It happens all the time: Doctors tell patients with chronic diseases like diabetes and congestive heart failure to eat healthier, and the patients look at the doctors like they're crazy. Many patients at the Legacy Good Samaritan Clinic in Northwest Portland receive less than $200 per month in food stamps and use it to buy microwaveable meals or inexpensive items like Top Ramen, explained Scott Dillinger, a social worker at the clinic.