(no subject)
Aug. 11th, 2009 08:37 pm![[personal profile]](https://www.dreamwidth.org/img/silk/identity/user.png)
Getting up on the political soap box once again. This is not in my regular blog, only in my LJ.
I would like to point you all to a letter written by my Congressional representative, Mr. Jerrold Nadler.
And then I would like to point you to a little factoid. In the United States, 15.7% of American citizens and legal non-citizen residents are uninsured. That is 47 million people. That number comes from the beginning of 2008, and after the economic crisis that followed later that year and the rise in unemployment, I can only imagine that it has risen higher, although that is the number still being quoted.
I spent three years of my life uninsured. I was lucky in that I managed not to get seriously physically ill or injured. I did, however, have to see a psychiatrist for an anxiety disorder during that time period, which cost me approximately $350 a month, out of pocket. That was less than the lowest health insurance premium I could find that would have covered part of my visits to the psychiatrist. If I had chosen to insure myself, I would have had to pay slightly more for my premium, plus the cost of the co-pay, plus the cost of my medications-- in short, probably close to $600/month for the same quality of care I was receiving without paying into a private insurance plan. And my doctor would have seen less of that money than he did when I was paying him directly.
Now, that insurance plan, the one that would have raised my monthly healthcare costs by $250? Would still not have covered any truly serious illnesses or hospital stays. Like my little brother, if I had been admitted to the hospital, I would have been kicked out as soon as preliminary tests had been done, because they would have seen that my insurance, though expensive, did not cover the costs of the kind of hospital stay and treatment he really needed. I would have been bounced around from doctor to doctor when the doctors saw that the insurance was unwilling to cover the actual costs of the treatments he needed.
And yet, I would have been paying hundreds of dollars a month.
When I lost my last insured job, in 2007, I was not going to elect to keep my insurance. This time, the plan that was available to me would cost $547/month. That was more money than I made after taxes and rent. My mom was kind enough to step in and pay it-- which was lucky, because by that point, my asthma, which had generally been mild, had developed to the point where it required regular maintenance, including doctor's visits and inhaler refills.
I got a new job with insurance literally two months before my COBRA would have run out. I am now insured again, but every doctor's visit is still a battle with the insurance company to get them to pay what I am entitled to receive from them. And that is when I pay a premium of about $100/month. Many months, I do not go to the doctor at all. I have fallen back on visiting the free clinic at work because if I go there, I only have to pay for my prescriptions and not my visits.
But most people don't have free clinics at work.
I am a healthy, upper middle class, thirty-one-year-old woman. And the insurance industry in this country is failing me.
If it's failing me, someone who has enough education and a good enough support system to wade through the ridiculous red tape, to argue my rights with the insurance company that tries to nickel and dime every item in spite of taking my money every month, someone who can afford her doctor's visits when the insurance company refuses, what is it doing for all those uninsured people out there who maybe don't have well-off parents...or who are elderly, or don't speak English as their first language? What about people with serious pre-existing conditions?
I am sure all of you have heard by now about Sarah Palin's ridiculous accusations of death panels this week. Except to me, they're not so ridiculous. Right now, 47 million people living in this country face a death panel every time they get sick or severely injured. They face a choice of letting their condition worsen, or risking bankruptcy. They don't face government bureaucrats, who, at this moment, do run a public health care system with a high success rate, and whose jobs are dependent on the quality of service they provide. They face faceless megacorporations whose job is to pay out as little money as possible, doctors who are under pressure to cut costs in spite of the Hippocratic Oath, and the emptiness of their own pocketbooks.
It is embarrassing, the state of health care in the United States. It is embarrassing that we live in a country where people-- any people-- are not willing to pay into a system to help their friends and family when they need it most. I am embarrassed by the idea that someone making many times what I do might care more about saving a little money in their line-item deduction every year than they do about the idea that their neighbor down the road might not be able to afford to call EMS. And I am embarrassed that we live in a country where we allow our elected officials to take blood money from an industry that is behind the cause of more accidental deaths than any other in the United States. You want to see a death panel? There's your fucking death panel. Ask any uninsured parent of a Downs Syndrome kid who doesn't make as much money as Sarah Palin does.
I would like to point you all to a letter written by my Congressional representative, Mr. Jerrold Nadler.
And then I would like to point you to a little factoid. In the United States, 15.7% of American citizens and legal non-citizen residents are uninsured. That is 47 million people. That number comes from the beginning of 2008, and after the economic crisis that followed later that year and the rise in unemployment, I can only imagine that it has risen higher, although that is the number still being quoted.
I spent three years of my life uninsured. I was lucky in that I managed not to get seriously physically ill or injured. I did, however, have to see a psychiatrist for an anxiety disorder during that time period, which cost me approximately $350 a month, out of pocket. That was less than the lowest health insurance premium I could find that would have covered part of my visits to the psychiatrist. If I had chosen to insure myself, I would have had to pay slightly more for my premium, plus the cost of the co-pay, plus the cost of my medications-- in short, probably close to $600/month for the same quality of care I was receiving without paying into a private insurance plan. And my doctor would have seen less of that money than he did when I was paying him directly.
Now, that insurance plan, the one that would have raised my monthly healthcare costs by $250? Would still not have covered any truly serious illnesses or hospital stays. Like my little brother, if I had been admitted to the hospital, I would have been kicked out as soon as preliminary tests had been done, because they would have seen that my insurance, though expensive, did not cover the costs of the kind of hospital stay and treatment he really needed. I would have been bounced around from doctor to doctor when the doctors saw that the insurance was unwilling to cover the actual costs of the treatments he needed.
And yet, I would have been paying hundreds of dollars a month.
When I lost my last insured job, in 2007, I was not going to elect to keep my insurance. This time, the plan that was available to me would cost $547/month. That was more money than I made after taxes and rent. My mom was kind enough to step in and pay it-- which was lucky, because by that point, my asthma, which had generally been mild, had developed to the point where it required regular maintenance, including doctor's visits and inhaler refills.
I got a new job with insurance literally two months before my COBRA would have run out. I am now insured again, but every doctor's visit is still a battle with the insurance company to get them to pay what I am entitled to receive from them. And that is when I pay a premium of about $100/month. Many months, I do not go to the doctor at all. I have fallen back on visiting the free clinic at work because if I go there, I only have to pay for my prescriptions and not my visits.
But most people don't have free clinics at work.
I am a healthy, upper middle class, thirty-one-year-old woman. And the insurance industry in this country is failing me.
If it's failing me, someone who has enough education and a good enough support system to wade through the ridiculous red tape, to argue my rights with the insurance company that tries to nickel and dime every item in spite of taking my money every month, someone who can afford her doctor's visits when the insurance company refuses, what is it doing for all those uninsured people out there who maybe don't have well-off parents...or who are elderly, or don't speak English as their first language? What about people with serious pre-existing conditions?
I am sure all of you have heard by now about Sarah Palin's ridiculous accusations of death panels this week. Except to me, they're not so ridiculous. Right now, 47 million people living in this country face a death panel every time they get sick or severely injured. They face a choice of letting their condition worsen, or risking bankruptcy. They don't face government bureaucrats, who, at this moment, do run a public health care system with a high success rate, and whose jobs are dependent on the quality of service they provide. They face faceless megacorporations whose job is to pay out as little money as possible, doctors who are under pressure to cut costs in spite of the Hippocratic Oath, and the emptiness of their own pocketbooks.
It is embarrassing, the state of health care in the United States. It is embarrassing that we live in a country where people-- any people-- are not willing to pay into a system to help their friends and family when they need it most. I am embarrassed by the idea that someone making many times what I do might care more about saving a little money in their line-item deduction every year than they do about the idea that their neighbor down the road might not be able to afford to call EMS. And I am embarrassed that we live in a country where we allow our elected officials to take blood money from an industry that is behind the cause of more accidental deaths than any other in the United States. You want to see a death panel? There's your fucking death panel. Ask any uninsured parent of a Downs Syndrome kid who doesn't make as much money as Sarah Palin does.
(no subject)
Date: 2009-08-12 01:39 am (UTC)(no subject)
Date: 2009-08-12 01:50 am (UTC)I am seriously horrified by the idea that having the government pay for our health care is considered dangerous. I hate the way that these people who are supposed to be members of our government are engendering feat in the government in order to get payoffs from these companies. And it is ironic that the Congresspeople railing against government-sponsored health care receive government-sponsored health care. If it is so awful, I would like to hear some anecdotes from them about why it is unacceptable. But they don't seem interested in giving it up for themselves.
Our system is failing, and we have these people trying to scare people into believing that an utterly broken, failed system is better than the system that they use to get their health care.
And I just totally expanded on my rant there, sorry!
(no subject)
Date: 2009-08-12 01:56 am (UTC)(no subject)
Date: 2009-08-12 01:46 am (UTC)(no subject)
Date: 2009-08-12 01:51 am (UTC)Granted, I've never fully understood the US health care system, but I also don't claim to. I'm getting really tired of seeing posts on my flist being SO against UHC because it means OTHER people decide who gets treated. It kills me because (at least from what I gather) isn't that basically what insurance in the states does? They choose to cover things, or they don't? And the people who don't have insurance, or it doesn't cover preexisting conditions are SOL, and have to hope to god they never get sick?
I said this on the only other post I've read that's not all "rawr this is bad" and I'll say it here. I'm glad to be in a country where if I break a bone, or get sick, or whatever, I don't have to weigh the pros and cons of going to see a doctor, or going to the ER. I just go.
Which brings me to the wow, how much do I hate people spouting off shit about countries with standardized health care when they really have no idea? I read one post with someone saying that it's huge, like, years long waits to see doctors, and that because a lot of it is through OHIP and the like, it's all substandard care. And all I can ever really think is that at least here everyone can get care. It's not substandard, but even if it was? I'd rather get substandard care (to a point) than have to go bankrupt to get any care at all.
...err, that comment got sort of long. Way longer than it was meant to. Sorry. But yeah, thank you. For at least being logical.
(no subject)
Date: 2009-08-12 02:08 am (UTC)I'm also aware that the Veterans Administration health care system frequently sinks to a truly appalling level of fail, so I can understand the perspective of, "Wow, if that's what national health care would look like in this country, I don't WANT it!"
Some of the best health care my family had was when my husband and I were broke students on Medicaid, though. Really.
(no subject)
Date: 2009-08-12 02:14 am (UTC)See, my only real problem with our health care system is that I wish they covered dental. I'm off my dad's insurance in 4 months, and my teeth are terrible. Like, I've paid almost 4 figures for every dentist appointment I had for like 3 years. Which was a lot of appointments. If OHIP would cover that, man, would my life ever be easier XD
I've never had bad health care though. Ever. And I'm massively accident prone, and paranoid when I'm sick. So I end up at the doctor/hospital a fair bit. If I had to pay every time, I think I probably wouldn't have gone when I broke my foot a couple years ago, or when I couldn't stop throwing up for a week, and it freaks me out to think about what could have gone wrong because of those sort of things.
(no subject)
Date: 2009-08-12 02:44 am (UTC)(no subject)
Date: 2009-08-12 04:58 am (UTC)Essentially all serious medical problems in Canada are covered by the government, and the only scenario in which your friend's baby would not have recieved care is if the hospital she was delivering in didn't have adequate resources. In those types of cases, the Canadian government sends patients to the United States, on the government tab.
Just wanted to clarify that, as it seems to be something that comes up from time to time.
(no subject)
Date: 2009-08-12 02:54 am (UTC)(no subject)
Date: 2009-08-12 01:55 am (UTC)I have a friend here who, thanks to the stimulus portion of unemployment insurance checks, now does NOT qualify for Family Health Plus. He would qualify for HealthyNY - which costs more than he can afford and for some fucked-up bullshit reason is NOT subject to Timothy's Law (which is potentially relevant for him, since he has fibromyalgia and a lot of meds used for fibromyalgia were originally psychmeds, which HealthyNY refuses to cover - so it all depends on just how stupid they get about that).
The alternative, while he's still in school, is to be on his parents' coverage, which a) requires someone in Kansas (where his parents live) to review every bit of non-emergency medical care he has in NY and b) may or may not be subject to getting yanked if his parents decide to continue being asshats about his being FTM.
And on a more personal note, if I'd decided to GO to the emergency room when I was 19 and twisted the hell out of my ankle instead of saying, "Screw this, they'll give me an ace bandage and Tylenol and charge me $50, and I have those at home! Besides, I need that $50 for a bus pass/new work-appropriate shoes/groceries for the next week/all of the above!" - maybe, just maybe, just possibly, I wouldn't have the chronic pain/mobility issues that I am now dealing with. I might not have gained quite as much weight over the 12 years since that happened. I might be less depressed and anxious because I can't move as well as I used to. Because maybe there *was* something else that could have been done, then.
(no subject)
Date: 2009-08-12 02:57 am (UTC)(no subject)
Date: 2009-08-12 02:10 am (UTC)(no subject)
Date: 2009-08-12 02:58 am (UTC)I think we need to make it illegal for anyone in a political office to lie or give out misinformation. Can we do that?
(no subject)
Date: 2009-08-12 02:14 am (UTC)I am someone who suffers from a mental illness, which I'm not ashamed of, but I do need medication for it- unfortunately, the medication I need to be even remotely functional? $550+ a month. The fact that there is a very real financial barrier preventing me from getting help has just been... utterly disgusting.
(no subject)
Date: 2009-08-12 02:59 am (UTC)(no subject)
Date: 2009-08-12 02:25 am (UTC)My mom charges her patients $150/hr. If they have an insurance that she takes, she sees about $15/hr for the session. That does not count the time she spends formulating and submitting treatment plans, dealing with companies who don't want to pay, and convincing insurance companies that they need to give out more sessions.
My mom is not a doctor. She does talk work. If she is seeing someone in conjunction with a medical (prescribing) doctor, they both have to justify this. If she sees someone who she feels it will take more than ten sessions to "cure," she has to justify this.
My mother has had patients break down crying in her office because insurance wont okay more sessions, they can't afford to pay out of pocket and their work says they can't come back until they get their personality disorder in hand. Which isn't helping with the "pay for it" part.
Healthcare in this company is hurting the sick, it's hurting the people who want to help. The only people it's helping are the ones at the top of the healthcare companies.
(no subject)
Date: 2009-08-12 02:37 am (UTC)Tell your mom thank you from me.
(no subject)
Date: 2009-08-12 03:21 am (UTC)that sort of thinking is completely irrational to me--people who trust Sarah Palin and Rush Limbaugh and all of the drivel on Fox News instead of actually taking the time to sit down and check facts infuriate me. especially because a lot of conservatives (especially in the South) are not wealthy. they're the kind of people that would benefit the most from this system, but they're so blinded by these incendiary voices in the media that they don't question anything. so many of our laws benefit big business and completely ignore the needs of the individual. but I guess that's what happens in a country that cares more about making a buck than making sure everyone's taken care of.
rant aside: I'm 23, in good health, and uninsured. I've been uninsured for over a year. I have a family history for pretty much every disease (my mom alone has cancer, degenerative discs & chronic pain, high cholesterol, and an overactive thyroid). every time I get on my bike I know I could get hit (I've almost been hit by unaware drivers 3 distinct times) and I'd have no way to cover medical bills. I'm like a ticking timebomb.
(no subject)
Date: 2009-08-12 03:35 am (UTC)(no subject)
Date: 2009-08-12 04:04 am (UTC)What I don't really understand is why people are like, "I don't want somebody determining what treatment is covered! I don't want my choices limited as to what doctors I can see!" As far as I understand it, the insurance companies are already making the decisions as to what kind of treatments are covered. They also determine what physicians you can see, since insurance benefits only cover those doctors who are within the group or whatever. At least the government won't deny your claim for some bogus reason because they won't be providing healthcare to make a profit. Insurance companies, on the other hand, have economic incentives to withhold care and deny claims.
I had a seizure in the spring of 2008, while I was at school. Luckily, I am covered, so that was one less thing to worry about. It was still a pain in the ass, though, to find a doctor who would accept the insurance, and to get whatever tests her ordered done and interpreted. While I'm pretty sure that the doctors knew it was nothing major (my CT in the ER came back clean), it was more than a month after I had the seizure before a doctor interpreted all of the tests and such that had been done and determined that it was a one-off thing. People talk about how, with socialized medicine, you'll be waiting months and months for treatment. That's kind of what happened to me, and I'm insured. And even several months after the hospital incident, my dad was still on the phone with the hospital and insurance company trying to sort out billing matters.
The system is a mess. It positively frightens me to think of what would have happened had I not been covered by my parents' insurance. I worry now about what will happen to me if I can't get a job straight out of school where I will have an insurance option available, and even then I'll still have to pay (like you said) a fairly large sum every month. Something really needs to be done. I don't know what, but the system is broken and needs fixing.
(no subject)
Date: 2009-08-12 04:08 am (UTC)To everyone who has complained and feared and decried socialised medicine, I can't help but be amused. They're afraid of long waits for doctors, that help will be refused if they do not meet a certain government-imposed criteria. Down here on the working poor level, that's what we've always had. Even if the Republicans' worst fears of socialised health care are realised, right down the death panels, there will be absolutely no change for me--except that I won't have to pay for it anymore.
(no subject)
Date: 2009-08-12 05:30 am (UTC)(no subject)
Date: 2009-08-12 07:28 am (UTC)That being said? It's better than nothing. It also makes me think that even if the US gets a medical system that isn't about making money, it will still have a long way to go. It seems like it's punishing people for being sick or born with special needs. That is the number one reason I won't move to the States: I can't imagine going broke just for being sick.
I don't understand why anyone would think universal health care is evil. My only theory is that some people in power think that America is a capitalist nation, so even medical care is fair game.
I hope none of that was too harsh or ignorant. It's kind of a hot topic for me.
(no subject)
Date: 2009-08-12 08:55 am (UTC)I've just never understood why anyone would think it a good idea to turn healthcare into a business?
(no subject)
Date: 2009-08-12 10:07 am (UTC)SUCH agreement.
After a decade being uninsured, last year I got my first job that offered insurance: $60 a month for a thousand dollars if I went to the ER and fifteen hundred worth of money if I got cancer.
And that was the best one on offer.
Wheeeeeee.
(no subject)
Date: 2009-08-12 12:50 pm (UTC)(no subject)
Date: 2009-08-12 11:36 am (UTC)I have a fair amount of medical problems...and the only real flaw I've found with the Canadian health care system is that you can wait a long time in the emergency waiting room to be seen (I was once given an estimate of 12 hours for how long I could expect to wait). I think a lot of this could be solved by having more family medical practices a) open later, and b) equipped with X-ray machines and labs for bloodwork and such.
At the moment, the wait times are a problem - and in spite of them, I would much rather wait than go bankrupt.
...I would really like to slap people who go immediately to emergency when their problem is something a walk-in clinic doctor could address though.
(no subject)
Date: 2009-08-12 12:48 pm (UTC)(no subject)
Date: 2009-08-12 08:14 pm (UTC)We definitely have to wait here, too.
(no subject)
Date: 2009-08-13 01:00 am (UTC)The surgery did go well, and the doctor was thorough enough about making sure that it was a correct diagnosis but...that was a ridiculous amount of time to wait to be seen, given the condition I was in. I wanted to throttle people who brought in their small children - still in good enough condition to run around and play - and then the kids got seen before I did. X_X
(no subject)
Date: 2009-08-12 04:55 pm (UTC)anyway. I agree. you're awesome.
Sister SMiley agrees.
(mind if I repost?)
(no subject)
Date: 2009-08-12 05:26 pm (UTC)(no subject)
Date: 2009-08-12 07:36 pm (UTC)Too tired at the moment to post my own experiences--but I did want to share this post with others.
(no subject)
Date: 2009-08-12 07:53 pm (UTC)(no subject)
Date: 2009-08-12 06:15 pm (UTC)Thanks for posting this.
(no subject)
Date: 2009-08-12 08:03 pm (UTC)Agh. It's just so fucked up. I can't stand it.
(no subject)
Date: 2009-08-12 08:18 pm (UTC)(no subject)
Date: 2009-08-12 08:42 pm (UTC)(no subject)
Date: 2009-08-12 08:43 pm (UTC)(no subject)
Date: 2009-08-12 08:24 pm (UTC)I have spent a good chunk of my life being insured, a part of my life being un-insured, and a good chunk of it living in a country with socialised healthcare. In each of those states I have had to see a doctor for one reason or another. All of my personal horror stories come from living in America and having insurance, not just me but family. When my father passed away, coming up on ten years ago now, he was insured but we were still paying his hospital bills five years on. How can that be right?
As for the NHS, the main example people seem to be citing when getting uproarious about, it has its faults. Just like everything else. But it's an option, and a good option at that. Whenever I need to see my GP I can always get an appointment within the week, he always listens to me, and when I walk out I don't hand over a single penny, and I won't have to. I get my contraception for free, all women are entitled to free contraception for as long as they want it. If you are aged over 60, you are entitled to free medication for many chronic conditions, such as diabetes. If you are under 16, you are entitled to free medication in most cases. If you are pregnant or had a baby within the past year, same deal.
I currently work in an organisation whose sole purpose is healthcare regulation in the UK, and from what I have seen, to be honest, there is not much I would go private for.
What is important to me is the knowledge that I have both options. That is luxury that I hope Americans get very soon.
(no subject)
Date: 2009-08-12 10:13 pm (UTC)Anti-UHC editorial says that someone like Steven Hawking wouldn't have a chance. Hawking responds to say he owes his life to the NHS.
(no subject)
Date: 2009-08-12 11:53 pm (UTC)My car is insured, though. My car has better medical than I do.
(no subject)
Date: 2009-08-13 03:24 pm (UTC)I can't stand the Republican take on this, either; they're trying to scare the pro-lifers into voting it down, which is every bit as disgusting. Do they really think their buddies at UHC are doing the country a favor?
(no subject)
Date: 2009-08-13 04:25 pm (UTC)The problem is that this is not about ethics. This is about money. The health care industry in the United States makes huge donations to government officials, and, as you can see on this list (http://www.fivethirtyeight.com/2009/06/on-health-care-whos-hooked-on-special.html), 44 percent (11 out of 20) of the senators receiving more than 5% of their campaign funds from health care companies and PACs are on the record against health care reform, while only 16% (4 out of 25) of the senators receiving 1% or less of their campaign funds from health care companies and PACs are on the record against health care reform.
(no subject)
Date: 2009-08-13 08:52 pm (UTC)(no subject)
Date: 2009-08-14 08:58 pm (UTC)http://www.newsweek.com/id/211981?GT1=43002
I always wait around for a website to get around to writing a "Fact and Myth" guide in the people's English. Simple and fairly balanced read.
Doesn't cover everything, but it's a nice starter to reply to all the e-mail forwards we'll all eventually get! :D