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Alicia : "I could not give up my job and lose our insurance"

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RedEarth Donating Member (1000+ posts) Send PM | Profile | Ignore Mon Apr-21-08 08:51 PM
Original message
Alicia : "I could not give up my job and lose our insurance"
Edited on Mon Apr-21-08 09:13 PM by RedEarth
Alicia .........Personal story from Health Care For All......

Health Care for All is not just about providing for the uninsured; it is also about protecting people who are supposed to be insured and are nonetheless denied the care they need. It’s about allowing doctors who have actually examined a patient to make decisions about their care.

......

Alicia

I have been paying for health insurance since I was 16 years old. That is 42 years of adding to the coffers ofinsurance companies, and now that I need something back, it is one brick wall after another.

Last July, my husband became very ill. After 11 days in the hospital, he was sent home with a walker and a wheelchair.

For a while it looked as though he was improving. I continued to work at my job in advertising sales, not only for the income but to keep insurance. I would prepare food and put all his necessities where they would be handy before leaving for the day. We paid for a rolling walker with a basket to give him more independence. Our health coverage did not include in-home care, so we did the best we could.

Then his condition worsened, and it became impossible for him to stand or move himself from chair to bed. I tried numerous ways to get help for at least part of the day. As much as friends might want to assist, there is only so much time they can give, and as his health deteriorated, we had to pay for professional help.

This was extremely expensive, but I could not give up my job and lose our insurance. I began to dip into our retirement savings and made plans to sell my car. We could still only afford part-time help. The rest was up to me.

I had suffered a severe back injury years before, and many things I was doing were damaging to my back. At the same time my arthritis was progressing rapidly. But what choice did I have? There was a lot of lifting -- not the least of which was getting the wheelchair into the car trunk for doctor visits. There was little sleep. Needless to say, there was no time to see to my own health.

In January, I lost my husband. He was my best friend and love of my life.

I tried very hard to go on and pull myself together, but finally, the physical and emotional pain proved to be too much and on the advice of my doctor, I applied for temporary disability. Not surprisingly, I was terminated the next day. I immediately filled out forms and remitted payment for my first month of COBRA coverage.

more........

http://www.healthcareforall.org/stories.html#alicia


Single-Payer National Health Insurance

Single-payer national health insurance is a system in which a single public or quasi-public agency organizes health financing, but delivery of care remains largely private.

Currently, the U.S. health care system is outrageously expensive, yet inadequate. Despite spending more than twice as much as the rest of the industrialized nations ($7,129 per capita), the United States performs poorly in comparison on major health indicators such as life expectancy, infant mortality and immunization rates. Moreover, the other advanced nations provide comprehensive coverage to their entire populations, while the U.S. leaves 46 million completely uninsured and millions more inadequately covered.

The reason we spend more and get less than the rest of the world is because we have a patchwork system of for-profit payers. Private insurers necessarily waste health dollars on things that have nothing to do with care: overhead, underwriting, billing, sales and marketing departments as well as huge profits and exorbitant executive pay. Doctors and hospitals must maintain costly administrative staffs to deal with the bureaucracy. Combined, this needless administration consumes one-third (31 percent) of Americans’ health dollars.

Single-payer financing is the only way to recapture this wasted money. The potential savings on paperwork, more than $350 billion per year, are enough to provide comprehensive coverage to everyone without paying any more than we already do.

Under a single-payer system, all Americans would be covered for all medically necessary services, including: doctor, hospital, long-term care, mental health, dental, vision, prescription drug and medical supply costs. Patients would regain free choice of doctor and hospital, and doctors would regain autonomy over patient care.

Physicians would be paid fee-for-service according to a negotiated formulary or receive salary from a hospital or nonprofit HMO / group practice. Hospitals would receive a global budget for operating expenses. Health facilities and expensive equipment purchases would be managed by regional health planning boards.

A single-payer system would be financed by eliminating private insurers and recapturing their administrative waste. Modest new taxes would replace premiums and out-of-pocket payments currently paid by individuals and business. Costs would be controlled through negotiated fees, global budgeting and bulk purchasing.

http://www.pnhp.org/facts/single_payer_resources.php
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gateley Donating Member (1000+ posts) Send PM | Profile | Ignore Mon Apr-21-08 09:03 PM
Response to Original message
1. This is a nightmare!
There is no excuse for those of us in "the richest country in the world" should have to go through this for health care.

Neither candidate's plan addresses the basic issue of our for-profit "health care" system.

This makes me so angry. And I know it's happing to millions of others as well.

I hope this woman sent a copy of this post to her ALL her representatives, as well as the local news media. :grr:
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AdHocSolver Donating Member (1000+ posts) Send PM | Profile | Ignore Mon Apr-21-08 10:03 PM
Response to Reply #1
5. This is no longer the richest country in the world. We have the highest debt of any country.
We have the most billionaires of any country.

We have the highest debt of any country.

We waste the most resources of any country.

We pay the most money for second-rate health care of any country.

We have the most lobbyists of any country.

We have the most expensive military system of any country.

We have (very likely) the most corrupt government officials of any country.

We have the most greedy corporations of any country.

We may have the most rigged elections of any industrialized country.

We may have the most gullible and ignorant electorate of any major country.

We have the largest population of people in prison of any country (surpassing the old Soviet Union and Communist China).

We may have the largest homeless population of any major country.

If any DUer can think of any more "firsts" to add to this list, feel free to respond.
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gateley Donating Member (1000+ posts) Send PM | Profile | Ignore Mon Apr-21-08 10:18 PM
Response to Reply #5
6. I know that. And when we're touted as such
(the MSM keeps saying it, along with "the most powerful" country in the world with which I also disagree) I take exception.

I should have used the sarcasm smilie.
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AdHocSolver Donating Member (1000+ posts) Send PM | Profile | Ignore Mon Apr-21-08 11:09 PM
Response to Reply #6
7. I understood your intention from your use of quotation marks around the phrase.
I just wanted to make a post like this for a long time and you "inspired" me to finally do it.
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gateley Donating Member (1000+ posts) Send PM | Profile | Ignore Tue Apr-22-08 01:31 AM
Response to Reply #7
9. Well then, we make a good team!
:toast:
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xchrom Donating Member (1000+ posts) Send PM | Profile | Ignore Mon Apr-21-08 09:10 PM
Response to Original message
2. we need to stop being barbarians at our own gates --
Edited on Mon Apr-21-08 09:11 PM by xchrom
nationalized healthcare now.
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ms liberty Donating Member (1000+ posts) Send PM | Profile | Ignore Mon Apr-21-08 09:28 PM
Response to Original message
3. K&R n/t
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bonito Donating Member (1000+ posts) Send PM | Profile | Ignore Mon Apr-21-08 09:41 PM
Response to Original message
4. I gave everything up to care for my wife
Since she became ill in 97 it wasn't long before I had to make the decision to care for her myself or let her die, we are still together today, the cost our home that was paid for is no more, the power bill, well lets just say they can't turn it off because of the medical equipment, it's all so frightening, but you know, I have this blind allegiance, to LIFE at all cost.
Peace.
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barbtries Donating Member (1000+ posts) Send PM | Profile | Ignore Tue Apr-22-08 01:09 AM
Response to Original message
8. isn't it illegal
for her employer to terminate her for going on disability?
this woman needs a lawyer/advocate. maybe the ACLU?
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WildClarySage Donating Member (1000+ posts) Send PM | Profile | Ignore Tue Apr-22-08 09:08 AM
Response to Reply #8
11. Not if she's in a (no)Right to Work state.
nt
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OneBlueSky Donating Member (1000+ posts) Send PM | Profile | Ignore Tue Apr-22-08 05:01 AM
Response to Original message
10. the only solution to the healthcare crisis is removing the insurance companies . . .
from the system -- thereby saving the hundreds of billions of dollars that they skim right off the top from every healthcare dollar that is spent . . . removing corporate profits from healthcare will make all those dollars available for real care and for covering those who do not now have coverage . . . it is the ONLY solution to the healthcare crisis . . .
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Summer93 Donating Member (439 posts) Send PM | Profile | Ignore Tue Apr-22-08 02:31 PM
Response to Reply #10
13. That's right!
I agree with you that insurance companies need to be removed. That will also give doctors back the decision making process concerning health care.

Insurance companies should not be making medical decisions - they do not have the license to do it
Also, it is not what they are interested in doing They just attach a $ number in order to make the decision.
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WildClarySage Donating Member (1000+ posts) Send PM | Profile | Ignore Tue Apr-22-08 09:10 AM
Response to Original message
12. It just amazes me when I hear people talk about how incompetent
the government is... maybe they are, maybe they aren't, but the private sector is just as full of morons and bureaucratic bullshit! That's no excuse to keep to the current scam- I mean- system
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AdHocSolver Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Apr-23-08 09:09 PM
Response to Reply #12
15. As someone who had occasion to view corporate executives close up, I can verify your assessment.
Not only are corporations full of morons, bunglers, liars, incompetents, hypocrites, and bureaucratic waste at the highest levels, but many of them are thieves and crooks on a grand scale in ways that the average person cannot comprehend.

The difference between government and the corporate world is the power that corporate executives can wield to suppress the information of their bungling and thievery.

As an example, several years ago I worked at a corporation that hired a new mid-level manager. His first year on the team, he cost the company, conservatively, a million dollars in unnecessary expenses and lost profits. Did upper management get excited and demote or fire him?

Actually, they held a party for our department in his honor in which he was given a promotion, a bonus, and a pay raise for the "great job" that he did. The employees in our department knew the score, and were understandably upset. However, who was going to explain the reality of the situation and destroy their careers?

The company made enough profit in other departments to cover the losses. Upper management would not be happy explaining to stock holders why they kept this jerk on the payroll, let alone hire him in the first place. So the company honors this loser to maintain the secrecy of how he screwed up.

Multiply this event thousands of times throughout corporate America, and you get an idea of how the system works. I could give many more examples that I have seen over the years.
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Lydia Leftcoast Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Apr-23-08 11:21 PM
Response to Reply #15
16. When I was a college professor, I taught a lot of business majors
By and large, they were not the most intelligent students, and they were more prone to cheat and to argue for points that they didn't deserve than students from other majors.

They're probably all middle managers now. No wonder this country is in such bad shape.
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Lefergus70 Donating Member (94 posts) Send PM | Profile | Ignore Wed Apr-23-08 02:29 AM
Response to Original message
14. A view from Europe
This is slightly off-target (written from Spain) but includes some observations on health care that some might find of interest:

On a Spanish political TV talk show yesterday, it was asked, "What is a liberal?" The consensus was that it is someone who favors laissez faire over a regulating government. In other words, liberals over here (indeed in the entire EU) are what Americans consider conservatives.

The cross-Atlantic lexicon gets even fuzzier when you consider national health care, or what American conservatives sneeringly refer to as "socialized medicine" and in the EU is simply "medicine". Of course, many Euro conservatives favor private clinics and hospitals over public ones (here in Madrid, a conservative bastion, regional privatization is relentless). But nowhere in the EU of some 400,000 people does any conservative leader question the right to 100 per cent medical coverage for all, whether or not it is channeled through public or private clinics; in the end the State still pays what minimum Social Security deductions do not cover.

So who won the Spanish general election last month? By American standards, it was a "liberal" party; over here, the winners (PSOE) are social democrats, progressives, leftists - anything but liberals.




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