Access, both financial and physical, is the biggest issue that homeless persons have with health care. Homeless individuals usually face the same issues as other disadvantaged and near-poor people with respect to financial access: qualifying criteria for financial aid, benefit costs far below the current retail price for health insurance, and a refusal of health care providers to offer low-cost assistance
New reform has started to abolish one of the most serious barriers to financial access for homeless persons, including a fixed address mandate, as a criterion for deciding eligibility for public health benefits. However, vary by state and the community, many homeless persons are simply not eligible for such services, particularly single, non-disabled adult individuals.
With regards to physical entry, such hurdles that also hinder health services for the domiciled poor tend to be much more difficult for the homeless. Hospitals, hospitals, and centers of mental health are often located far from local areas where homeless people assemble.
Public transit, which homeless people also do not afford, is the main way of getting to health care facilities. Furthermore, once they get to those facilities, the long wait for treatment can mean that when they have to be back at the shelter to sign up for a room for the night, they skip the deadline.
It’s more difficult to respond to the health care needs of the homeless than to traditionally support the chronically indigent community. Employees require special preparation and resources to deal with clients who are also extremely distrustful, lack a social support system, and have various social and medical needs.