PHILADELPHIA (AP) - The midterm elections are just around the corner, but efforts to "get out the vote" don't mean much if voters unexpectedly find themselves unable to get out of their hospital bed on Election Day.
Dozens of doctors, nurses and volunteers at Penn Presbyterian Medical Center and the Hospital of the University of Pennsylvania have been working together on an initiative called the "Penn Votes Project," a way to help patients still have their voices heard despite their hospitalization. They're part of a growing number of health centers tackling the issue.
"Every citizen of the United States has the right to vote and we think getting ill shouldn't impair that process," said Dr. Judd Flesch, a pulmonary medicine specialist who heads up the program.
For those in the hospital unexpectedly, that process isn't exactly simple.
In Pennsylvania, the patient first needs to apply for an emergency absentee ballot. Then a physician must sign off on the application acknowledging that the patient will be unable to head to the polls. The application must be notarized, taken to City Hall and approved. The patient's ballot then must be taken back to the hospital, where the patient fills it out. It then gets returned to City Hall to be counted.
"It would be a pretty big burden on the patient's family or friend to go through all the steps," said Erin Hollander, a Penn medical student and volunteer coordinator for the voting project.
The hospitals are tapping into their resources at the medical school and at Penn Law School to create a program that does all that legwork for patients.
It started with a campaign to raise awareness that the voting program was launching, with staffers wearing buttons, flyers appearing on food trays, commercials on the in-house TV channel. On Thursday, the application process got underway, with law students ferrying the paperwork back and forth as the patients' agents.
Neil Deininger, a law school student coordinating the legal side of the project, has a personal interest in the program: On Election Day in 1992, his mother missed out on voting because she was giving birth to him.
"She recalls that my sister sent a letter to Bill Clinton saying 'my mom couldn't vote for you because she was in hospital having my brother,'" he said.
The Penn hospitals aren't the only health centers to help patients who can't get to the polls, but organizers hope their program can serve as a model that other institutions can replicate.
Kelly Wong, an emergency medicine resident at Rhode Island Hospital, was helping admit patients just before the 2016 presidential election and many were disappointment that they'd be unable to vote.
"I didn't know what to tell them, because I didn't know that patients could vote," she said.
After researching the laws, she was surprised to learn most states offer the option. She and several residents at other hospitals recently launched a website called Patientvoting.com , meant to organize publically available information on emergency medical absentee voting by state.
"I think it is just something that if we were never told, we can never share it with our patients," she said.
Jennifer Adaeze Okwerekwu and James McKenzie are both residents in adult psychiatry at Cambridge Hospital, in Cambridge, Massachusetts.
The two launched an initiative in 2016 called the Social Justice Campaign that focuses on issues affecting their patient population, addressing everything from immigration to politics.
Before the 2016 presidential election, they were struck by hospital patients who expressed frustration about being unable to vote, Okwerekwu said, and made helping patients vote a priority.
As in Pennsylvania, patients in Massachusetts must appoint someone to serve as a proxy to get all the documents in order.
Because their operation is small, Okwerekwu said she and McKenzie typically are tapped to be the patients' proxies, creating lots of work for them.
"That's how we ended up literally driving all over creation in the days leading up to the (2016) election," she said.
"This should be an active duty of the health care system," McKenzie said. "You've got rights and they don't go away just because you are sick or injured."