5 reasons the next election scares me

January 9, 2012

I’m irritable and grumpy and really not in the mood to write a happy post.  But then, I’m tired of hearing myself complain.  So where does that leave me?

Avoidance.  That seems like a perfectly immature solution.  I’m going for it.

To avoid complaining about the health issues that are on my mind, instead I’ll list my top 5 (in no particular order) concerns going into the next presidential election.  After all, politics is always a good topic to vent about.

  1. Obama’s healthcare plan could be repealed.  I sure don’t agree with all of it, but it’s the best we have right now.  It worries me that some of our candidates believe that anyone who can’t afford healthcare should be left to suffer and even to die.  It worries me that they don’t see the need to outlaw preexisting condition exclusions.  It worries me that they think our current system works.  Just because it works for them, doesn’t it mean it works for the rest of us.
  2. Abortions could become illegal, or legal but almost impossible to get.  The laws in some states scare me.  To think that a woman must be counseled against an abortion before she can receive one, or that she must be forced to listen to the fetus’s heartbeat, is just downright scary.  A woman should not be forced to carry a baby against her will.  What kind of society would enforce that?  It’s especially heinous considering how difficult some people want to make it for women to receive contraception and Plan B-type medications.  Believe it or not, not every fertile woman wants to have a child.  Expanding these laws to work around Roe v. Wade would be unacceptable.
  3. Homophobia, biphobia, and transphobia could become legal.  Well, more than it already is.  What really angers me (besides the politicians railing against “the gays” who themselves turn out to be gay or bi) are the many politicians who say they “have many close friends who are gay” and they “have nothing against gays” but then denounce same sex couples as having “unnatural lifestyles” or something equally absurd.  Psst…. you really do have a problem with “the gays,” even though you still want their votes.
  4. Immigrants, both legal and illegal, could become scapegoats for every single problem in this country.  Well, even more than they already are.  Shocking as it may seem, immigrants did not cause the current/recent recession, immigrants are not preventing a rebound in employment numbers by stealing American jobs, and immigrants did not come to this country in order to scam our welfare system.  Yes, there is the occasional immoral immigrant, just like there is the occasional immoral U.S.-born citizen.  But overall, these are people who came to this country for a better life.  Why did your ancestors come here?  Unless your ancestors were Native Americans, your ancestors immigrated to this country at one point.  They may have come by choice or they may have come against their will, but they weren’t born here.  The vast majority of us are descended from immigrants.  Get over it.
  5. We’ll continue to see nothing but infighting, status quo, and bandaids.  I’m so sick and tired of see a group of rich white guys, with a few women and minorities thrown in for good measure, fighting for their side to win, even at the expense of the American people.  I’m fed up with seeing real solutions to real problems being watered down to the point of being made almost useless.  I’m aching to see something more than just incremental changes.  Where’s the real thing?  Let’s tear apart our broken systems and rebuild them to be better.  You know that whole “all [people] are created equal” clause?  I want to see our politicians act as if it’s really true.  I want to see our political system fixed so that there’s no longer an incentive for politicians to pander to rich people and large corporations.  I want to see a system that appears to at least have the potential to actually work.  I’m not seeing that right now.

 

For once, I want to vote for the best candidate, not for the least bad one. 

A few people have suggested that I run for office myself.  They weren’t suggesting a presidential run, of course, but something more like a state representative position.  I gave three good reasons for not doing it: (1) my health (2) lack of money (3) I’d want to speak my mind, and I honestly don’t think anyone can get elected by speaking their mind.  I really wish that wasn’t true.

This next election scares me.  I just don’t like the direction we’re moving in.  I hope that by some miracle, things improve.  Oh, that reminds me, I didn’t have room to get into my views on the separation of church and state and where that’s headed.  A future rant to look forward to….

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The need for access to affordable healthcare for all

December 27, 2011

The so-called “Obamacare” plan has a lot of faults to it.  The process was overly politicized by a group of people with the best and most affordable healthcare in the country, the majority of whom could afford private care if they needed to.  They weren’t exactly representing “us.”

But like it or not as a whole, there are definitely some good parts to the plan.

For me, a great part is that health insurance companies will no longer (starting in 2014, but there’s a stop-gap plan until then) be able to turn someone away for having a pre-existing condition.  They also will not be able to find a convenient reason to end coverage shortly after someone is diagnosed with an expensive condition.  I believe there’s also something in there to prevent insurance companies from charging exceedingly high premiums to those with pre-existing conditions.  This is HUGE!  If I were to move to CA right now and I had to get my own insurance, I couldn’t do it.  I’ve seen their insurance company policies.  I’d be out before they got through the first page of my application.  But after this, they’ll have to insure me.  It’s a fantastic start.

But there’s still a long way to go.  There isn’t enough in there about making healthcare affordable.  I was talking to a friend last night who has always been perfectly healthy.  In fact, in the 10 years I’ve known her, I’ve never seen her have more than a sniffle.  She lives in CA and pays $300 a month for her health insurance.  I have no idea how much her company pays, but she gets it though them.  $300 is ridiculous for an individual plan.  Recently she has been having numbness in her left arm.  She went to the doctor, who sent her to a physical therapist.  She went to physical therapy three times.  It didn’t help.  And she got a bill for $400 (in addition to the copays she had already paid) for those three PT visits.  When she told me this yesterday I was in shock.  I wish I was there in person to review her policy.  She could have a deductible or co-insurance, but for $300 a month, she really shouldn’t have either.  Now she still has the problem and, with copays has paid about $500.  She doesn’t want to go back to the doctor because of the cost!  What kind of system is this!

I have been surprised had how many people are against “Obamacare.”  I suppose these are people who don’t pay for health insurance now and who are healthy.  They figure they’ll never need it.  I just hope they read this article and really consider it.  It could happen to anyone.  I eat well and take care of myself and get plenty of sleep and try to avoid stress.  And I have health problems.  I take a lot of medications and see a lot of doctors.  That’s not my fault.  And it’s not someone’s fault when they get cancer or get hit by a car.  And what if it were their fault?  Does that mean they shouldn’t get health insurance?  Well, I suppose that’s a discussion for another day.  In the meantime, let’s get people to consider just how important it is to have access to good, affordable healthcare.

The new system isn’t great, but it’s a start.

 

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Are there enough doctors?

December 21, 2011

According to this article, the largest concentration of doctors in the United States is right here in Massachusetts.  So then why am I having so much trouble finding one I like?

Keep in mind, this is based on a per capita count, so it’s about how many doctors there are for every 100,000 residents and not on how many there are total.  Compared to the national average, good old Mass. is going great.  Of course, this doesn’t tell us how many of these doctors are specialists and how many are internists or family practitioners.  It also doesn’t tell us how many of them treat patients full time versus focusing on research.  For example, I have one doctor, a specialist, who does research most days and only sees patients two days a week.  How would he be counted?

But more than any of that, my big concern is that this article speaks about the distribution of doctors as if that were the biggest problem with getting a doctor.  Let’s forget about money, because that’s a different problem altogether.  What bothers me is the idea that if doctors were distributed more evenly, everything would automatically work out better.  But has anyone checked to see if there are enough doctors in this country?  Sure, Massachusetts has more doctors per capita than any other state, but does it have enough doctors?  Does it have the right type of doctors?  I called many potential PCPs this year and was told by each that they weren’t taking on new patients.  That’s in line with what I have been reading about PCP shortages.

Now, maybe I just called the wrong ones.  Maybe there’s a shortage.  Maybe that was a temporary problem that was magically fixed the next week.  Regardless, we need to figure out how many doctors, and what specialties, are needed in order to properly care for our population.  I agree that we need to have an even distribution of doctors, but that only works if there are enough.

 

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Scary changes in healthcare

December 20, 2011

How much control do you have over your healthcare?

Now, many of us have limited control over our health, but we should at least have control over our healthcare, right?  I don’t know what the answer is, but it can’t be this.

I read this morning about a plan by a local health insurer to reimburse patients for choosing cheaper care.  Well, that’s the basic idea, anyway.  If my doctor sends me for an MRI at site X and instead I go to the cheaper site Y, then I’ll get $10-75 from my health insurer.

This troubles me in many ways.  To keep myself from rambling, here’s a quick bullet list:

  • Will the care be comparable?  Or will patients lose out?
  • People suffering financially may put their money ahead of their health.  I admit that this is their choice, but is it really a choice?  After all, premiums won’t be cut, so this is their only chance for relief.
  • This may make it harder for doctors to coordinate care.  When I get a test done now, all doctors in that hospital system see the results.  If I get a test done elsewhere, I’d have to get the results sent to all of my doctors, which is unlikely to happen, so the burden would be on me to bring the results of all tests with me to all appointments.
  • There are already health plans that only allow patients to be seen by cheaper doctors at cheaper facilities.  How much farther will this cost-cutting expand?  I don’t get to choose my health plan – my employer does.  If they choose one of these, I might have to change all of my doctors, and it has taken me years to build up a medical team I trust.
  • If cutting costs is so important, why doesn’t the health insurer cap reimbursement payments?  Wouldn’t that make more sense?  Why reimburse one site more than another?

Really, what upsets me is the direction of healthcare changes.  Health insurers and politicians are floundering to find a way to save money and stop the skyrocketing costs to patients and employers.  There is talk of a single payer system in my state.  While I love the idea theoretically, I have seen the way it has been put into practice in other countries, and I don’t trust it.  Really, do I want anyone involved in my government to decide if it’s cost-effective for me to take a certain medication or have a certain test?  No!  I trust them even less than I trust health insurers – I guess I trust the devil I know more than the devil I suspect.  If my health insurer chooses not to cover the cost of something, I can appeal within the insurance company and also to a state board.  If the state were in charge, who would I be able to appeal to?  Costs are too high.  People can’t afford care.  Those of us that can afford it, often pay so much that we must cut back on other things (like ever being able to afford to retire.)  This just isn’t working.

We need a solution.  So many of us are desperate for a solution.  If only I had any idea whatsoever what it might be.

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