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Posts Tagged ‘INSURANCE’

KNOW YOUR AUDIENCE: PART TWO (END)

In Bureaucracy, History, Law, Politics, Social commentary on April 14, 2015 at 12:18 am

Be careful what you ask for–especially if you’re a politician.

On March 29, Republican Congresswoman Cathy McMorris Rogers, of Washington State, told her Facebook readers:

“This week marks the 5th anniversary of #‎Obamacare being signed into law. Whether it’s turned your tax filing into a nightmare, you’re facing skyrocketing premiums, or your employer has reduced your work hours, I want to hear about it.”

The response was overwhelming–but not in the way she clearly hoped it would be.

The vast majority of her respondents voiced enthusiastic support for the Affordable Care Act (ACA).

Even worse for the Congresswoman, many of them furiously attacked the Republican party for its non-stop efforts to repeal healthcare coverage.

Erika Dennis My whole family now has coverage. The ACA is the cause for this, I work in health care, I have seen the increase in covered patients first hand.

The next step is universal coverage, this will truly lower costs and provide the best care.

Cathy, you barely work, spend most of your time catering to special interests so you can be re-elected. All while receiving a large wage and the best health insurance and care.

Stop telling us how it doesn’t work while enjoying your tax payer funded care and life.

President Barack Obama signing the Affordable Care Act into law

Robert Fairfax I work for cancer care northwest. We actually have more patients with insurance and fewer having to choose treatment over bankruptcy.

Cathy, I’m a die hard conservative and I’m asking you to stop just slamming Obamacare. Fix it, change it or come up with a better idea! Thanks.

Jeff Sellen This is nothing more than a talking point framed pathetically as a question. It has become the Republican way, unfortunately: Pay no attention to the evidence.

Let’s introduce a little integrity into the discussion, ok? What are the strengths and weaknesses of Obamacare?

Deanna Bax Why don’t you ask for people to tell their stories instead of just asking for the negatives? If you honestly want to help Americans you need All the stories and weigh what’s best based on the facts not based on what you want to hear.

David Smith I am outraged that a member of the US House of Representatives would have such an unscientific and slanted poll. Her website had better not be publicly funded.

Gary Downing Instead of doing all you can to tear down our Nation why don’t you start working to make it better.. Seems like Republicans have just become the real terrorists of this Nation.

Jane Marshall Whittington You can only beat a dead horse so long., Why not focus as much energy on creating jobs and cutting taxes for the working poor as you republicans have spent on the ACA and Benghazi!

Kyle Tertzag …So tell me Congresswoman, why is it that you think I don’t deserve to be healthy and have affordable health insurance? Why do you want to take that away form me and over 15 million other Americans?

Finally it looks like Governor Palin was right, there is a Death Panel and it is made up of you and people like you in the GOP that want to take health care away from millions of Americans! Shame on you! Why don’t you just go join ISIS as you seem more than happy to help harm and/or kill Americans.

* * * * *

A major reason Republicans opposed “Obamacare” from the get-go was this: They feared that, if passed, it would be forever identified with the Democratic Party–just as Social Security always has.

And like Social Security–enacted under Democratic President Franklin D. Roosevelt–it would forever be a powerful vote-getter for Democrats.

For Republicans, attaining–and retaining–total power over the lives of their fellow Americans is their foremost goal.

And if millions of their fellow Americans can’t afford healthcare coverage, that’s of small importance compared to depriving Democrats of a potent issue for turning out voters.

Both houses of Congress passed the ACA.  And that the Supreme Court–headed by a Republican Chief Justice–found it entirely Constitutional.

Yet that has not stopped Right-wingers from spreading infamous lies about it–such as the “death panel” charge former Alaska Governor Sarah Palin made on her Facebook page.

Nor has it stopped Republicans from repeatedly voting to repeal the ACA–at last count, no fewer than 56 times.

If the responses Congresswoman Rogers received are any indication, millions of Americans are thrilled to finally have healthcare insurance.

They can’t understand why so many members of Congress–who automatically get gold-plated medical care by virtue of their election–want to deny it to millions of their less-well-off fellow citizens.

And a recent Gallup-Healthways survey found that, because of the ACA, nearly nine out of 10 adults now say they have health insurance.

On at least one point, Republican fears appear to have been vindicated: Once people begin to receive a vital service that was long denied them, they want to preserve it.

It’s a truism that Republicans still hope to reverse.

KNOW YOUR AUDIENCE: PART ONE (OF TWO)

In Bureaucracy, History, Law, Politics, Social commentary on April 13, 2015 at 3:02 am

There’s a well-known saying among attorneys: When you’re cross-examining a witness, don’t ask a question you don’t know the answer to.

It’s a truism that was apparently lost on Republican Congresswoman Cathy McMorris Rogers.

Congresswoman Cathy McMorris Rogers

On March 23, the Washington State) representative posted the following on her Facebook page:

“This week marks the 5th anniversary of #‎Obamacare being signed into law. Whether it’s turned your tax filing into a nightmare, you’re facing skyrocketing premiums, or your employer has reduced your work hours, I want to hear about it.

“Please share your story with me so that I can better understand the challenges you’re facing:” http://mcmorris.house.gov/your-story/

The Congresswoman’s readers quickly obliged.  But the overwhelming reaction to her request must have caught her by surprise.

It was overwhelmingly negative.

Among the literally hundreds of responses:

Mitchell Wiggs The Republican solution to the Affordable Care Act? Let people drown in debt, clutter our emergency rooms, and die from lack of coverage due to pre-existing conditions. No thanks, “Congresswoman”.

Some of us care more about our fellow Americans than trying to bash the President. Keep trying to scare your followers with phony horror stories, though

Melissa Kelly 5 years of not waking up in the middle of the might panicked that my child won’t ever be able to get health insurance thanks to a brain tumor at the age of 2. Thank God for Obamacare.

Anyone who ever fought an insurance company for pediatric neurosurgery coverage knows there was NEVER a hassle-free system in place and Obamacare is light years better than what we had.

Dylan McGuire My premiums have not increased, my hours have not been reduced and I know a couple of people who were able to get medical care through insurance rather than going to an emergency room. Taxes are no more difficult than they have ever been.

William Francis Condon My story is that I once knew 7 people who couldn’t get health insurance. Now they all have it, thanks to the ACA and President Obama, and their plans are as good as the one my employer provides–and they pay less for them.

Now, that’s not the kind of story you want to hear. You want to hear made-up horror stories. I don’t know anyone with one of those stories.

Jim Reid Hello Congresswoman McMorris Rodgers!

I work as the facilitator of a task force that is overseeing the implementation of the Affordable Care Act in Washington State. I have learned that the ACA is helping people who did not previously have health insurance get it.

It is helping bring down medical costs. It is improving the quality of care. It is improving experiences of both patients and their families.

I work with doctors, nurses, hospital and clinic managers, non-profit service providers, citizens-at-large. Each of them can site an improvement they would like to make to the Act.

But whether they are Republican or Democrat, from urban or rural areas, powerful or not, they all say the ACA is working.

Can’t you and your Republican colleagues stop trying to repeal this Act and work to make it even more effective? Please?

Janet Clark My story is this: my husband and I worked to pass Obamacare because we believed all Americans should have access to quality healthcare, like we did through his workplace. We never thought it would affect us.

Then one day I came home and found my strong. apparently healthy husband dead in the backyard. He had experienced cardiac arrest. Within one week I was off his plan.

I purchased COBRA for a year and then looked for a less expensive plan. I applied for Blue Cross and was turned down due to pre-existing conditions: arthritis and bunions.

I was so happy when Obamacare went through and I had access to healthcare. Never thought it would be me who needed it, but it was. Thanks, President Obama!

Bob Wilmot Our son, diagnosed with Type 1 diabetes at age 6, will now have healthcare coverage as an adult, thanks to the ACA. No more denials for a pre-existing condition.

No more $3000 monthly premium, as we faced some 10 years ago when I was without employer coverage for a time. Congresswoman, are you seriously prepared to tell 12million+ Americans they will now lose their coverage under the ACA?

Janice Grounds With the ACA my partner is able to FINALLY get health insurance. She has severe arthitis….you know the kind that the wealthy golfer talks about helping with the magic of humera…only this medication is $$$$. She has lived with, worked with severe pain for years.

Once she got the insurance, an MRI showed a huge tear in her hip….yep, this tear would catch and be so intensely painful she fell several times-twice breaking her wrist (which cost several thousand out of pocket).

She was pulled over by our dog two weeks ago fracturing several ribs, ambulance, er, w nights in trauma ward…..imagining what this would have done without insurance???????

You sit on your high horse talking platitudes and right wing talking points. You and all the other flaming GOP “faith and family” hypocrites make me sick.

If you truly believe this crap, you’re even worse. Thank you President Obama and Democrats for the Affordable Care Act .

HIPPOCRATIC OATH–OR JUST HYPOCRITES?

In Bureaucracy, Business, Medical, Social commentary on August 12, 2014 at 9:02 pm

A friend of mine–I’ll call him Sam–recently broke his big toe. But Sam has a bigger problem than his big toe.  He’s on Medi-Cal, the California medical plan for the poor.

And if you think the nation’s veterans have it bad, try getting medical care when doctors refuse to honor your insurance.

After breaking his toe while tripping over a bag, Sam went to his regular doctor, a general internist at California Pacific Medical Center (CPMC) in San Francisco.

The doctor examined Sam’s toe and said he was worried.  It was a big fracture, and if the bones didn’t knit together properly, Sam could be in for big trouble.

So he advised Sam to see an orthopedic surgeon. Luckily for Sam, said his doctor, there was one close by in the same office.  The doctor would ask him to check out Sam’s injury then and there.

Unluckily for Sam, he was on Medi-Cal--and the orthopedic surgeon refused to honor his insurance and see him.

Sam’s doctor sent him home, saying, “I’ll try to find someone as soon as I can.”

At home, Sam called Anthem Blue Cross, the private insurance company now providing coverage to the poor under the state Medi-Cal program.

The Anthem representative soon emailed Sam a list of Anthem Blue Cross orthopedic surgeons who would supposedly accept his insurance. He then printed out the list on his computer.

Sam then made another phone call–to the office of Dr. Vernon L. Giang,  Chief Medical Executive for CPMC. There he spoke with an assistant to Dr. Giang.

He explained his difficulties in getting medical care at CPMC. He added that he had obtained a 14-page list of Anthem-Blue Cross-approved orthopedic surgeons who should be willing to accept his insurance.

The assistant said she would gladly check out the list for any doctors affiliated with CPMC. But there was a problem. Sam needed to fax her the information–and Sam didn’t have a fax machine. Nevertheless,

Sam hobbled several blocks to a nearby Kinko’s/FedEx office, which had fax machines.

The next morning, Sam called Dr. Giang’s office.  He reached the same assistant, who told him that the faxed material had come in. The bad news: There wasn’t a single doctor on that list whom she had called who would accept Sam’s insurance.

In addition, some of the doctors were “out of our plan.”   Which meant that even if they had been willing to accept Sam’s insurance, he couldn’t have seen them.

The assistant was polite and sympathetic, but candid: CPMC’s doctors aren’t required to treat any patient whose insurance they dislike. In fact, CPMC cannot demand that they do so, since the doctors who are practice under its name are considered “independent practitioners.”

So Sam aimed higher.  He phoned the office of Dr. Warren S. Browner, the CEO of California Pacific Medical Center.

But he didn’t reach Browner–or even a secretary.

As a rule, when you call a giant corporation and ask to speak with its CEO, this doesn’t happen.  But what usually does happen is that you’re put through to the executive offices. You won’t speak with the CEO, but you’ll usually reach a secretary for him.

And if your message is one that poses legal or public relations disaster for the company, the odds are excellent that you’ll soon get a call back. Not from the CEO (except in rare cases) but from someone deputized to speak in his name–and to probably address your problem.

But, in this case, there was no secretary to answer the phone for Dr. Browner.  Just a message machine.

So Sam left an urgent message, outlining his difficulties in getting medical care from CPMC.

No one from Dr. Browner’s office called him back that day.

Meanwhile, the pain in Sam’s foot was getting worse.  So, later that day, he hobbled into an emergency room of CMPC.

A doctor examined Sam’s foot and ordered several X-rays taken of the broken toe. After examining these, he told Sam what he already knew: The toe was broken. He also warned that if it wasn’t treated properly, Sam could have great pain–such as from arthritis–in the future.

Sam explained how he had been unable to get an orthopedic surgeon to look at his toe. The doctor said he would try to find one who would.

Sam waited in the ER for almost four hours.  When he finally saw the doctor again, the latter seemed embarrassed to give him the bad news. He hadn’t been any more successful than Sam at finding a CPMC orthopedic surgeon willing to treat Sam’s injury.

When Sam asked what he should do, the ER doctor said that “time” would take care of the injury.

The website for CPMC boasts: “At California Pacific Medical Center, our mission is to always give each patient the personal, hands-on attention they deserve.” Unless, of course, all of its doctors in a particular specialty refuse to honor the patient’s medical insurance.

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