News publications and other organizations are encouraged to reuse Direct Relief-published content for free under a Creative Commons License (Attribution-Non-Commercial-No Derivatives 4.0 International), given the republisher complies with the requirements identified below.

When republishing:

  • Include a byline with the reporter’s name and Direct Relief in the following format: "Author Name, Direct Relief." If attribution in that format is not possible, include the following language at the top of the story: "This story was originally published by Direct Relief."
  • If publishing online, please link to the original URL of the story.
  • Maintain any tagline at the bottom of the story.
  • With Direct Relief's permission, news publications can make changes such as localizing the content for a particular area, using a different headline, or shortening story text. To confirm edits are acceptable, please check with Direct Relief by clicking this link.
  • If new content is added to the original story — for example, a comment from a local official — a note with language to the effect of the following must be included: "Additional reporting by [reporter and organization]."
  • If republished stories are shared on social media, Direct Relief appreciates being tagged in the posts:
    • Twitter (@DirectRelief)
    • Facebook (@DirectRelief)
    • Instagram (@DirectRelief)

Republishing Images:

Unless stated otherwise, images shot by Direct Relief may be republished for non-commercial purposes with proper attribution, given the republisher complies with the requirements identified below.

  • Maintain correct caption information.
  • Credit the photographer and Direct Relief in the caption. For example: "First and Last Name / Direct Relief."
  • Do not digitally alter images.

Direct Relief often contracts with freelance photographers who usually, but not always, allow their work to be published by Direct Relief’s media partners. Contact Direct Relief for permission to use images in which Direct Relief is not credited in the caption by clicking here.

Other Requirements:

  • Do not state or imply that donations to any third-party organization support Direct Relief's work.
  • Republishers may not sell Direct Relief's content.
  • Direct Relief's work is prohibited from populating web pages designed to improve rankings on search engines or solely to gain revenue from network-based advertisements.
  • Advance permission is required to translate Direct Relief's stories into a language different from the original language of publication. To inquire, contact us here.
  • If Direct Relief requests a change to or removal of republished Direct Relief content from a site or on-air, the republisher must comply.

For any additional questions about republishing Direct Relief content, please email the team here.

State of the Safety Net Release: Nonprofit Clinics Face Challenges


An alarming majority of U.S. nonprofit health centers, community clinics, and free clinics are seeing increased patient numbers, expect to treat more patients without insurance and predict more challenging conditions in the upcoming year based on funding and patient trends, according to data released today in the largest national survey of these facilities.

The findings are contained in Direct Relief’s annual The State of the Safety Net, a one-of-a-kind report that summarizes the results of a survey conducted in early 2012 of U.S. nonprofit community-based health clinics, Federally Qualified Health Centers (FQHCs), and free clinics as well as recent trends identified by unique analysis of the last five years of FQHC data. Direct Relief estimates that nonprofit clinics and health centers collectively provide care to over 21 million people across the United States annually.

“America’s nonprofit community health centers, clinics, and free clinics are the backbone of our nation’s health care safety net, providing care regardless of a person’s insurance status, income, or ability to pay,” said Thomas Tighe, President and CEO of Direct Relief.  “The report reflects the extensive role they have played and the pressures they have encountered while caring for the most vulnerable people in the country during an extended period of intense economic distress.”

In the wake of continuing economic turbulence and the Supreme Court ruling on The Patient Protection and Affordable Care Act, uncertainty remains about the law’s implementation in various states. As these debates continue, analysis of FQHC data documents national increases in overall patients seeking care at FQHCs, higher rates of chronic conditions among patients, a higher percentage of patients at or below the poverty level, and state-level differences with respect to increases and decreases in rates of Medicaid patients, uninsured, and diabetic patients.

“How such facilities and their patients fare is,  and will be, an important indicator of whether the basic goals of health reform — access to affordable, high-quality care for people who don’t have it now — are being met,” said Tighe.

The survey uncovers that 79 percent of nonprofit community-based clinic and health center respondents saw an increase number of patients in 2011, and 86 percent expected the number of patients without health insurance to increase during 2012.  In addition to the rise in the overall number of patients, the clinics are also seeing an increase in the number of patients seeking care for chronic illnesses – like diabetes and hypertension – that require more services over a longer period, further adding to the increased pressure on the health centers.

The State of the Safety Net 2012 report is available here: https://www.slideshare.net/directrelief/state-of-the-safety-net

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