Sep 11, 2006 — Providing health care to Amish communities poses unique challenges. So unique that the subject will have its own breakout session this week at the 5th Annual Conference on Rural Health. The conference starts today in Chatauqua. Melissa Thomas is a social worker with the Community Outreach of Ohio Health. 10 years ago she got a grant to do breast cancer screenings in the Appalachian area of Ohio. She realized that Amish women weren't showing up at the mammogram clinics. So she got a mobile booth to come to them. As she told Gregory Warner, that still wasn't enough.