How many people do you know that would be self employed if there was Universal SINGLE PAYER Healthcare? and A Little Help Please!
I can think of no better stimulus than SPUHC (Single Payer Universal Health Care). I do not know what you have experienced but I can not begin to tell you how many people I know that would be in business for themselves if they didn't have to worry about getting health insurance.
Sorry in advance, this is going to "ramble on". But literally MILLIONS like me need your help in making this case. This is the "A Little Help" Part.
So my thesis is as follows: The current system of healthcare in America is a major cause of the current economic crisis.
Just one quick example of American healthcare that could save billions overnight if just one policy was changed. I call it The Pain Tax or the tax on those that suffer with chronic pain. This is kind of selfish on my part because I have a chronic pain problem myself, (spinal stenosis, lumbar raduclopathy, "abiglongword" neuropathy forgive the spellings) but here it goes.
Every month I AM REQUIRED to go to the doctor because it is forbidden for the doctor to put refills on the prescription for one of the drugs I take to manage the pain. Granted it is a pretty potent narcotic but just because a government agency (read D E A) chooses to practice law enforcement over the shoulders of BOTH doctors and patients I HAVE to go to the doctor 12 times a year rather than 4. Imagine the savings to Medicare, Medicaid and just folks in general if doctors were allowed to put refills on ALL medications they prescribe, JUST IN THE COST OF OFFICE VISITS ALONE. It would save me about $1,200 a year. And that's cheap, as I said, most GPs won't do it and the Pain Management docs normally charge $250.00 a visit and refuse to take insurance of ANY kind.
But wait there's more.
As I mentioned above It seems that certain state and federal agencies find it much more convenient to REGULATE DOCTORS than track down actual drug dealers. Try this experiment get your phone book and start calling General Practitioners and ask them if they do "pain management", you will find they don't because they are scared to death of being targeted by these government agencies. Seems these agencies send people in with counterfeit medical records and if a doctor treats the person 2 or more times by relieving the pain with pills, the doctor is open to seizure of their property up to and including their home. So those of us in rural areas end up driving an average of 90 miles to a doc that will actually treat us.
So now we add the cost of gas every month, to the monthly doctor's fees and the cost of PAIN goes even higher.
But wait there's more.
Because I have to go to the doc every month and it is a all day exercise, I miss 12 unpaid days of work a year. The cost of PAIN climbs more.
But wait....there's still more.
Because I take PAIN MEDS I also have to pee in a cup about every 8 months at a cost averaging about $750.00 to make sure I don't have to much or to LITTLE medication in my system. The cost of PAIN climbs higher still.
Now I understand the drug tests I have to take are to make sure O¿O isn't starting to like these pills too much (sorry about the 3rd person reference, won't do it again). What really bothers me about these drug tests is the "too little" column. Who would be informed if someone had too little in their system.
By the way I have NEVER failed any of the 16 or so drug tests I have been forced to take and doctors are forced to administer. I've been told by psychiatrists that if I was going to become an addict it would have happened long ago.
See, if doctors don't keep watch on their patients then they become targets themselves.So doctors have to pay for all the work their office has to do to make sure they aren't being suckered by an addict or an undercover officer.
Then there are the pill counts. Pill counts are when you are called and have to drop whatever you are doing and either go to a pharmacy with your pills or take them into your doctors office and have them counted. Again missed work and more is added to THE PAIN TAX.
Finally The Pain Tax spreads to ALL other patients of that doctor because he has to pay for all the extra help he/she has to hire just to keep track of PEOPLE LIKE ME so he doesn't draw the attention a state or federal medical board.
Anyways that's my story over the last 10 years. I need your help to make our elected officials take note. Please call your elected representatives and tell them to take a look at eliminating The Pain Tax that MILLIONS of AMERICANS pay every day. Oh, I didn't mention the costs involved in getting to the point where a doctor was actually "allowed" to treat me. Things like 11 MRI's, 6 EMG's, Required Psychiatrist AND Psychologist evaluations, spinal injections that didn't work and on and on and on.
Of course, I'm not a progressive, I'm a LIBERAL. I also believe that drugs should just be made legal and sold at your friendly neighborhood state store, just like liquor, and that car insurance should be paid for with a gas tax, the more you drive the more you pay.
OK, I admit it wasn't that quick of an example but I hope you made it through and understand HOW MANY MILLIONS of AMERICANS are ran through this kind ringer EVERY SINGLE DAY and WE NEED YOUR HELP making this really easy to understand point with our elected officials. After all don't you think your tax dollars from Medicare and Medicaid could be used in a much more effective way than forcing patients and doctors to jump through all these hoops?
PLEASE let me know what you think, or IF YOU HAVE ANY QUESTIONS post them and I will answer them as best I can.
Also, feel free to copy this and send/post etc as your own.
















You aren't running for the Senate are you?
If you decide to, just tell me what state and I will move there so I can vote for you.
Self employment, small, small businesses. Those with two or three or four employes. Those self emplyed who have a cousin stop in three times a week and all of a sudden the cousin in there five days a week and a new secretary is taking phone calls and typing letters.
But the big guys cannot afford health ins either.
Crisis at the top gives us a chance to start with an entirely new system.
People call for single payer. But ten payers would be better than a system (really chaos) that calls for 5,000 different plans that do not work.
January 26, 2009 11:08 AM | Reply | Permalink
DD,
My "drug use" would probably prevent me from qualifying. But Voinovich is retiring!
January 26, 2009 11:12 AM | Reply | Permalink
Your drug issue is not a disqualifier to run. It's probably an indicator! But seriously, HIPAA laws prevent the public from knowing what you do not care to share.
January 26, 2009 2:41 PM | Reply | Permalink
I have been in business for myself for six years. I left a stable job as a prosecutor to open my own practice, and could never have done it if I weren't married to a union worker with retirement and health care benefits. I would still be there, bored to tears, never seeing my kids, and making less than half what I make on my own. Our ridiculous health care system, which requires employer sponsored health insurance, is the single biggest obstacle to our ability to entrepreneur our way out of this shit hole. How much innovation has been wasted on this bullshit system? Single payer health care will pay for itself many times over.
January 27, 2009 12:07 AM | Reply | Permalink
Yes, single payer would solve so many problems at once. The car industry, the construction industry,
computer industry....
But like your point, a self employed person with a lot of work and a little luck can end up employing four or five people along with some independents. Multiply that by millions.
Ever notice that republicans will talk about small business and they are talking about some companies with 2500 people as employees? That is off subject I suppose.
We certainly need bigger businesses to succeed. But the small outfit can really help a community.
Oh and soon, the spousal stuff will be out the window anyway. Business cannot afford that.
January 27, 2009 12:23 AM | Reply | Permalink
Also does anyone know of a kind of chronic pain lobbying group? Key word there is Lobbying. I have seen lots of support groups but none that want to take this on.
January 26, 2009 11:09 AM | Reply | Permalink
O¿O, I believe the American Pain Foundation does some lobbying. Check their website: www.painfoundation.org
At any rate they have good information on the site and also have areas where you can exchange information with a licensed RN on a number of topics. I too am a chronic pain patient and agree with your post. It's only been this last year that I've had to go in monthly for Rx. I talked to my Congressman about the exorbitant cost of drugs & health care and was told that more technology (equipment & procedures) + the re-importation of drugs and the market(!) would solve the problems. I'm not hopeful of this approach.
FRC
January 26, 2009 9:21 PM | Reply | Permalink
I have a couple friends, one a former business partner, who have very serious conditions that requires them to take heavy pain medications. One lives here in MN and has been through at least one bankruptcy because of his medical issues. The other lives in Canada, and has his medical needs seen to in a very straightforward manner.
"Health care" as practiced by the American system is killing us. It is killing us economically, as insurance companies are very high-cost parasites, which exist in reality to raise investment capital, and only peripherally to provide "coverage" of those who pay the premiums. And it is killing us in somewhat more literal terms, as accountants get to make medical decisions, though not basing them on what will best help the patient. Rather, those decisions are based on what will best help the insurer's bottom line.
January 26, 2009 11:39 AM | Reply | Permalink
.
You aren't kidding . . .
OG said...
Boy Howdy! The current health care insurers insure "...death by spreadsheet..."
~OGD~
January 26, 2009 2:42 PM | Reply | Permalink
These personal "privatized" and intrusive horror stories are precisely the kind of things that need to be documented and told. The truth can be a more powerful frame than any made up stories that have a tendency to fall like dominoes when one part of the frame collapses. (See the the collapse of republican frames in the last few years).
Thanks for sharing and call your Congress critters and tell them the whole story... Then follow up with an eMail detailing the same thing and to make sure they know you are watching them.
January 26, 2009 11:53 AM | Reply | Permalink
I don't know about being self-employed but I personally know dozens of people like me who are unemployed or under-employed because of health care costs. I'm disabled. If I don't work, I'm eligible for Medicare and Medicaid coverage. If I do work, I'm in danger of losing those benefits altogether, or I pay a greater percentage of my own medical costs, which means I don't really gain anything financially.
There are probably thousands of people nationwide, including the disabled and families receiving AFDC, who are not working or who turn down raises, promotions and extra hours in order to keep their income low enough to qualify for Medicaid.
The federal government and the states are already paying for their medical coverage. Think of the money that could be saved in Social Security disability and AFDC payments if these people could go back to work.
Many of us would rather be working but we can't afford to.
January 26, 2009 11:54 AM | Reply | Permalink
Yes, we need to nationalize the health care industry. Hospitals, insurance companies, doctors, all of them. Let the doctors make a maximum hundred thousand a year. Kick the lawyers and the insurance companys out of the game. Totally out. Solve disputes with arbitration boards, not trials and millions of dollars. No more profit motivated pharmacuetical firms. Will that "destroy" our health care system. Of course not. It may get some of the greedier participants to find another career. Good. After all, the "profit motive" is not central to our education system, or police departments, or armed forces. Granted, all of those areas have problems, but they do function, and I would argue they function better and far more fairly than does the health care system.
January 26, 2009 12:07 PM | Reply | Permalink
Faroff, I appreciate what you are saying but I find the military is profit motivated at this time. We're contractig out much of what is being done in Iraq, arguably MOST of what is being done in Iraq, when one considers the ratio of soldiers to support personnel as well as the hired guns we subsidize there.
January 26, 2009 2:45 PM | Reply | Permalink
Much of what you are suffering through is the result of stupid policies that wouldn't necessarily be changed with a SPUHC system. That would just change the structure that is used to finance the nonsense you describe.
Clearly, we also need to address the insane drug policies that have gotten worse and worse under every administration since Regan. Obama has thus far been a very adamant anti-drug warrior, so unlike health reform, getting relief will require convincing the big O (move over Oprah) that he's off base. He seems pretty ... self confident ... in his positions, so I don't have much hope on this, but it is well worth the effort to try and get through.
I'm totally in agreement with your points, but what does this have to do with being self-employed? I don't know if health care reform would lead to more self employment, but I can assure you it would result in benefits being offered by many small companies who simply can't pull it off under the current conditions.
January 26, 2009 12:12 PM | Reply | Permalink
If I'm not mistaken, he was bringing up more than one solution and more than one problem.
And single-payer, Universal Coverage would be a huge step towards job creation.
January 26, 2009 2:11 PM | Reply | Permalink
Dozens and dozens...
...a good start would be high-tech, one-stop diagnostic clinics, to end the run-around we are served up with whenever we go in for diagnosis.
Why would that be helpful?
Because as it is now, there are too many "guesses" in diagnostics, too much dependence on broad-spectrum anti-biotics, prescribed as a catch-all without full knowledge of the afflictions.
And because they are doing ONLY diagnosis and not treatment, the liability of these clinics and their Drs and nurses would be limited.
Then patients could go to their own doctors armed with the best evidence available, and get treatment for a specific disease or condition, which would also decrease the practitioner's liability at the same time.
A chicken in every pot, and a CATscan in every clinic?
Sounds like a Good Deal to me. And it would create jobs both in the medical sector and in the education sector to train these new diagnostic techs.
Just food for thought. I don't suggest this would adress the entire issue, but it sure goes to the heart of why we all believe our medical system gives us the runaround. If we could establish diagnostics that we could RELY on rather than suffer for, we have taken the point of entry and clened up it's act.
January 26, 2009 2:16 PM | Reply | Permalink
the key-word on those diagnostic clinics is "one-stop".
January 26, 2009 2:18 PM | Reply | Permalink
Now THERE's a cottage industry! Get an MRI machine with a couple of techs and you're practically printing money! Get the private sector out of there and you get more MRIs closer together. A private company gets to "own" a territory, especially in rural areas. It becomes too costly for competition to get in there and not profitable enough for the "ruler" of the territory to put in another one. But the area could probably use one, or several more. It is not a cost of the MRI company for the ambulance company to drive people these long distances to their machines, but if all those rural rides were added up, putting in that other MRI would probably make sense, I would bet.
I justwrote a post on this at:
http://tpmcafe.talkingpointsmemo.com/talk/blogs/gregorzap/2009/01/talking-points-healthcare.php
and I suggest we get the message out quickly but we need those bumper sticker slogans. We can explain it all later, obviously, but we need to hook people into it first.
January 26, 2009 2:56 PM | Reply | Permalink
If you feel like you are getting a run-around when you go in for a diagnosis, I think you need to find a better doctor. The overwhelming majority of office visits are routine, and within those, the majority of visits that involve evaluation/diagnosis/and treatment, fall into categories that are not that complicated.
Broad-spectrum antibiotics are often used because waiting for a culture and sensitivity can cause undue pain and/or worsening of the condition. That said, there are plenty of infections that can be treated with Ampicillin (about $10 worth of meds) as opposed to a third-tier ( >$50, and often more than $150). Part of that is an unwillingness to take chances (read lawsuits).
Your concept of Diagnostic Centers, with machines and labs, is tempting, but it is a backwards way of solving this problem. If a GOOD, well trained doctor has time to listen to his/her patient, to whom the right questions have been asked, the system will work. Appropriate testing should be done, and the doctor can never stop thinking as results come back. Sometimes the diagnosis takes longer, and sometimes (see the Brazillian model) people die and we wonder how such a thing could happen.
Trust me. The last thing you want is to be on some kind of tread-mill of medical investigatory tests, only to get spit out at the end with a list of possible maladies that your doctor then needs to sort through by asking you relevant questions.
Most people actually don't have complicated problems, and a diagnostic center would be a wasteful indulgence, benefitting no one. But when the care-giver is not up to the task, a center such as the Mayo Clinic, or other similar centers are there for us all (if our insurance will pay, of course!)
January 26, 2009 7:43 PM | Reply | Permalink
I want to amend what I said. It isn't true that most people's problems aren't complicated. What I meant to say is that conditions are usually diagnosed one by one, but as one illness or condition impacts another it can get VERY complicated. Between medication interaction, allergies, and individual reactions to combinations of drugs, therapy becomes a bit of an art as well as a science.
The problem is not always a matter of a complicated DIAGNOSIS, but complicated management of several conditions. No single machine can figure that out.
And sometimes there simply is not a good outcome.
January 26, 2009 7:51 PM | Reply | Permalink
Sorry, one more PS; if we can spend a trillion bucks protecting the billionaires and millionaires from losing their lofty self-status, we can spend a fraction of that equipping clinics and training technicians across the country.
I don't agree that we should take the profit out of the medical industry, or that we shold limit Dr's actual medical income (as opposed to their investments in the drug companies they prescribe from).
But we SHOULD take the profit out of bad medicine and psin and suffering.
If you have any doubts that we are being punk'd by the pharmies and the OTC drug makers, go buy some baby aspirin.
January 26, 2009 2:25 PM | Reply | Permalink
'scuse me, I mean baby tylenol... they don't give aspirin to babies any more.
January 26, 2009 2:26 PM | Reply | Permalink
.
Yes... Yes... Yes...
Not only should WE the PEOPLE ... "...take the profit out of bad medicine and pain and suffering." We should also completely put an end to the insurance companies abilities and practice to cause "Death by Spreadsheet."
~OGD~
January 26, 2009 2:51 PM | Reply | Permalink
O?O, have you seen this list of Pain Management Resources? Perhaps there are lobbyists there and or people who would be interested in starting a lobby with you.
(Sorry about your name. I don't have one of those upside down q marks.)
January 26, 2009 4:26 PM | Reply | Permalink
O¿O in the crowd, I just want to thank for for this very thought-provoking post. It inspired me to write a letter to my local newspaper. You have provided so much food for thought, and I particularly feel for your pain-management issues.
You have given me much to think about. Again, Thanks!
January 26, 2009 7:54 PM | Reply | Permalink
CVD,
Thanks for the letter going out! I think if most Americans knew of this Pain Management BS it would make a FAR larger point in the argument for SPUHC and the costs to ALL of "US" when insurance companies and law enforcement gets involved in health care.
January 27, 2009 5:27 AM | Reply | Permalink
You need to join us in the fight over at Healthcare-NOW!
http://www.healthcare-now.org/
We've been working on it for years and would love to have you join us gear up for the fight in our new congress.
The single payer bill - HR-676 will be dropped soon; we need to make sure that all the previous cosponsors get back on board as quickly as possible so we can start work on getting more representatives on board and the bill on the floor for a vote.
http://www.healthcare-now.org/
January 26, 2009 9:50 PM | Reply | Permalink
To all the people that deal with Pain and Pain clinics.0?0 (sorry) I understand what you are saying.I go through the same game urine samples ,contracts on Not getting other Meds ect,,,I have to drive about 30 miles to My Doctor.Others That I have met drive many more than that.One drives from the other side of Ohio.Yep drives across the entire state.The DEA has raided several around here a few years ago.I wonder how many pics they have of me going in and out every month.I dont care I hurt.I didnt see anything you said that I would disagree with.Also their drug tests sometimes are Not correct.They said I had 7 Nano grams of pot found in my urine???I have not been anywhere near that for well over 15 years.Then as you stated (low amounts of the meds) they did not find the Meds that I take.I took one before I went in!???It is unreal on what a person deals with just to be somewhat normal.Just to get Meds from a Doctor? I have had several surgeries,,so its not like I am there to have a good time! Stay the course!
April 13, 2009 3:14 AM | Reply | Permalink