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Survey data from 901 community health centre patients showed that , while images of the Medicaid programme were generally positive , stigma associated with welfare stereotypes reduced both Medicaid and TANF enrolment . However , the rates reported among cerebral palsy patients were higher ( up to 47 percent experiencing a problem ) than reported with brain injury or stroke . He teaches residents about how to handle obstetrical situations and problem patients on a weekly basis in the clinic with patients . " I 'd much rather do it at a time when I can make a choice , and my patients can have a choice , than to have a heart attack and leave patients with no place to go . It is estimated that 65 percent of coronary artery disease patients don ’ t even know they have the disease until their first heart event ; 50 percent of glaucoma patients don ’ t know their eyesight is impaired ; and 80 percent of people at risk of developing osteoporosis aren ’ t aware they ’ re in danger .