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Dawn.

When silence reigns, it pours. Part of the dilemma you described is a

discomfort of the provider (I assume you mean the physician, nurse

practitioner, or physician assistant, not support staff) and outreach

workers in soliciting & accepting monies. Some or many of us were taught

that outreach in labor camps (screening, legal services, etc) is a public

relations endeavor. Provider capacity in a camp is limited with respect to

full services, due to a lack of clinical support technology. As such,

provider presence in a labor camp is a warm-up, a presentation of self as a

caring and concerned professional, and an orientation strategy to encourage

clinic use for a more elaborate treatment of problems that may be screened

during a visit (not necessarily by those who are high-end care providers).

Outreach brings, it doesn't collect. When collection occurs, it's no longer

outreach... Given the difficulty of reaching all the camps in one's

jurisdiction or all camp occupants during two visits per season (are more

planned?), and the potential for appearing partisan if one cannot, an

alternative is providing transportation to the clinic on a regular

basis.... Readers may have views other than these.

V Bletzer

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