high blood pressure, diabetes, asthma and illnesses related to those ailments, according to clinic administrators.

Pinder has a job now that provides health insurance and is being treated at Beckford Medical Center with offices in Warrenton, Henderson and Louisburg.

He said he would like to see the Warren Community Health Clinic reopen.

“Greatly, and not just for myself,” Pinder said.

WUNC Reporter Leoneda Inge interviews Sherman Johnson, 60, who moved from Charlotte to Warrenton for a job 40 years ago. Johnson said he currently does not have health insurance.
Credit Christine Nguyen / For WUNC

Warren County has experienced decades of hardship and despair. The population sits at about 20,000 residents, and has been shrinking over the past five years. More than half of the population is African American, like Pinder. The Warren County poverty rate is 27.3 percent – more than ten points higher than the overall state rate, according to the U.S. Census data.

“We need good news around here,” said Sherman Johnson, 60, who moved from Charlotte to Warrenton for a job 40 years ago.

Johnson said he currently does not have health insurance.

“I have changed jobs since then to another job that pays just as little money and they don’t offer health care,” Johnson said. “And that’s what I am doing now, scouting around and hoping and praying I just don’t fall out.”

Johnson’s last few jobs did not offer health insurance leaving him in a difficult situation. He’s not old enough yet for Medicare and North Carolina opted not to expand Medicaid.

 

A sign indicates the Warren County Community Clinic is temporarily closed.
Credit Leoneda Inge / WUNC

Patients, Clinic Officials Hope Clinic Will Reopen

Mary Somerville co-founded the Warren Community Health Clinic and was its executive director until the clinic closed. She walked around the festival, shaking hands and giving hugs – a lot of hugs.

“How does it feel being out here today?" I asked Sommerville. "I saw several people come up to you and hug you. They remember you from the clinic."

“Most of them asked, like he did, ‘ya’ll going to be able to re-open’?” Sommerville replied. “I still have hope.”

Our search continues for former patients at the clinic, which comes at a time when funding for community health centers are in jeopardy across the country.

NOTE: This report was produced as a project for the Dennis A. Hunt Fund for Health Journalism, a program of the USC Annenberg Center for Health Journalism. If you know of a former patient of the Warren Community Health Clinic in Warrenton, email Race and Southern Culture Reporter Leoneda Inge at linge@wunc.org.