This Shouldn't Happen in America

by Karen Hatter | August 15, 2009 at 06:01 am
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President Obama Weekly Address: Real Conversations about Health Insurance Reform

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President Obama Weekly Address: Real Conversations about Health Insurance Reform

Barring the possibility of self imposed myopia or blindness, determining that the health care system in the U.S. is not serving the needs of all of its citizens only requires waiting in doctors' offices or emergency rooms across this nation.

Once at the doctor's office, one will overhear people seeking treatment, with approximately half of those scheduled to be seen by physicians haggling over which forms need to be filled out, which plan will or will not cover whatever procedure, whatever consultation or whatever diagnostic test.

In most emergency rooms across the U.S., the average wait to be seen is 3 to 4 hours, no exceptions, well, maybe if your head or an extremity is hanging by a thread of tissue but, that is not a guarantee. Bear in mind, that is an average when in reality, a trip to the emergency room can last all day into the night, depending upon the time one arrives there.

The mother of my daughter's bandmate, the wife of a minister and first lady of the church, covered under her husband's plan, was treated for an endocrine condition.

Faced with the dilemma of not having enough money to fill the complete prescription she had been given by her doctor, she asked the pharmacist to split the prescription, buying some of the pills, with the intent to purchase the remainder of the order at an unknown time in the future.

I suffered from recurring gastric distress, which was first observed in my local emergency room. My primary doctor, when I went to her for follow up, indicated she believed I'd probably contracted a stomach virus. I was back and forth between the hospital emergency room and my doctor for an extended period of time.

Finally, after one final attack that sent me to the emergency room, I underwent emergency gall bladder removal. My gall bladder disease was discovered during diagnostic tests when whatever dye was used for mapping my gall bladder could not be seen as my inflamed gall bladder blocked the flow of the liquid. My gall bladder disease went undiagnosed for 3 years.

My dear friend, a wonderful cultural performer and storyteller, received a call from the clinic she frequented. The clinic apologized and explained to her they had overlooked some abnormal results indicated in her PAP smear, urging her to come into the clinic as soon as possible.

An hour or two later, my girlfriend received another call from the clinic, informing her that her insurance would no longer cover her treatment at the clinic. She was still advised to seek some form of follow up to investigate the test results. Luckily, her condition turned out not to be life threatening.

My former husband had worked for a municipal gas company as a meter reader. He fell two and a half flights through a floor in an abandoned building where he had been sent by the gas company. He lay unconscious for hours in the basement of the building.

He suffered nerve damage to his neck and lower spine. He was prone for several months, unable to walk. He applied for workman's compensation. The insurance carrier providing coverage through his job would not accept his doctor's findings and tests. He fought the decision for several years, to no avail.

One of my oldest and dearest friend's mother, a retired school district secretary, was diagnosed with breast cancer and required a radical double mastectomy. The radical procedure removes part of the underarm area, damaging muscles and nerves. She was sent home after the surgery in 3 days, unable to use her arms properly.

My sister, a paralegal for an established New Jersey law firm, was diagnosed with and eventually succumbed to colon cancer. She was diagnosed at Stage 4. She was a 47 year old mother with one child of 19, my nephew.

Due to the aggressive nature of the her cancer, in addition to traditional, approved chemotherapy treatments, she and her husband decided to try a suggested trial chemo treatment.

It was planned that a shunt would be put into my sister's chest to accommodate the use of an I.V. tube, to avoid the need to keep finding a vein and reinserting tubes for receiving her treatments.

The administration of the experimental/investigational drug was to occur, by slow intravenous drip. One possible adverse outcome of the use of this drug was explained to be the possibility of complications from a perforated bowel, if the tumors on the colon wall shrank too quickly from the treatment.

This procedure was supposed to occur, without any medical personnel monitoring her during the process in case my sister experienced some adverse response to a treatment, with the drip set to proceed over a 42 hour period, while my sister sat at home.

My friend, a self employed craftsman, was diagnosed with a previously unidentified congenital heart condition. Instead of the usual three valves found in the human heart, his heart only had two.

That this condition was not diagnosed until he was an adult in his forties is also a troublesome reality that needs scrutiny.

He was diagnosed and told he needed to have heart valve replacement surgery or he would die. However, because he had no insurance, he was informed he could not be admitted and would have to leave the hospital.

When he protested being dismissed from the hospital, invoking the Hill-Burton Free Care Program, which states facilities should provide uncompensated services for those in need, hospital security was called to escort him from the facility.

His friends and family, including myself, made calls to a variety of social organizations, seeking information and aid to direct us where to go, what to do to save my friend's life. This was all done without any assistance from the hospital that had diagnosed his illness.

Deborah Heart and Lung Center agreed to do my friend's surgery, which he was told, had he not received the procedure, he would have died. He was recently put on a list to receive a donor heart. Deborah does not perform heart transplants.

Because of insurance restrictions related to the Supplemental Security Income Program (SSI) , a federal program designed to aid the elderly, blind and disabled in America with limited income, his choice of hospitals, in proximity to his place of residence in south New Jersey, is limited.

There are two hospitals near his location. One hospital is a few minutes away by car, located in downtown Philadelphia, Pennsylvania. The other hospital is more than an hour away in upstate New Jersey, near New York.

The hospital considered the best for the care he needs is said to be the hospital in Philadelphia. He has been advised by a counselor not to seek treatment in Philadelphia. The reason? The hospitals in Pennsylvania, unbeknownst to patients on a list for transplant, have rejected candidates from New Jersey due to fear of difficulty receiving payment.

For each of the individuals spoken of here, there would be an exponentially expanding effect of suffering and denial if each person in this narrative could tell of the people they know and knew and those they've met during their trials as they have sought treatment and/or medication in the United States.

The health care system in the United States is fraught with serious problems, sorely long overdue for reform.

Doing nothing is not an option.

 

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6
dunkelberg

Doing nothing is not an option.

Lying to stop reform is an affront to God, decency and common courtesy.

WWJD?


0
Rory Cripps

Great post Karen!

0
Karen Hatter

Thank you, Rory.

7
Blue Crush

"These are the stories that aren't being told - stories of a healthcare system that works better for the insurance industry than it does for the American people," Obama said in his weekly radio address, referring to people he has met who have struggled with the current system.

"And that's why we're going to pass health insurance reform that finally holds the insurance companies accountable."

0
Babel-Fish

The trouble is they will not conform and any reforms will show just that. Profit is the name of the game and health care needs to be non profitable.  

1
Babel-Fish

National health service would stop all this stupidity and Americans are being fob off that it does not work, bloody down right stupidity.  

1
Rory Cripps

Babel-Fish: One of the problems seems to be that those on private plans haven't been convinced that they won't ultimately have to give up their plan and sign on with the fed's plan. I'm not convinced either--as much as I'd like to be. It's the devil that you know is better than the devil that you don't know.

10
Pythiian1

Good post to share these untold stories as many Americans across this nation will no doubt, have their own challenging health care experiences, regardless of party, racial, educational, and economic background.

It's always telling that people with the best health care insurance are the ones who are the most virulent opponents of health care reform for the rest of working Americans. For example: None of the congressional members would ever suffer from poor quality and lack of health care coverage for whatever ailment they and their families might encounter.  

For some among the US public who are fearing "socialism" due to the health care reform, they might look to Canada, the UK, Sweden, France, to name a few, as none of these countries is even remotely in danger of becoming "socialist" anytime soon or ever.  It might help to read and research independent studies that are not political driven by either party.

1
Karen Hatter

Thank you, Pythiian1.

1
Natalia_me

So, where should this happen?

6
Karen Hatter

It should not happen anywhere.

America has always prided itself as the greatest nation in the world, worthy of emulation, with this reality, among others, falling short of the pedestal upon which many have placed the U.S.

No citizen on this planet anywhere should be without life's basic needs and the ability and means to sustain their lives, including health care. 

1
Rhonda J Mangus

I agree Karen, "This Shouldn't Happen in America." Thanks for sharing!


0
Karen Hatter

Thanks, Rhonda.

5
rng

Karen - well written. You said, "Doing nothing is not an option". It is however for the special interest groups that currently profit from such a diseased system (pun intended) where delivery costs run 2.5 times more than other developed nations and with less effective outcomes. Their misinformation and rhetoric is why there is s much heat on the issue. The American people are being mislead by some whom they elected to protect their interest and by the Republican misinformation spin en masse. It is sad they have made such a basic right in a developed nation a partisan, petty and emotional debate to protect profit and promote inefficiency

Despite the head in the sand, we have the best system in the world, mantra, add into that the amount we spend as a % of GDP, spiraling health insurance costs (eh real villains in the piece) and you have a system in freefall.

You are so right: Doing nothing is not an option. And hasn't been for quite a while, but as they say denial is not just a river in Egypt

0
Karen Hatter

Well said, Rng.

4
Rory Cripps

I'm inclined to agree with Babel-Fish re. the profit motive. I and my family are on a private health insurance plan in the U.S.. I didn't know how dysfunctional the U.S. private health care system was until it was discovered that my daughter is autistic. In many cases, I have  to drive 50 miles in order for my daughter to see a "specialist" that accepts my private health insurance plan. And in one case, I had to drive 250 miles to Miami. Obviously, in order to do this, I have to take time off from work.

Often times when my wife visits her doctor, she doesn't see her doctor. Instead, she's passed off to a "nurse-practitioner". No offense to "nurse practitioners",  but come on . . . in the America that I grew up in, we expected to see the doctor when we were ailing. There were at least eight doctors, within walking distance, in my hometown back in the '60s and '70s and they all worked out of their home. 

Last year, my wife had a bad bout with diverticulitus. The hospital put her in the cancer ward and she stayed there for a week. No surgical procedures were performed and the bill came out to about $40 thousand. The hospital didn't even have Italian marble floors and escalators!

My grandfather was a small-town dentist in Southern Illinois. The townsfolk called him "doc".  Two of his brothers were MDs.  Their patients would often pay them with whatever change they had in their pockets, and if they didn't have any change  they'd pay with a peach cobbler, or perhaps a chicken or two or a bushel of corn and a basket of tomatoes. Picture the doctor on Gunsmoke or on the Andy Griffith Show and you'll get the picture Profit certainly wasn't the motive for my grandfather's and his brother's  attending medical school. Indeed, they probably could have made more money working in the coal mines. 

The U.S. medical insurance industry (as well as every other insurance industry in the U.S.) is run by PIGS solely for the benefit of PIGS. And like all PIGS, they slop and slurp at the trough of humanity until their angry master, armed with a pitchfork, disperses them. Americans need to come to the realization that the PIGS, on the insurance animal farm, have taken over and that they've gotten away with slopping and slurping for way too long. Americans need to become angry masters.

1
rng

Rory - well said. Made me smile as well with some of the colorful imagery!

5
Tina Kells

I have gathered recently that it is unpopular when a Canadian weighs in on anything American but I have to speak up in favour of universal health care and I find the American resistance to it baffling. We have a blended system here, basic health care is covered but things like dental care, prescriptions, physiotherapy, massage therapy, naturopaths, and extra care (like a private room, or non-critical use of an ambulance) are NOT covered. Our system blends profits for insurers with taking care of the basic health needs of all of our citizens who seek it out.  I don't think our system is perfect because, in my opinion, it is too easy to fall through the cracks, but nobody here has to make the decision between losing a home or losing a loved one. We don't have an epidemic of bankruptcies associated with medical bills. People who seek care not offered by the system do face these issues here, but those situations are often by choice and are rare.

I hear often in your debate about a loss of liberty, or too much government control as concerns about even an opt-in tiered universal system and I find it puzzling. How is ensuring that all of your citizens have equal access to affordable, quality health care indicative of a loss of liberty and freedom? I wish someone could explain it to me because frankly, it sounds like a lot of paranoia and propaganda to those of us sitting outside the debate.

For the most part Canada and the US share very similar natural environments, we are exposed to similar teratogens and viral threats. Yet the average life expectancy in Canada is 3 years longer. We are number 14 in the world for highest life expectancy, the US doen't even crack the top 20 (38 according to CIA statistics from 2008). Now 3 years may not seem like tons, but our health care system is cited by impartial American experts as one of the reasons our life expectancy is higher. Less violent crime is another.

So, in all honesty I ask why people oppose helping their fellow citizens who are less fortunate. In every public debate when somebody is opposed it usually starts with something like this "I pay for health care just fine..." or "why should I have to subsidize them??" To that I say, your goverment under a Republican president, got the ball rolling on subsidizing wealthy corporations who had failed to do their jobs properly and ethically, why is subsidizing health care such an outrage? To those of you who have health care, count your blessings, and think of those who this program will help, because one day for circumstances outside your control, you may find yourself among them.

2
Karen Hatter

Canadian or not, Tina, your perspective is welcome in this discussion as are all perspectives from everyone whose nation has a system different than the one we currently have here.

All suggestions are welcome!  :)

2
Tina Kells

Thanks Karen,

I have to say I sincerely don't understand the objections to Obama's health care initiatives. I think that Obama is the first genuine US president in my 38 year memory and I believe he is genuinely trying to make the US and the world a better place for all, rich and poor. I personally consider myself a citizen of humanity first, and a citizen of Canada second. Any legislation that helps a fellow human living in my home country is something I will always support. I think that this time that infamous US protectionism is hurting your own citizens, which makes me sad on a human level.

4
a211423

Well said Tina. Thank you for the comments. 

I, for one American, believe access to quality health care for all symbolizes a country with egalitarian values.  Heath care through ecomonic exclusion eventually erodes collective public health, and a society is eventually depleted of healthy individuals, and the rise of chronic illnesses like diabetes increases.  And who are these people?  Not the rich or upper middle class because they can take care of themselves.  It's the poor, and now with the economic down turn, the middle class.  

I have heard some say, "health care is not right."  Why not?  Why shouldn't health care as a right be any different than education as a right.    

3
albertacowpoke

I.m with Tina on this issue.  While her and I are served by two different health care plans because she is in British Columbia and I am in Alberta, both plans cover the basic health needs.  I have said my piece in some of my stories on the Misinformation of Canadian Health Care and in some of my comments.  The far right in America has hijacked our system and found the worst case scenarios to use as examples in their anti-health care campaign.

You might be interested to know that the Alberta Government, which is Conservative (not Hannity Conservative by the way:), even put caps on automobile insurance rates  They have also limited how much can be awarded in a injury claim.  

I think America needs a civil discussion on this issue, where a good debate prevails, not this constant pulling of the right against the left and never the twains shall meet.  It serves no one.

2
Rory Cripps

Tina: My paternal grandfather was born in Canada . . . no axe to grind here in the following:

Americans possess  an extreme distrust of their politicians. I would love to live in a country where citizens actually trusted their politicians to do the right thing . . .assuming, of course that their politicians actually did the right thing and that those citizens had a legitimate basis for trusting their politicians.

Perhaps I'm all wet here, but my opinion of most (not all mind you) American politicians is that, down to a man (and woman), they are sociopaths, megalomaniacs, and narcissists.  And I mean that sincerely, and I mean that  in the clinical sense. The same goes  for the CEOs of "too big to fail" corporations as well as virtually every other "Fortune 500" corporation CEOs out there. The American people fell asleep at the switch, a long time ago, and the result is that mentally and emotionally disturbed individuals have seized control of America and all its institutions.

I'm just an average American/Joe-Six-Pack kind of guy that has somewhat of an education and has been keeping up on current events since JFK was assassinated (I was only nine at the time). I've witnessed,  first hand, a lot of bad  stuff in America, and on the other hand, I've witnessed a lot of good stuff. And in spite of all the "bad" stuff that I've witnessed, I love my country and I probably will, forever and always, remain faithful to it. 

With that said, I firmly believe that had it not been for the genius of America's founding fathers, and the U.S. constitution that they produced, America would have gone down the crapper years ago. I thank God for the first amendment to the American Constitution and I thank God for the second amendment to the constitution. Those two amendments have, in my opinion, prevented a lot of blood-shed and have kept wannabe dictators and infiltrators in check. In other words, the first amendment  to the U.S. constitution has allowed the American people to speak their mind. And the second amendment to the U.S. constitution has, essentially, told those that would like to put the brakes on American "free speech" to "get off my lawn". 

Only an extreme ideologue, or a ner-do-well that has nothing to lose, puts their faith in  what emanates from the lips of U.S. politicians.

2
albertacowpoke

I think you can put  Canadian politicians in the same league.  Even those, that go to parliament with a lot of good-will, eventually get shaped into what the party wants.  If they don.t play ball they are on their own and without the force of the party behind a parliamentarian, he is dead in the water. 

Rory we had a Prime Minister that received, according to him, $225,000 cash in envelopes containing $75,000 each. and the money went into a safe in New York.  A few years later he declared some of it as income.  You tell me what that sound like. 

0
Tina Kells

:) I don't trust ALL Canadian politicians!

2
The_Cynic

I have gathered recently that it is unpopular when a Canadian weighs in on anything American but I have to speak up in favour of universal health care and I find the American resistance to it baffling.

Me too - but anyone who opposes the British and Canadians speaking up on American healthcare, or just about anything else lost that argument the moment they brought Canadian and British healthcare systems into the mix.

2
Roy C

Your system covers 30 million people and is run on a province-by-province set-up. Canadians are busy rebuking us for not wanting a behemoth that is not decentralized as your system is. That does not make sense.

Would you want to be part of a 350 million person system?

I could accept a state by state system and I have said so.

What angers me is to hear others tell me that I am, in effect, bad because I don't want Washington, D.C, in charge of a 300 million people system that will guarantee care to illegals, for example.

We only need to cover the working poor to complete coverage. We already have good coverage of the elderly, the poor and those with good jobs.

Why am I supposed to let the people in charge of the Post Office run my medical care when I don't need them just to include the working poor? I have been one and we can go to our country hospitals, as illegals do regularly and get treatment.

California is the 8th largest economic power in the world. Let it cover its own state and we, in Washington State, have a plan ready to go.

Obama doesn't want a "Canadian" system. He said that "it wouldn't work". What a crock!

He just wants control.

8
Miz Sheria

Roy, last time that I checked, "illegals" are people too. So yeah, I do have problems with denying needed health care to anyone because they don't have legal status. In additon, a lot of legal residents of the US don't have access to health care. Private insurance is expensive and a lot of working people are employed by small companies that don't provide health insurance and the employees can't afford private policies. If you have pre-existing conditions, private insurers charge extraordinarily high monthly premiums, if they offer you insurance at all. Some fairly common conditions such as diabetes place you in the category of "uninsurable." What I'm tired of is hearing the oft repeated assertion that this is a Christian nation founded on Christian principles, and yet, no one wants to be his brother or sister's keeper. I don't recall the verse in the Bible that says "love thy neighbor unless he or she is an illegal alien."

2
Roy C

Illegals should not be here and I am not going to deny them emergency room coverage, but I will not pay for extensive medical care for people who are here illegally.

I don't owe them that. I will back aiding people in their own countries, but I don't want illegals taking cabs to emergency room in San Diego.

I will love them in their own country very, very well and I resent the guilt-monging. Get out of my country. We decide who comes and that is that. If you come illegally, you are an invader. So, tough titty.

2
Tina Kells

Just to clarify, the management is on a province by province basis, but the legislation that controls it and the taxes that fund it are collected and controlled on a federal level. The Canada Health Act guarantees basic care for all RESIDENTS of Canada, and I know a few Americans who enjoy our system and still feel plenty free.

The Canada Health Act is a federal piece of legislation that is managed by our federal government. Provinces are given transfers to run their health care system from the feds so long as they meet the requirements of the Act. If you do not meet the requirements, penalties are levied in the form of a reduction in that transfer payment. For example, one requirement is that it be 100% free, but in my home province, BC, we are charged a premium for basic health care. It is small mind you, and scaled so that the working poor, disabled, elderly and unemployed do not pay anything, but because the provincial government charges for basic care our province receives a penalty by way of a reduced transfer. 

But my question wasn't about that, my question was how does universal health care translate into a loss of liberty and freedom in general?


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