One 77-year-old’s search for the truth: 9/11, election fraud, illegal wars, Wall Street criminality, a stolen nuke, the neocon wars, control of the U.S. government by global corporations, the unjustified assault on Social Security, media complicity, and the "Great Recession" about to become the second Great Depression. "The most important truths are hidden from us by the powerful few who strive to steal the American dream by keeping We the People in the dark."
Showing posts with label health insurance. Show all posts
Showing posts with label health insurance. Show all posts
t is Sunday morning. There is supposed to be a vote on health care reform today. I assume that Glenn Beck is ensconced in church and praying madly for failure.
I was not aware that it was Lent until Glenn Beck said that scheduling a vote during Lent and on the Sabbath was an "affront to God." Unlike Republicans in 2005 when they voted on Palm Sunday in the Terri Schiavo matter?
I am not big on churches.
But as it is Lent - maybe the Catholic Bishops could give up two things:
1) Molesting children and covering for those who do.
2) Telling women what to do with their bodies.
Just a thought. Like I said, I'm not big on churches.
I see the Malimpabeck trio figured they could take down an 11-year-old kid - but failed. Here's the story from Les Blumenthal at McClatchy. Marcelas Owens knows how to deal with bullies: "My mother always taught me they can have their own opinion but that doesn't mean they are right."
That kid should run for office.
I don't know what is going to happen today. Everyone tells me HCR will pass by a narrow margin. Maybe.
How the Hell did we get to the point of comforting ourselves with the mantra "It's better than nothing."
I'm going to grab a cup of coffee and watch and wait.
Maybe the Rapture will begin and free up some parking spaces.
Speaking of the Rapture: Sean Hannity is being accused of scamming real Americans. He's being accused by a conservative right-wing blogger, Debbie Schlussel.
The health care debate and general political climate compound absurdity upon absurdity.
First we're told that our health care is only worth the time and effort if the remedy has no negative impact on the budget. No deficits allowed. The deficit risk defines your chances for health and longevity.
At the same time, we see that Wall Street failures and the overseas war effort are not held to the same standard on deficits spending.
The federal government has committed $23 trillion dollars to prop up Wall Street's failed financial institutions. That's a fantasy figure and clearly deficit-friendly since it's twice the 2008 Gross Domestic Product of the United States.
On Tuesday of this week a smaller amount was offered up for the 2010 expenditures on the Iraq war and the expanded efforts in Afghanistan. The $128 billion was approved without a Congressional Budget Office analysis (note the absence of a link for "CBO Cost Estimates"). Since we're already over budget for 2010, this is also in the deficit column.
It's all right to run huge deficits to bailout Wall Street crooks and to wage deadly wars but it's not all right to even think about a deficit when it comes to preserving the health and lives of citizens.
The second absurdity concerns priorities. A rational approach to national policy would place citizen health care well above both Wall Street welfare and endless wars on any list of priorities. But that wouldn't do much good with the current legislative approach.
A political victory amounts to a loss for the public. Why?
The current legislation delays help for the uninsured for years. It limits the "public option" to those without health insurance. It does little or nothing to contain rising health care costs for in the near term. And it ignores prescription medication -- a major factor in out-of-control costs.
If you are insured now, you will get the pre-existing conditions exclusion lifted from future policies and some other benefits like moving your plan from one employer to another, etc. If you're self employed or a small business owner paying insurance directly to the tune of $1,200 to $1,400 a month per employee, there are no built-in cost control measures. If you're among the 54% of U.S. employees working for an employer that pays your health costs (self funded health insurance), using the Blue Crosses of the world to simply administer the plan, the savings you have now are, for the most part, what you will have after the "reforms" on the table.
Why? Because there are no cost controls for the underlying service, health care, and profit-driven insurance fees.
The cost saving elements of the bill from electronic records etc. are not going to appear in the next two years, if ever.
Current polling shows that 65% of citizens support "the government offering everyone a government health insurance plan like Medicare." The 10% to 40% that private insurers take out of the system for overhead and profits compares to less than 5% administrative costs for Medicare. By shifting health care costs away from employers to the government as single payer (in line with the rest of the industrialized world), U.S. businesses and workers could compete more effectively at home and abroad. After ten years, we might actually get some new jobs and higher incomes.
Unfortunately, the wisdom and logic of the people are not heeded by Congress and the administration. Government funded single payer health care is an approach forbidden in the current debate. A watered down version is the "public option" which President Obama said would be available to only the uninsured and, even then, on a limited basis. Congress is even talking about the states having public options at their discretion. It's all about getting a bill passed.
Meaningful reform and immediate relief are not on the agenda.
Those in charge think that we're so stupid we won't notice that our health care is either the same or worse should the proposed legislation be made law. Clearly, they think that there's no urgency to address the availability and affordability of health care. A political victory trumps a clear and present set of requirements for the good health of citizens.
It's time that the administration and Congress start behaving like adults and tell the truth.
As of now, the truth is that endless war and endless bailouts are the national priorities. The other key truth, soon to become painfully evident, is that the current health care reform legislation will do little in the near term to relieve the immediate problems of cost availability and affordability. It is faith-based reform that inspires little faith other than among the latest bailout beneficiaries, insurance companies that stand to acquire tens of millions of new customers.
Why isn't the health of citizen the number one priority?
People line up in the early morning at Wise County Fairgrounds in Virginia, the site of a makeshift field hospital providing free care for those in need. (Photo: Becky Lettenberger / NPR)
Blogger’s Note: This story was originally published on the National Public Radio (NPR) site, where you can elect to listen to the “All Things Considered” broadcast.I first picked up on it thanks to truthout, a free* daily news service replete with articles you’d like to read but don’t often find in the so-called Mainstream Media.
*Truthout is available for free by e-mail subscription, although it actually survives on the donations of a few percent of its subscribers.
Rural Medical Camp Tackles Health Care Gaps
by Howard Berkes
July 27, 2009
It was a Third World scene with an American setting. Hundreds of tired and desperate people crowded around an aid worker with a bullhorn, straining to hear the instructions and worried they might be left out.
Some had arrived at the Wise County Fairgrounds in Wise, Virginia, two days before. They slept in cars, tents and the beds of pickup trucks, hoping to be among the first in line when the gate opened Friday before dawn. They drove in from 16 states, anxious to relieve pain, diagnose aches and see and hear better.
"I came here because of health care - being able to get things that we can't afford to have ordinarily," explained 52-year-old Otis Reece of Gate City, Va., as he waited in a wheelchair beside his red F-150 pickup. "Being on a fixed income, this is a fantastic situation to have things done we ordinarily would put off."
For the past 10 years, during late weekends in July, the fairgrounds in Wise have been transformed into a mobile and makeshift field hospital providing free care for those in need. Sanitized horse stalls become draped examination rooms. A poultry barn is fixed with optometry equipment. And a vast, open-air pavilion is crammed with dozens of portable dental chairs and lamps.
A converted 18-wheeler with a mobile X-ray room makes chest X-rays possible. Technicians grind hundreds of lenses for new eyeglasses in two massive trailers. At a concession stand, dentures are molded and sculpted.
Desperate for Health Care
The 2009 Remote Area Medical (RAM) Expedition comes to the Virginia Appalachian mountains as Congress and President Obama wrestle with a health care overhaul. The event graphically illustrates gaps in the existing health care system.
"We're willing to sleep in pickup trucks or cars and deal with the elements to at least get some kind of health care," Reece adds. He earned a six-figure income working for an international industrial supply firm until an accident five years ago left him disabled. Joining him for dental, vision and medical checks are his wife, daughter, son-in-law and three grandchildren.
"Tomorrow, I'm going to see the doctor to get my ear and my nose fixed!" grandson Jacob shouts excitedly. His nose appears battered and his ear has an oozing scab.
Before the gate opened, Loretta Miller, 41, of Honaker, Va., got four hours' sleep behind the wheel of her parked minivan. She was No. 39 in line for her eighth RAM expedition. Her visit last year saved her life.
"They done an ultrasound and told me that my gallbladder was enlarged and was ready to burst and it could kill me," Miller recalls. "They told me if I hadn't got help when I did, literally I could have died."
Medical, dental and vision help is often elusive for the 2,700 people seeking treatment during the three-day RAM event. Just over half of the people attending this year have no insurance at all, according to a survey of the patients conducted by RAM. Forty-seven percent could be considered underinsured, given unaffordable copays or gaps in coverage provided by Medicare, Medicaid and conventional insurance plans. Only 11 patients have dental insurance, and just seven have vision coverage.
"There's no doubt about it. There is a Third World right here in the United States," concludes Stan Brock, RAM's founder. Brock has organized similar medical expeditions in Asia, Africa and South America. "Here in the world's richest country, you have this vast number of people, some say 47 million, 49 million, that don't have access to the system and that's why [this] is necessary."
About 1,800 volunteers provide the medical, dental and logistical help, including hundreds of doctors, dentists, nurses, assistants and technicians.
Almost 4,000 Teeth
Miller is ecstatic when her number is called. The divorced hairdresser and mother of two is uninsured and in pain. But she had taken the time, even with little sleep, to put on makeup, braid her blond hair and dress in a white lace tunic. She walked briskly through the gate for what would turn out to be five hours in dental chairs, given the extraction of an abscessed tooth, three fillings and a root canal.
More than half of those seeking help sign up for dental exams and procedures. They fill the more than 70 dental chairs while hundreds wait their turn under tents nearby. Hundreds more out in the grassy parking lot hope they'll get their teeth cleaned and fixed before the event ends.
Dental health greatly affects general health, says Dr. Terry Dickinson, who directs the Virginia Dental Association and the RAM dental effort at the Wise fairgrounds.
"The infection in the mouth certainly has been shown to have an effect on systemic diseases," Dickinson explains. "So it's really critical that these folks be able to get infected teeth out and infection treated in the mouth because it's going to help them with their overall health."
The extent of infections is staggering. Dickinson and his team pull 3,857 teeth in 30 hours of work spread over 2 1/2 days. Some patients lose all their teeth. A 4-year-old had cavities filled in every tooth.
Who Is Responsible for Health Care?
Terrible teeth, obesity, smoking, high blood pressure and diabetes are common among the people seeking help here. That raises an important question. Are they at fault for their poor health?
"There's enough blame to go around for everybody. I think patients certainly have to have personal responsibility for what they're putting in their mouth, but we are also trying to create a better access care system. How are you going to get providers, whether it be dentists or physicians or anybody else, into these areas where economically these communities are struggling?" Dickinson asks.
That's a reference to the costs of medical and dental schools and the debts that graduates incur, which can be $100,000 and more. There's pressure to practice in more lucrative places beyond rural regions like Appalachia.
"There are areas of the country, and certainly Wise County is one of them, where there just aren't [enough] physicians," says Dr. Susan Kirk, an endocrinologist and diabetes specialist with the University of Virginia Health System, which provides specialists for the Wise RAM event. "We provide indigent care at the University of Virginia, but that's six hours away."
RAM founder Stan Brock is impatient with those who suggest the people seeking help in Wise are somehow at fault and unworthy of care given poor health habits.
"The rest of the population is not exactly in the best of shape themselves," Brock asserts. "They're eating well and, therefore, they're putting on weight and, therefore, they've got heart disease and the rate of diabetes in this country is going up. But, in the case of the well-to-do and the well-insured, they can afford to take care of it."
At the end of her long day with dentists, Loretta Miller was still numb with Novocain but grateful for the care she could not otherwise afford.
"It's well worth the drive and the wait," Miller said, close to 12 hours after her number was called. "You get tired and stuff. But you think about all the trips and the money it would have cost to have all this done. I couldn't have had it done."
She then laughs about standing in line again at 5 a.m. the next day so she can get eyeglasses to "see what they've done."
RAM organizers say they spent about $250,000 providing care worth about $1.5 million. In 10 years in southwest Virginia, they say, they've treated more than 25,000 people. They have eight more expeditions planned this year, from Virginia to California.
By the Numbers
A survey of RAM attendees by the event's organizers provides some insight into who is left out of conventional medical, dental and vision care.
What: Health care providers saw 2,715 patients and performed 2,671 medical exams, 1,088 eye tests and 1,850 dental exams. They extracted 3,857 teeth and put in 1,628 fillings.
Who: Patients came from 16 different states; 30 percent were repeat patients.
Of the patients, 51 percent are uninsured, 40.3 percent are on Medicaid or Medicare, and just 7.3 percent have employer or private insurance. Fewer than 1 percent of patients have dental or vision insurance.
Twenty-six percent of the people are employed, 40.6 are unemployed, 4.7 percent are retired and 4.8 percent are children.
Cost: The organizers paid about $250,000 out of pocket to run the event, and they provided an estimated $1.5 million worth of care.
t is Sunday morning. There is supposed to be a vote on health care reform today. I assume that Glenn Beck is ensconced in church and praying madly for failure.
