Accessible and Affordable: Revolutionizing Care for Disabilities With Chanda Hinton

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Accessible and Affordable: Revolutionizing Care for Disabilities With Chanda Hinton
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What if you could transform an overwhelming challenge into a mission that changes lives? Our guest, Chanda Hinton, knows firsthand. After surviving a life-altering spinal cord injury at just nine years old, Chanda has turned her personal journey into a powerful movement for holistic healthcare solutions. Join us as we explore her inspiring path from patient to executive director of the Chanda Center for Health, where she champions comprehensive care for individuals with physical disabilities, including pivotal therapies like acupuncture, massage, and chiropractic services.

In this episode, we unravel the legislative triumphs that have paved the way for integrative therapies to become accessible and affordable. Discover the relentless advocacy behind the 2009 Colorado House Bill 1047, a groundbreaking bill that expanded Medicaid to cover essential services for spinal cord injury patients. Chanda sheds light on the ongoing struggle to achieve legislative recognition for conditions like endometriosis and the systemic changes needed to align healthcare with modern medical advancements. Learn about the cost-effective and life-enhancing benefits of these integrative therapies and the barriers that still exist in accessing them.

Finally, we tackle the pervasive healthcare barriers faced by individuals with disabilities, from inaccessible medical facilities to biased healthcare providers. Hear Chanda’s insights on overcoming these obstacles through the Chanda Center’s initiatives, including the establishment of an adaptive gym aimed at promoting health without financial strain. This episode is packed with powerful discussions on strategic planning, community support, and the relentless advocacy essential for driving systemic change. Don’t miss the invaluable lessons Chanda has learned while building a nonprofit dedicated to transforming disability healthcare.

https://chandacenter.org/

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Empowering Healthcare Advocacy and Resilience

Speaker 1
0:03

Welcome

to

EndoBattery
,

where

I

share

about

my

endometriosis

and

adenomyosis

story

and

continue

learning

along

the

way
.

This

podcast

is

not

a

substitute

for

professional

medical

advice

or

diagnosis
,

but

a

place

to

equip

you

with

information

and

a

sense

of

community
,

ensuring

you

never

have

to

face

this

journey

alone
.

Join

me

as

I

navigate

the

ups

and

downs

and

share

stories

of

strength
,

resilience

and

hope
.

While

navigating

the

world

of

endometriosis

and

adenomyosis
,

from

personal

experience

to

expert

insights
,

I'm

your

host
,

alana
,

and

this

is

EndoBattery

charging

our

lives

when

endometriosis

drains

us
.

Welcome

back

to

EndoBattery
,

grab

your

cup

of

coffee

or

your

cup

of

tea

and

join

me

at

the

table
.

I'm

joined

at

the

table

today

by

my

guest
,

chanda

Hinton
.

Speaker 1
0:50

Chanda

embodies

resilience

and

vision
.

As

the

executive

director

of

the

Chanda

Center

for

Health
,

she

leads

a

nonprofit

dedicated

to

providing

holistic

healthcare

solutions

for

individuals

with

physical

disabilities
.

Her

journey

began

with

a

personal

mission
,

rooted

in

her

own

experience
,

to

create

meaningful

change
.

Chanda's

advocacy

culminated

in

the

passage

of

Colorado

House

Bill

1047

in

2009
,

establishing

critical

health

care

options

under

Medicaid

for

spinal

cord

injury

patients

in

the

Denver

metro

area
.

This

landmark

legislation

not

only

expanded

accessibility

to

acupuncture
,

massage

and

chiropractic

care
,

but

also

to

set

a

precedent

for

statewide

benefits
.

Speaker 1
1:33

Originally

from

Nebraska
,

chanda

holds

a

bachelor's

degree

in

communications

from

the

University

of

Denver

and

a

master's

in

nonprofit

management

from

Regis

University
.

In

her

commitment

to

extend

beyond

professional

achievement
,

she

cherishes

cheesy

80s

chick

flicks

and

engaging

and

enriching

conversations

within

her

community
,

all

while

prioritizing

time

with

loved

ones

amidst

her

demanding

role
.

Chanda

Hinton's

story

is

one

of

resilience
,

leadership

and

unwavering

dedication

to

improve

healthcare

accessibility

for

all
.

Please

help

me

in

welcoming

Chanda

Hinton
.

Thank

you
,

chanda
,

so

much

for

joining

me

today
.

I

am

really

excited

for

this

conversation
,

not

only

because

you

are

a

fellow

Coloradan
,

but

you're

also

just

passionate

about

your

craft
,

your

work
,

your

advocacy
,

and

I'm

really

excited

to

touch

on

this

and

our

conversations

have

already

been

flowing
.

So

thanks

for

joining

me

today
.

Speaker 2
2:22

Yes
,

I'm

so

excited

as

well
,

and

I

just

love

the

intersection

of

some

of

the

things

we've

already

started

talking

about

and

bringing

the

opportunity
,

as

you

had

said
,

to

the

table

just

to

talk

about

this

in

a

more

intimate

way
,

but

mostly

just

because
,

again
,

that

cross

section

between
,

like

you

know
,

endometriosis
,

but

then

also

like

when

you're

a

woman

living

with

a

disability
,

what

does

that

look

like

for

them
?

And

so

I'm

thrilled

and

honored

to

be

here
.

So

thank

you

for

asking
.

Speaker 1
2:50

Yes
,

I

am

also

excited

because
,

as

two

people

that

run

nonprofits
,

it's

fun

to

kind

of

bounce

ideas

off

of

each

other

and

see

some

of

the

similarities

between

chronic

illness
,

chronic

pain

and

some

of

the

things

that

we

struggle

with

as

people

trying

to

advocate

further

for

specific

causes
,

and

not

even

just

that

but

for

humans
.

I

mean
,

I

think

you

do

a

fabulous

job
,

especially

here

in

Colorado
,

of

advocating

for

those

with

disabilities

in

general
.

But

just

gosh

darn
,

I'm

excited

just

to

have

this

conversation
.

For

those

who

don't

know

who

Chanda

Hinton

is
,

can

you

give

us

some

background

on

who

you

are

and

what

you

do

and

why

I'm

so

excited

to

get

to

know

you

better
.

Speaker 2
3:39

Yeah
,

absolutely

so
.

I

am

the

executive

director

senior

executive

director
,

of

the

Chanda

Center

for

Health
,

which

is

a

health

clinic

in

Lakewood
,

colorado
,

that

provides

preventative

and

chiropractic
,

physical

therapy
,

care
,

coordination
,

behavioral

health

all

underneath

one

roof

with

this

very

intense

or
,

I

should

say
,

intentional

ability

to

serve

them
,

where

disability

competence

is

our

core
,

meaning

that

we

are

there

and

excited

to

serve

people

with

disabilities
.

It's

not

as

though

that

is

a

population

that's

like

oh
,

when

we're

done

serving

the

others
,

we'll

get

to

you
.

It's

like

no
,

like

that
.

That

is

who

we

want

to

serve

and

who

we

want

to

serve

well

in

all

the

ways
,

and

so

we

make

sure

that

it's

competent
,

disability

competent
.

We

make

sure

our

building

is

to

the

space

where

people

feel

so

welcome

there

and

that

the

barriers

to

getting

into

the

building

or

getting

on

treatment

tables
,

or

having

face-to-face

eye

conversations

with

people

at

the

front

desk
,

like

all

of

that's

broken

down
,

because

we

really

want

them

to

run

towards

healthcare

and

we

also

want

them

to

have

a

sense

of

belonging

and

we

also

want

them

to

have

the

space

feel

therapeutic

rather

than

white

and

sterile
,

right
.

So

that's

who

I

am

in

terms

of

this

workspace
,

but

I

of

course

it

comes

with

the

background

story

which

I

would

be

happy

to

share
,

and

we

can

do

that
.

So

that's

what

we

do
.

Speaker 2
5:16

We've

been

around

for

nearly

20

years

us

doing

this

amazing

work

and

maybe

going

in

at

a

later

point

of

like

how

we

got

to

where

we

were

with

not

only

philanthropic

dollars

but

changing

legislation

and

Medicaid

and

there's

some

other

things

we

can

go

into
,

but

the

backup
.

The

reason

why

I'm

so

passionate

about

this

type

of

care

and

creating

an

organization

and

continuing

to

push

that

evolution

of

healthcare

and

make

it

more

accessible

to

others

is

because

of

my

own

personal

story
,

and

when

I

was

nine

years

old
,

I

was

accidentally

shot

in

the

back

of

the

neck

between

C5
,

c6
.

And

so

I

was

instantly

paralyzed
.

It's

a

complete

injury
,

which

means

that

there's

no

the

spinal

cord

was

severed
,

meaning

no

full

recovery
.

So

I

function

in

everyday

life

in

a

power

wheelchair
.

I

have

a

modified

vehicle

where

I

zoom

around

to

all

of

my

duties
.

Speaker 2
6:12

I

have

a

beautiful
,

sweet

service

dog
.

That

is

just

heaven

to

me

as

well
.

But

those

are

kind

of

how

I

function

every

day
.

But

why

that

injury

created

what

I

shared

earlier

was

because
,

you

know
,

when

I

was

shot
,

I

was

thrown

into

a

medical

model

rightfully

so
,

to

save

my

life
,

as

I

was

just

shot
,

but

also

into

the

medical

model

as

it

relates

to

how

was

I

going

to

address

my

spinal

cord

injury

for

the

rest

of

my

life
.

Speaker 2
6:40

And

what

that

initially

looked

like

was
,

after

rehab
,

I

would

sit

in

a

power

wheelchair

and

I

would

consume

a

ton

of

medications

for

the

rest

of

my

life
,

and

after

doing

that
,

for

probably

a

decade
,

that

was

not

the

way

that

my

body

or
,

I

think
,

many
,

many

people

are

able

to

sustain
,

in

the

sense

that

it

wasn't

a

vibrant
.

I

was

constantly

sick
.

The

medication

would

cause

additional

secondary

conditions
.

So

when

I

turned

21
,

I

started

having

chronic

pain
.

I

was

added

another

medication
,

which

was

a

Percocet
,

during

2003
,

when

the

opioid

epidemic

was

at

its

peak
,

and

so

I

became

extremely

sick

by

utilizing

the

traditional

medical

model
,

and

from

there

I

got

really

sick
.

I

became

bed

bound
,

I

weighed

59

pounds
.

I

needed

to

be

hospitalized

for

medical

intervention
,

which

I

find

a

little

bit

interesting
,

like

I

was

shot

and

I

used

medical

intervention

to

save

my

life
,

but

then

the

overall

utilization

of

medication

then

resulted

in

me

needing

medical

intervention

again

to

save

my

life
.

So

it

was

interesting

to

see

the

difference

or

the

variance

between

those

two

scenarios
,

knowing

that

medicine

has

such

a

beautiful

place

in

our

lives

and
,

at

the

same

time
,

can

also

be

a

detriment

to

our

lives
,

and

so

that

balance

we're

seeing

those

variances

and

finding

a

balance

was

really

really

critical

to

me
,

and

so

that's

when

I

started

doing

integrative

therapy
.

Speaker 2
8:10

I

wanted

to

make

sure

that

I

balanced

the

medication

that

I

needed

to

take
,

the

medication

I

didn't

need

to

take
,

but

then

also

substitute

acupuncture
,

massage

and

movement

to

my

body
,

massage

and

movement

to

my

body
.

Given

my

paralysis
,

I

had

no

ability

to

move

anymore
,

like
.

So

if

I

could

have
,

if

I

could

have

gone

to

a

gym
,

awesome

if

I

was

still

moving
.

But

because

I

can't

move
,

I

have

to

rely

on

other

humans

to

move

my

body
,

and

that

doesn't

mean

that

that's

any

less

I

still

should

go

to

the

gym
.

And

if

that

looks

like

it's

a

person

that's

doing

that

for

me

a

physical

therapist
,

an

adaptive

yoga

provider
,

a

massage

therapist
.

It's

essential

to

living

a

vibrant

life
,

so

I'm

going

to

shut

up

now

because

that

was

really

long
.

Speaker 1
8:54

No
,

it's

beautiful

because

I

think

the

takeaway

for

me

on

that

too

is

that

a

lot

of

us

are

given

the

opioid

route

because

that's

what's

accessible

with

insurance
,

that's

what's

accessible

off

the

cusp
,

that's

what

they

know
.

But

for

those

with

endometriosis

it

doesn't

really

help

us

all

that

much
.

In

fact
,

sometimes

it

does

more

harm

than

it

does
.

Good
,

I

know

for

me

personally

my

kidneys

have

taken

a

toll

because

of

all

the

NSAIDs

that

I

used

prior

to

my

excision

surgery
.

So

I

mean
,

I

understand

that

from

a

very

real

point

of

view
,

because

a

lot

of

us

are

given

these

types

of

medical

therapies

but

not

necessarily

it's

not

helping

us
,

it's

not

allowing

us

to

have

a

better

quality

of

life

and

get

our

bodies

moving

and

really

supporting

our

bodies
,

and

so

that

is

exactly

what

a

lot

of

us

are

feeling

and

I

think

that

it's

just

a

very

close-knit

crossover

in

disability
.

It's

just

that

for

a

lot

of

us

with

endometriosis
,

ours

isn't

always

visible

disability
.

Speaker 2
9:59

Yeah
,

physically

visible
.

Speaker 2
10:00

I

think

what's

beautiful

about

the

crossover

where

disability

lies

is

that

we

have

to

all

just

be

really

open

to

that
.

Speaker 2
10:08

Disability

looks

very
,

very

different

ways

and

we

have

to

remember

that

not

all

of

them

are

visual

and

so

and

to

also

not

create

any

sort

of

judgment

around

which

has

more

severity
,

because

the

severity

is

how

each

individual

it

affects

them
.

Speaker 2
10:25

So

if

you

look

at

it

more

as

a

person

versus

a

group
,

it's

like

you

know
,

I

am

never

going

to

sit

back

and

say

someone

that

doesn't

have

paralysis

as

their

disability

is

somehow

suffering

less
,

right
,

like

that's

just

not

correct
.

Speaker 2
10:40

And

so

I

really

appreciate

you

saying

that
,

because

and

I

love

and

I

think

it's

important

to

reiterate

the

part

that

you

mentioned

is

that

oftentimes

providers

are

physicians
,

they

want

to

do

good

by

us
,

but

yet

they're

so

limited

by

the

bureaucratic

or

the

coverage

of

insurance
.

Suggest

the

things

that

would

be

very

beneficial

and

amazing

and

life

changing

to

us
,

because

it's

almost

as

if

they're

suggesting

something

that

then

there's

no

money

to

follow

it
,

and

I

think

that

that

puts

them

in

an

awkward

position

and

that's

why

we

just

have

to

keep

changing

legislation

and

funding

and

create

educating

those

providers

to

funnel

that

funding

towards

their

ability

to

say

hey

to

a

patient
.

Guess

what

Like
?

I'm

aware

of

this

and

I

want

to

offer

you

this

opportunity
,

or

go

look

at

this
,

because

then

that

frees

them

from

having

to

suggest

something

that

someone

is

not

going

to

be

able

to

have

access

to
.

Speaker 1
11:37

Yeah
,

which

brings

me

to

Advocating for Therapies and Legislative Change

Speaker 1
11:39

my

next

point
.

You

have

created

a

heroic

feat

in

challenging

the

legislative

but

also

the

medical

system

by

almost

partnering

with

Medicare

or

Medicaid

and

getting

coverage

for

those

integrative

therapies
.

Which
,

how
?

How

did

you

do

this
?

How
,

what

were

the

challenges

behind

that
?

Because
,

my

goodness

gracious
,

insurance

is

going

to

be

the

death

of

me

in

and

of

itself
,

because

it's
,

I

mean
,

how

we
.

Most

of

our

integrative

therapies

are

not

covered

by

insurance

if

we

are

trying

to

seek

intentional
,

very

specific

care

in

these

integrative

therapies
,

because

the

providers

themselves

can't

afford

to

have

their

practice

based

on

insurance
.

So

how

did

you

integrate
?

Speaker 2
12:25

that
,

yeah
,

and

to

answer

this
,

I

also

want

to

just

be

mindful

of

the

difference

between
,

like
,

private

insurance

and

Medicaid
,

right
,

like
,

I

know

that

there's

a

difference

there
,

and

I

think

that

one

of

the

components

is

that

the

population

we

serve

is

predominantly

lands

within

that

Medicaid

as

their

primary

insurance

because

of

their

long-term

disability
,

like

the

various

things

that

come

with

that

level
,

such

as

home

health

care
,

durable

medical

equipment
,

like

all

of

these

really

intense

needs

that

are

very
,

very

costly
.

So

I

just

want

to

be

kind

of

mindful

of

that

difference
,

knowing

that

all

insurance

needs

to

cover

it
,

regardless

of

whether

it's

Medicaid

or

not
.

I

just

wanted

to

kind

of

indicate

that

component
,

and

so

my

drive

was

that

we

needed

to

at

least

have

Medicaid

recognize

that

one
.

These

services

acupuncture
,

massage

and

chiropractic

were

cost

effective
,

but

they

were

also

going

to

improve

the

quality

of

life

for

folks

with

long-term

disabilities

because

of

how

complex

their

health

care

is
,

as

well

as

the

level

of

secondary

conditions

that

come

from

it
,

and

so

what

I

set

out

to

do
,

and

what

we

did

in

2009
,

is

that

we

proposed

to

the

Colorado

legislative

body

that

we

wanted

to

prove

to

them

that

these

services

would

absolutely

reduce

that

cost

of

savings
,

but

then

improve

their

lives
.

Speaker 2
13:45

And

so

we

passed

a

bill

in

2009

that
,

for

the

first

time
,

colorado

Medicaid

started

funding

massage
,

acupuncture

and

chiropractic

care
.

And

so

what

that

is
?

It

opened

up

this

opportunity

for

those

on

Medicaid

to

get

more

proactive

and

preventative

services
,

rather

than

again

just

sitting

in

their

wheelchairs

and

only

taking

medication
.

And

so

I'll

be

honest
,

there

is

not

a

major

secret

to

doing

this
.

Like

I

I

tell

people

every

day

I'm

like
,

if

I

could

do

it
,

you

can

do

it
,

just

trust

me
.

Like

I

have

no

special

degree

I

have

no
.

Like

I

am

a

person

of

passion

that

set

a

determination

and

connected

with

a

lot

of

people

and

made

it

happen
,

and

so

I

truly

believe

everybody

has

the

ability

to

do

it
.

Speaker 1
14:34

They

just

need

to

be

empowered

and

passionate

about

it
.

Speaker 1
14:37

I

think

the

biggest

takeaway

there

because
,

honestly
,

none

of

the

advocacy

work

if

you

want

to

do

anything
,

advocacy

you

can't

do

it
.

Speaker 1
14:46

Without

passion
,

you'll

burn

out

instantly
,

and

so
,

especially

when

you're

dealing

with

legislative

pieces
,

which

brings

me

to

my

next

topic

is

that

legislative

pieces

for

endometriosis

are

not

inclusive

for

hardly

anything
,

because

it's

a

lot

of

times

categorized

as

either

a

women's

health

issue
,

but

not

even

that
,

or

a

menstrual

disorder
,

and

so

we

don't

get

the

disability

oftentimes

that

maybe

we

warrant
,

because
,

as

you

and

I

were

talking

about

previously

not

on

the

podcast
,

but

before

this

we

were

talking

about

just

the

disparities

in

legislative

wording

and

how

we

can

get

disability

funding

or

even

get

funding

for

these

types

of

integrative

therapies
,

because

we

don't

qualify

for

those

Medicaid

benefits

because

they

don't

recognize

it

as

a

disability
,

even

though

a

lot

of

us

are

out

of

work

for

a

week

during

our

cycle

or

as

it

progresses
,

it

gets

into

the

whole

month

where

you

can't

really

function
.

Speaker 1
15:48

You

are

crippled

by

pain

and

crippled

by

the

fact

that

maybe

our

muscles

are

atrophied

from

not

being

able

to

use

them
,

or

maybe

you

have

sciatic

endometriosis

or

who

knows
.

But

what

I'm

saying

to

that

is

is

that

we

have

to

do

better

in

the

legislative

piece

and

getting

more

people

the

assistance

that

they

need

for

those

invisible

illnesses

like

endometriosis
.

It

all

matters
,

but

you

have

to

be

passionate

about

it
,

that's

for

sure
.

Speaker 2
16:15

Oh

yeah
,

no

and

absolutely
,

and

I

think

that

you

know

what

it

is

that

you

just

spoke

to
,

and

the

community

that

surrounds

this

particular

disability
.

It's

so

essential

to

elevate

the

topic
,

elevate

the

need
,

elevate

the

funding

sources
,

because

that's

where

change

happens
.

We

live

in

a

world
,

we

live

within

systems
,

where

things

were

not

always

recognized

right
,

and

so

we've

created

systems

that

live

in

a

place

where

we're

getting

certain

types

of

support
,

but

it

doesn't

mean

that

it's

all

accurate

or

correct

or

that

I

think

for

me
,

the

biggest

thing

is

that

it

can't

stay

the

same
.

It's

got

to

continue

to

evolve
,

and

so
,

because

we
,

as

humans
,

are

finding

more

and

more
,

either

through

research

or

either

as

we

evolve

as

humans
,

we're

finding

more

things

out

about

our

bodies
,

and

that

then

just

needs

to

naturally

align

with

the

resources

that

then

need

to

support

the

new

evolution
.

That

they

have

to

go

hand

in

hand
,

right
?

You

can't

just

discover

something

and

be

like
,

oh

well
,

it's

been

discovered
.

It's

like
,

okay
,

well
,

now

the

system

needs

to

follow

that

that

need
.

Speaker 1
17:24

Right
,

which

is

kind

of

what

your

story

is

a

prime

example

of
.

It

was

good

to

have

that

medical

intervention
,

but

that

wasn't

sustainable

long-term
.

You

needed

something

else

to

sustain

your

ability

to

live

life
,

and

I

feel

like

that's

true

for

a

lot

of

us
.

With

endometriosis

specifically
,

you

know

it's

taken

us

years

for

a

diagnosis
.

Then

it

can

take

years

for

proper

treatment

if

you

get

that
,

but

you're

still

living

with

pain
,

and

having

these

options

to

us

is

essential
.

But

what

are

some

of

the

most

predominant

barriers

to

having

access

to

integrative

therapies
?

Speaker 2
18:05

I

can

name

mine

but

in

your

opinion
,

what

have

you

noticed
?

Yeah
,

so

I

would

say

just

well
,

one
,

the

understanding

of

integrative

therapies
.

Right
,

because

I

think

that

there's

different

definitions

of

just

even

those

terminologies
.

Right
,

that

integrative

therapy

shouldn't

be

really

identified

any

further

as

either

a

complementary

or

an

alternative
.

It

should

really

be

a

part

of

mainstream
.

So

I

feel

like

just

the

concept

of

integrative

therapies
,

separated

from

any

level

at

which
,

what

population

it's

serving

or

whatever
,

just

that

in

itself
,

I

think
,

still

has

a

lot

of

evolution

to

have
.

Speaker 2
18:42

So

there's

that

piece
,

I

think
.

Then
,

once

you're

educating

and

making

sure

that

we're

all

getting
,

you

know

we

have

a

country

of

healthcare

providers

and

the

National

Institute

of

Health

and

you

know

all

the

various

things

to

recognize

that
.

That's

one

barrier
.

After
,

outside

of

recognition
,

then

it's

just

the

what

I

see

as

the

funding

sources

to

then

fund

something

that

maybe

remains

unrecognizable
.

For

those

that

do

recognize

it
,

ensuring

that

the

resource

of

funding

is

adequate
,

right
.

So

I

think

that

another

barrier

could

be

like

oh
,

we

recognize

that

we're

going

to

give

you

this

much

and

it's

kind

of

like
,

well
,

in

order

to

really

make

an

impact

on

somebody

that's

living

with

a

long-term

disability
,

which

means

it's

not

going

to

go

away
.

This

is

a

lifetime

disability
,

so

it's

got

to

come

with

a

lifetime

level

of

service

and

treatment

in

order

to

sustain

and

keep

people

in

a

good

place

where

they're

not

going

from

acute

to

then

non-acute
,

acute

to

non-acute

Like
.

You've

got

to

create

that

baseline
,

knowing

that
,

yes
,

of

course

we're

all

going

to

have

our

outliers

right
,

we're

all

going

to

get

maybe

sick

or

have

an

episode

of

some

sort

that's

going

to

take

us

off

that

baseline
.

But

if

we

can

get

to

that

baseline
,

to

where

we

can

at

least

function

really

well

in

society

and

engage

with

people

and

work

and

all

the

various

things
,

I

think

that's

what's

essential
.

Speaker 2
20:08

So

recognition
,

the

funding
,

and

then
,

lastly
,

the

barrier

is

the

education
,

because

once

you

start

getting

recognition
,

you

start

getting

funding
.

Then

it's

making

sure

that

those

that

are

living

with

a

disability

are

aware

of

the

funding

opportunities

or

the

coverage
,

as

well

as

the

all

of

the

quote

unquote
.

I

call

them

brokers

of

health

care

that

need

to

be

reminding

them

or

letting

them

know

not

even

reminding
,

just

letting

them

know

up

front

that

hey
,

within

your

benefits
,

you

have

access

to

this

because

it

takes

a

lot

of

moving

parts
.

You

have

access

to

this

because

it

takes

a

lot

of

moving

parts
,

but

I

think

that
,

yeah
,

when

you're

dedicated
,

you

can

absolutely
,

you

know
,

make

it

happen
.

And

of

course

it's

going

to
.

There'll

be
,

there'll

be

baby

steps

and

there'll

be

grand

steps
,

and

and

you

just

keep

going
.

Speaker 1
20:55

Yes
,

I

mean

you

have

to

one

foot

in

front

of

the

other

and

there's

times

that

we

get

pushed

back

a

little

bit

and

you

just

have

to

keep

pushing

forward
,

because

there's

going

to

be

barriers

and

there's

going

to

be

blocks

and

I

think
,

as

good

as

it

can

be
,

there

are

still

challenges

within

our

health

system
,

A

lot

of

challenges

within

our

health

system
,

especially

for

those

with

endometriosis

and

other

chronic

illnesses

that

aren't

recognized

by

the

healthcare

community

as

being

a

chronic

illness
.

Speaker 1
21:24

I

think

moving

forward
,

pushing

forward

and

not

allowing

those

barriers

to

stop

you

or

deter

you
,

will

get

you

leaps

and

bounds
,

if

not

for

you
,

for

future

generations
.

Speaker 1
21:35

You

know
,

and

that's

kind

of

why

I

do
,

what

I

do

is

not

necessarily

for

me

the

damage

some

damage

has

been

done

to

the

body
,

but

I

do

want

to

change

the

future

outcome

and

make

I

mean
,

I

can't

do

it

alone
,

we

all

have

to

all

do

it

together

right
,

but

be

a

part

of

changing

the

narrative

behind

endometriosis
.

Changing

the

narrative

behind

the

delay

in

diagnosis

from

seven

to

10

years

to

one

at

most
.

Changing

the

barrier

to

proper

treatment

from

additional

seven

to

10

years

or

never

for

some

people

to

proper

care

and

treatment

being

the

gold

standard

to

everyone
,

allowing

that

to

be

accessible

to

everyone
.

But

I

do

feel

like

excision

and

surgery

is
,

I

say
,

step

two
.

I

think

the

integrative

like

the

pelvic

floor
,

physical

therapy
,

acupuncture
,

chiropractic

is

really

step

one

to

help

support

your

body

and

get

it

to

where

it

can

walk

through

surgeries

or

medical

traumas

much

better
.

But

then

you

are

likely

going

to

need

this

support

long

term
.

Speaker 2
22:40

Oh
,

absolutely

yeah
,

Because

I

mean

because

we

all

have

to

be

aware

that

there's

probably

going

to

be

a

procedure

or

a

surgery
,

but

any
,

anything

that

you

can

do

on

a

prevention

level

prior
,

during
,

after

I

mean
,

those

are

essential

for

all
,

all

humans
,

let

alone

probably

even

more

critical

for

folks

that

are

living

with

any

level

of

disability
.

And

I

love

what

you

said
.

Same

for

me

in

terms

of
,

like

the

center
.

You

know

the

work

that

we're

doing

if

it

benefits

us

you

and

I

personally
,

absolutely
,

but

our

primary

goal

is

that

we're

impacting

so

many

other

people
.

And

I

love

what

you

said

about

future

generations

because

I

know

today

the

work

that

I

do
.

Speaker 2
23:21

I

probably

am

having

an

easier

time

still

running

into

barriers

and

challenges
,

but

I

am

confident

that

I'm

having

probably

more

successes

in

this

lifetime

because

of

the

work

of

those

with

disabilities

prior

to

my

time
,

and

so

I

often

find

it

as

like

this

is

my

ability

to

give

back

to

those

that

you

know

really

made

accessibility
,

like

I

think

about

the

people

that

you

know

started

to

make
,

like

you

know
,

fights

and

rallies

to

make

things

physically

accessible

for

us
,

and

so

it's

kind

of

like

you

know

you

did

that

and

I'm

going

to

do

this

and
,

before

we

know

it
,

several

generations

and

centuries

from

now
,

we'll

have

people

that

are

benefiting

from

the

work

we've

done

today

and

taking

it

to

the

next

level
.

Speaker 2
24:07

And

I

just

think

that

that

was

such

an

important

thing

to

do
,

because

I

oftentimes

think

that

we

can

get

stuck

in

our
,

we

get

in

our

own

way

a

little

bit
,

and

I

think

that

that's

really

an

essential

piece

is

that

you're

part

of

the

whole
.

Speaker 2
24:22

What

I

also

would

say

is

that
,

which

I

know

you

and

I

probably

are

on

the

same

page

about

this

too
,

is

that

I

never

dismiss

the

reality

that

not

everybody

wants

to

be

in

the

work

that

you

and

I

are

doing
,

right
?

So

I

think

that's

one

thing

I

always

throw

out

to

people

too

is

that

your

impact

can

even

be

small
.

Right
,

because

sometimes

going

through

these

barriers

and

going

through

these

challenges

are

so

exhausting

that

it's

like

you

don't

want

to

dismiss

that

piece
,

because

that's

such

a

deep

reality

and

that

not

everybody

has

to

or

wants

to

do

the

deep

work
,

but

maybe

they

just

want

to

contribute

on

the

sidelines
,

and

those

sideline

level

support

is

so

critical

to

those

that

are

in

the

deep

components

of

it
.

So

I

just

wanted

to

mention

those

two

things

that

kind

of

came

up

as

a

result

of

our

conversation
.

Speaker 1
25:10

Absolutely
.

And

you

know
,

and

I've

always

said

this
,

sometimes

those

people

who

support

those

that

maybe

are

more

visual

to

the

public

eye
,

the

ones

that

support

us
,

are

the

most

crucial
,

because

they're

the

ones

really

that

are

the

pillars

of

what

we

are

the

most

crucial

because

they're

the

ones

really

that

are

the

pillars

of

what

we

are

able

to

do
.

Speaker 1
25:28

They're

the

ones

that

hold

us

up

when

we

don't

want

to

do

it

anymore
,

and

that

support

piece

is

crucial

to

anyone
,

especially

when

you're

walking

through

your

own

chronic

pains

and

illness
,

to

have

people

support

you

along

and

encourage

you
,

because

this

is

not

easy

work

to

do

and

neither

is

supporting

sometimes

Overcoming Healthcare Barriers for Disabilities

Speaker 1
25:48

.

And

something

I

want

to

come

back

to

is

the

fact

that

we

talked

about

barriers

for

those

walking

through

the

trenches

of

disability
.

What

are

some

of

the

hardest

barriers

that

those

with

disabilities

face

in

the

healthcare

system
?

Speaker 2
26:03

Yeah
,

I

think

that

my

sense

granted
,

being

a

woman

with

a

spinal

cord

injury
,

there's

some

that

apply

to

that

component

of

it
,

but

there's

bigger

pieces

that

comply

to

all

of

us
,

right
?

I

know

that

with

the

work

that

I've

been

doing
,

it's

been

very

devastating

to

see

that

the

center

is

more

accommodating

and

physically

accessible

to

people

with

disabilities

than

what

we've

always

seen

as

the

traditional

model
,

such

as

physician

clinics

or

specialty

clinics
,

meaning
,

like
,

if

you

want

to

go

get

your

mammogram
,

there's

not

very

many

machines

that

can

do

that
,

that

are

accessible

to

people
.

So

the

thing

is

is

that

we've

been

living

30

years

post

the

ADA
,

which

was

created

in

1990
.

And

we

are

still

coming

up

against

the

most

disparaging

civil

rights

violations

in

our

healthcare

system

that

really
,

to

me
,

are

completely

unacceptable
.

And

this

has

kind

of

been

the

new

project

that

I've

been

working

on

and

I

believe

again

that

these

are

providers

that

went

to

school
,

wanted

to

become

a

physician
,

because

they

believed

in

healing
,

they

believed

in

wanting

to

help

people

and

again
,

they've

been

caught

up

in

the

bureaucratic

process

of

it

because
,

you

know
,

they

only

get

paid

so

much

by

so

many

individuals

in

order

to

make

what

it

is

that

they

need

to

do

get

done
,

and

they're

limited

in

terms

of

what

is

covered
.

And

so

and

some

of

these
,

I

would

say
,

providers

are

within

institutions

that

if

the

institution

doesn't

support

it
,

they

as

a

provider

have

very

little

authority

to

make

any

level

of

change
.

And

so

I

see

all

of

those

one

the

systems

being

the

issue
,

and

then

I

also

see

our

own

kind

of

state

and

federal

government

needing

to

step

up

to

the

plate

and

just

say
,

hey
,

there's

some

violations

occurring

and

compliance

is

going

to

start

coming

down

and

so

that

people
,

all

people
,

have

equitable

access

to

healthcare

and

can

be

put

on

a

treatment

table
,

get

their

pap

smears

once

a

year
.

Like

those

things

are

not

happening

today
.

Like

people

are

being

turned

away

from

healthcare

because

they

have

a

disability
,

because

people

are

so

uncomfortable
,

have

never

had

the

education

or

the

financial

ability

to

care

for

them
,

and

so

it's

interesting
.

So

those

are

the

major

barriers

kind

of

highlights

there's

obviously

it's

far

more

complex

than

that
.

Speaker 2
28:31

I

think

the

other

components

is

that

there's

lots

of

biases

in

our

healthcare

systems
,

as

well

as

gaslighting
,

and

so

you

know

the

healthcare
.

Gaslighting

is

just

one

of

those

things

that

I

feel

a

lot

of

folks

with

disabilities

unfortunately

have

to

experience
,

which

results

in

a

lot

of

trauma
,

because

when

they

say

that
,

oh
,

it's

all

in

your

head
,

like
,

oh
,

you

don't

know

what

you're

like
,

you

know
,

like

we're

the

provider
,

it's

like

no
,

no
,

no
,

no
.

There's

this

thing

now

called

you

know
,

patient

advocacy

and

there's

this

thing

called

that

what

I

feel

is

real

and

it's

not

okay

for

you

to

determine

otherwise
.

And

so

I

think

that

there's

that

ongoing

piece

as

well

as

the

biases

that

providers
,

depending

on

their

age

or

where

their

cultural

background
,

some

can

look

at

disability

in

a

very

disparaging

way
.

Speaker 2
29:20

There

was

an

article

of

a

research

where

there

were

all

these

physicians

in

the

room

and

they

asked

them

to

raise

their

hand

if

they

believed

that

their

patients

with

disabilities

could

be

healthy
.

And

no

one

raised

their

hand

because

their

association

that

disability

and

health
,

good

health

or

disability

and

wellness

could

coexist

wasn't

even

a

reality

to

them
.

Wow
,

that's

crazy

to

me
.

So

if

we're

being

served

by

providers

that

don't

even

believe

that

we

can

be

healthy

people
,

what

kind

of

direction

and

care

are

they

going

to

give

us
?

Not

very

good

right
,

like

they

might

just

think

that

they're

trying

to

put

band-aids

on

things

just

to

keep

us

alive

for

as

long

as

we

can
,

but

in

reality

it's

like

no
,

we

can

live

for

a

really

long

time

because

we're

healthy
,

productive

people

in

our

society
.

So

it's

interesting
.

Speaker 1
30:18

Well
,

and

it's

interesting

to

put

it

that

way

because

you

know
,

I

look

at

the

endo

community

at

large

and

I

would

say

there's

this

misconception

that

if

you

have

endometriosis

that

you

will

never

be

fully

healthy
,

or

the

opposite

of

that

is

have

a

hysterectomy
,

you'll

be

completely

healthy

and

it'll

cure

it
.

So

we

are

in

this

like

weird

gray

area

of

misunderstanding

constantly

and

of

course
,

a

lot

of

us

in

the

endometriosis

community

understand

that

it

starts

with

defining

endometriosis

correctly

like

hurdle

one
.

But

I

think

that

it's

true
.

I

think

that

is

a

large

part

of

getting

quality

care

is

not

walking

in

with

a

provider

that

already

has

preconceived

notions

of

what

your

health

should

be
.

Speaker 2
31:03

Yeah
,

yeah
,

absolutely

Like

a

preconceived

notion

about

whether

they

think

that

you

can

be

a

healthy

human

with

a

disability
.

And

there's

an

article
,

it's

a

great

article
.

It's

called

I'm

not

the

doctor

for

you

and
,

granted
,

yeah
,

it's

highlighting

and

looking

at

people

with

physical

disabilities
,

but

it

is

translatable
.

You

can

translate

that

level

of

example

to

any

any
,

any

other

disability
,

to

show

that

we're

sitting

in

a

pretty

significant

issue

in

the

healthcare

world

when

it

comes

to

some

pretty

strong

levels

of

discrimination

that
,

unfortunately
,

is

not

just

solely

on

the

provider
.

It

is

a

part

of

the

system

too
.

It's

a

system

that

has

been

created

to

not

discriminate
,

but

yet

there

are

some

strong

levels

of

inability

to

have

our

providers

be

in

compliance

and

support

them

with

what

they

need

in

order

to

be

compliant
.

Speaker 1
31:57

Yeah
,

absolutely
.

Something

that

you

had

mentioned

to

me

prior

that

I

found

fascinating

and

really

I

hadn't

put

a

ton

of

thought

into

because

I

haven't

been

in

this

place
,

is

those

who

have

a

physical

disability

or

limitation
.

Getting

diagnosed

with

endometriosis

is

a

very

challenging

thing

because

some

providers

cannot

see

beyond

the

physical

limitation

or

the

physical

disability
.

Can

you

kind

of

just

touch

on

that

for

us
,

because

I'm

not

sure

that

we

talk

a

lot

about

this
?

Speaker 2
32:29

Yeah
.

So

if

you

think

about
,

you

know
,

multiple

disabilities
,

I

mean

we

have

folks

that
,

like

example
,

we

have

an

individual

with

a

spinal

cord

injury

and

also

lives

with

lupus
,

right
?

So

he

has

to

be

really

mindful

that

when

he

is

in

conversation

with

his

providers

that

they

understand

that

there

is

a

constant

need

to

remember

whether

what's

coming

up

is

a

result

of

lupus

or

the

spinal

cord

injury
.

So

I

can

almost

guarantee

yeah
,

I

absolutely

can

guarantee

there

are

women

with

spinal

cord

injuries

that

also

suffer

for

endometriosis
.

I

can

almost

probably

confidently

say

that

90%
,

maybe

even

99%

of

them

don't

even

know
.

Speaker 2
33:11

Because

what's

happening

right

now

is

with

the

physicians

that

are

serving

folks

with

complex
,

because

what's

happening

right

now

is

with

the

physicians

that

are

serving

folks

with

complex
,

long-term

physical

disabilities

they're

always

just

constantly

trying

to

address

the

secondary

conditions
,

right
?

So

let's

say
,

urinary

tract

infections
,

pressure

sores
,

bladder

bowel

dysfunction
,

spasticity
,

like

heart
,

there's

all

of

these

things
,

right
?

That

is

a

direct

result

of

a

spinal

cord

injury

that

they

focus

on
,

and

so

oftentimes

our

physicians

never

have

us

come

in

for

annual

routine

exams
,

which

is

what

every

human

needs
,

in

addition

to

the

awareness

of

your

primary

disability

and

the

secondary

conditions
.

Because

Chanda

still

has

a

body
.

I

want

to

know

how's

my

cardio
,

what's

my
?

Speaker 2
33:58

I

want

to

know

my

cholesterol
.

I

want

to

know

my

cardio
.

I

want

to

know
,

like

I

want

to

have

my

pap

smears

when

they're

normal
.

I

want

to

know
,

like

I

want
,

the

traditional

preventative

measures

that

you

do

with

all

of

your

patients

that

are

not

disabled
.

I

want

those

same

tests

and

measurements

too
,

because

that

in

itself
,

in

addition
,

yeah
,

it

might

look

different

because

it

may

be

impacted

by

my

spinal

cord

injury
,

but

that's

some

valid

information
,

right
.

So

if

I

don't

get

proper

annual

exams
,

of

course

there's

going

to

be

a

lot

of

things

that

are

missed

because

they're

only

addressing

and

focusing

on

the

secondary

conditions
,

and

that's

a

scary

place

to

live

because

a

lot

of

women

with

spinal

cord

injuries

will

come

down

with

some

level

of

cancer

because

they

were

never
,

ever

getting

pre-screened

for

anything
.

Speaker 1
34:49

because

of

that

very

reason
,

which

is

interesting

to

me

that

you

mentioned

urinary

and

bowel

and

everything

else
,

because

I

mean
,

a

lot

of

endometriosis

patients

deal

heavily

with

bowel

dysfunction
,

urinary

and

dysfunction

bladder

issues
.

I

mean
,

if

we're

looking

at

endometriosis

and

the

involvement
,

that's

really

high

for

us
,

so

the

cross

in

those

two

would

ultimately

lead

to

them

completely

missing

endometriosis

if

they

have

it

and

focusing

on

their

primary

as

the

symptom
,

as

opposed

to

there's

something

else

going

on

here
.

You

know

Exactly
,

yeah
.

Speaker 2
35:26

Yeah
,

it's

very

interesting
,

right
.

It's

like

just

think

about

if

somebody

with

lupus

also

had

endometriosis
,

right
?

Or
,

like

you

know
,

I'm

not

just

talking

about

spinal

cord

injury
.

There's

so

many

different

comorbidities

that

when
,

when

we

can

have

providers

aware

of

that
,

knowing

that

not

one

outweighs

the

other
,

I

see

healthcare

as

a

team
.

When

you

have

a

provider

like

they're

supposed

to

be

your
,

your

teammate
,

you

know

your

teammate

in

your

healthcare

awareness

and

your

goals
.

And

again
,

we've

been

caught

up

in

a

system

where
,

unfortunately
,

we

get

15

minutes

and

that

15

minutes

just

doesn't

allow

for

folks

to

have

the

ability

to

really

have

a

teammate

as

a

part

of

their

care

team

which

is

their

provider
.

Speaker 1
36:09

Absolutely
,

and

you

know

I

talk

about

this

a

lot
,

about

having

a

multidisciplinary

team
.

That

doesn't

just

mean

from

the

surgical

standpoint
,

that

doesn't

just

mean

from

a

specialist

standpoint
.

This

is

sometimes

your

physical

therapist

or

your

pelvic

floor

physical

therapist

or

your

acupuncturist

will

see

something

that

your

main

provider

won't
,

because

they're

seeing

and

hearing

you

on

a

different

level
.

They're

able

to

step

outside

of

that

15

minutes

and

hear

you

and

say

something's

not

adding

up
.

Maybe

we

should

consider

this

have

you

gotten

your

blood

work

for

that
?

Have

you
?

And

that's

where

this

comes

full

circle

with

the

integrative

therapies
,

because

I

feel

like

when

you

have

the

ability

and

the

time

to

sit

down

with

people

outside

of

the

scope

of

their

specialty

and

talk

about

some

of

these

challenges

that

we're

facing
,

they're

able

to

kind

of

pinpoint

that

something's

not

quite

right

or

something's

not

aligning

with

your

primary

diagnosis
.

It

can

be

something

that

is

contributing

to

your

primary

pain

but

isn't

necessarily

your

primary

diagnosis

or

primary

challenge
.

Speaker 2
37:15

Oh

no
,

absolutely
.

What

I

love

about

that

is

the

integrative

component
,

right
,

and

I

think
,

like

you

said
,

full

circle

brought

us

kind

of

back

to

why

the

Chanda

Center
,

you

know
,

wanted

to

make

sure

we

had

multiple

disciplinary

services

underneath

one

roof
.

Right
,

we

even

had

we

used

to

have

a

primary

care

in

there

as

well
,

but

just

between

our

behavioral

health

provider

they

can

see

certain

things

at

some

level
.

But

what

I

love

about

our

team

is

that

they're

always

in

support

of

each

other
,

and

we've

also

had

to

learn

to

have

providers

get

out

of

their

own

way

in

the

sense

of

like

hey
,

have

a

respect

for

acupuncturists
.

Like
,

yes
,

you

may

have

gone

to

a

higher

level

of

what

you

identify

as

medical

school
,

but

I

mean
,

we

have

acupuncturists

that

have

went

through

multiple

years

of

Chinese

medicine

and

herbs

and

all

these

things
.

Speaker 2
38:02

And

so

we

always

talk

about

a

linear

model

of

care
,

meaning

that

there's

no

one

provider

in

this

center

that

is

above

another
.

Speaker 2
38:10

Like

you

have

to

be

in

collaboration

with

each

other
,

because
,

guess

what
,

the

person

that

gets

impacted

when

you

don't

is

the

end

user
,

and

everybody

has

really
,

I

wouldn't

say
,

bought

in
,

but

they're

only

there

because

they

believe

in

that
,

because

we'll

only

allow

people

that

believe

that

to

be

people

serving

at

the

center
.

Speaker 2
38:29

You

know

that

there's

no

ego
.

There's

none

of

that

Because
,

at

the

end

of

the

day
,

your

ego

as

a

provider

will

absolutely

affect

an

individual

human

that

does

not

need

that
,

and

that's

why

you

chose

to

be

a

provider

is

to

serve

them
,

and

they

have

the

right

to

have

multiple

providers
.

World

would

be

quite

beautiful

because

there

should

not

only

be

one

tiny

center

in

Lakewood
,

colorado
,

that

is

doing

it
,

and

I

know

that

there's

other

clinics

that

do

integrative

therapies
,

but

they

oftentimes

will

not

include

mainstream

physician
.

They'll

only

do

like

maybe

a

DO

or

a

doctor

of

osteo
,

those

things

like

that
.

And

so

I

think

that

the

more

that

we

can

emerge

those

two

quote

unquote

separate

worlds

into

one
,

the

more

success

that

all

providers
,

but

even

the

end

user
,

will

have
.

Speaker 1
39:25

Absolutely
.

I

100%

agree

with

that
,

because

we

see

this

in

the

endometriosis

community

a

lot

and

it's

a

challenge

that

we

are

faced

with

often

and

that

we

are

the

ones

putting

our

team

together
,

which

is

good
,

but

also

we

have

to

get

our

team

to

talk

to

one

another

for

our

betterment

of

ourselves
,

but

also

for

the

future

generations
.

Again
,

it

goes

back

to

that

If

we

can

as

a

community

and

as

providers
,

if

we

can

encourage

them

to

work

together

and

as

providers
,

if

we

can

encourage

them

to

work

together
,

I

think

the

outcome

for

all

patients

will

be

significantly

better
.

And

I

don't

see

that

a

lot
,

to

be

honest
,

like

I

really

struggle

seeing

people

working

together

and

collaborating
,

partially

because

of

ego

or

they

don't

understand

it
,

or

whatever
.

But

it

is

a

challenge

to

find

a

team

that

will

work

hand

in

hand

together

for

the

betterment

of

their

patients

and

there

are

those

out

there

that

do

but

it

is
,

it's

challenging
.

I

think

that

is

a

barrier

for

those

of

us

with

endometriosis

for

sure
.

Speaker 2
40:25

Yeah
,

and

for

everyone
,

because

it

wouldn't

it

be

nice

if

that

was

just

the

standard

way

that

we

did

healthcare

in

America
.

Is

that

it's

it's

a

collaborative

team
,

regardless

of

whether

you

have

a

disability

or

not
,

like

that's

just

the

standard
,

because

so

much

healthcare

and

prevention

and
,

you

know
,

benefit

could

come

from

that

for

sure
.

Speaker 1
40:44

Yeah
,

For

those

listeners

that

aren't

from

Colorado

or

even

from

the

United

States
,

what

are

some

tools

or

some

ways

that

they

can

help

find

integrative

therapies

that

will

accommodate

their

needs
?

Speaker 2
40:57

Yeah
,

I

mean
,

I

always

tell

our

folks

that

whenever

thinking

about

the

services
,

right
,

just

being

aware

that

all

different

services

are

going

to

produce

a

different

outcome
,

right
,

so

that's

always

beautiful
,

which

is

why

we

have

different

ones
,

and

so

trying

multiple

of

them

to

really

identify

which

ones

are

going

to

be

most

effective

for

you
.

But

even

if

you're

reaching

out

to

those

providers
,

it's

always

nice

to

maybe

even

do

some

research

on

whether

there's

a

sliding

scale

fee

clinic

in

your

community
,

right
,

because

we

all

know

that

finances

is

a

big

thing
,

and

especially

if

it's

not

currently

covered
.

So

I

always

look

for

sliding

scale
.

I

always

look

for

calling

them

and

ensuring

like
,

hey
,

have

you

ever

worked

with

somebody

with

this

level
?

If

not
,

can

you

refer

me

to

somebody

else
?

And
,

I

think
,

ensuring

that

before

you

even

go

there
,

if

there's

any

level

of

accommodation

that

you

need
,

make

sure

that

they're

going

to

be

comfortable

with

those

accommodations

Advocating for Equitable Healthcare Access

Speaker 2
41:51

.

Speaker 2
41:51

Because

the

last

thing
,

which

I

always

feel

is

one

thing

that

people

with

disabilities

run

into

all

the

time
,

is

that

we

show

up

because

we're
,

so

you

know

whether

we're

having

a

good

day

or

bad

day
,

we're
.

Maybe

we're

just

going

to

be

optimistic

that

when

we

show

up
,

healthcare

providers

are

going

to

open

up

their

arms

to

us

because

one

it's

called

healthcare

and

we're

going
.

We're

going

there

for

the

sake

of

our

health

care
,

but

yet

we

feel

so

alienated

or

pushed

away

or

unseen
,

and

when

that

happens

in

health

care
,

people

run
.

And

when

people

run

then

that

means

that

their

health

care

is

not

met
,

because

it's

like

who

wants

to

keep

showing

up

when

they

are

not

seen

and

heard

and

are

not

being

treated

in

a

way

that

everyone

should

be

treated
?

Speaker 2
42:39

And

so

I

think

oftentimes

diagnoses

or

lack

of
,

or
,

once

you

like
,

people

people

could

just

stop

doing

health

care

and

live

a

life

of

suffering
,

but

then
,

let

alone

just

not

ever

get

the

support
,

or

things

become

more

complex
,

because

we

see

every

day

that

participants

will

use

the

emergency

room

as

their

primary

care
,

or

you

know
,

when

they

would

go

into

a

different

massage

clinic
,

they

were

just

like
,

yeah
,

when

they

looked

at

me
,

they're

like
,

uh
,

I've

never

massaged

anyone

in

a

wheelchair

before
.

Like

that

feeling

alone

is

just

so
.

It

can

be

so

intimidating

for

some

people
.

And

so

those

are

my

suggestions

when

reaching

out

and

trying

to

find

those

providers
.

And

again
,

you
,

making

it

normal

will

bring

them

to

a

place

of

seeing

the

normalcy

of

it
,

because

it

is

normal
,

for

goodness

sakes
.

We're

just

humans

that

have

all

these

various

conditions

and

that's

just

the

way

that

it

is
.

Speaker 1
43:34

Right
,

what

is

next

for

the

center
?

Because

you

guys

have

a

lot

going

on

and

it

is

amazing
.

If

you

have

not

heard

of

your

center
,

can

you

give

us

first

of

all
,

the

website

for

people

to

check

it

out
,

because

I

think

we

can

either

learn

from

it

or

gain

experience

through

that
,

and

then

also

what's

next

for

you

in

your

nonprofit
.

Speaker 2
43:54

Yeah
,

so

the

our

website

is

candacenterorg

and
,

yeah
,

I

hope

that

everyone

gains

insight

from

how

they

might

be

able

to
.

You

know
,

depending

on

what

level

of

ambition

you're

currently

at
,

like

you

can
,

there's

so

many

ways

to

replicate

what

it

is

that

we've

done

for

any
,

any

disability

right
,

and

so

I

think

that

that's

really

essential

in

that

everyone

absolutely

can

have

the

capacity

or

education

to

do

it
,

because

I

didn't

go

to

school

to

learn

how

to

open

up

a

health

clinic
,

like

what's

your

background
?

I

just

got

communicate
.

I

mean
,

granted
,

I

got

my

master's

in

nonprofit

management

after

a

while
,

but

at

the

first
,

when

I

first

started

it
,

it

was

just

like

it's

because

I

really

believe

in

it
.

And

so
,

yeah
,

that's

the

website
.

Speaker 2
44:43

And

then
,

in

terms

of

what's

next

for

us
,

is

that

we're

going

into

our

strategic

planning
,

which

I

think

that

one

of

the

things

is

that

strategic

planning
,

I

think

with

all

of

us
,

is

that

it

can

be

really

good

or

it

can

be

really

bad
.

Speaker 2
44:52

And

so

I've

always

said
,

when

we

go

into

our

strategic

planning
,

is

that

we're

not

doing

it

for

the

sake

of

doing

it
.

We're

doing

it

to

really

identify

what

we

want

to

see

in

our

future
.

And

I

think

that

some

of

the

things

that

have

come

up

for

us

is

that

we

are

really

looking

at

doing

an

adaptive

gym

again
,

where

it

will

be

not

coming

out

of

the

pocket

of

the

individual
,

because

our

philosophy

at

the

center

is

that

we

provide

services

to

individuals

where

they

do

not

pay

out

of

pocket
,

but

rather

the

health

care

system

is

paying

on

their

behalf
,

because

when

they

keep

them

healthy
,

they

save

costs
,

and

so

that's

that

advocate

component
.

So

we're

going

to

continue

to

advocate
.

We're

going

to

continue

to

evolve

the

lines

of

service

that

we

already

do
,

as

well

as

evolve

and

really

work

on

that

project

of

ensuring

that

our

mainstream

healthcare

system

is

giving

disability

equitable

healthcare
.

Speaker 1
45:48

So

important
,

so

important
,

I

know

right
.

Oh
,

you're

like

music

to

my

ears

right

now
.

You're

so

great
.

I

love

that

you

had

that

passion

and

that

heart

to

do

that

and

you

didn't

allow

your

challenges

to

get

in

the

way

of

not

only

supporting

you

but

so

many

others

Like

that

is
,

to

me
,

the

makings

of

a

superhero
.

I'm

just

blown

away

by

everything

that

you've

been

able

to

accomplish

in

that

it's
.

It's

just

amazing
.

That's

all
.

I

mean
,

not

all
,

but

you're

just

amazing

and

I

really

want
.

Speaker 2
46:24

I

really

appreciate

that

and
,

like

you

and

I

were

talking

about

earlier
,

like

the

things

that

you

and

I

do

and

a

lot

of

people

do
,

we

don't

do

it

alone

like

we

have

so

many
,

so

so

many

people

backing

us

up

because

I

came

up

with

an

idea

but

I

wasn't

the

only

one

that

was

able

to

fund

it
.

There's

so

many
,

so

so

many

people

backing

us

up

because

I

came

up

with

an

idea

but

I

wasn't

the

only

one

that

was

able

to

fund

it
.

There's

so

many

components

of

it

that

I

didn't

have

the

expertise

to

do
.

And

so

I

truly

believe

that

when

we

create

something

based

off

of

a

need

that

is

not

being

met

and

you

continue

to

see

it

evolve
,

you

continue

to

see

it

impact

more

and

more

people

like

you're

going

down

the

right

path

and

you

got

the

right

people

supporting

you
,

and

I

just

really

appreciate

everyone

that

one

helps

us

get

where

we

are
,

but

then

also

even

you

and

other

people

that

are

evolving

other

things

out

in

community

that

just

really

need

the

attention
.

Speaker 1
47:14

Yeah
,

it

does
,

and

that's
,

you

know
,

like
,

the

nonprofit

I'm

part

of

called

Indo

Village

is

very

much

that

same

mindset

of

it
.

Takes

a

village
,

it

truly
,

truly

does

on

all

advocacy

fronts
.

Chanda
,

last

thing

before

we

wrap

up
,

but

I

want

to

know

what

has

been

the

most

profound

thing

that

you

have

learned

in

your

journey

in

doing

this
?

Speaker 2
47:35

Ooh
,

that's

a

serious

question
.

Speaker 2
47:40

I

oh

goodness

this

is

usually

I

can

like

come

up

with

it

right

away
.

Speaker 2
47:43

I

would

say

that
,

being

a

bit

naive

in

your

processes

of

creation

and

passion
,

that

part
,

I

think
,

is

what's

always

been

deep

for

me
,

because

I

often

think

that

there's

sometimes

we

don't

move

on

things

because

we

don't

think

that

we're

smart

enough

or

we

don't

think

that

we

have

what

it

takes
.

And

what

I

loved

is

that

I

wasn't

scared

of

asking

questions

and

I

wasn't

scared

of

just

being
.

You

know

what

I'm

naive
,

and

being

naive

results

in

this
,

and

I'm

okay

with

that
,

because

actually

being

naive

brought

forth

a

lot

of

amazing

things
,

meaning

like

when

I

didn't

have

fear

around
,

like

well
,

I

don't

know

how

to

pass

legislation
,

because

I

was

so

naive
,

I

wasn't

scared

of

it
,

and

so
,

therefore
,

it

just

happens
.

I

think

that
,

for

me
,

is

really

the

profound

components

of

this

stuff
.

Granted
,

there's

so

I

mean

there's

so

many
,

and

the

fact

that

I

have

to

choose

one

is

really

unfair
,

but

that's

the

one

that

I'll

say

as

it

relates

to

just

myself

and

something

that

I

can

share

with

others
.

Speaker 1
48:57

Oh
,

that's

so

good
.

I

would

say

the

same
.

I

mean
,

I

think

I've

learned

so

much

about

not

only

myself
,

but

also

the

disease

and

the

challenges

that

we

face
,

but

also

the

really

amazing

parts

of

having

this

disease

is

this

community
,

and

I

was

completely

naive

to

that
,

and

I

have
,

again
,

not

stopped

at

asking

questions
.

That's

why

I

started
.

This

is

because

I'm

not

the

expert
,

but

I

know

the

ones

that

are

and

I'll

ask

the

questions

because

I'm

just

curious

most

of

the

time
,

and

so

that

is

so

profound
,

I

think
,

for

all

of

us

to

live

by
.

It's

just

that

being

naive

is

not

a

bad

thing
.

It

just

continue

asking

the

questions
,

it's

so

good
.

Speaker 2
49:40

Oh

yeah
,

ask

all

the

questions

you

want
.

Like
.

That's

the
,

that

is

the

motto
,

like

it

in

life
.

Everyone
,

everyone
,

like

just

asked

a

lot

of

questions

and

there's

nothing

wrong

with

it
.

Speaker 1
49:50

Yes
,

that's

so

good
,

chanda
.

Thank

you

so

much

for

your

time

and

your

insights

and

your

passion

and

your

heart
.

I'm

excited

to

continue

this

relationship

more

and

build

and

grow

with

each

other

in

the

advocacy

and

disability

front

for

endometriosis

as

well

as

integrative

solutions
.

So

thank

you

so

much

for

taking

the

time

with

me
.

Speaker 2
50:12

I

just

appreciate

that
,

yeah

no
,

thank

you

so

much

for

having

me

and

yes
,

let's

stay

in

touch
.

Speaker 1
50:18

Yes
,

Thank

you

so

much

and

until

next

time
,

everyone

continue

advocating

for

you

and

for

those

that

you

love
.

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