It’s a Racket

Unfortunately I’m not talking about tennis or badminton.  And yest before you read further – you should probably know this is going to end up being a rant.

My husband went to the doctor for his checkup and was told – you must get tested for Hep C.  He’s not at risk for it, has none of the symptoms.  But it seems to be the latest “NECESSARY” test we’re all supposed to fall in line to get.

The doctor said – the insurance will pay for it.  I wish he’d talk to my insurance because the blood test cost us $67.  To be fair, when I read through Mayo Clinic’s at risk people, he falls into two of the categories.  Perhaps it is worthwhile to have him tested – perhaps.

To me it sounds like yet another way to squeeze money out of the patient and into the medical insanity we call health care – for profit health care.  We’re supposed to get flu and pneumonia and shingles shots.  But not once – no every year.  This pumps chemicals into our bodies – what are these shots really made of?  Also the people who get these shots still get the flu – so what is the point?  I never get the shots and I rarely have flu issues.

We’re supposed to have all these tests – paps smear, mammogram, colonoscopy.  Yes they are important health checks – but do they really need to be so often?  We have a HUGE population over 50 if everyone over 50 is supposed to get these how much money does that make the doctors, hospitals, insurances, and so on.

What happened to a doctor actually taking the time to listen to their patient, address their questions, and showing concern and care for their patience.

I’ve been working with a rheumatologist for six months.  She asks a lot of questions, she’s run up a ton of bills for us in the way of blood tests and xrays and yet, I still don’t have a diagnosis, treatment plan, or relief from the pain I went to her with in the first place.  I’d ask her questions and get brushed off.  The attitude was – do what I say and don’t ask questions.  When I didn’t agree with her next test – which would have cost me even more money and asked for an alternative treatment – she told me no with no explanation.  When I objected, I was told I should find a different rheumatologist.  Yes, I will but it means being in pain for another six months while I wait for an appointment to get in to the new doctor.  Basically the last six months of visits, tests, and drugs has been a complete waste of time.

We need to put health care on the not for profit line.  We need to reign in the insurance companies, the profiteers of the drug companies, and stop the horrible practices currently going on in our medical community.  We need to start treating the individual.

At this stage I don’t trust any of my doctors enough to take their advice at face value.  I don’t believe in them or believe they have my best interest in mind.  I think they are showing up to fill their pockets and don’t care about my quality of life.  Until one of them proves otherwise, I’m going to be stubborn about saying no to everything until they can explain the options available, the reasons they are choosing this treatment over another, and offer me a say in my own treatment.

Scooter Update

When it comes to medical / health care stuff, I find myself annoyed, frustrated and distrusting.  Over the years, I’ve had doctors do stupid things which have adversely affected me.  However, I try to go into these situations with a positive attitude.

Two weeks ago, the insurance turned me down for a scooter.  I could fight it but it would take time.  My doctor said he would write me a letter so I could get a scooter if the insurance turned me down.  When I found out about the insurance, I immediately called his office.  He was on vacation.

Last Monday, I called talked to his triage nurse and gave her the information on which scooter I wanted to buy.  In order for DVR to pay for the scooter, this information has to be in there.

Starting last Wednesday, I called and left messages to see how long it would take to get a letter.  I’ve called every day since then.  I mean, really how long does it take to write a damn letter?  If he couldn’t get it done in a timely manner, I would have been happy to write it and send it to him for his damn signature.

I called this morning.  I was firm but polite.  Yesterday they said someone would call me as they put my message as a high priority.  Right.  That didn’t happen.  I spent twenty minutes on the phone, ten of which was before I even spoke to someone.  Once I got someone, they put me on hold.  Finally they came back to say my letter was ready.  I made sure my husband could pick it up.  He will hopefully get what I need and I’ll be able to move forward.

I’m relieved about finally getting the letter but to be honest, I’m nervous as hell about what the letter says and if it will satisfy what DVR needs it to say.  Ken won’t be home until this afternoon.  I’ll be working on editing until he comes home.  Once he’s home, I’ll scan the letter (if it says what it needs to) and send it off to the counselor at DVR.  I will at that point look for the three quotes she will need to approve the purchase.  I’m hoping it only takes her a couple days to approve.

The fact that it took ten days to get a simple letter is appalling to me.  It was a matter of one sentence – it is medically necessary for this patient to have this scooter.

The only blessing in all of this, I’m off work this week so my pain level is down to a reasonable level but starting on Monday I’m back at work and having to struggle with a manual wheelchair which will raise my pain level significantly again.

Rip Off

My daughter has no insurance.  She qualifies for none of the programs that help people with no insurance because she lives at home.  Maybe we should just kick her out?  I don’t think so.  Johnson and Johnson produces one of the medications – the very expensive medication – she takes.  They have a program which allows her to get assistance from them to get her medication.  For the last year, she has been getting this nearly $700 prescription for free because of Johnson and Johnson. 
She got a call from the doctor’s office to let her know Johnson and Johnson had sent them a form for the doctor to sign for her to continue to take this very expensive drug.  This is great news as we were just talking about seeing what we had to do to continue with their program.  However, the bad news (and you had to know there was some) came when the nurse told Vicki the doctor wouldn’t sign the form unless she came in for a visit. 
Now Vicki has no job, no insurance, no income.  If she goes to the doctor, I have to pay for it.  She was unhappy about a completely unnecessary visit to the doctors’ office as it cost $108.78 for a miniscule visit.  Literally they wanted us to pay that much money to get the doctor’s signature. 
Obviously we had to because we sure cannot afford the roughly $700 a month and this drug works wonderfully for her.  I feel we were robbed.  We had no choice but to pay the doctor for his signature.  Now I know the medical profession will say – we were paying for his expertise and he was being responsible about making sure she truly needs this drug. 
I say it is a maintenance drug and there was no need to review whether it was needed.  Nothing in her health has changed and all they did was rip us off.  Our health care field is broken and we need to fix it.  Maybe the politicians should be looking at that instead of being ridiculous about fiscal cliffs and other idiocy.

Health Care

Here is yet another reason why we should have a national health care program.  We are already struggling to pay for prescriptions for Vicki as she has no insurance (thanks to Walker changing the rules on my insurance). 

Friday she had a sore throat.  Saturday and Sunday she ran a fever and progressively got worse feeling each day.  Monday I called the doctor’s office to see what it would cost to get her in with no insurance and how much they needed.  The answer – $97 but we didn’t have to pay before she saw the doctor. 

She tried to say she was fine and didn’t need to go.  I ignored her and insisted we go.  She has strep, pneumonia, and ear infections in both ears.  She got a prescription which cost us $55.  Fortunately the doctor looked in her ears before he insisted on the swab of her throat because otherwise we would have had to pay for that test as well. 

She doesn’t have $150 to cover these medical costs.  She is unemployed.  If I hadn’t insisted on her going to the doctor what would have happened?  I’ll take the $150 over a hospital bill any day. 

We asked about reducing the fees and were given the name and number of a person in the clinic to call.  I talked to her today.  They take the full household income.  Never mind that Vicki is an individual.  If I threw her butt out of my house she could get assistance.  But because we love our daughter and don’t want her living on the street we now have to pay for these medical expenses. 

She’s upset because she knows it will stress me out to juggle bills to pay for this.  I’m upset because the system is broken and needs fixing but the moment someone takes the first steps they are bashed for it. 

I don’t care what anyone else says a National Health Plan is essential.  Call it socialism or welfare or whatever you want, there are people like my daughter who are trying to get jobs and trying to live on their own and support themselves but get beat up by the system when they are sick.  Perhaps we should cut back on benefits for representatives (the few) and refine this plan so that everyone can go to a doctor when they need to rather than waiting until it is so bad they nearly die from it.

 
I hate to quote Star Trek but really the good of the many (in this case) outweighs the good of the few.  Quality healthcare shouldn’t be for only the rich or working.  It should be for everyone.

Politics…

There is so much going on in our political world right now.  Perhaps I should say there is so much going on in our political world that I am appalled and disappointed about. 
Women’s issues:  The Supreme Court which is supposed to be impartial and fair, just ruled that women were not allowed to have a class action suit against Walmart.  It is interesting to note that the three women on the court dissented (as well as one man) and those who agreed with the ruling were all men.  How is this judgment by our peers?  I think it shows that women still are considered second class citizens.  We still aren’t allowed to make as much as a man.  Women are still undervalued and demoralized.  We are still considered property essentially. 
All the nonsense about Planned Parenthood is another HUGE concern.  What will happen to the poor women who cannot afford health care?  If birth control becomes too expensive and cancer checks are out of reach for women (poor or not) then what will happen?  I’ll tell you what will happen.  Women will go back to having babies every year.  They will wear out their bodies to the point where they die.  Women who use birth control to regulate their cycle and help control heavy bleeding or sporadic periods will find themselves suffering every day. 
Conceal and Carry:  I’m all for the right to own guns.  Everyone touts that this is a right because of the 2nd amendment.  Well the 2nd amendment says:
Amendment 2 – Right to Bear Arms. Ratified 12/15/1791. Note
A well regulated Militia, being necessary to the security of a free State, the right of the people to keep and bear Arms, shall not be infringed.
I’m not a constitution scholar but to me this says for the protection of and to keep a free state, regular citizens are allowed to have guns.  The historical background for this amendment is because when the British were governing us they took away the citizens guns.  This meant that in a hostile country with Native Americans and wild animals the settlers didn’t have a way to defend themselves or hunt for food.
I don’t know about you but I don’t think that any of us need a gun to hunt for food in our society today.  Having said that, I do believe we have the right to own guns.  I don’t believe that everyone should be walking around with a pistol strapped to their leg or in their purse. 
The guns of today are vastly different than the guns of the 18th century.  You weren’t going to hide a flintlock pistol easily or a rifle for that matter.  Now we have weapons that can shoot faster and further than ever before.  They are smaller and more accurate than ever.  We want to have a law that acknowledges the advancements of this field and also of our societal standing.
Yes our constitution says we have the right to bear guns but does that mean we should allow our citizenry to walk around with guns in their purses and on their bodies?  I don’t think so especially if the person is not trained or hasn’t gone through some sort of process to determine they aren’t completely nuts. 
Collective Bargaining:  I know that people are tired of hearing about this.  Hell, I am sick of the stress and difficulties we’ve had this year.  I want to preface this with a statement.  I’m a union member for five years.  I believe unions do good things in our society.  I also believe that unions have flaws. 
Pre-unions (yup more history lessons) owners of businesses could arbitrarily change any work condition or pay without repercussions.  Some unscrupulous bosses took advantage of the work force and created unhealthy, unsafe, and even deadly work environments.  The industrial revolution was great for the country – got our economy booming and put people to work.  However, it also introduced what most people would agree were horrible working conditions with people working in conditions unfit for anyone and pay was so bad that even the children in the family had to go to work in order to support the family.
Unions came in and said if we all band together than the bosses will have no choice but to come to the table and negotiate fairly with all of us.  This essentially made the work place a more level playing field. 
Here we are a hundred years later, we have safe working conditions (mostly), good wages and benefits, and a regulated work week.  The unions have been successful.  Does this mean they are done?  No because we don’t learn from our past.  The unions have to be able to bargain collectively about every aspect of work otherwise we will revert to the conditions of the past.
In fact, we are already doing that with Walker’s proposal to change child labor laws.  He wants to allow teenagers (16 & 17) to work as many hours as they want.  In a time when parents are unemployed by the millions and people are struggling to make ends meet, should we allow our children to work 40, 50, 60 hours a week in addition to going to school?  Something will give. I guarantee if it is a choice between food on the table for the family and school, school will go by the wayside so that families can eat.
Walker claims that taking away collective bargaining rights will make it easier to balance the budget and accommodate the cuts he proposes.  If he were to talk to the unions and ask for reasonable accommodations, the unions in all likelihood would give those accommodations.  I as a state worker, union member, and tax paper am just as concerned about balancing the budget.  I’ve taken furlough days to help with the budget issues.  Every payday money comes out of my check in order to assist with the balancing of the budget.  Thousands of union workers have made this concession. 
Collective bargaining isn’t just for union workers though.  It is for all workers.  It is the unions that improve working conditions.  Once a union has negotiated for better working conditions or pay then it becomes a standard practice.  This then ripples out to the non-union workers.  Take away collective bargaining and you take away all the protections that workers have – union or not.
Health care costs:  I’ve heard so many complaints about the health care system.  It is broken.  Insurance companies, pharmaceutical companies, and for profit hospitals / doctor’s offices are running our system.  This is why the costs are through the roof.  When we look at profit rather than well-being of an individual we lose what the medical profession is supposed to be about.
We need to take a close look at this industry and figure out a way to regulate and change it so that the costs are not so high.  I don’t know the answers here but I do know that what we are doing isn’t working.  If we continue this way than we are going to end up with even more people who don’t go to the doctor when they should which in the long run ends up costing the system more.
Health is something that should not be dependent on financial status.  Health care should be available to all and at a cost that any can afford even if they only make minimum wage.
There are more issues like the environment, wars, medicare/Medicaid, social security, education but anymore and my head is going to explode…