After leaving the Navy in 2005, Dr. Talbot settled in the New Orleans area and established The Medical Care Center. The prima ... ry goal of the Care Center was to increase access to affordable primary care services for insured and uninsured members of South East Louisiana and surrounding areas. The Medical Care Center has evolved since its establishment in 2005 from a part-time General practice to a full-time General practice offering services in Mental Health, Substance use disorders and drug screening services for the Court System and The State of Louisiana Office of Community services(OCS). The practice has grown exponentially in the aftermath of Hurricane Katrina. The Care Center was the only pre Katrina southeast Louisiana private medical facility up and running within days of the storm. The Care Center and its limited but tireless staff evaluated and treated thousands of displaced Southeast Louisiana Residents. Care was provided at no cost to those who had no financial means at the time. In the aftermath of the Storm, emerged a complex mix of primary and urgent care issues further complicated by obvious mental health and substance use disorders. To effectively treat this traumatized population of patients, every patient had to be screened for psycho-social and substance use issues. The biggest challenge was the fact that very few patients seen after the Hurricane could afford to pay for medical care, and even fewer had the means to afford additional diagnostic studies such as lab work, psychological evaluation and treatment, substance abuse screening or drug screens. The only moral and ethical solution, at the time, was to cover the cost of any additional diagnostic study needed to provide the highest quality of care under the circumstances to those who could least afford it. The care center covered the cost of thousands of mental health evaluations; thousands of substance abuse screenings, labs, drug screens, and MRIs. read more