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This Shouldn't Happen in America

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 and what referral forms need to exchange hands between providers.
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. Please make note, I am enrolled in what is considered a really good insurance plan.
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.
A shunt had been placed in 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 the 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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Karen Hatter
Philadelphia, Pennsylvania, United States
Recommendations (78)
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Barry ORegan
Burnaby, British Columbia, Canada -
The_Cynic
Freddy Beach, Where the deer r, Canada -
Uwe Paschen
Narita, Chiba, Japan -
Karl Gotthardt - albertacowpoke
Redwater, Alberta, Canada -
Miz Sheria
Raleigh, North Carolina, United States
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Paul Conneally
Loughborough, Leicestershire, United Kingdom -
peter.reardon
Victoria,, British Columbia, Canada -
Delilah
Myrtle Beach, South Carolina, United States -
francislholland
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Most RecentMost Recommended Comments (32)
at 07:58 on August 15th, 2009
Doing nothing is not an option.
Lying to stop reform is an affront to God, decency and common courtesy.
WWJD?
at 08:33 on August 15th, 2009
Great post Karen!
at 15:29 on August 15th, 2009
Thank you, Rory.
at 08:42 on August 15th, 2009
Source: reuters.com
at 08:49 on August 15th, 2009
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.
at 08:47 on August 15th, 2009
National health service would stop all this stupidity and Americans are being fob off that it does not work, bloody down right stupidity.
at 09:06 on August 15th, 2009
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.
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A. Tranat 09:23 on August 15th, 2009
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.
at 15:31 on August 15th, 2009
Thank you, Pythiian1.
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Natalia_me (not verified)at 09:41 on August 15th, 2009
So, where should this happen?
at 09:59 on August 15th, 2009
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.
at 09:55 on August 15th, 2009
I agree Karen, "This Shouldn't Happen in America." Thanks for sharing!
at 15:32 on August 15th, 2009
Thanks, Rhonda.
at 10:37 on August 15th, 2009
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.
at 13:08 on August 15th, 2009
For profit health care insurance companies worship the dollar, and their theme song should be "if loving you [profits] is wrong, I don't want to be right." When my health insurance went up through PERS, California retirement fund, I had to drop it. Two years ago being the optomistic person I am, I thought I will just go somewhere else. I was denied due to pre-existing conditions. The elimination of this disqualifier is a huge step for insurance companies, but they are still guarding their bottom line with scare tactics about the inclusion of a public option, which I believe has to happen in order for real competition to effectively impact the industry as a whole. The public option is a regulatory mechanism that influences how private insurers market themselves and fix prices. Without it, we are still beggers at the doors of the insurance companies.
at 13:42 on August 15th, 2009
I dropped PERS because of cost. It went up $100, and it was just too much. Gosh Roy, my solution was based on income and expenses. Many like me have to make the choice between house payments and health coverage. I chose my house.
After dropping PERS, I was denied by Blue Cross because I have left hip osteoarthritis, and I had carpal tunnel surgury. You cant get to be my age and not have something wrong with you! LOL However, I do not take any prescription medication and the carpal tunnel is corrected, so I guess they dont like chronic conditions like arthritis.
at 13:46 on August 15th, 2009
So well done, you put faces on the issues. These are real people facing real problems. The problems with the health care system are not theoretical.
at 14:35 on August 15th, 2009
Thank you, Miz Sheria.
at 13:54 on August 15th, 2009
OK,let's get down to some brass tacks.
Where are the conservative calls to do away with windstorm insurance?
How about flood insurance?
Come on, this is just petty, jealous, I got mine - screw you selfisness...thank you very much Ronald Reagan (jughead).
What upsets me is not the selfishness. What upsets me is the lying and the stalling to stop any changes.
Tort reform?....Hog bellies! How is tort reform going to help the uninsured? All the opposition wants to do is just keep giving to big business in the belief that something besides body fluids will trickle down on them. It hasn't happened. You give. They take. They demand more. You kowtow to them.
So, give them Tort Reform - take away whatever protection remains for negligence (as we know the AMA polices itself so well). Will the insurance companies start covering existing conditions in anything besides a CAT pool? No. Will they pass the savings onto you? No. Will the executives get nice stock options and bonuses? Yes.
Good God! These selfish twits who worship at the alter of the false god Reagan are an affliction to this nation.
at 16:05 on August 15th, 2009
Great points, Dunkelberg.
at 15:26 on August 15th, 2009
So, then, if you can't take the heat, don't waste your time addressing me on issues of etiquette. You have a credibility problem there akin to the one about nuts and bolts.
I believe we have a problem here. I certainly have a problem with those words and that tone.
at 17:50 on August 15th, 2009
Good Posting Karen.
at 18:38 on August 15th, 2009
omg, bring it on home, i needed that post
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Karl Gotthardt - albertacowpokeat 02:17 on August 16th, 2009
An article in the National Post this morning which may be of interest to some on the US Health Care Debate as seen by one Canadian Journalist. The article contains comments.
The Debate in the US is more than just about Health Care
at 05:48 on August 16th, 2009
Thank you, Cowpoke, for the National Post link.
The article raises several important points, highlighting two important societal issues/concerns, class distinction and racial differences.
For those among us, here in the States, that have insurance, with many here being very 'me' oriented, the battle might be to show those among us that have and like the insurance we have that maybe premiums for our/their plans might not continue to creep up as the industry declares its 'going broke' absorbing costs being passed on by those among us without coverage and unable to pay, which, as the article states, causing bankruptcies, causing a variety of cascading consequences within the economy.
From the National Post article :
The human toll of the current system seems undeniable: 60% of personal bankruptcies are related to medical costs, the uninsured fare worse on a range of health yardsticks and some experts estimate that 20,000 Americans a year die from lack of insurance.
As to race, this is a subject that makes America squeamish and defensive and is always met with cries of denial of America having any unresolved race issues. In this case, however, there is more than enough evidence to support the reality that there are many here in America that have been living in sheer panic mode since they learned of the news on the 'browning' of America by the year 2042, 8 years sooner than originally projected, spurring much of the vehement objection to social concerns related to immigration and undocumented persons.
This coming demographic shift within the American population has been long bemoaned by Right Wing Conservatives like Pat Buchanan, cable personalities, as mentioned in the Post article, like Glenn Beck, and White supremacist/nationalist, alleged former Ku Klux Klan Grand Dragon/White supremacist David Duke and all other White supremacists/nationalists for more than a decade, with their rants filling the internet and the radio airwaves for just as long.
Also from the National Post article:
Prof. Morone speculates that white fears about an increasingly diverse America may also be driving the opposition to reform. Some believe the proposed health overhaul would redistribute wealth from white to disproportionately poor blacks.
Indeed, Glenn Beck, the controversial Fox News commentator, alleged recently that health-care reform and other policies are "transforming America, and they're all driven by President Obama's thinking on one idea: reparations."
It is self destructive behavior for elements within the Right Wing Conservative movement to continue to stoke the racial bigotry of some Americans in the United States while sitting back and pretending they are covering legitimate news.
It doesn't matter that Glenn Beck might not be considered a newsperson. He has a devoted following that hangs on to his every word.
Pat Buchanan, who has lamented the loss of American values, as he puts it, being brought about by school children in the United States being taught about the ugliness associated with the formation of this nation, such as history that relates to the treatment of the indigenous Native population and the enslaving of millions of Africans which was upheld in the U.S. Constitution, which, to Mr. Buchanan, are pesky details and events that need not be taught. As a former politician, he is recognized in conservative circles as a valued political analyst and he is not considered a Right Wing extremist.
As a political candidate, David Duke just missed becoming governor of Louisiana by a hair.
Ignoring the ugly racial past of America makes it impossible to understand what motivates some in America today and to pretend otherwise puts us all in danger.
at 07:33 on August 16th, 2009
Thanks APC for turning us on to the article. It's a good one! Much contained in the article goes along with assertions that I've made in my own posts on NP. The article points out that Americans are skeptical of their government's motives and that ten American presidents have attempted health care reform and have failed in their attempts. It also reveals (and I bet many didn't know this) that the U.S. already spends a fortune on health care for its citizens and has been doing so throughout the decades. The article also points out that there's an element of "what's in it for me" in the minds of those Americans that are privately insured. For those Americans, it's "the devil you know is better than the devil you don't know."
Americans are highly skeptical that the proposed legislation, if passed, will not affect the quality and quantity of health care that they now receive and they're not convinced that somehow, down the road, they're not going to wind up under the government plan. They're also not convinced that they won't be hit with large tax increases because of fears that the plan will turn out to be non-sustainable. Whether or not their skepticism is warranted is another story, however no one can blame U.S.citizens for not accepting what their lawmakers tell them as gospel especially when it concerns their pocket books and quality of life.
Source: nationalpost.com
at 05:51 on August 16th, 2009
I was watching the news this morning, and caught a glimpse of Obama's comedic side, when he stated opponents of his health care initiative (Most likely big Pharma and HMOs) is the devil of death (or something to that effect).
To which Obama replied ..... "Detractors think I am going to pull the plug on Grandma"?
at 07:55 on August 16th, 2009
This is an excellent article and so much that is important has been said above in response to it. I share Tina's bafflement that Americans drive national interstate highways but distrust national health care. So, if you have a car accident on a national highway, you want to be treated by one doctor who keeps his paper and pen patient records in cardboard box? Instead of going to the moon, we should have instituted national health care, which turns out to be a lot harder.
Roy says,
What I find baffling about this attitude is that I have received excellent and free Government health care in France and Brazil, and yet there are Americans who would deny the care to others that these Americans would receive if they went overseas.
Self-interest alone dictates that everyone present in America must have access to health care, lest they make your food at McDonald's while coughing tuberculosis bacteria into your french fries and hamburger. Would you like to have someone working next to you in your office with highly contagious swine flu that has not been diagnosed, because you have insurance and they don't? Would you like your child to contract AIDS, herpes, or another sexually transmitted disease because they have sex with someone who is not eligible for an AIDS test, not eligible for herpes treatment and counseling, and can't afford to buy the medicine to kill the bacteria in their sexual organs? Your child is not safe unless everyone of his/her sexual partners has access to modern medical diagnosis and treatment.
Let's agree on this: Anyone who has ever provided a service or product to you in the United States - directly or indirectly - should receive health care when they need it. If everyone without a legal immigration status left the United States tomorrow, our health care would be in even greater a mess because the people who clean our hospitals and doctors offices are often from Guatemala or Mexico, without any legal immigration status here.
A study was once done to determine whether people would like to receive ten dollars as a gift. Everyone wanted the ten dollars. But when told that they would only receive the money if someone of another skin color also received the money, then people became much more ambivalent. People didn't want the ten dollars if someone Black was going to receive ten dollars as well.
As for health care, some of us would rather die for lack of care than see "illegals" get care. And that is precisely what happens. Every time someone spends two hours in an emergency room proving their right to receive medical care, someone else -even someone with insurance - waits in a longer line to get emergency treatment. Unless EVERYONE is covered then EVERYONE will wait in long lines while the human resources of our doctors and nurses are spent dickering with insurance companies.
Here's an analogy: How many houses would burn down if firemen had to check homeowners fireman insurance before firemen put out fires? How many houses of insured people would burn down while firemen were checking on the insurance status of the uninsured.
Somehow, we are all able to understand that unless everyone has access to public firefighting efforts than no one is safe from fire. Perhaps we understand that because fires once spread from house to house, burning entire communities down.
Well, today the child in your child's school who lacks health insurance is going to give your child Swine Flu. Swine flu spreads from person to person regardless of insurance or non-insurance status, just as fires once spread from house to house, before free, public firefighting became the norm.
If you neighbor can't depend upon the fire department then your house and his might burn down together. You can't protect your house except by putting out the fire that is inflaming your neighbors house.
at 09:29 on August 16th, 2009
Your analogy for insuring everyone in the U.S. is well stated.
In 1994 Proposition 187 in California was passed withholding from illegal immigrants social services, public education, and public health care. Emergency services were exempt only because they are mandated by federal law. In November of the same year it was legally challenged and a restraining order was issued. In 1997 it was found to be unconstituional and eventually was dropped in the appeals process which killed the law. The precedence for care to illegals already exists.
In 1965 when Medicare was instituted it resulted in desegregating hospitals because they could not receive federal funds if practicing segregation.
The point here is that when the public sector is left to its own devices without regulation or constitutional challenges, prejudices and special interest groups have the economic sway to control and mislead the general public.
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xbicceyxat 14:40 on August 16th, 2009
I don't know really what to add to this, but I'd like somehow for dental to be included in the mix.