Fakename on Health Care in America

I finally, in my mind, managed to crystallize the three main objections to the PPAHCA today. That’s the Patient Protection and Affordable Health Care Act, aka, Obamacare.
Objection #1: It’s Obamacare. I hate Obama. Nothing he is for can be good. Mainly because he is (check all that apply) a socialist, Communist, Nazi, Muslim, sleeper terrorist, black.
Objection #2: I still can’t afford it. This is the part that sadly may be true. Because the Republicans gutted the law before it was passed, keeping it unaffordable. Not to mention the Tea Party, the Libertarians, and the Anarchists, who don’t believe that health care is a right. Everyone should lift themselves up by their bootstraps and be able to purchase healthcare as a privilege. The only time you have a right to life is if you’re a fetus.
Objection #3: I should not be forced to buy a product I don’t want, even if I CAN afford to. Because I’m an American! I’m free as a bird! This is the objection I find most ridiculous. I think you most certainly should be forced. Because unless you do, as a person who has insurance–I’m paying for your healthcare. I want to stop. Or at least I’d like it to be cheaper for me to help pay for your health care. I’m not convinced that PPAHCA will make it cheaper for me, but this is at least an attempt.
Unless you’re living in a cave, you know that the U.S. government is partially shut down. I picture people in other developed countries, who resolved the issue of health care long ago, asking what the hell is wrong with us? Good question.
The only good thing is that by partially shutting down the government, Republicans are committing suicide. I just don’t understand how they don’t get that. I say, keep it up. It’s a snake eating its own tail.

The State of Medicine in the U.S.

Which is pretty sorry.  Let me tell you a story.  Last Thursday afternoon, I went to the pharmacy for a refill on one of the two medications I take for hypertension, and found out the prescription had expired.  I asked for a small supply to get through the next few days until I could get the prescription refilled, and they said they couldn’t do that, because it’s a “controlled substance”.  What?

It used to be you could call your doctor and ask for a refill, but now they (at least the clinic where I go) requires the pharmacy to do that.  Which the pharmacy does by sending a fax.

On Friday, I went to the pharmacy, but the prescription had not been filled yet.  They hadn’t heard from the doctor.  My clinic is closed on weekends, but I hoped they had called it in late Friday.  So I called the pharmacy.  No luck.

I waited until Monday, which was Christmas Eve, and called the clinic.  They were closed.  I got a recording which said, “If this is an emergency, please hang up and call 911 or go to the Emergency Room”.  Well no.  I’m not going to the Emergency Room (an $800 minimum charge) for a $10 generic prescription. So I called one of their sister clinics–there are seven in the area–and they said, “We can’t help you. We don’t have access to your records. But if is this is an emergency…”

One of the initiatives of the President’s health care plan is moving toward electronic records, so that any caregiver has access to your history.  I confess I was somewhat leery of that, but now I get it.

The thing is, while I wouldn’t go to the ER, it was becoming something of an emergency.  Saturday, after missing a day and a half of the medication, I had a massive headache, which I knew meant my blood pressure was up.  I chose to try to be very quiet and still and wait.  And hope I didn’t have a stroke in the meantime.  The headache never went away, and plus, I felt sick.  The kind of “sick” that you are when your blood pressure is high is not easily described.

It was no use calling either the clinic or the pharmacy on Tuesday.  It was Christmas Day, and both were closed.  On Wednesday, I called the pharmacy.  Still no prescription.  I called the clinic.  They said, “Yes, we do have the fax from the pharmacy, but the thing is, it’s still on the doctor’s desk. She’s been the only doctor here today and has had to see all the patients”.

On Thursday I called the pharmacy back.  Still no prescription.  On Friday I called again.  They had it, and it was ready.  By this time, I’m very, very sick, and was having trouble contemplating the idea of moving from the couch.

So here are a few things that are wrong:  no electronic record.  Not enough doctors.  The fact that doctors in the U.S. expect to be rich.  Which is understandable, since the cost of medical school is astronomical.  Assuming you ever make it out of that debt in your lifetime, then you’re faced with malpractice insurance, which is equally astronomical. The cost of going to the Emergency Room–which is the primary source of medical care for those without health insurance. So if you do have it, then you are paying for all those who don’t.  (Thus the $800 minimum.) So wouldn’t it be better if everyone had it?

Having said all that, I’d say that in order to have a good medical professional, you also have to be a good patient.  For instance, don’t fail to notice that a critical prescription is expiring just before the Christmas holidays.

To Hell in a Handbasket

Judging from the hysteria of my conservative friends, we are already there.  Only they noticed the gradual drop of the handbasket.  The rest of us were blissfully ignorant.

I am of course referring to the confirmation by the Supreme Court of the Allordable Health Care Act.  Of course, what is lost in the hysteria is what the Supreme Court actually ruled.  They didn’t say it was a good idea (although I think it is, in a flawed sort of way).  They said Congress had the power to pass the law under their powers of taxation.

Which is very, very interesting.  I always understood it to be a tax.  But I was surprised to learn that Congress went out of its way to avoid the word “tax”.  The Supreme Court said the govenment’s argument that Congress had the power to enact the law under the Commerce Act did not hold water.  I completely understand that.  The Commerce Act enables the federal government to regulate interstate commerce, not to force people to buy a product.

In what seems like a hair-splitting move, the Supreme Court said Congress can’t force you to buy a product, but they can tax you if you don’t.  What’s the difference?  Congress called this tax a penalty–but it’s paid to the IRS and is based on income.  Chief Justice John Roberts said, if it walks like a tax and quacks like a tax, it’s a tax.

What stuns me is the lack of understanding about what the law is supposed to do.  Perhaps particularly that those who need it and could benefit from it the most are the people who hate it most.  Immediately after the Supreme Court decision, one of my Facebook friends posted “Bend over America.”  One of my employees said, “They will just have to take me to jail, because I can’t afford insurance”.  You have to hand it to the Republicans.  They’ve done an excellent job of mixing up the ideas of personal freedom and patriotism with the idea of personal benefit.

Remember when it used to be a “government takeover of healthcare”? Last week on TV, John Boehner said it’s a “government takeover of the insurance industry”. (Like that would be a bad thing?)  Of course, he’s still wrong.  It’s regulation of the insurance industry.  It amazes me that Republicans have been able to convince people with no insurance to rally around the insurance industry, in the name of personal freedom and patriotism.  Neat trick.  Government and regulation are four-letter words.  First they will go after the insurance companies.  Next step:  they will be at your door trying to take away your guns.  Please.

It’s hard to even have a semi-logical conversation about this.  I didn’t even try until yesterday, and it fairly quickly devolved into “You don’t know what you’re talking about.” (From him to me.)

To some extent, both sides start with a philosophy.  His is: whatever you get takes away from what I get.  I talked myself blue in the face about how he is already paying for other people’s health care, and this is at least an attempt to even it out.

Back to the employee who said they would have to take her to jail. So, my take on that is that as far as she’s concerned, things are just fine the way they are.  She does get health care.  It’s just that I’m paying for it.

I’m not entirely a bleeding heart liberal on this.  Because it slays me that rather than pay a miniscule amount to contribute to her own health care, she is willing for me to keep paying for it.  How fair is that?

And I am rapidly approaching the inability to pay for both of us.

I don’t know if the AHCA is the answer.  But something has to change.