Voting information in Spanish

ACCESO is the Spanish Word for "ACCESS." It is also the name given to the Spanish language advisory committee for the Clerk & Recorder's office in Denver. It is the mission of ACCESO to meet the federal mandate of the Voting Rights Act that requires counties to provide bilingual education materials and information when five percent of the population speaks another language and has limited English skills. As part of meeting that objective, a community forum will be held Monday, Sept. 27 from 6 to 8 p.m. at Denver's Northeast Academy Charter School, 4895 Peoria St. English and Spanish speaking residents from throughout the city are encouraged to attend. Residents will be able to register to vote as well as learn about where and how to vote. Other election information will be available in both languages and all questions or concerns will be addressed. Childcare will be provided. For more information call 720-856-4873. Also bilingual poll workers are being sought to work election day Nov. 2. Participants are paid for both training and for a full election day shift. Applicants should be able to speak English and Spanish and be a registered voter. There are also gaps. Singapore has a very poorly organized community or domicillary nursing service. It used to have a visiting community nursing service in the past (I have seen pictures of nurses wearing white uniforms and veils getting into sampans Rosetta Stone Portuguese to go across a river or to an island). However, home visiting was stopped and people are now required to attend either the clinic or the hospital. This, as one can image, can be difficult even on a small island. While there is excellent public transport in Singapore (and it is cheap), if one is disabled or sick, it is difficult to use this for frequent access. Additionally, the taxi service can be quite expensive if one is taking it every day. At this stage there are no programmes such as 'hospital in the home' for patients who are discharged early. There are some for profit and not-for-profit organizations that provide home care, but these are means tested and are limited in their availability.In the polyclinics, however, there is an excellent self-management model of chronic disease management which is nurse-led. Most of the government polyclinics have been using this model for some time, where an experienced registered nurse works as a case manager for a person with chronic disease/s. Once the patient is diagnosed and stablised, they are referred to the nurse who works as a case manager to provide the education and lifestyle management needed. There is a co-payment for this service. Very different from Australia, is the fact that prescribed medications are given out at the polyclinic. Pharmacies (or drug stores) do not dispense any drugs other than 'over-the-counter' or Schedule 3 drugs. All prescription drugs are provided at the same time as the visit to the doctor. This has good aspects (you don't have to find a pharmacy to dispense the drug somewhere else) and bad points (you can only get a couple of months at a time, which means you have to go back more frequently, and then you have to store them in a fridge). It is cheaper than Australia where we would pay through our subsidized pharmacy system about $35 per medication and an out of pocket payment of about $30 for the GP (much more for a specialist or for radiography). Here in Singapore the doctor visit and medication cost me $5. It does not prevent a person "doctor shopping" though as there is no standard electronic health record in Singapore.

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