Guest columnist Kathryn Fiandt, professor and associate dean for graduate programs and clinical affairs in the School of Nursing, wrote that nurse-managed clinics play a vital role in community health. “Health care reform will extend health coverage to as many as 30 million currently uninsured Americans, which could place great strain on our health care system. For this reason, it’s crucial to promote the sustainability of existing community-based health care providers, like nurse-managed health clinics. … St. Vincent’s House in Galveston established a nurse-managed clinic in the immediate aftermath of Hurricane Ike and is supported by UTMB Health and its School of Nursing. The clinic’s primary mission is to serve uninsured and underinsured adults with chronic health conditions. These patients are at significant risk for early death because of poor treatment and can be an expensive cost to the health care system if not treated early and aggressively.”