Blog Archives
Healthcare Question: WHO GETS HELP AND WHO DOESN’T?
My friend Ted Czukor sent me this essay and I am pleased to pass it on to you:
WHO GETS HELP AND WHO DOESN’T?
By Ted Czukorinfo@tedsyoga.com
I’d like to take a poll of all readers over the age of 30. How many of you think that life is going to unfold the way you had envisioned? It certainly hasn’t been like that for me! I’m 65 now, and on the one hand I’ve had some wonderful experiences that I never could have predicted, while on the other hand some experiences have been the sheerest crap; but very seldom in my life has my planning brought about the exact result to which I had looked forward.
One of the more disturbing surprises I’ve had recently is that finally getting Medicare health insurance is not necessarily a guarantee of receiving proper medical attention—because healthcare providers are sometimes slow to order medical tests. I say “sometimes” because it’s a very mixed bag. Sometimes our doctor may send us immediately to the lab for something that he feels is necessary, but other times we may have to come back to his office for multiple appointments over several months with the same persistent complaint before he will decide that the quickly-written prescription isn’t doing anything, and we really do need to have a tube stuck down our throat or a picture taken of our brain or joints to see what the hell is actually going on.
It’s hard to predict when our doctors will jump on a test immediately or delay one for several months—but it seems clear from the national discussion on TV that some tests are being delayed due to concerns about cost. Our healthcare system is losing money, and some patients are guilty of what the insurance industry calls “over-utilization of services”—which makes it damned hard on those of us who legitimately need the testing.
On the Today Show on Wednesday morning, August 28th 2012, Dr. Nancy Snyderman actually suggested that any medical test will come up with something treatable, so therefore people in their 90′s should hold off on such tests so that younger people with longer-expected life spans can benefit from the treatments instead! We like and respect Dr. Nancy, and we never expected her to take such a cold-blooded stance on the subject. It sounds logical and fiscally responsible on the surface, but how low on the age scale should we set the cutoff point? Age 80? 70? What about people over the age of 60? Shouldn’t other factors besides age be considered in such a decision?
Such a stance is easy to support, so long as the older people in question are generic groups whom you have never met. But when that older person is suddenly a personal friend or a member of your own family—or when, God forbid, it’s actually you—then you will probably take a second look and decide that in this case, at least, an exception should be made!
Another unexpected and recent surprise has been that we have to do our own diagnosing. More accurately, we have to research our symptoms on the Internet and take our questions about possible causes to our doctor, to get him to look into them and determine whether we are barking up the wrong tree—or not. Only our doctors and their labs can diagnose for certain, but we have to tell them what to look for! This is doubtless due to the overwhelming number of patients they see every day, with the result that even the most conscientious physician can only pay full attention to the patient who is right in front of him. As soon as that patient has left and a new one has come in, the first one better receive proper follow-up from the doctor’s staff, because the doctor himself will have forgotten about him until their next scheduled appointment.
In the last three years my wife and I have been successfully treated for degenerated hips and shoulders, melanoma and allergic reactions to various medications—but in every case we were the ones who had to self-diagnose the condition and then go to the proper specialist to have it verified! Until we did that, we were simply given prescriptions for pain or infection in an attempt to mask symptoms. It was never suggested that surgery might be needed, or that a medication should be discontinued because it might be messing us up. Suggestions of that nature had to be put forward by us.
I have two reasons for writing this essay and sharing it with others. For those in the medical profession, I want you to know that educated patients understand your dilemmas concerning healthcare costs and the limited time you are allowed to spend with each of us—but we insist that attention be paid to us as individuals, rather than as generic members of a certain age group. For my contemporaries who are experiencing the same frustrations that I am, I want to encourage you to Keep Doing Your Searches on WebMD, and Keep Asking Questions. Don’t take a doctor’s “I don’t know” for an answer. Get your facts lined up, and insist on getting tested for anything that alarms you and that your doctor isn’t completely sure doesn’t need a test.
For those of you who aren’t wealthy and are under 65 without health insurance, I empathize. I went without insurance for two years before finally making it to Medicare age. The best advice I can give is to do whatever you feel is necessary to maintain your functionality, until you can finally get coverage to see doctors again. The trick is to just stay alive. But remember that getting the insurance won’t be enough. You will have to be an active advocate for your own health and for the health of your spouse and parents.
Related articles
- Doctor Shortage May Swell to 130000 With U.S. Cap – Bloomberg (bloomberg.com)
- GOP team is wrong prescription for patients (jsonline.com)
- Republican Platform Goes There-Would Make Medicare A Defined-Contribution Voucher Program (washingtonmonthly.com)
- What is an accountable care organization and why should you care? (insurance.com)
- Medigap Plans A Through N – Compare Medigap Plans (medicaresupplementalinsurance.com)
- Truth about the Ryan-Wyden Medicare Proposal (illinoisreview.typepad.com)
Tax Benefits for the Middle Class with Obamacare
No matter what the Republicans in Congress say as they pass Eric Cantor‘s legislative move to repeal Obamacare (don’t worry, the Senate will send it to the crapper), it should be clear that the health care program benefits the Middle class. Especially with tax cuts.
Take a look:
Save this to argue with your Republican friends (as if they’ll listen!)
Related articles
- Eric Cantor: Republicans DID have an Obamacare alternative! (dailykos.com)
- BOEHNER: Congressional Republicans resolved to repeal Obamacare – Washington Times (gds44.wordpress.com)
- The GOP healthcare ‘alternative’ (maddowblog.msnbc.msn.com)
- Eric Cantor says House will vote on Obamacare repeal in July (radio.woai.com)
- House Majority Leader Eric Cantor schedules vote to REPEAL OBAMA-CARE for July 11, 2012. (investmentwatchblog.com)
- Mission Impossible: Romney’s ambitious first term agenda (firstread.msnbc.msn.com)
Clarifying the Affordable Care Act’s Requirement to Buy Coverage…
The following chart from the Henry J. Kaiser Foundation makes clear who has to buy health coverage under Obamacare and how much it will cost. I feel it is better to know how this really works than to hear Republicans as they cry that the world will come to an end.
The Requirement to Buy Coverage Under the Affordable Care Act
Along with changes to the health insurance system that guarantee access to coverage to everyone regardless of pre-existing health conditions, the Affordable Care Act includes a requirement that many people be insured or pay a penalty. This simple flowchart illustrates how that requirement (sometimes known as an “individual mandate“) works.
Related articles
- Time for businesses to push ahead on Affordable Care Act, experts say (thegazette.com)
- My Little Golden Book of the ACA Supreme Court Decision (delong.typepad.com)
- Dan Siegel: Obamacare & Parental Peace of Mind (huffingtonpost.com)
- Readers’ Obamacare questions answered by lawyers in live chat (mlive.com)
- Upholding the Affordable Care Act is a Win for Small Businesses (whitehouse.gov)
Today is the day the Supreme Court weighs in on Obamacare…
The news media is waiting with baited breath for the decision of the SCOTUS which is due today on the President’s health care plan. So many questions are waiting to be answered:
1. Will the Court’s decision be primarily political?
2. Who will suffer the most if it is overturned?:
- Young people under 26 years old who are able to be on their parents’ health care plan, who could lose that advantage unless the insurance company itself allows it.
- Protection for sick patients who can lose their coverage due to a mistake in paperwork.
- People in southern states who have the least amount of state-mandated protection on their health insurance as opposed to more progressive states.
- Women will not be able to get free birth control (this is Planned Parenthood‘s major worry.)
- The risk of coverage will increase immensely for insurance companies who will not be as supportive of the users and more supportive of themselves.
3. Will the Court separate the Mandate (the requirement that everyone have insurance) from the rest of the law?
So we await the decision which will be written by Justice Roberts and see if they use it as the standard anti-Democrat response the court has made since putting George W. Bush into office.
Related articles
- No matter SCOTUS ruling, health care cost going up (illinois.statehousenewsonline.com)
- Supreme Court decision on polarizing health care law looms (cnn.com)
- Obamacare in the Balance: Will the Court Ruling Really Matter? (dailyfinance.com)
- The Real Face Of Obamacare: Suddenly-Unemployed Young People (thecollegeconservative.com)
- If Obamacare Is Ruled Unconstitutional (andrewsullivan.thedailybeast.com)
- GOP plan for ‘Obamacare’: Nothing (politico.com)
- Attorney General Bondi confident Supreme Court will strike down ‘Obamacare’ (tampabay.com)
- ObamaCare Will Define John Roberts’ Supreme Court (newser.com)
- How the Obamacare Verdict Could Crush Drugmakers (fool.com)
- Obamacare Supreme Court decision roadmap (themainewire.com)
Yesterday Romneycare was 6 Years Old in Massachusetts…
… and by all accounts it has been a success.
“Massachusetts is a model for getting everybody insured,”
said Romney when the law was passed under his Governorship.
In fact, Romney also claimed at the time that his plan would be a good model for the Nation.
The fact that President Obama agreed with him and promoted what has become known as “Obamacare” - a national duplicate of “Romneycare” – seems to be meaningless to the Republicans, to Mitt, to the Conservative side of the Supreme Court.
Why can’t we all have the successful plan that Massachusetts has? And why does Romney now say that he would repeal the law as soon as possible if elected?
Why do they play politics with our health?
Related articles
- Happy Birthday, RomneyCare! You’re Growing So Expensive So Fast! (reason.com)
- Happy 6th birthday, RomneyCare! Obama’s campaign releases video (miamiherald.typepad.com)
- Would ‘Obamacare’ demise mean end of ‘Romneycare,’ too? (yubanet.com)
- Rick Santorum Was Right: Romneycare Increased Free Riding in Massachusetts (healthcarebs.com)
- Mitt Romney Misleading Conservatives on Romneycare, Santorum Whines (inquisitr.com)
- Mitt Romney’s Suggested Three Times In 2009 That Obama Imitate Romneycare (buzzfeed.com)
- How Romneycare Saves $ (thedailybeast.com)
If you can’t afford the Health Care system and there is no Medicare For All…
…then a creative solution may be your only choice. Take James Verone of Gastonia, North Carolina:
The best comment I saw about James Verone’s situation (and that of millions of others) was on Mickey Mills’ blog, The Prodigal Scribe:
“The story behind this story is the one that really grabs me. We can put a man on the moon. We are the richest country on the planet. We arguably have the best colleges and universities putting out the brightest and the best.
“And we can’t figure out how to get health care for the needy. Between the greedy insurance underwriters, lawyers and drug companies, we have created a medical behemoth that is strictly for the haves — the have nots be damned.”
My question is when are we going to finally get the Health Insurance companies out of our pockets and realize that medical care for all is a right and not a commodity for profit?
Related articles
- Vouchers for Medicare-a different point of view (quinnscommentary.com)
- Misleading Medicare Mantra (economistsview.typepad.com)
- Support home health bill (bendbulletin.com)
- Man Robs Bank for $1 So He Could Get Healthcare in Prison-Is This What Happened in California Where The Sick are Being Released From Jail Now? (ducknetweb.blogspot.com)
- Actually Sen. Lieberman, We Should Be Expanding Medicare (fdlaction.firedoglake.com)
- Pulling It Together: Medicare, Medicaid, and The Multiplier Effect – Kaiser Family Foundation (policyabcs.wordpress.com)
- Man Robbed Bank for $1, Hoping to Be Sent to Prison, So as to Obtain Health Care (9news.com)
Want Single-Payer health Care? Move to Libby, Montana… but hold your breath
This article, reproduced here in full, is from Firedoglake. Read it and see why I don’t like Max Baucus:
How Libby, Montana, Got Medicare for All
By Kay Tillow
In 2009 when the Washington beltway was tied up with the health care reform tussle, Montana Democratic Senator Max Baucus, chairman of the all powerful Senate Finance Committee, said everything was on the table–except for single payer. When doctors, nurses and others rose in his hearing to insist that single payer be included in the debate, Baucus had them arrested. As more stood up, Baucus could be heard on his open microphone saying, “We need more police.”
Yet when Senator Baucus needed a solution to a catastrophic health disaster in Libby, Montana, and surrounding Lincoln County, he turned to the nation’s single payer healthcare system, Medicare, to solve the problem.
Baucus’ problem was caused by a vermiculite mine that had spread deadly airborne asbestos killing hundreds and sickening thousands in Libby and northwest Montana. The W. R. Grace Company that owned the mine denied its connection to the massive levels of mesothelioma and asbestosis and dodged responsibility for this environmental and health disaster. When all law
suits and legal avenues failed, Baucus turned to our country’s single payer plan, Medicare.The single payer plan that Baucus kept off the table is now very much on the table in Libby. Unknown to most of the public, Baucus inserted a section into the health reform bill that covers the suffering people of Libby, Montana, not just the former miners but the whole community—all covered by Medicare.
They don’t have to be 65 years old or more.
They don’t have to wait until 2014 for the state exchanges.
No ten year roll out—it’s immediate.
They don’t have to purchase a plan—this is not a buy-in to Medicare—it’s
free.
They don’t have to be disabled for two years before they apply.
They don’t have to go without care for three years until Medicaid expands.
They don’t have to meet income tests.
They don’t have to apply for a subsidy.
They don’t have to pay a fine for failure to buy insurance.
They don’t have to hope that the market will make a plan affordable.
They don’t have to hide their pre-existing conditions.
They don’t have to find a job that provides coverage.Baucus inserted a clause in the Affordable Care Act to make special arrangements for them in Medicare, and he didn’t wait for any
Congressional Budget Office scoring to do it.Less than two months after the passage of the health reform bill on March 23, 2010, Nancy Berryhill of the Social Security Administration in Denver joined personally in
setting up an office in Libby to sign up these newly eligible people. “This is a new thing,” Berryhill told the Missoulian. “No other group like this has ever been selected to receive Medicare.” Berryhill issued a nationwide alert to inform anyone who had lived or stayed in Lincoln County of their eligibility. She opened a storefront in Libby at the old downtown city hall where she signed up 60 people on the first day. She plastered the towns of Whitefish and Eureka with pamphlets explaining the program and added three new staffers to the office in Kalispell.Berryhill said she did not know how much the care would cost. That kind of analysis was beyond her directive to sign the people up. There have been no reports of competition from the private for-profit Medicare Advantage plans. The sick are not profitable.
No one should begrudge the people of Lincoln County. The mine wastes were used as soil additives, home insulation, and even spread on the running tracks at local schools. Miners brought the carcinogens home on their clothes. The W. R. Grace Company dumped much of the clean up costs onto the federal government. A June 17, 2009, order by the Environmental
Protection Agency, the first of its kind, declared Lincoln County a public health disaster. The Libby Medicare provision in the health reform law is based on the area covered by that EPA order.Baucus gave his reasons to the New York Times for its only story on this unique benefit: “The People of Libby have been poisoned and have been dying for a decade. New residents continue to get sick all the time. Public health tragedies like this could happen in any town in America. We need this type of mechanism to help people when they need it most.”
Health tragedies are happening in every town. Over 51 million have no insurance. Over 45,000 uninsured people die needlessly each year. Employers are cutting coverage and dropping plans. States in economic crisis are slashing both Medicaid and their employees’ plans. Nothing in last year’s reform law will mitigate the skyrocketing costs. Most insurance is threadbare and doesn’t cover. More than 50% of us now go without necessary care. As Baucus said of Medicare, “We need this mechanism to help people when they need it most.” We all need it now.
Bill Clinton recently stated that the U. S. could give coverage to all for one trillion dollars a year less than we now pay if we adopted the system of any other advanced nation. (Unfortunately, he did not say this when it would have mattered most during the 1993 and 2009 health care reform debates.)
Other industrialized countries have found that to cover everyone for less they must remove the profit-making insurance companies. Congressman John Conyers has reintroduced HR 676, the Expanded and Improved Medicare for All Act, which does exactly that. There are 60 cosponsors. It would cover all medically necessary care for everyone including dental and drugs by cutting out the 30% waste and profits caused by the private insurers.
So as the Ryan Republicans try to destroy Medicare and far too many Democrats use the deficit excuse to suggest cuts in its benefits, let us counter with the Libby prescription to clean up the whole mess. Only a single payer, improved Medicare for All, can save and protect Medicare, rein in the costs, and give us universal coverage.
Medicare will celebrate its 46th birthday on July 30, 2011, and all are invited to join in the festivities. Medicare was passed in 1965 and implemented within less than a year. When we pass HR 676, this single payer bill, we can all be enrolled in the twinkling of an eye.
So write and call your Reps and Senators and the President and tell them to get insurance companies out of healthcare and get us all on Medicare. We’ll save money (government AND the people), we’ll have a healthier nation, and we’ll join the rest of the civilized world in the 21st Century.
Related articles
- Considering a single payer model for health reform (kevinmd.com)
- Sexy Wilde for Single-Payer (foxnews.com)
- Actually Sen. Lieberman, We Should Be Expanding Medicare (fdlaction.firedoglake.com)
- Both Ryan and Obama cut Medicare (sfgate.com)
- Medicare for all? Q&A with Ohio’s leading single-payer physician advocate (medcitynews.com)
- Private Insurers Fail at Keeping Prices Down in Massachusetts (fdlaction.firedoglake.com)
- Yes, Medicare Is Sustainable In Its Current Form (krugman.blogs.nytimes.com)
- Some Medicare Ideas Worth Considering (swampland.time.com)
- Joe Lieberman’s Cruel Plan To Make Medicare Truly Awful (crooksandliars.com)
If you are tired of hearing Republicans tear down the Affordable Care Act…
… then this video from the Kaiser Family Foundation will give you an overview of what is actually covered, what it costs and how it keeps more people safe than not having it:
Those candidates who “debated” last night should sit down and watch this all the way through.
The Courts may shut down the Affordable Care Act leaving us healthcare deprived…
E. J. Dionne has a great column this morning: Will the Courts Wreck Health Care?
A quote from the column:
Virginia Attorney General Ken Cuccinelli made a revealing argument against the mandate. He kept referring to health insurance as a “private product.”
There’s the rub. Health care is anything but a “private product.” The system is replete with cross-subsidies from hospitals, taxpayers and the already insured. There is no law requiring a car dealer to give you a new Lexus if you just walk onto the lot that compares to the statute requiring hospitals to treat you if you show up. We consider health care a largely public good, but we don’t pay for it that way. That’s foolish.
Read the whole column HERE.
Related articles
- Health care law reaches federal appeals court in Virginia ()
- Health-care law gets friendly reception from appeals-court panel (seattletimes.nwsource.com)
- Health care judges all Dem nominees (politico.com)
- “Preview of the Romney Healthcare Speech Today” and related posts (triablogue.blogspot.com)
- Supreme Court Officially Rejects Expedited Health Care Review (news.firedoglake.com)
- Breaking: Supreme Court rejects fast-track appeal on ObamaCare; Update: Cuccinelli says “Disappointing, not surprising” (hotair.com)
- Romney Hides Behind Federalism (andrewsullivan.thedailybeast.com)





























