Health Care Kabuki Theater Deluxe

Those of us attempting to live on what was a shoestring budget even before the Great Unending Recession/Depression have probably been watching the large insanity of vacationing Congresscritters attempting to hold Town Hall meetings with their constituents back home with some bemusement. It’s no secret that the WingNut Network [a.k.a. Fox] and Hate Radio pundits have been inciting their faithful dummies to riot, since this has been ongoing ever since they lost the election last November in a big way. Between the clueless idiots who can’t believe a black man is a real American citizen (or that exotic Hawaii is actually a state) and the Bermuda shorts and gray hair crowd shouting “Keep the government OUT of my Medicare!” one really does have to wonder if maybe there’s something in the water making people lose what few IQ points they might have had back in kindergarten.

Some of us also know that going to a doctor regularly if you aren’t actually sick is not wise, thus are probably better off if we don’t suffer some chronic condition with our very limited access to the health care system than we might be if we had annual check-ups and the ability to demand whatever drug is advertised on television nightly. While it’s a sad truth that ~50 million Americans have no access to the health care system – and that’s an insurance issue – I haven’t seen anybody talking much lately about the health care system itself, which just happens to be the third leading cause of death in the United States.

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Uninsured? More Ways to Survive

More than 40 million Americans – including children – have no health insurance. As the economy continues to weaken and good jobs are outsourced to countries where universal care exempts businesses from having to carry the health care burden, millions more are being thrown into the ranks of the uninsured. Then there are those who have changed jobs, and encountered insurers who simply will not cover them due to pre-existing conditions. These days if you’ve ever had treatment for things like acne, high cholesterol or carpel tunnel you can find yourself on the growing list of the “Uninsurable.”

Now, if you don’t mind jumping serious hoops and get an early start in the fiscal year, states do have sliding scale plans and Medicaid allotments. If you are covered by one of these, you do NOT count among the officially uninsured. In my officially “economically depressed” region, approximately two thirds of the citizens qualify for food stamps and medical care, but there’s only enough money to cover less than half of them. The rest simply do without, at least until they simply can’t do without anymore. The cost of indigent care at our few public hospitals is yet another perpetually unpaid bill.

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Inexpensive Health Care Tips – 3

Primary and Emergency Care

In response to increasing unaffordability of health insurance in America and justifying his repeated vetos of State Children’s Health Insurance Program [SCHIP] expansions, President George W. Bush declared during an appearance in Cleveland last July that:

“The immediate goal is to make sure there are more people on private insurance plans. I mean, people have access to health care in America. After all, you just go to an emergency room.”

As if that weren’t clueless enough, the New York Times reports today (April 23) that one of the nation’s largest health insurers, UnitedHealth, announced disappointing first-quarter earnings (profits), saying the weakening Economy Has Dented Its Prospects. In short, as premiums rise, employers are dropping insurance plans for their employees, more employees are opting out, and rising unemployment is reflected in increasing numbers of uninsured.

The for-profit industry has also shot itself in the foot by increasing premiums to protect its profits over the quickly rising cost of care, not covering people who may have health problems, and simply refusing to pay for health care for the insured. Medical bills now account for a full half of all bankruptcies in the US, and ER treatment is NOT “free.”

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Inexpensive Health Care Tips – 2

Necessary Medicines

The New York Times reported on Monday, April 14 that Co-Payments Soar for Drugs With High Prices as the nation’s largest health insurers struggle to keep their profits high and their payments for health care low. The new pricing system forces patients taking name-brand medications to pay a percentage of the cost rather than a fixed co-payment of $10 to $30 a month for each medication they take.

The situation, and plans for a public demonstration in San Francisco during the AHIP annual meeting on June 19th are outlined in Insurers target the sickest: Say bye bye to $20 prescription co-pays.

This means that the burden of increasingly expensive health care now affects the insured, who may now have to pay thousands of dollars a month for medications in addition to their high monthly premiums and treatment co-pays and deductibles. America’s sickest citizens are once again being abandoned by a system that was originally designed to spread the costs of their care across a large pool that includes healthier people. Insurers say the new system will keep everyone’s premiums down, just at the time of year that Americans are discovering that they must pay double or more for the same health insurance they had last year. That’s not a very impressive system, considering that all other developed nations on the planet have universal health care.

Thus this installment of the series of inexpensive health care tips will offer some alternatives for obtaining drugs that may be beyond your ability to afford.

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