Tag: health care

Amy wants me to write about health care

 

Amy of Sharp Little Pencil, who, like me, grew up in Broome County, NY, writes:

So Roger, do a piece on health care if you haven’t already, please. My post cited numerous reasons why Americans DON’T want it (as George Harrison would sing, “I, Me, Mine,” also the fear struck in their hearts. Could not believe how many FOX talking points turned up on my blog!! Let me hear about it soon! Love your blog and you, Rog. Peace, Amy

Here’s the problem, Amy. I don’t know how to speak of it in any better terms than others have. From what I could learn more in this article, the fact that catastrophic illness and injury has contributed to most personal bankruptcies. The fact that preventative care will lower costs over time and provide a healthier population to boot. The fact that a larger pool of consumers, historically, has lowered the costs of goods and services. But these anyone can tout.

For me, though, it’s always been about that same Harrison song you quote. And I have told the story before, back in 2009, but I’ll tell it again.

Two days before I was going to graduate school, for the first time, in 1979, that disastrous foray into the School of Public Administration at UAlbany, I was at a friend’s house and somehow got an infection under my toenail. You have NO idea how much this hurt. We are talking root canal level of pain, and I’ve had a root canal.

I had no health insurance, for I had, I would have gone to a doctor. Or probably the emergency room, because, now that I think of it, I didn’t HAVE a doctor, because I didn’t have insurance, so I didn’t see the point of having a doctor. But I WOULD have insurance in a couple of days. So I hobbled through college registration, feeling worse by the minute; if I had had a walker or wheelchair, or pain medication stronger than Tylenol, or whiskey, I would have used it. Only then did I go to the college infirmary.

By this point, the infection was going up my leg; if it had reached my heart, I almost certainly would have DIED, at the age of 26. And that would be a REALLY embarrassing thing to put in an obit; “died of a toe infection.” As it was, I spent the next six days – the first six days of the semester – in bed.

So NOT having insurance altered my behavior that might well have been fatal. I’m sure that if this is true of me, it’s true of millions of others who go untreated for illnesses and injuries until it’s a crisis. Yeah, I think health care is a right, not a privilege. Yeah, my own narrative has colored my outlook about this, but is that not usually the case?

I’ve been painfully aware of every MINUTE I’ve been uninsured since, from November 1988, when I left FantaCo, to March 1989, when I got covered by Blue Cross; from April to September 1990, after I left Blue Cross, before I went to library school; and from May to October 1992, the period between library school and my current job. I was always aware that any accident or sustained illness would do me in financially. You KNOW stress is a contributing factor to poor health, and I was stressed a lot in those uninsured periods.

I don’t understand the opposition to the new healthcare law using terms like “freedom.” Being uninsured is more like a prison.

Oh, and I love you too, Amy. Gotta love someone who knows and loves pirogi!

Blood, music, SCOTUS

I got a big chuckle out of my daughter vigorously singing the chorus to a Phil Ochs song.

I’ve now donated blood 149 times. The only two times I’ve ever had difficulty were time #59, obviously several years ago, and time #148, in April 2012. The commonality was that I was sitting in a chair each time, rather than lying down. The April visit was brutal, with three different attendants manipulating my arm, the needle…it took well over 20 minutes when it generally takes me 6 or 7; I’m talking about the actual blood flow time, not the preliminary exam, et al. I was so exhausted and bruised afterward, that I went home and went to bed, instead of going to choir, which had been my intent.

So when I went again last week – getting “back on the horse,” as it were – I made sure I went to a place (Empire State Plaza, for you locals) that had cots.

Sure enough, 7 minutes and 6 seconds, and I’m done. The medical person helping me this time insisted that lying down is better for the blood flow, and easier for recovery, but that people prefer the chairs because they are more comfortable. She also noted that 5 to 8 minutes is optimal; some guy who bragged about being able to donate in 4 minutes would be in serious trouble if HE were ever in a serious accident.
***
For Father’s Day, my wife gave me a ticket to the Old Songs Festival at the Altamont Fairgrounds, about a half-hour from here. When I was younger, I went all the time, but I think the last time I attended was in 2002, the year my wife went to Ukraine. She did not go with me this time either because of church obligations; she is on the Administration Committee and is helping sort through over 100 resumes for a part-time church secretary.

But the Daughter went with me on Saturday, June 23. We spent the first hour trying to wash sunscreen out of her eye, but eventually, we could enjoy the program. Went to see a couple called Magpie, and another couple, Kim and Reggie Harris perform songs of Phil Ochs, the noted folk singer who died over 35 years ago. Sunny Ochs, Phil’s sister, was there, too, and she has long encouraged singers of Phil’s songs to change the lyrics to more contemporary references when necessary. I knew LOTS of the songs, but I got a big chuckle out of my daughter vigorously singing the chorus to Love Me, I’m a Liberal, one of those songs with changed verses. (No one knows who the late talk show host Les Crane was anymore.)

Then we went to the Songs of the African diaspora with Peace Train, a black woman and a white woman from South Africa, assisted by Kim and Reggie Harris, who had come from about as far on the fairgrounds as one can. Kim noted that the girl who was sitting in front at this show (yes, the Daughter) was dancing at the Ochs show (true) and that Kim wishes she had that kind of energy.

The last Sunday in June, the whole family attended a high school graduation party. Ever have a really good friend you lose touch with, even though they aren’t that far away? That was the case with my friend Debbie, the mother of the graduate, who was one of my very best friends in the 1980s, but who I’ve talked with only intermittently since. It was good to see her again, though she was so busy playing hostess that we didn’t talk much. Maybe next time…

So what did you think of that Supreme Court ruling last Thursday? Oh, not that health care thing, the decision that the Stolen Valor Act is unconstitutional. “The Stolen Valor Act…makes it a federal crime to lie about having received a military decoration or medal, punishable by up to a year in prison if the offense involved the military’s highest honors.” I support the ruling that the law was unconstitutional on First Amendment/freedom of speech grounds with the same biting-of-the-lip sensation that had when I agreed with the Court allowing Nazis to demonstrate in Skokie, IL. I support the principle more than I hate the action.

As for that OTHER case, I had taken a “Well, it’s better than the status quo” take on that 2010 health care bill, the Affordable Care Act. But with the meltdown by its opponents, I am enjoying its affirmation by the Supreme Court far more than I expected. Meanwhile, CNN should slink off in shame for reporting, for seven minutes, the absolute wrong outcome. (FOX News also muffed it for two minutes, but it HAS no shame.) The term “Obamacare” had been designed as a dis, but that putdown may now work in the President’s favor.

Why Health Care Costs So Much in America

A provider is dealing with an insurance company that is claiming my wife has additional coverage, something she did actually have, but cancelled three years ago.

A worker in a health care provider’s office told me this story. It explains a lot.

A medical provider rendered services to a patient in 2008, and subsequently submitted a claim to the insurance company, which paid it.
In 2010, the insurance company decided to not pay for the service because the patient had other insurance coverage.
The provider had to go prove to the insurance company that the patient had no other coverage.
The provider resubmitted the claim to the insurance company.
The insurance company rejected the claim because it was not submitted in a timely manner!
The provider noted to the insurance company that it had PAID the claim two years earlier, then rejected the claim in error.
The insurance company finally paid – again.

I know this story is true because another provider is dealing with an insurance company that is claiming my wife has additional coverage, something she did actually have, but cancelled three years ago.
***
Take Out Some Insurance On Me, Baby (Uncensored) – The Beatles featuring Tony Sheridan.

World Pneumonia Day – November 12, 2011

Save the Children received a grade of A in the December 2011 Charity Rating Guide & Watchdog Report.

I knew instinctively that childhood pneumonia deaths, once too common, are now very rare in the US. I’ve been told that they have decreased almost 99% since 1939, thanks to the discovery and availability of effective medications. But children from developing countries aren’t so lucky. Each year 1.4 million children under 5 die from pneumonia – more than any other cause. More than from AIDS, malaria, and measles combined!

Here’s a short Mission: Pneumonia Quiz. Better yet, go to the World Pneumonia Day page to watch a video and read a personal story of how pneumonia affected one family.

This event is sponsored by Save the Children, which, not so incidentally, received a grade of A in the December 2011 Charity Rating Guide & Watchdog Report from CharityWatch, formerly the American Institute of Philanthropy (AIP); I’m a member of CW, and I checked its database to verify that indeed STC’s cost to raise $100 is only $10, quite low as these things are calculated. Moreover, they have an “open book” policy when it comes to finances. The 2011 Save the Children Gift Catalog is now available.

Pneumonia is the world’s leading killer of children, but there are viable solutions. I recently read the Lancet study about how the administration of oral amoxicillin to the children aged 2–59 months in a Pakistan region by community health workers has provided “strong evidence” that the methodology used is likely to “contribute further to a reduction in the number of pneumonia deaths.” That is quite promising news, but it takes resources, money well spent in creating a solution.

Photo credit: In Pakistan’s Haripur district, Lady Health Worker Naseem bibi counts 1-year-old Usama’s breaths, before successfully treating him for pneumonia. A new Lancet study by Save the Children shows that children treated by community health workers at home were more likely to recover from severe pneumonia than those referred to a health facility, the current standard of care. Just ahead of World Pneumonia Day, the study offers new hope for treating the world’s leading child killer in communities where hospitals and doctors are out of reach. Credit: Save the Children

Half Way In

In Tucson, he showed up as the charismatic leader rather than the policy wonk which seemed to lead people to believe the message that he’s “not one of us,” however one means that.


It’s halfway through Barack Obama’s first term as President, and I’m filled with a lot of mixed feelings. On one hand, I think his rhetoric far outstrips his ability to govern. In other words, he promised much more than he could deliver. On the other hand, if Bill Clinton was hampered by a “vast right-wing conspiracy,” that was nothing compared with what Obama has been facing.

What initially struck me about the President-elect back in December 2008 is that he was already acting as though he were already in charge. The bad news about the economy was becoming more fully released, and he appeared fully involved in trying to fix it. My wife noted at the time that he seemed more visible than the 43rd President.

So his inaugural speech was less inspirational than I might have wanted; still, we were promised the audacity of hope. Thus, it seems that a lot of people saw Barack Obama the way they WANTED to see him. Surely, he’ll get rid of the onerous secret human rights violations that many were distressed about under his predecessor. That did not prove to be the case.

The American participation in the war in Iraq had greatly diminished, as he said would happen, but he was never allowed any credit for that in some circles because he had opposed the war in the first place, and moreover opposed the surge that most analysts suggested allowed for the withdrawal.

Meanwhile, the war in Afghanistan has expanded, with the endpoint pushed back later (2011) and later (2014).

In his dealings over health care, it seemed that this man has never played poker. “Oh, here’s what I have in my hand. Let’s go.” So it is not, as some pundits claim, that the Left is upset that the health care bill didn’t provide the universal health care provisions it had hoped, and that then-senator Obama seemed to favor. It was that he folded on it, well before it was necessary. Thus, the bill that was finally passed was ultimately only a Democratic bill, even though it was twisted and altered to get Republican support that largely never came.

It did not help when Obama, and Vice-President Biden, for that matter, lectured the Left on how grateful they should feel and that they were the best hope they could expect. That is in stark contradiction with newly-elected President Obama requesting the Left to keep him honest, make noise.

Yet, it’s difficult for me not to have some sympathy for the President, who had to deal with the birthers, those who have him pegged as a socialist fascist.

Ah, a black President! Our racial problems are over! The President can help us in dialogue. What we end up with is a hastily arranged beer summit, and perhaps a realization that we are not as “post-racial” as previously thought. I don’t blame that on Obama but on our own self-congratulatory rhetoric. And I’ve discovered that there are certain folks who are genuinely offended that he refers to himself as a black man, rather than biracial because he seems to be denying part of himself; I received a comment saying as much just last week.

The President does have skills. Even FOX News was hard-pressed to criticize him for his speech in Tucson last week. Here he showed up as the charismatic leader rather than the policy wonk which seemed to lead people to believe the message that he’s “not one of us,” however one means that, who showed up explaining health care or the BP oil spill, though getting $20 billion from BP I thought was a masterful stroke that didn’t get enough credit. And, as I’ve said before, I believe his seeming aloof manner may be a studied attempt not to come across as an “angry black man.”

Frankly, I had him pegged as a one-term President for certain after his first 22 months in office, only to be surprised by his successes with the START treaty with Russia, the elimination of Don’t Ask, Don’t Tell, and a food safety bill.

The narrative is now that he’s moved to the center, and this will save him. His willingness to compromise with Republicans over the tax cuts presumably shows his leadership. I never pegged him as a liberal, but rather a moderate. But the narrative has improved his job approval ratings.

In any case, who knows what the next several months will bring? It’s unlikely that the Democrats will challenge him in the primaries. As for his Republican opponent, who knows? Because the GOP changed its rules, a lot of the early winner-take-all primaries have been changed to a more proportional delegate distribution.

Who will I vote for in 2012? Well, it depends. Might be Barack Obama; depends on what the next two years bring.

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