Losing the Benefits They Paid For

If you think cutting off Social Security and Medicare is not a problem, think some more. If you're under 65, do you want your elderly parents or grandparents to move in with you? It might not be as much fun as you think.

Look up the retail prices of the medications they take. Ask the doctor's office how much an uninsured patient pays for a visit.

Do your parents want to move in with you, or would they rather stay independent as long as possible? Do you have a spare room, or will someone have to sleep on the couch? How will the folks feel about giving up their furniture and accumulated possessions? Do you have closet space for them? How many bathrooms do you have? How much money can they contribute toward groceries, utilities and other household expenses? Are you all able to make major financial and lifestyle decisions together? Do they approve of the way you clean house, or the way you cook? Do they approve of the way you are raising your children? Do you enjoy their helpful suggestions and comments?

How much help with housework will your aging parents be able to provide? Do they have problems like incontinence, short-term memory loss, hearing impairment, failing eyesight, difficulty walking? Will you be able to leave them alone when you go on vacation? Or will you take them with you, and will they (or you) enjoy it? If the day comes when they need full-time care, will you or your spouse be able to provide it? Or can you afford health care workers (strangers in your home all day)?

If your parents are no longer living, will these issues apply to aunts and uncles, aging cousins, or even your older siblings? If you still have teenagers or 20-somethings living with you, can you afford to keep them plus the older relative who needs expensive pills?

 

Prescription For Success

I'm going to restructure my company, using the same business model as health care companies. When you order my products, I will send you a smaller quantity than you requested. If you complain, I'll just tell you that I've determined that is all you actually need.

Sometimes I'll send nothing. When you complain, I'll tell you that I've determined that this was an unnecessary order.

Sometimes I'll send a different product, with a note saying you must try this first to see if it works out before you can have what you ordered.

Sometimes I'll ship exactly what you ordered, but I'll include a bill for another 25%. When you question the bill, I'll tell you it's a required co-payment.

This will be great.

 

What Are We Paying Them For?

One time, my husband was really sick with a respiratory infection. The doctor had prescribed some medicine to relieve his symptoms, and he had used it all, so the doctor called the pharmacy with a prescription for more. Later, I called the pharmacy to see if the medicine was ready, and I was told they hadn't filled the prescription because insurance declined it! The insurance company's position was that it was "too soon" for Hubby to get more medicine, even though his doctor thought he should have it.

I told the pharmacy to forget insurance, I would pay. It wasn't actually a lot of money. Overall, there are probably many cases where it costs the company more to deny a claim (paying the drones who do the paperwork and deal with the patient's complaints) than it would to just go ahead and pay for it.

Costs aside, I don't understand why office workers who have never even met the patient are allowed to overrule his licensed physician, who has firsthand knowledge of his illness and is trained to treat it.

We think we are paying these companies to provide for our health care. We think their purpose is to help us pay medical bills. They think their purpose is to just collect our money and dole it out to shareholders and millionaire executives.

 

"Nothing We Could Do"

Imagine your beautiful wife is pregnant. You have been having a great time preparing for the new baby. You've painted the nursery and set up a nice crib and changing table. The ultrasound has revealed that the baby will be a boy, and the two of you are seriously debating what name to give him. Life is wonderful.

Then one night, you hear your wife moaning and gasping in the bathroom. You walk in to see her lying on the floor, blood soaking the bathroom rug and her nightgown. Fortunately, your phone is in your pocket, so you can stay with her while you call 911. The ambulance arrives quickly, and the EMTs tell you what you already suspected: it looks like your wife is having a miscarriage.

At the hospital, the doctors confirm the bad news. In the morning, they release her with some medication and instructions for home care. It seems she can't stop crying over this loss, and you are feeling the grief.

Two days later, she does not feel better physically. In fact, she is in more pain, and she's still bleeding. The doctor said there might be light bleeding, but this seems like too much. You take her back to the hospital. The doctor says that some tissue was left behind by the miscarriage. There is now a risk of infection. Unfortunately, there is nothing they can do at this time.

You feel stunned. Nothing they can do? The nurse explains that the traditional treatment would be a minor surgical procedure, known as a D&C, to remove the tissue from the uterus. However, because of your state's anti-abortion laws, they cannot perform this procedure.

"Abortion?" you ask. "But my wife isn't pregnant. She had a miscarriage two days ago, so there's no possible abortion!" The nurse looks grim as she explains that because of the law, hospital policy prohibits any D&C unless a woman's life is in danger. If the doctor violated this policy, he could risk life in prison.

"But isn't her life in danger?" you demand. "If an infection develops, it could kill her!"

The nurse just shakes her head sadly as she hands you your wife's discharge papers. "Just go home and have her rest. She can take these antibiotics. Maybe her body will expel the tissue naturally. If she develops a high fever or bleeds enough to fill a few maxi pads, bring her back."

Feeling like you're in a nightmare, you take your wife home again. The painkillers and antibiotics don't seem to be helping. She continues to bleed, and by now she's a bit feverish. You find yourself pacing back and forth, checking on her every two minutes. When her fever reaches 102, you can't stand it any more, and, once again, you drive her to the hospital.

The doctor confirms that she now has a septic infection. Her life is in immediate danger, so at last they can treat her. She is whisked off to the operating room. You wait, pacing the hallway, for hours.

Finally, the doctor reappears, looking sad. "I'm so sorry," he says. "We did everything we could, but we couldn't save her."

You feel a surge of hot anger, and you start yelling. "You didn't do everything you could! You could have helped her two days ago, or even yesterday. But you just waited until she was dying!" You choke on your own rage and pain, hot tears and snot running down your face.

"I'm sorry," the doctor repeats. You realize that he is truly sorry, but that is not going to bring back the woman you love.

Later, as you stand next to the gurney that holds your wife's body, looking down at her sweet face, the nurse hands you a clipboard with some papers to sign. "Is there anyone we can call for you?" she asks. You realize that your parents, and your wife's parents, have no idea what has happened. Having the hospital call them so that you don't have to is the kindest thing that has happened to you here.

Somehow, you get home. The house seems too big and too quiet. Upstairs, you rip the blood-soaked sheets off the bed, throw them into the nursery, and close the door.

 

 

The Doctor Won't See You Now

When I had cancer, my doctors were glad that it had been discovered at a very early stage. We scheduled surgery right away, and they were able to remove the entire tumor, with no trace left behind. I made a full recovery, and I'm healthy now.

It is important to note that the doctors were aware that the tumor could grow, and that, left untreated, the cancer would eventually progress from stage one to stage four, and if that happened, I would be in serious trouble. They didn't wait to see if things got worse, but instead took action quickly to make sure that I would be as safe as possible.

Again, when my mother was diagnosed with glaucoma, the disease was in an early stage. If glaucoma is left untreated, it will put increasing pressure on the eye, causing pain and impaired vision, eventually damaging the optic nerve, resulting in blindness. But when caught early, the condition can be managed with medication, laser treatments, and surgery. No reputable doctor would withhold treatment, waiting until you can't see anything and your eye is about to explode, before intervening.

In the modern world, we expect our medical providers to recognize symptoms, understand the prognosis, and provide treatment that will reduce pain, prevent long-term damage, and avoid death.

However, in some parts of America, once considered a medically advanced nation, there are laws that require doctors to refuse care to some patients, even when the doctors know that these patients are likely to suffer and can predict that the patients will experience life-threatening complications that, if they manage to survive, may leave them with permanent damage. These are patients whose suffering, damage, and death are completely preventable. Yet the doctor must wait until the moment the patient is about to die before providing treatment.

I'm talking about women who experience miscarriages. In some states, bizarre anti-abortion laws prevent doctors from providing what was once standard care for miscarriage. Instead, women are left bleeding in hospital parking lots or told to go home and wait until things get worse. Some of these women are left so damaged that they cannot have more children; others die.

Read about Amber Thurman: This young mother's death was preventable.

Read about Jaci Stratton: She was told to bleed out.

Sadly, these are not isolated cases. It doesn't take much effort to find women who were neglected in the most horrible way. Many women have had to travel to other states to get the life-saving care they needed. Women who are too sick to travel are trapped.

There is no excuse for this. We live in a country with well-trained doctors and nurses, with well-equipped hospitals. Any condition other than pregnancy is treated with the patient's best interests in mind. What is deliberately being done to women in certain Republican-dominated states is beyond inexcusable. It is evil.

We must stop fanatical, undereducated politicians from intruding in the life-and-death decisions that should be made by medical professionals. As individuals, we can contact elected representatives and express our opinions. Most importantly, we can vote against the politicians who are willing to kill us.

 

Don't Cross That Line

Imagine you are pregnant and you live in a state that has completely outlawed all abortions. That's okay, because you don't want an abortion. They've also made it illegal to travel out of state for the purpose of getting an abortion somewhere else. That's still okay, because you definitely don't want an abortion.

You're driving to visit your sister in the next state, and she's going to give you some baby furniture and clothes that she has from her five kids. As you near the state line, you see a flashing light in your rear view mirror. You pull over. The state trooper checks your license and registration and asks where you're going. You tell him, and he says, "Ma'am, I'm going to have to ask you to turn around."

"But why?" you ask.

He looks annoyed, but explains, "There's a women's clinic just over the state line on this road. It's illegal for you to go there."

You smile. "I'm not going to a clinic. I'm heading to my sister's house, 50 miles beyond the state line."

The trooper shakes his head. "Ma'am, I'm sure you understand why I can't just take your word for that. We get a lot of lawbreakers on this stretch of highway."

"But look at me!" you protest. "I'm eight months pregnant. This baby was planned. We've already named her."

The trooper is starting to lose patience. "Ma'am, I'm pretty sure you know as well as I do they could abort that baby right up until birth. You need to turn the car around and go home."

You realize that it's pointless to argue, so you make a U-turn while the trooper watches, and go back the way you came.

Later, you call your sister and tell her what happened. You suggest that maybe she could bring the baby things to you, but she declines because she's afraid that if she sets foot in your state, she'll never get out.

 

Your Children's Future Health Care

Imagine that you're in your seventh or eighth month of pregnancy and you go into labor. It's frightening, because you know this is too soon.

You rush to the hospital. Fortunately, you don't live in a neglected rural area where there are no hospitals and you're lucky enough to get there on a day when they aren't overcrowded, at a time when the nurses aren't in the middle of a shift change, on a day that's not a holiday. You get seen right away by the best obstetrical team in the region. Your baby is born very prematurely, weighing less than two pounds. She's alive!

Your tiny child is given the best available treatment, and spends many weeks in the NICU. There are several close calls, but the great doctors and nurses are heroic, and your baby survives, despite being very weak and sick. Finally, she's strong enough to come home. You have a long list of special instructions for her care and feeding. Fortunately, there are no major emergencies. The hospital expenses were huge, but you were fortunate to have a good health plan that covered almost everything.

As time goes by, your daughter still has some health issues, but she keeps getting stronger, and by the time she is ten years old, you would never guess she was a preemie. One day when she's 15, she falls off her bike and breaks her leg. This is a fairly normal problem, so you are shocked when your health plan refuses to pay for her treatment, because she has reached her "lifetime limit". It's not easy, but you manage to pay the bill.

You start looking around for a new health care plan, but you find out that your daughter can't get coverage because she has "pre-existing conditions."

"Wait a minute," you say, "I thought pre-existing conditions don't matter because of the Affordable Care Act."

The insurance agent replies, "Don't you remember? The ACA was repealed by the Republican majority in Congress back in 2025, after the Supreme Court installed trump as President For Life. We can now exclude anyone who's ever been sick. In fact, we are about to declare that being female is a pre-existing condition. Your daughter will never have health care coverage. Even if she somehow lives to be 75 - the new retirement age - she won't be eligible for Medicare, since it was privatized and operates under our rules. Sorry." He's not sorry.

 

Is Miscarriage a Crime?

We know that many pregnancies end naturally in spontaneous abortion, aka miscarriage, before the pregnancy is known or even suspected. A typical scenario: Your period is a week or two late (if you are normally irregular, you probably won't notice). Then when it finally comes, it may seem a little heavier than usual. The blood that is discharged will be disposed of on a tampon or pad. Even if you suspect this was a miscarriage (most women don't), you will likely not consider having a funeral for your tampon.

In another common scenario, you realize you are pregnant, and may have already received prenatal care. Then one day, you experience cramps, bleeding, and an urge to push (similar in feeling to a difficult bowel movement). Most women go into the bathroom at this point, where they are likely to bleed onto the floor, in the bathtub, or into the toilet. A few will save the bloody mess to be analyzed by a medical lab, but most will just clean it up, washing everything down the drain or flushing it down the toilet. In some cases, it may be necessary to have a "D&C" procedure to remove tissue that was not expelled. The flushed or removed material is not perceived as a "body" or a "corpse".

Many Republicans now want to arrest women for doing the normal thing during and after a miscarriage. Simply seeking medical help during a miscarriage is often viewed with suspicion, or treated as a potential crime. Medical providers report being afraid to treat women undergoing miscarriage, because state laws will lead to accusations of performing an illegal abortion.

• This woman is being prosecuted because she flushed blood and tissue: https://theblackwallsttimes.com/2023/12/08/miscarriage/

• In Alabama, women risk bleeding to death because doctors will not help them when they miscarry: https://slate.com/news-and-politics/2022/05/roe-dobbs-abortion-ban-reproductive-medicine-alabama.html

• This woman spent 19 days having a miscarriage because doctors refused to help her: https://abcnews.go.com/Health/idaho-woman-shares-19-day-miscarriage-tiktok-states/story?id=96363578

• A woman with a cancerous condition was told to go sit in the parking lot and wait for a heart attack: https://www.npr.org/sections/health-shots/2023/04/25/1171851775/oklahoma-woman-abortion-ban-study-shows-confusion-at-hospitals

 

Whose Nose Is It, Anyway?

Imagine a state government that decides to outlaw rhinoplasty and septoplasty. In other words - no nose jobs. They are under the influence of a small but vocal religious sect that opposes cosmetic surgery as being against God's will. "Your face is sacred," they insist.

Of course, it's not just about imposing one group's religious beliefs on the larger population. The government also sees changed noses as a way to evade facial recognition software and other surveillance/identification systems.

People who need nose surgery because they have breathing problems are dismissed as a tiny, meaningless minority. People whose noses are damaged in accidents or by violence are told that it's "God's will," and they should learn to love the new look.

Plastic surgeons, protesting against political interference in medical decisions, are vilified as money-grubbing demons who mutilate people for profit. People with crooked noses who travel to a state where rhinoplasty is still legal are reported to authorities and their medical records are seized. People with naturally small, straight noses are viewed with suspicion by religious zealots who harass them in public and send death threats to their homes. Protestors outside plastic surgeons' offices carry signs with graphic photos of bloody, swollen noses, and chant at everyone entering the office: "Don't break your nose! Don't break your nose!"

A couple of politicians get publicity for themselves by blocking state highway funding as a protest against government agencies that allow employees to use paid sick leave for nose surgery. The unrepaired roads contribute to an increase in traffic accidents - and more damaged noses. People who get out-of-state nose jobs are afraid to be seen with bandages on their faces, so they stay indoors or wear disguises.

People unhappy with their big, crooked noses are labeled as having "facial dysmorphic disorder" and are told they need counseling to accept themselves as they are. Parents who allow teenagers to get nose jobs are investigated by Child Protective Services. Some people go to underground practitioners who may or may not be safe. Some people become so desperate they try to fix their noses themselves, using steak knives and crochet hooks. Sometimes it works, but some people get permanent brain damage, and some bleed to death. Anyone with a nosebleed is suspected of having had an illegal nose job.

Celebrities who had nose jobs back when it was legal write books about their experiences; a few are invited to testify before Congress.

 

Ending Social Security

If you are retired or soon to retire, and you think the Republican plan to end Social Security and Medicare makes sense, think again. Ask your doctor's office how much an office visit costs an uninsured person. Ask your pharmacist for the full retail price of the medication you take.

Do you have a 401k or other retirement account? Will it be enough to pay your bills and allow for some occasional fun?

Do you think you can just move in with your adult children or grandchildren? If so, are you sure they would welcome you? Do they have room in their home? Who would you share a bathroom with? Would they expect you to be an on-call babysitter for small children? Do you and they like the same kind of food? How much money can you contribute toward groceries, rent/mortgage and other household expenses? Do you approve of the way they clean house, or the way they cook? Do you approve of the way they are raising their children? Do they perceive your helpful suggestions and comments as interference? Do you believe they'll be able to support your needs if you become disabled or if you require full-time care? If you become incontinent (like over half of older people), do you want them to have to change your underwear?

If you'd rather keep your Social Security and Medicare, the time has come to vote for Democrats, all the way down the ballot.



Image by Besno Pile from Pixabay

Getting Rid of Medicare

If you think cutting off Social Security and Medicare is not a problem, think about it. If you're under 65, do you want your elderly parents to move in with you? It might not be as much fun as you think.

Look up the retail prices of the medications they take. Ask the doctor's office how much an uninsured patient pays for a visit. How much help with housework will your aging parents be able to provide? Do they have problems like incontinence, short-term memory loss, hearing impairment, failing eyesight, difficulty walking? Will you be able to leave them alone when you go on vacation? Or will you take them with you, and will they (or you) enjoy it? if the day comes when they need full-time care, will you or your spouse be able to provide it? Or can you afford health care workers (strangers in your home all day)?

Do your parents want to move in with you, or would they rather stay independent as long as possible? Do you have a spare room, or will someone have to sleep on the couch? Do you have closet space for them? How many bathrooms do you have? Are you all able to make major decisions together? If your parents are no longer living, will these issues apply to aunts and uncles, aging cousins, or even your older siblings? If you still have teenagers or 20-somethings living with you, can you afford to keep them plus the older relative who needs expensive pills? ^@themrswest

Photo by Christina Victoria Craft on Unsplash