WERU Community Radio


October 16, 2013 Access to Health Care - Part 2

Access to health care and other needed services is particularly challenging in rural states like Maine.

Transportation: Communities built around private automobiles are difficult to serve with fixed-route transit systems, much less light rail. On-demand and volunteer driver networks are difficult to sustain, particularly as fuel prices rise.

Social Networks: Rural isolation increasingly leaves elderly without family or friends to assist during time of infirmity. Population trends indicate that rural isolation with increase dramatically in the comming decades. New forms of social networks are needed.

Care for multiple-chronic diseases: Environmental, behavioral and demographic factors are contributing to a rapid increase of people living with multiple-chronic diseases. For many, health care requires weekly or even daily services. Meeting these needs in rural Maine is a growing challenge.

Join our dialogue about these and other challenges to meeting health care needs.

Audio Archives



Elsie Fleming
Community Relations & Development Director
Healthy Acadia
PO Box 962
Bar Harbor, ME 04609
(o) 207-288-5331 ext 10
(c) 207-669-2073
Elsie Fleming

Elsie provides leadership in communications, public relations, and development. Her communications work includes coordinating Healthy Acadia’s e-mail newsletter, website, and social media, as well as developing program-specific media. Public relations responsibilities include representing Healthy Acadia at public functions and partner events, and supporting staff in developing content-specific messaging and presentations. Elsie provides leadership in grant writing, community appeals, and other fundraising efforts. Elsie also coordinates community health assessment and planning efforts. 
Jim Lysen
FQHC Executive Director/Chief Financial Officer
Community Clinical Services, Inc.
B Street Community Center - Suite 201 - 57 Birch Street, Lewiston, Maine

Jim provides strategic guidance and direction to six medical and mental health practices and five School-Based Health Centers comprising the Federally Qualified Health Center (FQHC) Look-Alike program affiliated with St. Mary’s Health System.

He has a strong interest in environmental and economic sustainability, democratic governance, cultural competency, food security and affordable housing, including for those homeless, and providing holistic, integrated and comprehensive health care, especially to those underserved. He is the former Planning Director for the City of Lewiston.



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