My Health Insurance Crisis

February 18, 2010 in Health Care Crisis

I’ve got a minor health insurance crisis on my hands, one that I learned about a few days ago when I tried to have a prescription filled. The following is a tale of bureaucratic tedium and frustration for only the heartiest of souls.

My Blue Cross HMO New England plan, unbeknownst to me, was canceled on February 12, retroactive to January 1. The prescription medication I take to control my asthma normally costs $50, the price of my co-pay. Without insurance, it’s $250.

My last employer laid me off in October, 2008. I worked as a financial writer for an investing newsletter publisher, and our subscribers fled in droves when the markets tanked in September of that year. I spent most of my last few days of employment fielding calls from irate investors who had followed our advice straight into penury.

After my severance ran out, I enrolled in the Commonwealth of Massachusetts’s Medical Security Program when I applied for unemployment. I have never received or paid a bill for my health insurance premium, which is (I found out today) $387 a month. Single guy here, no kids.

After I paid $250 for a little purple plastic disk full of steroids, I called Blue Cross. The first time, they told me that my policy was “inactive.” I was puzzled, but then I thought it might be because my Medical Security Program benefits had lapsed when my initial claim for unemployment insurance expired in December. I am on extended UI benefits, thanks to the federal government. So I called the Medical Security Program to see if I still qualified.

Here’s the thing about the Massachusetts Medical Security Program office: Sometimes they are so swamped (are you hiring, BTW?) that they won’t even put you on hold, they just tell you to call back and then hang up. After my third call, I finally got some harried woman who told me that I needed to ask my employer what was going on and that “it’s your responsibility to make sure you have health insurance.” Oh really? Thanks, lady. It turned out that my benefits had indeed lapsed under the MSP and I needed to call them to have them reactivated. I didn’t mind this mild bureaucratic scolding, because I got my Medical Security Benefits back during that call. Good! That was Tuesday.

Even though I was and still am terrified at the thought of not being covered if I get into a car accident or the cat finally succeeds in making me fall down the stairs, I decided to let the system’s gears grind away for a couple of days. The Medical Security Program needed to call Blue Cross, right? I mean, they must talk all the time. They’re probably friends.

In the meantime, I called Ecu-Healthcare, a local non-profit that helps MA residents get the best deal on health insurance using the MA state system. I called hoping to speak with or even go in to see someone, but they were swamped, so they called me back about 5 hours later. The harried woman who helped me this time told me that as long as I was covered by the Medical Security Program, there was nothing they could do for me. If/when my unemployment benefits and Medical Security Program benefits ran out, I could come to them for help. Okay. Fair enough. That was Wednesday.

I called Blue Cross for the second time today to find out if through some magical operation of “the system” my health insurance had been turned back on. Did Blue Cross get a call from its BFF the Medical Security Program? I had reason to be hopeful because the Medical Security Program told me that my benefit had been reinstated retroactive to January 1. But no luck. My insurance was still canceled. I hung up, frustrated and a little bit scared. Who could help me with this?

So I called the Medical Security Program again. After trying twice and being told to call back later, I finally got through. Apparently, my Premium Assistance benefit under the Medical Security Program only covers 80 percent of my premium of $387/month. It’s my “job”–again, with the job! I didn’t realize I had a job!–to pay that, and the state will reimburse me 80 percent once I submit my paperwork each month.

The problem is, I have never once received a bill for my health insurance premium and have never submitted proof of payment to the state for reimbursement. I have seen my doctor and had prescriptions filled during the 14 or so months of my unemployment. I have paid the co-pay for office visits and prescriptions, and everything had seemed to be working just fine. I thought this was the Massachusetts system doing its job.

I was wrong.

It turns out that for some reason my former employer has been paying my health insurance premium up until February 12. Possibly by mistake. When I called my former employer to talk to someone in HR to find out what was going on today, I found out that the person I need to talk to is on vacation until Monday.

I just submitted an application for something called Direct Coverage insurance to Blue Cross of MA. The premium is about $400/month. For just me. But I won’t know if I have been accepted into this plan for many, many business days, and coverage wouldn’t start until March 20. And I won’t be able to find out if I can continue my old insurance on COBRA or under some state law or regulation until I talk to HR at my former employer on Monday.

In the meantime, I HAVE NO HEALTH INSURANCE. AT ALL. Just getting to this point of figuring out the known unknowns, as Donald Rumsfeld might say, has taken several hours of my week. And I still have to make it through the weekend without some kind of health care emergency. My insurance, I found out today, isn’t so much “coverage” as it is a chance at coverage. And my most recent roll of the dice came up snake eyes.

Moral: Our health insurance system is appallingly broken. It has taken me hours–hours I could have spent productively looking for work–to wade through the dementedly fractured system in Massachusetts that is supposed to protect me in the case of a catastrophic illness or an accident. Even in my “universal coverage” state, apparently, one’s health insurance rug can be pulled out from under one with no notice. Cancellation can be retroactive.

Our system is immoral and almost shockingly stupid in its construction. We have got to fix this.

  • http://wordsmoker.com/help/members-3/rhea-pollstry/ Rhea Pollstry

    Just one of many reasons why I am SO disappointed with Obama.

  • http://wordsmoker.com/help/members-3/fracturedacetabulum/ FracturedAcetabulum

    I’m sorry for your struggles, LG. I’ll postpone any and all sarcasm about government involvement in deference to your situation. Godspeed to health coverage and meaningful employment.

  • http://wordsmoker.com/help/members-3/militantrubberducky/ MilitantRubberDucky

    I feel for you LG, and I hope it gets resolved soon. In the meantime, dress yourself in layers until you resemble the Michelin Man, barricade yourself in a room filled with mattresses, throw pillows and soft fluffy animals, & stockpile enough food to last you until your coverage is reinstated. But only mushy foods that you can’t choke on. And no sharp utensils. After all, this is your health we’re talking about here.

  • http://wordsmoker.com/help/members-3/chillbearlatrigue/ Chillbear Latrigue

    @LG: That is appalling, buddy, and I share your concern and frustration over your being a victim to this. The system is and has been broken for a long time. I have on of those union protected “Cadillac plans” and I don’t trust it in the case of a catastrophic illness or injury.

    I specifically found this part to be horse-shit:

    “After my third call, I finally got some harried woman who told me that I needed to ask my employer what was going on and that ‘it’s your responsibility to make sure you have health insurance.’”

    So, you have to call their antiquated phone system once a week to verify that you have coverage?

  • http://wordsmoker.com/help/members-3/sfbirdie/ sfbirdie

    I’m so sorry you have to go through all of this bullshit, LG. Good luck.

  • http://wordsmoker.com/ BookishLookish

    It’s a total mess. The only reason I have a full-time job is for the health care benefits. I was making more money as a freelancer, but in my state, a family of three will pay about 15K a year for fairly good, not even great, coverage from a private policy. Or I could put my kid on the state’s kid-coverage plan and my husband and I could have a catastrophic/major-medical-only thing. That is what a lot of people do, and it winds up being a bit of a disaster because a lot of things fall through the cracks.

    O Canada. Think you can give me a job? I can do almost anything and I promise to make the streets of Toronto much more colorful and its bars way more fun.

  • http://wordsmoker.com/help/members-3/chillbearlatrigue/ Chillbear Latrigue

    @Bookish: No one is going Canadian. It’s never the answer. Do you want to chance acquiring that accent?

  • http://wordsmoker.com/ BookishLookish

    @CL: You’ve heard my accent, you think a little thing like Canada is going to cut through that?

  • http://wordsmoker.com/help/members-3/lawyergay/ lawyergay

    RP: Obama has been so disappointing on the rhetoric. Health care is a civil right, yes? If not, then it ought to be. Our president doesn’t seem to think so.

  • http://wordsmoker.com/help/members-3/lawyergay/ lawyergay

    Chill: I don’t get you. You’re in a powerful union that has negotiated great benefits for its members, yet you don’t trust it and are some kind of sun tea-strength “libertarian.”

    Is there something wrong with your union? Is it corrupt or wasteful? Have you been screwed over by union bosses?

  • http://wordsmoker.com/help/members-3/katekate/ katekate is squared

    I haven’t had health insurance for about 18 months. It is a terrifying position to be in, LG, and given the fact that you have asthma, I can’t imagine how scary it is for you. I have the safety net of the student health clinic, since I’m a graduate student, but when I had that car accident 2 months ago and had to go to the ER, the first thing I thought when I came to my senses was, “Oh shit, I don’t have health insurance.” $18k later, I’m eternally glad the accident was not my fault.

    The general apathy of so many people, who but for the grace of God would be sleeping on the streets, continues to sicken me. I’m glad you can get health insurance; my premiums would be $600 a month if I got it on my own, because of my mental health history (which, btw, doesn’t even involve any hospitalizations).

    It’s totally fucked. Why hasn’t there been a violent revolution yet?

  • http://wordsmoker.com/help/members-3/forwardmotion/ forwardmotion

    People are dying and it’s like the government is (and has been for some time) treating it like it’s a game.

  • http://wordsmoker.com/help/members-3/chillbearlatrigue/ Chillbear Latrigue

    @LG: My union has secured my healthcare through the city. By contract the city has to provide me with healthcare coverage, but they select the carrier and the options.

    I distrust United Health Care. I like the benefits that I have received, but it’s always been for something very minor.

    I may have misused the term “Cadillac plan.” I believe that my plan would qualify as I understand the term, but I don’t actually know what the city pays for my premiums. My accountant says that they claim about $8k per annum.

    Incidentally, cop unions are not powerful in comparison to private industry unions like the UAW, etc. For instance, we are prohibited by law to strike. As for corruption, I believe that individual corruption exists everywhere. However, I haven’t seen any evidence of institutional corruption with the FOP. I hope my local lodge is clean as I’ve been an officer for a few years.

    On a personal note, I want you to have the same healthcare that I receive. On a political note, I’m not sure we would agree on how we get to that point. The middle ground is that you and I both know that this system is fucked.

  • http://wordsmoker.com/help/members-3/perverseus/ perverseus

    @LG: Damn, Massachusetts is messed up. Your miserable experience is the perfect example of why a) we need to fix health care and b) we should keep government out of the final solution as much as possible. Stay well.

  • http://wordsmoker.com/help/members-3/perverseus/ perverseus

    @KateKate: Violent revolution is not possible because, well, no one wants to take the risk of getting injured and having to go to the hospital without insurance.

  • http://wordsmoker.com/help/members-3/mama-penguino-2-2-2/ Mama Penguino

    Oh, LG, this just pisses me off to no end. And you know the poor s.o.b.s answering the phone are meagerly paid underlings. It reminds me of a health insurance snafu I had during law school where I’d gone to the ER with an occular migraine (my first and I didn’t know why I’d gone blind in my left eye) late one night and the subsequent harassment with Blue Cross over who was paying what culminated in an early-morning phone call from them to me right before my last final exam as a 3L. I began to sob while talking to the lady and I couldn’t stop. I just sobbed and sobbed and had a complete breakdown. I’m happy to say the lady was totaly nice, made some sort of notation in my file, and the whole thing got sorted out beautifully thanks to her, but when I first read The Rainmaker, the insurance scam felt awfully familiar. Jesus, I hope you get this taken care of. Please know that if the cat gets you, I recommend you create a PayPal account and I, for one, will donate generously. xxoo

  • http://wordsmoker.com/help/members-3/marshmueller/ marshmueller

    Situations like this tend to boil my blood, and I’m sorry you’re having to endure it. Just be wary of cars and cats. Good luck, and I hope you obtain some sense of decent coverage before too long.

    More and more companies are changing to the phone menu option of, “we’re busy, call us back later.” It sucks. But it’s a little less infuriating than being on hold for three hours listening to a depressing and angering mix of Muzak, which then, when you finally get a real person on the phone, all you want to do is reach through the phone and throttle the person who made the choice on the godawful hold music.

    Our health care system is seriously broken, and I think it’s high time they just scrap it all and start from scratch. And this time, they should fix the mental health industry with it. BIG time.

  • http://wordsmoker.com/help/members-3/lawyergay/ lawyergay

    Perverseus: Thanks for the good wishes, but I’m not sure why you took “we should keep government out of the final solution as much as possible” as the lesson from my tale above. Did you read it? (Also: Please Google “final solution.”)

    It is my belief, based on my experience, that if the government were running the whole show, I would probably have health insurance as I write this. Instead, I’m dealing with 1) a dysfunctional state agency with limited reimbursement power, 2) an uninterested private corporation with insurance power, and 3) a completely at sea and borderline bankrupt former employer who retroactively canceled my health insurance. I’m trying to get all of these parties to both focus on me and agree on what needs to be done about me, all over the phone, and all while looking for work and trying to pay my bills on unemployment.

    It would be so much better if, as in the U.K., I simply were entitled to cradle-to-grave health care based on my citizenship and paid for by my taxes.

    That’s the lesson here.

  • http://wordsmoker.com/help/members-3/therivercharley/ therivercharley

    LG: I don’t remember exactly the story, and the Blue Cross/Blue Shield site doesn’t tell the story I once heard, but apparently when Blue Cross and Blue Shield both started up (separately, I believe) they ran very successful, very helpful programs that helped people who’d previously never had regular access to it get good health-care. And now look at it. It is goddamn sickening.

    For the record, I’m 33, I’ve never had health insurance (yay! bar/restaurant industry) and I haven’t been to the doctor or the dentist in at least 15 years (other than an emergency room visit in the 90′s, which I avoided paying for so long the bill seems to have literally vanished into thin air. So, fuck you system).

    But, on the bright side, as I type this a male figure skater is skating to that incredible piano music from Amelie.

  • http://wordsmoker.com/help/members-3/therivercharley/ therivercharley

    I should add: Give me Universal Health Care, or give me Death! Because that’s the most likely Result!

  • http://wordsmoker.com/help/members-3/voxpopuli/ VoxPopuli

    Dealing with insurance companies is a nightmare even without being caught in this kind of bureaucratic nightmare. I hope you’re able to sort it out and get insured again soon.

    By the way, I’m asthmatic as well and my mom sent me a newspaper clipping on this breathing technique that apparently helps with asthma symptoms. Figured I’d mention it:
    http://en.wikipedia.org/wiki/Buteyko_method

  • http://wordsmoker.com/help/members-3/voxpopuli/ VoxPopuli

    I should add that I haven’t tried it yet myself but I’m willing to try it if it means less of medicines that have fucking steroids in them. Hello osteoporosis!

  • http://wordsmoker.com/help/members-3/pinekatz/ Pinekatz

    LG: Everything you said.

    Perverseus: That you can’t or won’t see how government involvement in regulating or competing with the insurance companies won’t help is why LG and Pinekatz don’t have insurance. It isn’t that insurance isn’t available. I had a private insurance policy for years. The screaming problem is that the premium is out of reach of most people. LG’s, a single guy is above $300 a month and I’ll bet he’d use less than a couple thousand a year, if that. Mine, when I had to drop it because I couldn’t afford it anymore was almost $700 a year. I have never used more than $1000 a year of medical insurance in my adult life. Even my kid who is active enough with his hobbies to break a bone every 3-4 years, doesn’t justify the total overall cost of insuring my family. Does that seem balanced to you?

    Its like you don’t care what happens to anyone, as long as no government is involved. Don’t you WORK for a government entity?

    MEDICARE!!!!!!!!!!!!!!!!!!!! Canada can do it. Europe can do it. Why can’t we?

    The double-standard, the hypocrisy, the gut-level aversion to government involvement, and the lack of vision is exasperating.

  • http://wordsmoker.com/help/members-3/perverseus/ perverseus

    @LG: With all due respect, you have not learned the right lesson. The state agency, by your own words, is dysfunctional. That’s government. Keep them away.

    Instead, let’s take the former employer out of the equation and allow you to buy health insurance from any health insurance provider in the country. If you have that kind of competition in the free market, you will have far more interested private corporations because they will want to earn and keep your business. Prices will be more reasonable, too, for the same reason. Let the government keep watch and make sure those companies are not total lying bastards and you’re golden.

    No offense, but I already pay enough in taxes. I’d rather not pay even more so someone else who isn’t paying taxes can get yet another free entitlement — that’s operated, of course, by a dysfunctional government agency. That type of thinking is, well, dysfunctional.

  • http://wordsmoker.com/help/members-3/perverseus/ perverseus

    @Pinekatz: By the way, I don’t work for a government entity. I work for a small business that doesn’t offer benefits. It sucks royally because we have to rely on my wife’s job for medical coverage or face outrageous premiums at the private level. (With a 13-week-old in the house, you really need medical coverage.) Competition across state lines could fix that.

    Actually, you and I agree more than you think. You seem to argue that government regulation is a good thing. So do I. Where we disagree, however, is having government compete with private business to offer health insurance. There is absolutely no way a private insurance company can reasonably compete with an insurance company provided by an entity that doesn’t have to worry about operating in the red and can print money any time it wants.

  • http://wordsmoker.com/help/members-3/zanzinthebar/ zanzinthebar

    I am so sorry you are going through this shit storm. I feel my blood pressure rising just reading this. What a mess of a system. I do not understand why health care in this country is tied to employment. It makes no sense. I have this crazy notion that it’s a basic right, like education and that it would actually be beneficial if we all had coverage.

    I lost my job last year too and was thankful I could afford my COBRA benefits. But I lived in fear that I would develop a chronic disease or have a serious injury during that time and then what do you do when your benefits run out? What if you don’t have another job after the 18 months? Who can afford to buy insurance at non-group rates? God forbid you have a disabled child or a spouse with cancer. I could go on and on but I’ll stop and just say I’m sending you best wishes for a resolution, and a new job.

  • http://wordsmoker.com/help/members-3/katekate/ katekate is squared

    @Perverseus: Do you know WHY some people don’t pay taxes? I’m talking about the people who make so little that they don’t have to. It’s because they need all the money they make to do things like buy food and clothes. And I don’t know about the state you live in, but mine basically has a regressive tax structure, because our income tax is nearly flat and we rely so heavily on sales taxes that poor people pay a MUCH higher percentage of their income in taxes. And how about all the tax breaks, or as I like to call it, corporate welfare, that big businesses get? That ends up totaling a whole hell of a lot more than what we pay out in entitlement every year.

    If I actually believed for one second that opening up the market so that there was more competition would solve our problem, I’d be with you. The free market has fucked us over one too many times (hello housing bubble) for me to trust it with health care. I’m not saying that the government is perfect at administering everything, but it’s a damn sight better than leaving it to a bunch of private profiteers.

    I said this above, but I am so, so, so tired of people not giving a shit about other people. All of us being selfish assholes is what has gotten us where we are today. It hasn’t worked so far, so isn’t it time to try something else?

  • http://wordsmoker.com/help/members-3/pinekatz/ Pinekatz

    Perveseus: In this utopian world, how will we attain true competition when no one really knows what medical services actually cost? I don’t mean what they cost the consumer. I mean what they cost to perform.

    Example: 20 years ago. I worked at the hospital where my son was born. For kicks, we dug into the charges that were rendered. A single regular Tylenol tablet was charged as $3.50. I forgot slippers. Those little ugly socks with nonskids? $6.50. Let’s see….one Tylenol=35 cents and ugly sicks=$1 in the actual competitive world of Wal-Mart, Target and JC Penney.

    Ultimately, the insurance company and hospital have already worked out what is going to be paid. Its all negotiated WAY before any patient arrives.

    What you are proposing is possible in a free market system. But it WILL NOT happen when realistic pricing is not instituted and when oversight is absent to protect the consumer and THAT WILL NEVER happen without a big freaking hammer coming into the picture. Government. There is no bigger instrument and that is what is needed right now.

  • http://wordsmoker.com/help/members-3/katekate/ katekate is squared

    @Pinekatz: Exactly. My ER visit in December, in which I received a physical exam, a few blood tests and a full-body CT scan with contrast was, as I mentioned above, $18,000. Is that what it REALLY costs? No. If I’d had insurance, the charge would likely have been half that (I’m talking the whole bill, not just my portion). Insurance companies like things the way they are just fine; I seriously doubt they’re going to change unless they are forced to do so.

  • http://wordsmoker.com/help/members-3/pinekatz/ Pinekatz

    Perverseus: I’m sorry, I thought you were a govt employee. My mistake.

  • http://wordsmoker.com/help/members-3/lawyergay/ lawyergay

    Perverseus: No respect due. And I hear you re: taxes. If you want to pay even less, then you’ll support the public option, right?

    http://www.fivethirtyeight.com/2009/06/george-f-will-admits-public-option-will.html

    http://www.cbsnews.com/blogs/2009/09/25/politics/politicalhotsheet/entry5340283.shtml

    http://voices.washingtonpost.com/ezra-klein/2009/09/cbo_a_strong_public_plan_saves.html

    http://mediamatters.org/research/200909080029

    But since you seem to be one of these “government is the problem” types who is uniquely immune to logic, I’ll just ask you: What are you paying in taxes now, and what did you pay in 2008? It’s a simple question that has to do with math. I don’t need to know the actual dollar amounts, just whether 2009 is more or less than 2008.

  • http://wordsmoker.com/help/members-3/voxpopuli/ VoxPopuli

    I’d just like to chime in that we all already pay for people who don’t have insurance. People get sick, and when they are desperate, they go to the place that HAS to see them even if they lack insurance: the E.R., where the costs are way above what it would cost to go to a doctor’s office. And when this uninsured person can’t pay, who pays? People with insurance do. Or people who can afford to pay out of pocket do.
    Also, a lack of preventative care equals nastier, costlier diseases down the road. If someone can’t pay for check-ups and they eventually end up with diabetes, heart disease, you name it – who pays for hospital visits or eventual disability? Yep, you got it.
    And as pointed out earlier, it is just plain the right thing to do.

  • http://wordsmoker.com/help/members-3/pinekatz/ Pinekatz

    Kate: I can tell you with almost certainty +/- some leeway: Your exam cost $500, your blood tests cost $500 and your CT scan cost $2000. Add it up.

  • http://wordsmoker.com/help/members-3/perverseus/ perverseus

    @LG: I’ll admit it, I haven’t done my taxes yet, and I have a new daughter, so that should mess things up real nice. Can’t answer your question. But yes, for the purposes of this discussion, I fail to see the logic of having our federal government operate a national health care system. If I missed a passage in the Constitution that says they can do that (and don’t give me that general welfare bullshit), please let me know. We need to reduce the size of the federal government because our elected officials spend way too much of our money; we don’t need to add more expenses.

    @Kate: The hospital bills for my wife’s delivery were nuts, too. Thank God we had insurance — and it still cost us a bundle. Then, we got a special surprise: extra expenses for our daughter, who was a second patient. Our insurance company conveniently forgot to mention that every time my wife called to confirm what our co-pay would be (and she called SEVERAL times). Nice, right?

    FYI, the housing bubble burst (which has pretty much made it impossible for my family to leave this house, well, ever) was a result of poor government regulation and oversight, coupled by bad loans from unscrupulous lenders and greedy people who purchased homes that were way above their pay grade. There is plenty of blame to go around there.

    Florida has no state income tax — we nail tourists with hotel room taxes and stuff instead. Please come visit. Often.

    @Pine: Again, I agree with you. Government oversight is absolutely necessary for a free market system.

  • http://wordsmoker.com/help/members-3/lawyergay/ lawyergay

    Perverseus: The logic is that having the government run health care would save everyone a shitload of money and make our system, which currently dispenses care on an ability to pay basis, far more equitable.

    It would be funny if it weren’t so tragic, but, when pressed with facts, people like you have almost nothing to fall back on but your own ignorance and fear. What is it, precisely, about the federal government that is so oppressive to you? I’d love to hear specifics.

    You’re right about one thing. There is no specific language in the Constitution that says the government is empowered to run a national health care system. There’s nothing in the Constitution that says the federal government is allowed to operate the Air Force, either, but we definitely have one of those, and we all pay for it. Why do you think that is?

  • http://wordsmoker.com/help/members-3/pinekatz/ Pinekatz

    I need to amend what I said earlier. I have never used more than $1K a year outside of having my kids. I worked at the hospital where they were born and the OB/GYN did a “professional courtesy” and let go of the deductible.

    So, three kids in 20 years. That expense was incurred so, doing the math.

    So, if I had paid $400 a month for 20 years in a private policy and had three children born costing maybe $6K per kid (WHY, I DID ALL THE WORK??), the amount I would have put into the insurance company premiums would have been:

    $96,000.

    Minus $18K with producing three consumers and let’s say $1K per year in usage.

    96000 – (1K x 20) – 18K = $58,000

    Profit.

    And those “consumers” ended up costing way, way more than the original $400 a month so this is low-balling it but a long shot. I’ll bet if I was way bored and felt like crunching numbers, I could come up with a better number that that is more in the +/- $75K profile off of just me over 20 years.

    THAT just pisses me off. My car insurance doesn’t do that because everyone can find out what it costs to replace a part or have one fixed. The market works in the auto insurance industry.

  • http://wordsmoker.com/help/members-3/chillbearlatrigue/ Chillbear Latrigue

    @Kate2: If the market were to act freely there would not be the corporate welfare that you decry as part of the problem. The “free market” did not cause the housing bubble. The unnaturally low interest red held down by the Federal Reserve did. The Federal reserve is a function of government. I’m not prepared to reject every part of your argument, and by that I mean that it’s 1 AM and I can’t do the research right now, but you can’t have the government tinker as much as they do in financial markets and then claim that they are free to serve your purpose.

    Now, if you want to talk about the spark that caused the collapse is another issue, but the bubble itself is the result of what always causes bubbles. Easy cash.

    More on your guys other points tomorrow.

  • http://wordsmoker.com/help/members-3/chillbearlatrigue/ Chillbear Latrigue

    @LG: I read the first article entitled George F. Will Admits Public Option Will Cut Costs http://www.fivethirtyeight.com/2009/06/george-f-will-admits-public-option-will.html. The author, Nate Silver, makes a point by taking what Will is saying out of context. Most people know that the argument about government not needing to make a profit is that it has no real incentive to contain costs. The government can benefit from any favorable conditions that occur in the healthcare industry, but it’s not affected by negative ones.

    United Healthcare’s (UNH) net profit margin last quarter was 4.39% (http://finance.yahoo.com/q/ks?s=UNH). If they have a bad quarter that figure swings to a loss. If they have enough bad quarters they will go bankrupt. That is their incentive to keep costs low. What is the government’s incentive? What has it ever been? With the exception of a few years in the late 90′s, I don’t recall a period in recent history where the government has ever run the country as efficiently as a business. The fear opponents have is that once a public option is in place, like all government programs, it will just keep expanding. We already know that no politician wants to come in and shrink a program that benefits a large voting block. So, it’s reasonable to assume that once a public option is in place government will continue to fund healthcare, whatever it cost.

    This is not a defense about the way that insurance companies are run. I am just stating that Silver is leaving out a large part of the argument and (I believe deliberately) misinterpreting the meaning of Will’s statement both in the headline and in his analysis.

  • http://wordsmoker.com/help/members-3/maelstrom/ Maelstrom

    It really boggles the mind that the American people have bought this “keep government out of healthcare” propaganda. It’s nothing but corporate talking points. Government = elected officials. Elected officials = the people. Basically, this is saying the people need to be kept out of healthcare. Well, that’s what’s already happened and how did that work out? Insurance companies are not going to regulate themselves, and there is not going to be reform without regulation. Insurance companies are just going to keep doing what they’ve always done, making money. The only way we’re going to have reform is through regulation by our elected officials. I’m so damn tired of the GOP taking what is just and right and necessary and making it a bad word. I’m even more tired of the stupid American people buying it. Government is not a bad word or a bad thing. Our government is the basis of our country, a government “of the people, for the people, by the people”. It’s time for us to reclaim our government, embrace it, support it and use it to reform this country and the corrupt corporations and their money who have hijacked it from us.

  • http://wordsmoker.com/help/members-3/perverseus/ perverseus

    @LG: The Constitution specifically mentions providing for the common defense in its preamble. I used to watch Schoolhouse Rock, you know. A silly comparison and you’re better than that.

    We’ve gone over health before at Wordsmoker, and quite frankly, I’m tired of discussing it with people who think government is their salvation. Certainly we need our elected officials looking out for us, but we don’t want them actually running the program.

    I will simply end my comments with this: You want the people who can’t keep the U.S. Postal Service from operating at a loss to be in charge of your health care.

    @Maelstrom: I agree that we need to take back our government. But that’s going to require term limits on U.S. Senators and Representatives, repealing the 17th Amendment, a new respect for the 10th Amendment, a new Constitutional amendment requiring a balanced budget, and most probably adoption of the Fair Tax or some other more reasonable form of taxation. Good luck with all that.

  • http://wordsmoker.com/help/members-3/h-totheomo/ H. Totheomo

    Hi kids!

    First, I am sorry, boy-o, you’re dealing with this problem. Wrap yourself in bubblewrap.

    Second, I used to be the mean old managed care accountant, for whom a new canto of Hell should be created.

    One person coming to me trying to negotiate a rate would be laughable. We would laugh and laugh.

    Bring me 1,000 people and I laugh less. Bring me 100,000,000 people and I essentially suck your dick.

  • http://wordsmoker.com/help/members-3/maelstrom/ Maelstrom

    @Perverseus Actually it takes nothing more than passing legislation which begins to regulate the insurance industry.

    As a lawyer, I’ve learned to spot dirt kicking, but you coming in with the friggin 17th Amendment brings things to a whole new level. Oh, and the 10th?! Really. Might want to talk to the SCOTUS about that one, especially after Bush v. Gore. Say it with me hypocrisy.

  • http://wordsmoker.com/help/members-3/h-totheomo/ H. Totheomo

    Perverseus: I think maybe the 10th Amendment isn’t your strongest play here. It’s, just maybe, the source of LG’s problem.

  • http://wordsmoker.com/help/members-3/chillbearlatrigue/ Chillbear Latrigue

    @Maelstrom: I wasn’t sold the idea of keeping government out of healthcare by any propaganda. I work in government. My trepidation comes from 14 years of watching incompetent prosecutors, unmotivated public defenders, lazy jailers, cops, city employees, etc. I can’t support anything that involves the government taking over any part of private medicine. So, that type of solution is off of the table for me.

    If you want the government to lay down some new regulations, limit malpractice awards, preventing companies from dropping clients, opening up the competition with a national market and maybe a 1’000 other fixes that I’m not smart enough to think of for the list, then you have my support.

    A big start would be to vote out nearly every member of Congress. The thing is that people hate Congress as a whole, but like their own representative. I call this the “Nancy Pelosi Effect.” I can think of few politicians who are less popular nationally, but she owns San Francisco.

  • http://wordsmoker.com/help/members-3/strawberry-shortcake/ Strawberry Shortcake

    Our extreme capitalism and any sort of universal health care will NEVER be able to work together. That said I am very pro universal health care. When you think about, it is insane that our country can’t find a way to provide ALL of it’s citizens with a basic right. Health. The ability to prevent yourself from becoming ill. LG, this sucks, good luck with your health!

  • http://wordsmoker.com/help/members-3/maelstrom/ Maelstrom

    @Chilly The propaganda didn’t come from government. It was devised, executed and paid for by the insurance lobby with the help of GOP wingnuts. Government regulating an out of control industry which is killing people isn’t “taking over healthcare”. It’s doing its job. The rope is in the difference between regulating insurance abuses, aka government’s job, and this crack idea that all doctors visits are now going to be like trips to the DMV. The propaganda is brilliantly evil in that respect. It harnesses the rage people feel about red tape and applies it to something that is completely unrelated and actually against the voters best interest. Hence the term propaganda. What the GOP has done is get working class Americans to vote against their own interest and for the super rich by selling them a bill of goods based on fear. As FDR once said, “The only thing we have to fear is fear itself.” That is appropos of everything here. What this is all about is nothing but fear, smoke and mirrors fear, disguised to make us support the current system which is killing us and stealing from us and destroying our middle class. We’re not ever going to have change in Washington unless we as voters take responsibility for our own stupid, sheep-like decisions to be led by nonsense, fear and propaganda.

  • http://wordsmoker.com/help/members-3/maelstrom/ Maelstrom

    @SS You’re exactly right. Healthcare is a basic human right. Until that is established into our collective conscious, the industry will continue to be able to manipulate us into having “private healthcare, free of government control” aka no healthcare at all, except for the well off.

  • http://wordsmoker.com/help/members-3/strawberry-shortcake/ Strawberry Shortcake

    Mael-I find it amazing that everyone fights to stop the government from controling their their health care rights when SO many don’t even have that “right”. Universal health care is so important. I don’t want my congressman to be telling my doctor what meds to give me when I have the flu, I want my congressman telling the doctor they MUST treat me if I have the flu.

  • http://wordsmoker.com/help/members-3/maelstrom/ Maelstrom

    @SS And there is the difference that pro-reform demonstrators confuse, as was the intent of the movement by the industry itself to keep itself unregulated.

  • http://wordsmoker.com/help/members-3/maelstrom/ Maelstrom

    *anti-reform that is

  • http://wordsmoker.com/help/members-3/chillbearlatrigue/ Chillbear Latrigue

    @Mael and SS: If healthcare is a basic human right like freedom, can it be taken away if someone is self-abusive via drugs, alcohol, smoking, high risk behavior, etc? I drive a car. I am less likely to break every bone in my body if I’m hit than a person who drives a motorcycle. Does the guy who shoots dilaudid deserve the same access to to the system as I do? I personally don’t want to pay for people’s bad habits. Can we take away a basic human right for bad behavior? We take away freedom for crimes. Can we remove healthcare for crimes against the body?

  • http://wordsmoker.com/help/members-3/maelstrom/ Maelstrom

    @ Chilly, you’re already paying for someone else’s bad habits, the filthy rich insurance execs. You’re making them fatter, and whiter and richer.

  • http://wordsmoker.com/help/members-3/chillbearlatrigue/ Chillbear Latrigue

    @Mael: How am I making them whiter?

  • http://wordsmoker.com/help/members-3/strawberry-shortcake/ Strawberry Shortcake

    CB-Would you deny someone MENTAL health coverage? An addiction is an disease. Should a drug addict receive medical care if he or she overdoses? YES! What makes my life more valuable then theirs? Should we hand them out meds left and right. No.

    Please forgive if this comes off as harsh but the motorcycle/car issue is a very sensitive subject to me. That aside your choice of vehicles is covered more accurately by your auto insurance and the guy on the bike IS paying more then you in the safe car. Should either of you get into any accident the YES you should BOTH be given the best medical treatment available. If I ride a bicycle and a guy in a “safe” car hits me should not be given the same medical treatment because of my “high risk behavior”?

  • http://wordsmoker.com/help/members-3/maelstrom/ Maelstrom

    @Chilly Also, if you’re not willing to pay for my poor, uninsured, disabled younger brother who lost his right leg below the knee in a motorcycle accident when he was run off the road by another driver who didn’t stop and he literally crawled on the floor for two years when his donated prosthetic gave out and despite it all he never stopped working at any job he could find just to eat, I will because I thought we were trying to have a civilization here. And the test of the strength of that society is how we treat our weakest, most vulnerable. Also, riddle me this Mr. Me & No One Else, why do you think a two foot piece of metal and plastic prosthetic leg costs $50,000, the price of a Mercedes? I’ll give you a hint. It rhymes with schmivate mealthcare abuses which get a few rich off the backs of and at the expense of the strong working class and middle class Americans. This isn’t the country our forefathers intended.

  • http://wordsmoker.com/help/members-3/forwardmotion/ forwardmotion

    I wish we had medical coverage like in Canada. Not perfect, but still, you know, THERE. I don’t want to support the middleman with no medical training who is just gatekeeping and collecting money.

  • http://wordsmoker.com/help/members-3/forwardmotion/ forwardmotion

    And, i would add, devising tricky way to make sure an individual is NOT covered. Part of the problem is that health is linked to employment. When you are ill, it is hard to be employed! Lawyergay, your piece read like a summary of a Gogol play. Sorry for all the worry and hassle.

  • http://wordsmoker.com/help/members-3/chillbearlatrigue/ Chillbear Latrigue

    @SS and Mael: Sorry to bring up the bike thing, because there is specific insurance for motorcycles and for the reasons that you both mentioned.

    However, Strawberry, I am not going to treat the entirely voluntary habit of smoking as a disease. Also, people who drink heavily are not necessarily alcoholics who have a disease. Sometimes they just don’t care about their personal health enough to stop or reduce their intake. Are you telling me that those who claim that they have a disease are now going to be forced by the government to seek help for otherwise legal activities?

    A healthcare company has the option to boot you out of the plan if you repetitively screw up your own body. Where do you draw the line with that? How many OD’s do we have to treat on a government plan before we say enough is enough?

    I’m not going to argue the leg issue with you, because it involves your immediate family. I like you and I think it’s in bad form. I’ve had some issues like this in my family too. I will simply say that the $50k for a prosthetic leg is infuriating.

    I agree with you that the system is broken. I just don’t see your solutions as sustainable. Not that the status quo is either, but if we’re going to change something, let’s make sure it works for the future.

  • http://wordsmoker.com/help/members-3/mama-penguino-2-2-2/ Mama Penguino

    WTF with the leg issue? My brother had both legs removed right below the knee due to a freaky frostbite situation and he was effectively on welfare and managed to get prosthetics??? The cool thing is that after he died, we donated his legs to Limbs for Life so someone, or someones, in another country are enjoying my brother’s legs. So wonderful!

  • http://wordsmoker.com/help/members-3/strawberry-shortcake/ Strawberry Shortcake

    Chill- How do identify which addicts do so by choice and which have done so from mental illness or self medicating of a physical illness? How do we decide who is worthy of help and who is not? If someone makes bad choices does that mean that they are not worth just as much as you or I? Should we turn a blind eye on them and allow them to slowly die? Or instead should we strive to help those? I believe strongly in programs like the ones set up in hospitals where they give away free sterile needles. Do drug users benefit? yes. Are there fewer cases of deadly disease as well. Yes.

    I don’t think we should just blindly treat those who show a history of self destructive behavior but I do think they need help. Forced counseling perhaps.

  • http://wordsmoker.com/help/members-3/mama-penguino-2-2-2/ Mama Penguino

    @Maelstrom: This is just bizarre. I read your comment again and am truly confused. My brother’s prostethic legs were awesome – they had silicone bottoms where the stump fit into the leg and while I doubt they were terribly comfortable, they were pretty darn good. He only lived for about 5 years after his accident and went through just one pair of legs, but again, I’m just stymied how your brother could have experienced such crappy care, regardless of his circumstances. My brother had been homeless for the two years leading up to his accident (and I might as well say, it was the cause of his accident – living outside, the cold, etc.) so there was NO money for legs. Maybe Kansas is more generous. I have no idea, but I hate thinking of your brother crawling – except didn’t you say he still had one good leg? Lots of amputees with one leg use a crutch???

  • http://wordsmoker.com/help/members-3/maelstrom/ Maelstrom

    @Chilly, unfortunately, there is just liability and collision coverage for motorcycle and automobile collisions in all but the handfull of no fault insurance states. Liability covers the other vehicle which is not at fault. Collision covers property damage regardless of fault. Neither covers ones own medical bills when not at fault, especially when the at fault driver is not found. Further, even in no fault states like Florida, PIP (personal injury protection) is only $15,000 minimum state requirement. That doesn’t buy a night in the ER, much less three weeks in ICU, two years of rehab and a lifetime of follow-up care. That is what health insurance is for. And even if the at fault driver had stopped, in Texas, the minimum liability limits are $20,000. So, he may have received $20,000, again, not enough for even one surgery, much less 8 in 3 weeks. If someone like me, who is over insured would have hit him and say I was at fault, he may have received the maximum my insurance would pay per person/per accident, $250,000/$500,000. He could have only received $250,000 maximum, and I’m over insured. There aren’t a lot of drivers on the road with the kind of insurance I have, and the negligent ones are often uninsured or underinsured. I’m cautious, and I know the risks because it’s what I do for a living. I’m not very likely, God forbid, to be the kind of driver to run someone off the road and not stop as he bleeds out in the dark on the side of the road in the hill country of Texas. But, we’re talking about civil torts here, not healthcare. Even if it were me and all my auto insurance were available, it doesn’t pay as you go, you often have to hire a lawyer and sue me, prove your damages through medical bills after the fact and possibly receive a settlement years later after you reached MMI (maximum medical improvement). In the meantime, you’re left with the same problem all over again. How are you going to pay for your medical care? Hospitals and doctors require payment up front if you are uninsured.

    My brother is a perfect example of how the system which privately enriches a select few is broken. As a result, he was taken out of the work force for awhile. Now, how is he meant to work in order to keep healthcare if he had it at that point? Society is then meant to step in and pay the costs, at an extreme rate because there isn’t competition, so the rates are inflated. What you don’t want happening, society being billed, is actually what is happening. Preventative care and emergency medical care for everyone actually reduces healthcare costs, returns the patient back to the work force faster and healthier. It’s actually the opposite of what you are arguing, but it’s more complex than a 30 second Fox News soundbite.

  • http://wordsmoker.com/help/members-3/forwardmotion/ forwardmotion

    Chill: But Chill WE ARE ALREADY PAYING for the people who are addicted and/or are not taking care of themselves. If not directly through the hospital/clinic/ER, then in lost work productivity, etc. I agree with you that self-destructive people (I am thinking specifically of junkies, which I can’t stand to be near) can create feelings of loathsomeness. And they are a burden on society. But if they don’t have a place to go they drain every public service available to them that was not designed for their long term problem (the ER was not designed to see the same junkie every other week). People need programs that are designed for their long term health, and capitalist enterprises don’t give a shit about the long term unless we are talking about profits. That’s what capitalism is and does. And it works wonderfully in some venues, but from capitalism’s point of view, it’s nearly always cheaper to let someone die.

  • http://wordsmoker.com/help/members-3/maelstrom/ Maelstrom

    @MP, maybe you should read my 20 Questions, it may give you some idea of what my 7 siblings bring to bear in society. My brother received no insurance settlement. There was no driver to pursue. He didn’t stop. One’s own insurance doesn’t pay for medical bills even if you have collision coverage above liability. My brother was found by two girls driving by at night and saw the light of his motorcycle shining up from a ditch. They pulled over and found him bleeding out. He was lifeflighted from the scene. The sheriff’s dept, deviated from standard protocol, however, and left without finding his missing limb. His leg was found later in a tree nearby. His traumatic amputation was only a couple inches below the knee. As a result, the teaching hospital resident came out and tried to convince my sister to allow him to take Tom’s knee. My sister knowing that below the knee amputees have a much better chance at returning to a normal life refused. They saved the knee, but he has a very short ambulation, about 2 inches. Therefore, he really needs a c-leg (computerized) which reads the location of the knee several times a second and readjusts. Amputees expend 40% more energy just walking across a room than we do. But, a c-leg costs too much money. In fact, Tom wasn’t even fitted for a leg by the hospital because he didn’t have insurance. He was working as a waiter/part-time model at the time. A prosthetic isn’t considered emergency medicine. Neither is the surgery he needs to remove the nerve cluster which has developed under his knee and often brings him to tears. Instead, Tom applied to a charity for a prosthetic and received one a year and a half later. It was the most basic type, though, and wore out within 3 years because Tom works on his feet in the service industry. He didn’t have necessary medical care to adjust the leg, tend to his back fractures, much less replace the leg. The charity which gave it to him wouldn’t replace it because they only provide the first prosthetic, not follow-ups. Most amputees need a new one every four years. My brother can’t use a crutch because he broke his right arm in 8 places and has very little arm strength as a result. He also fractured his femur and has a rod inserted with bolts and screws. The nerve cluster has grown over the end of the bolts and screws. The original leg inside cup completely wore-away, so my brother bought used wet-suits and cut them up and sewed them together to fit the inside of the plastic leg which rubbed against his knee until it bled within a few hours. I remember Tom coming home and his knee being swollen twice it’s size and all the skin on the botton worn off. Tom didn’t have the money to get treatment much less the medication he needed for pain. See, Tom was living with me at the time. He’d just come back from Mexico where Tom went to try and find care and work. While there, he tried making his own prosthetic with pvc piping. It was heartbraking. Tom would come home at the end of the day in Florida take off his leg and soak in ice. He couldn’t put it back on once he took it off because of the swelling. So, instead, he would hop/crawl around our apartment. Here I was a single mother and lawyer and I was powerless to help my brother from crawling around on the floor half the day. It was easier for Tom to crawl than to try and get the leg back on until the swelling went down. On weekends or when Tom didn’t have to work, he’d just leave the leg off.

    I went to work trying to find a foundation to help Tom when he first came to live with me. It took six months, and I finally found one. They agreed to supply Tom with new leg. Tom got his leg before I moved from Florida. You should have seen him. He was jumping and exclaming, “Look at me. I’m jumping. I’m me, again.” But, the new leg didn’t come with medical care. Tom still needs surgery. He needs orthopaedic care. He needs pain meds. He needs psychological counseling. He needs job training. And in 2-3 years, he’ll be crawling, again, when this leg gives out if our system doesn’t change. Also, because Tom is a single man, he doesn’t qualify for Medicaid and he was also turned down for social security disability. I tried to help him appeal, but even my skill as a lawyer failed. We provide prosthetics to developing countries, but when our own citizens need them, we turn our backs and talk of drug addicts and the undeserving and lastly, we doubt that this could even happen. But, it did. I am the survivor in my family. My 7 siblings weren’t as lucky.

  • http://wordsmoker.com/help/members-3/mama-penguino-2-2-2/ Mama Penguino

    @Maelstrom: A true horror story. Thanks for sharing.

  • http://wordsmoker.com/help/members-3/mama-penguino-2-2-2/ Mama Penguino

    @P.S. to Maelstrom: The U.S. will not accept donated prosthetic limbs, which is why my brothers’ went to a foreign country. I agree that this is appalling.

  • http://wordsmoker.com/help/members-3/forwardmotion/ forwardmotion

    @Maelstrom: Thank you for providing a real, moving story as opposed to the generic talking points that make no sense whatsofuckingever, a la “You don’t want to have medical by post office employees, do you?”
    No. I’d like to see a DOCTOR (or in many cases, just a nurse). Most post office employees aren’t medical doctors. They sort and carry mail. Feel free to correct me if there is a new certification process for mail carriers that require them to pass the medical boards.

  • http://wordsmoker.com/help/members-3/chillbearlatrigue/ Chillbear Latrigue

    @Maelstrom: Sent you a private message on FB. You and I are in agreement that the system is broken.

    @SS: I have no answer for the questions in your post. You’ve asked me questions in response to my questions. I can’t buy into any sort of public option until my questions are answered. Unless we to severely restrict people’s liberties, we are going to being paying for an enormous amount of bad individual decisions.

    “I don’t think we should just blindly treat those who show a history of self destructive behavior but I do think they need help. Forced counseling perhaps.”

    I don’t believe that I’ve ever seen counseling work on someone who doesn’t want it. However, I agree with most of this, if we were to have a public option.

    @Fomo: Telling me that the new revamped system will bring with it many of the same problems as the old is hardly a selling point. Also, I don’t think that you will have a “mail man treating you.” That’s ridiculous. I do know that if you don’t have money for your own attorney, the state currently appoints one. That person is a lawyer, but they don’t act as your attorney the way a private one does. They are motivated by reducing case loads, which means that the quicker that they can dispense with your annoying nuisance of a case, the better off they are. If you refuse the pleas, you are likely to have three or four different attorneys passing your case off before you ever get a trial.

    Do any of the lawyers on this site work in the criminal justice system? Tell me that this is not exactly what happens.

  • http://wordsmoker.com/help/members-3/mama-penguino-2-2-2/ Mama Penguino

    @Chillbear: Mr. Penguino worked for a time as a criminal defense attorney doing indigent defense and I disagree that he treated private clients differently (I worked in his office several times when he was sick or in the hospital). In fact, indigent clients are usually savvy about the system, usually repeat offenders, and a defense attorney works double-time to make sure they don’t end up filing complaints with the disciplinary administrator’s office (and they usually do, anyway, because they’re just pissed off like that and they have learned how to lodge these complaints during jailhouse law sessions). If the client refuses a plea (almost never a good idea because they’re almost never innocent and the plea is usually a good one and in some cases, will be as simple as probation), then in my experience, the client gets a trial and I Mr. P never withdrew as counsel unless there was some craziness going on, like the defendant was threatening to come to our house and murder me and Little P (happened more than once). In fact, you’ll get a laugh out of this – Mr. P kept a shotgun propped up against the wall behind his desk in his office; it was unloaded and he kept the loaded gun in a drawer by his right hand.

  • http://wordsmoker.com/help/members-3/forwardmotion/ forwardmotion

    Chill: But this ISN’T the legal system we are talking about! Or the mail system! WE are talking about the medical system. Apples and oranges.

  • http://wordsmoker.com/help/members-3/mama-penguino-2-2-2/ Mama Penguino

    @Maelstrom: Something just caught my eye. You said because Tom was a single man he didn’t qualify for Medicaid or SSDI, but my brother was a single man and got both without fanfare or appeals. Granted, my brother was indigent, homeless, without a job, and hadn’t been in contact with family in years due to mental illness, but I’m confused as to why my single double amputee brother received health care, therapy, rehab, artificial limbs both in the initial stage and then the silicone legs, and yours was left with nada? It seems like your brother had more resources and support, so why was he abandoned by the system?

  • http://wordsmoker.com/help/members-3/strawberry-shortcake/ Strawberry Shortcake

    CB- This public option you keep talking about seems to be very UNpublic. It seems as though you support the idea of offering a way to let the uninsured have access to private insurance companies through government assistance. Is this close to correct?

  • http://wordsmoker.com/help/members-3/maelstrom/ Maelstrom

    @MP, he didn’t qualify for Medicaid because you can only get Medicaid with SSDI or Medicaid for families with children. Because he didn’t have minor children living with him, he didn’t qualify for Medicaid on its own. He was also denied SSDI at the appeal level above the hearing level. Why? Beats me. He certainly didn’t have any resources available to him. He fought legally for 2 and a half years and is now restricted from reapplying due to res judicata without congressional intervention. I have to say, though, I’m really not comfortable talking about it with you further because frankly, you seem incredulous. It’s enough that it happened and society totally turned its back on him. It’s insult to injury that I have to somehow explain, justify or defend it as though my word is suspect. Besides, it’s one of the lesser things that have happened to my siblings and me. If it’s not enough for you that I said it happened, then I doubt me going into more detail will make any difference.

  • http://wordsmoker.com/help/members-3/mama-penguino-2-2-2/ Mama Penguino

    @Maelstrom: My apologies. I was interested because my own brother went through a similar tale of horror and from my perspective, you don’t seem really interested and instead of trying to engage you, I should have just shut up about it. I thought we had something in common. My incredulity was not meant to be hurtful but I can see how, not knowing me or my story, why you might have found it so.

  • http://wordsmoker.com/help/members-3/baroness/ Baroness

    Maelstrom: Your points, passion, and story kicked my ass to read. And right on.

    Perverseus: “We’ve gone over health before at Wordsmoker, and quite frankly, I’m tired of discussing it with people who think government is their salvation. Certainly we need our elected officials looking out for us, but we don’t want them actually running the program.”

    Why? Medicare and Social Security are hugely popular gov’t programs- as is the VA- that work relatively well and efficiently. Right-wing sorts are always declaring things like this, “Government out of my health care!”, but they surely want their benefits. This anti-government propaganda of recent years is truly drifting ever further from reality. “Government is bad” is the answer, which is no answer at all. It’s an expression of ideological loathing. That will get us nowhere.

    I really dislike your sarcasm implied, that 48 million uninsured and the rest crushed by costs are some sort of deluded fools to look to government for “salvation”, a religious term. Maybe they just want affordable health care. If not government, how can this be achieved? From the free-market that already is squeezing the life out of them? (And incidentally, our economy.) Making their own dialysis pump from spare parts in the garage?

    This “tough shit” attitude you evince is really common, and heartless, and frankly unpatriotic I think. It’s a POV that treats US citizens as disposable, their lives not worth saving, enhancing. It’s a rotten selfish spirit that’s afoot that’s pretty ugly. Merely saying “government is bad” is not an answer, and the corporations who control Americans’ lives, health, and pocketbooks, with a measurable impact on our sorry economic state, are fucking evil parasites, actively malevolent.

    “I will simply end my comments with this: You want the people who can’t keep the U.S. Postal Service from operating at a loss to be in charge of your health care.”

    The US Post Office somehow manages to deliver 100 million pieces of physical mail every day. I can pay 49 cents to have a letter delivered from NY to CA. Forty-nine fucking cents.
    To deliver a physical object to the other side of the continent. They do it without fail.
    The ahistorical idea you have, that conservatives have, is that the PO is meant to , has EVER been meant to turn a profit like a private corporation, is wrong.

    No. The Post Office exists as it has for over a century so YOU can make a fucking profit, or Daddy Warbucks in the 1930′s could make a profit. It was instrumental in making the US an economic superpower, business could never have been done without it. It is infrastructure, it is still vital, and the Post Office is extraordinarily efficient, cheap and reliable. It was never meant to turn a profit, any more than the last highway you drove on was. I would rather pay 49 cents to send a letter that than the $6 or whatever it would cost if it were “privatized”.

    You think YOU’re tired, Perverseus? I’m tired as hell myself of how greed and anti-human, merciless attitudes valuing corporate profit over citizens’ lives and health have been mainstreamed. I hear your sort of spiel all the goddamned time, and it is actively damaging this once great country. We have never been so divided, and that is the most hateful lasting legacy of the sorry reign of little King George. It’s quite all right now for the haves to laugh and spit on the have-nots, as long as there’s profit. And this country , the social fabric of it, has been wrecked. We’re not 3rd world, but we are heading towards 3rd rate or worse.

  • http://wordsmoker.com/help/members-3/mediahohoho/ mediahohoho

    We had our chance, now we’re fucked.

  • http://wordsmoker.com/help/members-3/lawyergay/ lawyergay

    Just came back to this thread today. Thanks for all the comments and stories and words of support. The latest installment is that I am starting on Blue Cross direct coverage on March 1. It’s $400/month, which is doable, even without the Medical Security Program support, which I will have for a limited time. The other thing I wanted to mention is that I have had and continue to have a lot of support from my family during this whole unemployment nightmare. If the unthinkable happened, then they would be able to help me. And that is just pure, dumb luck, an accident of birth, or what have you.

    A couple of loose ends:

    Perverseus: Why does “provide for the common defense” allow the government to run the Air Force while “promote the general welfare” not allow the government to run a health care system? Don’t talk. Just think.

    Maelstrom: Thanks for relating your experience with your brother. If there is anything I can do to help, you know where to find me.

    MP: Also thanks.

    Baroness: I’m going to have t-shirts made up with your avatar on them.

  • http://wordsmoker.com/help/members-3/voxpopuli/ VoxPopuli

    LG: Glad that you’ll be covered soon.

  • http://wordsmoker.com/help/members-3/perverseus/ perverseus

    @LG: Great news on the health insurance!

    I think you’re trying to be funny. Or maybe just witty. You’re certainly not interested in having an intelligent argument. I’m just too tired to try to explain the difference between having members of a society pooling their resources through taxation to pay for infrastructure and defense (which cannot be attained with any level of success individually) as opposed to redistributing wealth and resources from one group of people to another.

    @Baroness: How dare you imply I am unpatriotic because my opinion differs from yours. A little civility, please. I am neither heartless nor selfish because I am resistant to big government. Unless, by default, you are a lazy, dependent, and unproductive socialist who sponges of the work ethic of people like me because you favor it.

    I’ve never said that government is bad. It’s an essential part of our society. But you really don’t think people treat our federal government like some sort of religion? Have you seen U.S. Representative Nancy Pelosi speak? She makes Benny Hinn look like he’s not actually scamming little old ladies out of there retirement funds. Big government is a religion all right.

    We can argue as to whether the U.S. Postal Service at this stage of its existence is “infrastructure,” but either way, it operates at a loss. At a time when other shipping companies can turn a profit, I think it should at least be able to sustain itself (and judging by the mail I get that is supposed to be delivered to my neighbors, it does not work without fail). But it does not, which means you aren’t just paying the cost of the stamp every time you mail a letter. You’re contributing to the federal deficit, or you’re helping Congress appropriate more funds to sustain the Post Office instead of using those funds for important social programs.That’s right, following the bizarre logic I’ve been seeing on this thread, every time you go the post office or mail a letter you help kill a starving child! How can you be so heartless as to put your needs for inexpensive mail delivery over the needs of a starving child? Or you would be, if Congress didn’t just go ahead and fund those programs, too. What the hell, our grandchildren can pay for it.

    Social Security was never actually designed to be anything but a money grab. It was sneaky — give retirement benefits when you turn 65, but at the time, few people actually lived that long. I’m actually a fan of Social Security. It’s a good idea, a smart way to help people prepare for retirement, and it serves as a safety if a contributing member of society can no longer work. Unfortunately, it has not been properly administered by, you guessed it, the federal government.

    I absolutely agree with you that we are a divided nation. I also agree the nastiness kicked up a notch during the Bush Administration. Little sorry Democrats crying because they lost the election. But that’s not his legacy — blame the sore losers for that one.

    The extreme right and the extreme left in this country are absolutely insanely opposed to each other. And there is no better example of these nasty politics than in — say it with me — the federal government. Congress is so messed up that they have approval ratings lower than Obama or Bush! Clearly, party politics are more important to them than actually solving problems.

    No one wants affordable health care more than I do, with the possible exception of LawyerGay (based on his current lack of employment). However, elected officials from both sides of the aisle are more interested in party politics than actually improving the lives of the people they represent, so you’ll have to forgive me if I remain wary of their motives and solutions.

  • http://wordsmoker.com/help/members-3/lawyergay/ lawyergay

    Perverseus: How is a health care system any less “infrastructure” than a communally-funded federal highway system or the Air Force? How is a $100 million F-35 (and the highly-trained pilot who flies it ) that protects you and me any less a “redistribution of wealth” than a health clinic or hospital (with its highly-trained staff that delivers services) where you or I can go to get health care?

    The only difference is that you think one type of expenditure is valid and the other is not. I can’t possibly know why you believe this, but there is no logic to your distinction. Have you been reading Amity Shlaes again? I thought we talked about that.

  • http://wordsmoker.com/help/members-3/chillbearlatrigue/ Chillbear Latrigue

    @LG:

    “How is a $100 million F-35 (and the highly-trained pilot who flies it ) that protects you and me any less a “redistribution of wealth” than a health clinic or hospital (with its highly-trained staff that delivers services) where you or I can go to get health care?”

    If I may, Perverseus answered this. He stated that the former “cannot be attained with any level of success individually.” Many people have obtained healthcare individually. I hate our healthcare system, but I love my healthcare. I don’t trust it, but I like the level of service that I currently get. If 20% of people are without coverage, that means that 80% are. I don’t think that’s at all fair, but I am not willing to sacrifice the well-being of 80% on the roll of a dice. Anyway, I believe that is what the main difference with roads and defense vs healthcare.

    Now here is a totally badass picture of an F-35:
    Badass Picture of an F-35

    Since we’re paying for it, I thought we should all enjoy it. Except for Virus. He pays taxes in the UK. Virus, please don’t enjoy our instrument of death.

    PS: I would like two Baroness T-Shirt in shirts in size L and M (for when I want to invited individuals to the gun show.) You said you liked those jokes.

  • http://wordsmoker.com/help/members-3/perverseus/ perverseus

    @Chill: Now I have to watch “Top Gun” again.

  • http://wordsmoker.com/help/members-3/baroness/ Baroness

    Perverseus wrote:

    @Baroness: How dare you imply I am unpatriotic because my opinion differs from yours. A little civility, please. I am neither heartless nor selfish because I am resistant to big government. Unless, by default, you are a lazy, dependent, and unproductive socialist who sponges of the work ethic of people like me because you favor it.

    Here’s what I wrote:

    “This “tough shit” attitude you evince is really common, and heartless, and frankly unpatriotic I think.”

    Did I say YOU were unpatriotic? No, I said that this attitude you, and many others like you, I personally find unpatriotic. Damaging to the country. If you cannot differentiate between criticizing a worldview, an attitude, if you misread it willfully as about you as a person, fine. Don’t go then go lecturing me about civility with a hackneyed question as to whether I’m a “lazy socialist.”

  • http://wordsmoker.com/help/members-3/pinekatz/ Pinekatz

    Perv: That was the most passive-aggressive thing I have read in like maybe that last 15 minutes.

  • http://wordsmoker.com/help/members-3/mediahohoho/ mediahohoho

    Did Perverseus just use this thread to blame the hyper-partisanship of the aughts, featuring repeated gross violations of the Hatch Act by Karl Rove and the rest of the Mayberry Machiavellis on Democrats being sore losers? What a fucking asshole. And a stupid one at that.

    It’s too bad about this site.

  • http://wordsmoker.com/ BookishLookish

    @Perv: “The extreme right and the extreme left in this country are absolutely insanely opposed to each other.” What “extreme left” are you talking about? The huge membership in the Communist Party?

    Give me a fucking break. Or take this nonsensical shit somewhere else, it is damn tired.

  • http://wordsmoker.com/help/members-3/chillbearlatrigue/ Chillbear Latrigue

    @Mh3: Since, I have allowed myself to get in over my head in the past with you, I will just ask you what the repeated violations of the Hatch Act were? I know what the allegations about the election are, but I’m not sure which ones tie into the Hatch Act.

    Had the decision gone the other way, I’m sure that Republicans would have been just as resentful, since the Democrats were trying to do things like suppress military absentee ballots, etc. I understand the resentment, but this plagued Bush well into the 2004 election.

  • http://wordsmoker.com/help/members-3/chillbearlatrigue/ Chillbear Latrigue

    @Bookish: The extreme right and left are relative. Our extreme left is somewhat more conservative than V.I. Lenin and are extreme right isn’t what you see in Iran. However, there are people that post on this site who support a single payer healthcare system run by the government; unilateral nuclear disarmament; an immediate end to both wars, despite the fact that 911 was directly traced to Afghanistan and there really is no longer a war in Iraq; Cap and Trade; state ownership of banks; social justice through taxation; the Fairness Doctrine, etc. In other words, they want us to become Canada or Sweden. That’s the extreme left in the US. To deny that there is an extreme left because the ranks of the Communist Party USA aren’t swelling,is tantamount to me saying that there is not an extreme right because there aren’t a million people involved in anti-government militias. There are plenty of people in the two major political parties that are on the fringe, but will not leave because they want their voices to be heard.

    Incidentally, I consider the Speaker of the House and the Senate Majority Leader to be on the extreme left by this country’s standards.

  • http://wordsmoker.com/ BookishLookish

    @CL: Back it up, honey. The “far left” is not ruining my country. You are thisclose to getting a “Blow me, Latrigue,” but as I adore you I will let this go. Please don’t make me start quoting far-right militia group stats as it makes me nauseous to do so. Or pro-life fuckhead stats, or taxation-without-representation idiot stats.

    The far right and their good friends the right are fucking up my country and you fucking know it.

  • http://wordsmoker.com/help/members-3/pinekatz/ Pinekatz

    Chill said: “There are people that post on this site who support a single payer healthcare system run by the government; unilateral nuclear disarmament; an immediate end to both wars, despite the fact that 911 was directly traced to Afghanistan and there really is no longer a war in Iraq; Cap and Trade; state ownership of banks; social justice through taxation; the Fairness Doctrine, etc. In other words, they want us to become Canada or Sweden.”

    Really? Back it up with fact or hush. You didn’t just miss your target. You missed the barn the target was nailed on.

  • http://wordsmoker.com/help/members-3/chillbearlatrigue/ Chillbear Latrigue

    @BL: How is the far right ruining your country by exercising their right to free speech? I am not saying that I agree with any of the groups that you cited, but I haven’t seen any far right legislation being passed as a result of all of the talk. The Republicans hold 41 Senate seats and 178 out of 435 House seats. The Executive Branch is obviously in the hands of the Democrats. If anything, what’s “ruining” your country is the Democrats’ inability to come together on any major piece of legislations except for the ill fated “stimulus” bill. By the way, I think the government spent another $40 since I wrote that piece last week.

    I wasn’t able to find any reliable “far-right militia group stats,” so at this point, I’m going to have to ask that you follow through on your threat and quote them with your source. You are close to getting a “Suck it, Lookish,” but now we’re just writing porn.

    @PineKatz: So, to make that statement, I have to go back through a year of comments from this site and the other to prove to you that there are very liberal people present? It takes me about two hours to review one week’s worth of comments on Wordsmoker for the Smokies.This is a point that you can’t concede? I’ll change my statement to read exactly the way I wrote it, but beginning with the lead in, “I would wager…” Sorry, I have a full time job and I never thought for a minute that anyone would dispute the liberalness of the majority of the members.

    @Mediahohoho: I remember when you could hold your own in a debate AND be insulting. It’s too bad about what’s happened to your commenting skills.

  • http://wordsmoker.com/ BookishLookish

    @CL: So you’re saying you like making me feel sick to my stomach? That’s nice.

    The FBI maintains the following nine classifications to follow domestic extremist groups:

    1) Black separatists
    2) Islamic extremists (homegrown variety)
    3) Earth Lib/ecoterrorists/animal rights groups
    4) Anarchists (Black Bloc, splinter groups)
    5) FALN/Puerto Rican Independence
    6) Anti-abortion groups
    7) Militias
    8) Sovereign citizens (tax revolters)
    9) White supremacist groups

    The first five are classified as leftist groups. The bottom four are right-wing groups and 8 and 9 are bigger and more destructive than nearly all of the first five put together, save for group 3, who have been causing a lot of evil mischief, but no loss of human life (so far). I will tell you my source for this information confidentially, if you want it.

    Can you deny the far right is not supported by the right and does not do their dirty work for them? Of course, you can say the same thing for the left, if you count “liberation” of the Puerto Rican people, old black nationalist guys, and a bunch of kids throwing stuff at rallies as unraveling the fabric of this country. But WHAT IS THE COST? The right is far more destructive to public life also known as citizenry and, unfortunately, HUMAN LIFE. And the right never, ever speaks out against their foot soldiers or distances themselves from them for a very good reason. I like free speech as well as the next girl. Stock piling weapons, withholding taxes, killing doctors, murdering minority citizens and law enforcement. Extremism has to start somewhere, and it’s usually right in your own backyard. Or your own political party.

    Yes, the Dems need to get their shit together. So we agree on that.

    But no porn for you.

  • http://wordsmoker.com/ BookishLookish

    Virus darling, how does that little smiley face get in there? I do not want a cool little smiley guy in there, I wanted a number 8.

  • http://wordsmoker.com/help/members-3/renesance/ Rene Sance

    @BL: Fixed. Here I was thinking you were so riled up that you’d lost the ability to count.

  • http://wordsmoker.com/help/members-3/rhea-pollstry/ Rhea Pollstry

    I’m going to wade into these treacherous waters just deep enough to say that I worked for five years in account services for the largest hospital chain in the U.S. and the incompetence that I encountered was truly breathtaking. Each department was a self-contained fiefdom with its own bureaucracy and policies, many of which directly contradicted the policies of other departments. HIPPA compliance was a joke, and when I reported information leaks the “Chief Privacy Officer” tried to have me fired. Considering that this organization had paid a fine of almost one billion dollars for Medicare fraud and was operating under a corporate integrity agreement with the CMS, they’re lucky I didn’t contact the Feds and have the whole place shut down. Anyway, as for efficient and competitive corporate healthcare? Ummmm, not so much.