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.

Canaries in the Affordable Care Act Coal Mine


Community Health

Doctor and Patient at Oscar Romero Health Center

As the only nonprofit licensed to distribute Rx medications in all 50 states and conducting the largest charitable medicines program in the country with a network of roughly 40 percent of America’s nonprofit community health centers and charitable clinics, Direct Relief has a unique perspective on the gaps that exist in the healthcare safety net that exists in our country.

As the Affordable Care Act (ACA) implementation kicks off its critical phase this week, one way  to assess whether the intended benefits are being realized is to look at how these nonprofit safety-net facilities fare, since they have been serving people with limited means and no insurance – many of the same people intended to be covered by insurance under the ACA. And the facilities are expected to receive even more patients as events unfold.

Obvious, if perhaps obscured in the political conversation, is that health insurance itself is neither health care, a guarantee of access to health care, nor, fundamentally, good health. If facilities or providers do not accept a particular insurance plan for whatever reason – most likely because it is not considered to provide sufficient reimbursement for care – a newly insured person will not necessarily have more or any different access to health care services.

Nonprofit health centers and charitable clinics provide access to primary and preventive health services in a nondiscriminatory way. For all the many, intense disputes that continue to exist about the ACA, virtually none exists that more of these types of services are needed to improve health and reduce costs. If, as intended, broader insurance coverage means that health centers and charitable clinics receive payment for patients they have always cared for even when uninsured, the proven benefits of providing such access and care will be expanded for millions of people. Alternatively, if expanding insurance coverage becomes a balloon-squeezing exercise paid for by reducing reimbursements for care, the intended benefits of expanded access to care may be elusive.

So, as the ACA unfolds – differently in each state, with a big bet on insurance products and markets to expand access, improve results, and reduce costs – the status of these facilities, which serve more than 1 in 15 people in the United States today, will be a reasonable proxy to assess how things are going and whether the legislation’s broad purposes of better, more affordable, more accessible health care and better health are being advanced.

Direct Relief will be publishing its annual State of the Healthcare Safety Net report in the coming weeks to highlight this particular, important issue.

Charitable efforts such as those conducted by Direct Relief to help patients obtain medications they need but cannot afford and support locally run nonprofit clinics that serve vulnerable people typically exist for  people not served through either commercial activity or government programs. These efforts have been expanding rapidly in the past few years to fill very large needs otherwise unfilled. With high hopes that such needs will be lessened, Direct Relief will continue to support people that will likely continue to need help with support to the safety-net facilities that provide it.

Giving is Good Medicine

You don't have to donate. That's why it's so extraordinary if you do.