Tag Archives: national health insurance

Obama Care

I hear a lot about “Obama Care” and how we should not have socialized medical care.  Interesting that we would prefer to have the majority of people in this country un-insured, and than trusting our health to insurance companies who are in the business to make as much money as possible and try to deny health care when we get sick.  I recently talked to two former employees of a very large insurance company. Both were former managers.  This particular company has (or had)  a division devoted to auditing large claims in the hope of finding something in the records to deny coverage. Is that what we want for health care, more of the same, the true death squad?

The argument I hear from people say that the American government can’t run anything (other than the military, the police, the road systems and on and on) In general I hear we have the best health care in the world. Sorry, according to the National Health Organization, the top health care country, that is the country that has the best health care for their citizens is France, followed by Italy. Where do we rank? Thirty seven out out of a hundred and ninety countries. Yep, we’re two steps above Cuba.

If you think we have the best health care, than you need to read the article  in the Bloomberg Businessweek  Harvard researchers say 62% of all personal bankruptcies in the U.S. in 2007 were caused by health problems—and 78% of those filers had insurance. In other words, health issues in this country is the largest cause of bankruptcies in the United States. A portion of the article states Unless you’re Warren Buffett, your family is just one serious illness away from bankruptcy.”

If you don’t like socialized medicine, well, you don’t know what you’re missing, other than what the insurance and drug companies are telling you.

For a taste of socialized medical care here is a portion of an article I wrote earlier:

“While in Rome last May, for some reason I got an asthma attack.  I haven’t had an asthma attack since I was a teenager which was a couple of years ago, more or less.

In talking to the receptionist at the place we were staying at, he suggested that I go to the emergency room, since that would be free and if I wanted a doctor to come to our place it would cost a $100 euro’s.  (try getting a doctor in the US to come to your home for $122)  I also had the option to go to a private hospital, but that would be expensive.

I arrived at the emergency room, not knowing what to expect, since in the U.S. you can wait a couple of hours or more. However, within 30 minutes or less, a doctor interviewed me (not some clerk wanting to know my life history and a promise to go to mediation if the doctor screwed up)

I told him I was having an asthma attack. He took the information down and told me to go to the waiting room. Sure enough, I had to wait about 30 to 40 minutes.  I was then taken to another room, a doctor listened to my chest, put me on a nebulizer, with vapor and oxygen coming out of it, put an IV in my arm , took blood samples, did a EKG and sent me back to the waiting room.  While in the waiting room, someone came and took me up for two x-rays.  Finally after two doctors examined me, one a specialist in bronchial problems, I was told that indeed I had had an asthma attack.

The doctor gave me a prescription for three drugs, a full printout in Italian of the blood test results, the EKG, his diagnoses and told me when I got near another hospital in the next week or two, to go and talk to another doctor and give him this report to see how I was doing.

Total cost – zero. If I had been a senior citizen of Italy, the drugs would have been free. By the way, the total costs of the drugs were $83 euros.

I can well imagine the costs of going to an emergency room in the U.S. and getting that kind of treatment. The hospitals in the U.S. would charge at least $10 to $15 thousand for two doctors and all of the tests.  It was really nice to have the doctors in charge of my treatment, instead of a hospital administrator or an insurance company dictating what a doctor can do or not do.

You know by now, that because medicine is so high in this country, people in this country are buying airplane tickets to India and other places because they can’t afford our great medical system.

Of course, the biggest joke I’ve seen in years was senior citizens protesting Obama’s attempt to have insurance for everyone.  They said they don’t want socialism but it was OK for them to collect their social security and have Medicare insurance.”

What about Health Care for the Entrepreneur?

mountain-climber

There was a fascinating story on NPR the other day about entrepreneurs. The person being interviewed felt that entrepreneurs could be the way out of the recession, but because of a few factors most people who could or want to start a business don’t. One of the reasons stated why older people won’t start a business, which caught my attention is health care.

Paul Kedrosky, editor of the business blog ‘Infectious Greed,’ stated that start up costs really are not the main consideration when people of the older persuasion decide not to start a business…it’s health care.

I cannot agree more! I am happily self-employed at the young age of 40. I started my business when I was 35 and I went for a long time with major medical only. Thankfully my ex-husband covered our daughter under his work sponsored health care plan. What did “major medical” mean? It meant that I paid full price for my Doctor visits, my prescriptions and any tests or x-rays performed. Why? It was what I could afford. The only time I saw my Doctor was for my yearly girl exam. That’s it. I couldn’t afford to get sick and if I did my medical coverage wouldn’t kick in until I am on the hospital bed dying.

Thankfully my new husband has a job with great health care and I’m now covered under his plan. A few months ago his place of business went through a major restructuring and it looked like he was going to lose his job. We started brainstorming about what we can do if that happened.

My first reaction was to tell my husband to go freelance. He works with video and web and it would be an easy fit into my business. We were very excited at the prospect of creating this expanded business together and how having him work from home would help because he would be around more to help with the girls. We had no doubt that we would create enough income to continue our lifestyle and save for retirement….but then came the health care issue.  Could we afford the health care we need (I am older now…premiums tend to skyrocket at the age of 40 and DH is a few years older)?  That became the proverbial fly in my glass of wine.

Right now we have dental, vision, RX and health insurance. Last year alone I had $ 2000 worth of dental work done and my teeth are in good shape but they are not getting any younger. I have glasses and need yearly exams and occasionally new lenses (besides what is it with turning 40 and suddenly having to hold a book at arms length away while reading….?)  As I get older I find that I need more medical monitoring besides the yearly girl exam, there is now the mammogram and other yearly checkups.

The night before the layoffs my husband and I toyed with the idea of him going in and saying take me…lay me off. What stopped us? The idea that once he became self employed we would be one accident or one illness away from losing everything we worked for. We would be putting not only our financial health in jeopardy but we would also be gambling with our girls’ future.  We couldn’t do that.  Thankfully my husband’s job was spared. For how long?  We don’t know.

How sad is it that he is now working for the health insurance? He loves what he does, he likes where he works and the people he works with/for. But given the uncertain future at his place of work he would have more security going out on his own but he/we chose not to because of health care.  Where did it all go wrong?

I’m not a policy or political wonk. I keep abreast of the headlines but I’m too busy raising my family and running my business to get deep into the political wrangling. Normally I don’t talk publicly about politics. For the first time I wrote to my representative and implored them to do the right thing and create a health care system that is affordable for everyone…including us entrepreneurs. If the blogger is correct and I suspect he is (given that just about every major corporation is either in or on the verge of bankruptcy) we entrepreneurs just might end up being the saving grace of our economy

 

This article was written by Lisa Jacobson (My daughter)