The ACA vs ACHA

Health insurers have taken advantage of the populace and raised their rates as soon as the ACA passed. That’s the biggest problem with healthcare in the US: insurance companies. Greedy insurance companies. Worried only about the bottom line and how much their investors will profit. Denying people medical care that would save them, things like heart and liver transplants, experimental treatments, and the elderly in understaffed, underfunded nursing homes. Sending home the 70 year old woman who just had a massive stroke. She gets 6 weeks of rehab same as everyone else. It’s unfortunate that she hasn’t improved. She’s had her six weeks. She’s out. Same for the mentally ill or addicts. The insurance company decides whether or not you are well enough to be discharged, regardless of your doctors’ recommendations. Who gave insurers this kind of power?

The GOP and insurers do not care a whit for the people they supposedly work for. Our millionaire senators don’t care if I receive life-saving treatment or not. If it costs too much for the insurance company, I won’t get it, unless I can pay for it myself. According to the GOP that is how America works; you have a choice to pay for your treatment without the benefit of insurance funds. If you decide you cannot afford the treatment, it is your right not to take the treatment. It is your right to decide if the premium too expensive. I’ve read that reps of the GOP have actually said it will be your choice to pay for health insurance or rent, car insurance, credit card bills, food. A choice. Yeah, a choice between the frying pan and the fire.

Our elected officials have the best care, with no cost to themselves. What do they care about the rest of the US. They have insurance and it’s paid for by our government! Yet they do not want the blind lady to get her Medicaid.

Let the people become millionaires and the problem will disappear. Oh, people need a hand up to become millionaires? You mean they are not smart enough? Because, you see, they live in a poor area, where the schools have no books, no wipe boards, no art, no sports, no music. When the student test scores were poor, government funds have been withheld. Does that make complete non-sense? Instead of supplying the most underperforming schools with more funds, they received less. A punishment for the students’ poor test scores. Those scores have nothing to do with the lack of educational material. Or so it would seem.

They should go to college, says the GOP. Like they did. On their daddy’s dime. People born into money (even middle class money) have no idea what it is like to live in the Projects. Because of no funding most students do not have enough of a basic education to even attempt college. If they somehow managed to graduate high school, college just costs too much. They then have a choice, go deep into debt, paying usury interest rates, for the education they know will help them move up in the world. With a business degree in hand they go looking for that job, that career that will line their pockets with gold. What’s that? There are no jobs in the area where they can use that degree. So they take a job at movie theaters, coffee houses, and fast food places.

Yet, our government representatives somehow deserve special treatment. Like they are better than the rest of us. They do only one thing, but they do it brilliantly: helping the poor stay poor and the sick get sicker. That is how it works. Pay someone a low wage, he lives in a bad neighborhood, crowded and dirty. People are prone to be sick. He has many doctor visits, lots of expensive medicine, he can’t afford, so he stays sick. The employee misses many days due to illness and gets fired. He collects unemployment, applies for food stamps and Welfare, while he searches for another job.  Now he is on the government’s dime. Completely. If he had only lived in a clean neighborhood he’d still be working, probably even get a raise. He might even make enough repairs to his old house. You see how it works?

As long as the senator is completely, 100% covered for the $7,000 worth of dental work he needs, getting the right amount of tail on the side, winning over a plump lobbyist. Meanwhile, poor students must learn to live in bad neighborhoods. Sleeping on a mattress on the floor of a 350 square foot studio that had been so dirty for so long there was no getting it clean again. A place destined for Repurposing and Beautification, as the entire neighborhood undergoes massive evictions, and trendy shops and restaurants replace your cheap, dingy, little apartment close to work. And don’t forget the bad teeth, caused by poor nutrition and lack of affordable dental care.

The way I see it, the only way to fix the ACA and get the GOP working on something else, is give every American the same insurance as the senators. Better yet, give the senators the same insurance they want every American to accept.

 

Health Care

cropped-cropped-we-stand1.jpgOK, we all know what’s at stake here with the new Trump NonCare.  They ‘guarantee’ everyone will ‘have access’ to health care.  “Access” to healthcare insurance is not the same as “having health care.”   The GOP cannot be ignorant of what they propose; these changes will hurt more people than it helps, especially with the MacArthur Amendment, which will let states obtain waivers that will allow health insurance companies in that state to:

  • Not cover mental health and substance use treatment (also known as letting insurers scrap “essential health benefits”)
  • Charge people with mental illness more

Many addicts are self-medicating because back when Oxycodone was being pushed by every doctor on the planet, some poor guy who has been taking this stuff for 8 years, suddenly he’s cut off because of new regulations.  These new regulations only made criminals out of people who are/were ill or hurting.  They can’t get a drug strong enough for the pain.  Of course not.  Oxycodone is strong and the guy’s got an immunity.  But the doc will only give him tylenol.

It’s hard enough for people with mental illness to get through life.  I’d guess more than 60% of all addicts have an underlying, undiagnosed mental health problem.  Mainly because GPs are not skilled in identifying mental illness.  They are also not trained in the best course of treatment for an addict.

So our poor addict is in  withdrawal and extreme pain.  He goes to the ER hoping for pain relief.  For 6 1/2 hours this poor addict lays on an uncomfortable, too small bed in a 60 degree room as he begins to withdraw.  When he finally sees a doctor, they view him as an addict and therefore will not provide him with anything stronger than tylenol for the pain.

What’s a guy to do?  He goes online where he can get anything from anywhere at any price at any time.  He finds a supply of his drug and finds relief at last.  But now he is using an illegal substance.  He doesn’t know how to figure out the proper dosage because the stuff comes in powder form and he has to fill his own capsules.  One day he takes too much and doesn’t know, he gets in his car and gets arrested.  Now he’s a criminal.  His boss finds out and he loses his job–no one wants a druggy working for them.  His wife leaves him, and he ends up homeless.  Now he’s “in the system.”  Now he needs a homeless shelter, Welfare, Food Stamps, job training.  Now he is trapped.

Why do we go to the ER for an addict?  Because we don’t have anywhere else to go, it’s not like there is an urgent care specific to addicts and the mentally ill.  Someone on Medi-Cal (and many other government programs) is extremely limited in their choice of doctors.  Finding a mental health provider is pretty hard when there are only two psychiatrists in your area and neither will take on a new patient.  Or worse, you find one and they turn out to be a quack.

You can’t get your adult child into a half-way house or outpatient therapy because he’s still using. You can’t get him detoxed because there is a wait list a year long.  I say that again for emphasis:  a waiting list a year long!  I guess you just let the addict in your life continue to use for another year in the hope that at the end of that year they will still be willing to enter detox.   ER staff do not understand addicts or recognize someone who is mentally ill.  They aren’t trained to.   That needs to change.  I know medical staff are always getting additional training and there is no reason that can’t include a crash course on the most likely cases they’d come in contact with.

 

Our healthcare system is very good at making us addicts, but really really bad at providing good complete healthcare.  I guess if the new health care bill passes with mental health provisions slashed it just makes our national insurance (DumpCare) as bad as our national insurance (Medicare).  Which begs the question: why are there three national programs: One for Congress, one for the poor or retired (which is often the same), and one for the rest of us.

I feel so defeated by this administration, but I’m not giving in.  I have to believe that the protests work.  They certainly get Dumpty’s attention.  He demanded there be a “probe” into the Tax March.  How do you probe a protest?  And the idea that protesters are being paid by Obama to undermine the new administration.  I don’t have to tell you how ridiculous and paranoid that sounds.  And as for protesters being paid. I’m thinking someone owes me money.  What is the going rate for a protester?  Is it by the hour, by the day, specific to the event.  Are travel expenses covered?  If so, I’m going to the next march in DC.

Don’t forget to call your rep and tell them to vote No on the new plan.