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Critical Condition
The city's cure for D.C. General's illness was to pull the plug. But the new D.C. HealthCare Alliance shows many of the same symptoms.

Cover Story

The city's cure for D.C. General's illness was to pull the plug. But the new D.C. HealthCare Alliance shows many of the same symptoms.

Around 4 p.m. one Wednesday in December, Ronald Spencer affixes his name on the emergency-room log at Greater Southeast Community Hospital. The 45-year-old reports that he's suffering from chest pains and shortness of breath.

Spencer didn't arrive by ambulance to the hospital at 1310 Southern Ave. SE, on the eastern edge of Ward 8, where grassless garden apartments, newly constructed town-house developments, and roaming Prince George's County police cruisers make the border between city and suburb almost indistinguishable. Like the majority of patients in Greater Southeast's ER this afternoon, Spencer walked in on his own.

And, like an estimated 81,000 of his fellow District of Columbia residents, Spencer has no health insurance to pay for his visit. Unemployed for nearly five years and in recovery from narcotics addiction for a little under one, he says that he supports his two teenage sons with a $355 monthly check from the government and additional help from his family. He brags that he hasn't seen a doctor since he injured his Achilles' tendon in the early '80s, but his wife and another son died from heart-related illnesses in 1994 and 1995, respectively, so Spencer decided to take these warning signs seriously. He doesn't know how he'll finance his trip to the ER, which might include a chest X-ray and an electrocardiogram totaling a few hundred dollars. ... Continued

Issue of Jan. 4 - 10, 2002

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