Oregon doctor lives out his faith, notion of health reform at clinic

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PORTLAND, Ore. — In a converted Mexican restaurant, a small-town Catholic doctor lives out his notion of health care reform — and his faith.

Dr. Michael Grady, 59, runs the McClaine Street Clinic, next to a grocery story in a shopping center in Silverton, a city of 10,000.

The clinic serves patients so poor they qualify for the state health plan or Medicaid. Many doctors in private practice don’t accept patients with such insurance, because reimbursement rates are so low.

Grady, a member of St. Paul Parish, wants his clinic to be a “medical home” for patients, a place where they and their health conditions are well-known and where they can see a steady team of health providers for preventive care.

Thirty years of research show that health outcomes improve and costs drop when patients have a defined primary care provider, as opposed to having to visit emergency rooms and multiple clinics only after their situation has become dire.

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