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Dean Moss wrote a post about his viewpoint on health-care. It was quite a heated response full of passion from several varying positions on health care reform ideas. My comment was very long and I did not want to hijack his post so I am writing my response to some of the issues he brought up in his post and to respond to many of the comments. health care reform

This post is not about being Democrat or Republican. This is not a political issue; this is an American issue. This is not about whose side you are on or who you voted for. I am going to very upfront here and say that neither side has it right, nor has had it right for a long time. The two parties are more alike than they are different. I am going to address the things that are not in the health care reform that need to be.

There were a few things that really stood out in the comment section of Dean's post: 

Many people see insurance not for what insurance was meant to be for but rather for something entirely different. There are a few reasons that insurance is so high outside of the obvious and one of those reasons is that people have come to view insurance as the way to pay for their regular health care, check ups and such.

Lenn Harley made one of the most important and relative comments that even at her age she pays as she goes. She keeps herself healthy and eats right and exercises.

Think about your car insurance. You don't get to go and get your oil changes, your transmission flushes and your tires rotated and changed with your car insurance. That is not included in your car insurance premiums. The same thing should go for health insurance.  We are self pay patients and we get some awesome deals for being self pay. Nestor broke his leg a couple of years ago. The total bill for his cast, his x-rays, his ortho specialist and everything was $695 for self pay. I thought that was an awesome deal. For insured people that price would have been over $3200 and that is what the office bookkeeper told us.

I know moms who run to the doctor every time their children get a sniffle or a slight fever. I know people who are addicted to going to the doctor. I know people who go to the doctor every month because they have allergies and never once do they get told why they really have allergies. Why? It is easy for them to go because they have such low co-pays. Insurance is for emergencies, real emergencies! If people would treat insurance this way, it would be much cheaper. We have catastrophe insurance.

The best way to keep health care costs down is through prevention. Prevention is rarely covered in insurance and certainly is not included in government health care. Chiropractic routine care has helped our health and so has acupuncture and massage. Our chiropractor is also an acupuncturist and he has a massage therapist in his office. We have a one time family plan annual fee we pay to him and that includes unlimited visits by all our family members. This preventive care keeps our nerves and bones healthy and strong and relieves stress. Chiropractic treatments even prevent ear infections in babies and allergies in children and adults.

We go to a homeopathic doctor and get natural herbal treatments instead of spending money on prescription drugs. This of course, would not work if we ate fast food. We do not smoke, we do not drink alcohol and we do not eat any foods with preservatives or added chemicals. We do not eat any dairy because casein is a precursor of cancer big time. We don't use any toxic cleaners or chemicals in our home and don't have carpet or any other products with formaldehyde. We clean with vinegar, baking soda, lemon and borax.

It comes down to a matter of choice. Do you choose to eat whatever you want and drink whatever you want, playing russian roulette with your health? You can choose to drive your own health care costs down. Now if I do ever get cancer no insurance company would pay for the natural treatments that I would wish to take. The reason they use Chemo is because there is so much money in Chemo and related products.

The government, no matter which party is in office sleeps in bed with Big Pharma and Insurance companies and most of all Trial Lawyers. Do you ever wonder why the directors of the FDA when they retire get cushy million dollar plus jobs at Big Pharma companies and Monsonto operations? Hmmm, when government and big business sleep together, that is the destruction of capitalism and free markets. You have to look beneath the arguments. 

Tort Reform is the next thing that needs to happen. I am no fan of Howard Dean, but last night I became one! He had the nerve to speak the truth. When he was asked why tort reform was not in the bill at his town hall; he answered truthfully and with real transparency- because the trial lawyers won't let it be in the bill. They would tie up that bill in litigation and on and on. Howard Dean had the guts to tell the truth and for that he deserves a lot of credit.

Tort reform should include caps on law suits and loser pay rules. It should also include specific punishments for bad doctors and reward good doctors with reduced malpractice rates.

My Ob/Gyn almost had to shut her doors. She was being charged over $250,000 a year for malpractise insurance. She canceled her insurance and hung up her disclosures that she no longer had insurance so if you want to sue her; you won't get much. She has been my doctor for 15 years. She delivered my son and my two grandchildren. It is so sad how the quality of the birthing experience has declined so much since the birth of my first 5 children to the last child, my 6th child.

As I was having my first 5 children a woman's right to have her baby in a natural setting improved a lot. When I gave birth to my youngest daughter 20 years ago; I had the choice of no monitor on me, walking around the halls, taking baths, no IV and they even had a video set up that if we chose I could film the birth, which I did.  Then fast forward 14 years and I am having my last baby 7 years ago. I asked where the video set up was, oh, because of law suits there are no more videos of live births. You have to be hooked up to the IV, you have to have the monitor on you and you have to have a c-section if you show any complications. Why, because of law suits! It has all gone down hill since those years when I had my first babies.

We have our regular medical doctor who no longer even takes insurance of any kind. He scaled down his practice and works only with self pay clients. He charges a yearly family fee and even makes house calls in that fee. Why? Because there are less law suits among self payers.

One of the best comments I read was about the matter of choice. Choosing to be a Realtor is a choice. When you start your real estate business it is a business not a job. Therefore you have overhead. That overhead should include a medical savings plan for yourself and your family. You know going into this business that you don't have health insurance. There are benefits to having a real estate business and that is the unlimited income earning. There is no income ceiling in real estate. So it is up to you to make more money to pay for your catastrophe insurance or medical savings plan and it should be a part of your business plan. If you do the math; you will see that saving on your own time, on your own free will and choosing how to use your medical savings is empowering you and actually will improve your health since 95% of all illness starts upstairs. That will drive the prices of insurance down because the demand will go down.

You see, we go back to supply and demand. If you allow the market to work and empower people to have access to prevention and alternative health-care - you will decrease the demand, thereby reducing the cost.

But of course; since this makes sense so no one in Washington is going to take these ideas and run with them.

 
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59 Comments on Health-Care Options- Real Solutions For Real Issues

AUG
28
2009
AUG
29
2009
1,256,101 Points 242 Featured Posts Localism Sponsor Outside Blog Hit Router Attended Rain Camp Called Shot Master

Sally- I have been thinking about you and your son in law all night after my son's family birthday party. I am holding your family near to my heart and in my prayers. Katerina

12:19am • #2
108,507 Points 2 Featured Posts Outside Blog

Great points.  There are many changes that would help reduce health care costs.  Tort reform would help a lot, as well as encouraging more preventative treatments.

2:05am • #3
595,059 Points 18 Featured Posts Localism Sponsor Outside Blog Called Shot Master

I agree, these are some pretty good points to ponder.  I have been blessed with good health for my 65 years and work hard at not going to the doctor.  I do go for my physicals on an annual basis but not for the sniffles.  I think we need to be more careful how we view health care/insurance as you say.

7:21am • #4
563,639 Points 17 Featured Posts Called Shot Master

Katerina - I am also a pay as you go person. Unfortunately, I don't have the catestrophic coverage because to get it here would cost me $12,000 a year for $5000 deductible. I agree with the premise that health insurance should be more like car insurance, or home owners insurance, it shouldn't cover the normal maintenance we should be doing.

Three simple things can lower health care costs dramatically:

  • Allow insurance to cross state lines
  • True cafeteria style insurance coverage (where you can pick and chose what is covered)
  • Medical malpractice tort reform

When you add a couple of things like:

  • Give individuals the same tax benefits as corporations for insurance policies
  • Eliminate the 7% of income requirement and allow full deductibility of medical costs
  • Broaden the scope of HSA's

And, for those that truly have economic issues, a voucher program, similar to food stamps could be implemented. It should be income driven and temporary (except in the most chronic of cases).

7:29am • #5
764,070 Points 1 Featured Post

I agree with many of the commentors.....great points to consider..I love the part about it not being a party issue..I think we all rely on that one too much!!

7:36am • #6
236,017 Points 10 Featured Posts

What a beautifully-written piece. You have a gift for writing clearly and effectively...one of your MANY!

8:50am • #7
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Good points Katerina.

I went back and read through many of the comments. It got so long, glad you posted a blog response to it.

Many things can be changed in our health industry. I heard that comment by Howard Dean, isn't he a Dr.?

That was speaking the truth.

10:04am • #8
563,199 Points 24 Featured Posts Attended Rain Camp Called Shot Master

Katerina: You definitely bring up many sound points. It’s at catch 22 situation. I hear a TV commercial on depression drugs … I can see how if a person were not already depressed before watching the commercial … I can see how many would flock to their doctor for a prescription. I happened not to be one of those people. I have not been to the doctor in years … eat well, exercise and live a clean and simple life. That is a formula for health and, of course, as you say, a choice. Can we really even think about blaming government for our own choices?

10:22am • #9
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Katerina,

Tort reform would help with a multitude of ills in the U.S.  What is your opinion about medicaid.  In California it is called medi-cal and talk about a huge issue? Many medi-cal patients use emergency rooms for the cold and flu. 

10:43am • #10
278,556 Points 15 Featured Posts

Go see the movie Food, Inc. If you think for a moment you can stay heathly with what is going on in our food supply, think again.

11:22am • #11

Very complete and thoughtful post. Nice work!

11:33am • #12
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Missy- Yes, he is a doctor so he likely has some first hand experience with tort reform. I know a lot of doctors. They are not evil people, they go to school like forever and have enormous student loans to pay back. This is their choice in order to accomplish 2 things: to help people and to make money that is justified for their expertise. They get a bad rap a lot. I know many doctors who go and work for free in low income communities and go on medical missions throughout the world. If the government would allow doctors to work in inner city and rural clinics- which in many cities and states they do not even allow doctors to do that. Katerina

11:42am • #13
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Leslie- Thank you so much! When I am passionate about something- my creative juices start to flow.... and then I write....

11:43am • #14
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Hello Katerina, it is disappointing that the current situation and the "debate" with health care reform in this country is pointing to a solution with more government intervention with fewer choices.  I also agree that a essential ingredient with reform must deal with the trial-attorneys and their unbridled activities have negatively impacted the availability of care providers, among other negative impacts they've caused.  Thanks for your post on this.  John

11:43am • #15
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Katerina,

You're correct in your assessment that both political parties in Washington are essentially the same viewpoint. That's why we need to clean house. As for the the trial lawyers, this has been the issue for decades, but we are a larger force than them and can force a tort reform bill into existence if we want. :)

Steve

11:46am • #16
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Joe- You can stay healthy even with our tainted foods. There are some amazing studies done on casein and how if you just remove that from your diet, cancer can not grow even if you eat foods filled with pesticides. Read the book by Dr Campbell, a very highly successful doctor who the government funded to do the CHINA STUDY- which is the name of the book- and then the government in bed with the dairy industry- would not publish his findings. Doctors from all over the world send their wives and children to his clinic where they are healed from cancer.

We are so fortunate to live next to the world famous Hypocrates Institute where people come from all over the world the be cured from so many diseases including cancer, even liver cancer. We go there often for events, lectures, wonderful live food buffets and of course organic wheat grass drinks. People go in there in wheel chairs and 3 months later are sprinting out of there. It is less than 5 minutes from our house and so we witness this amazing healing clinic often.

I thought that I would be bored reading a book written by a left brained doctor in the China Study and did not think I would 'get it' with the readings of testings and the experiments. I would love to blog the sypnopsis of the studies because they are so  like common sense.

Yes you can live a healthy lifestyle and RAW FOODS is best.

I take my ACV 3 times a day with Agave. I have never had high blood pressure and I am overweight, which I am working on. I am losing weight at about 2 to 4 pounds a month which is small, but has the greater chance of staying off  because I am not starving my body.

12:00pm • #17
247,036 Points 1 Featured Post Attended Rain Camp

We handle many rental properies, and have rented to several people who lost their homes due to a medical emergency that took everything they had. Others have told us their credit is shot for the same reason.

There are a lot of people who simply can't afford health insurance, so if something catastrophic happens they are ruined. There BADLY needs to be reform that would give these people an affordable option to have health care, and the way I see it a public option is the only way to get there. The private insurance companies are not going to be affordable.

12:01pm • #18
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Katerina - I believe you're right, that this is an American issue.  I believe there is value in discussing the problems and potential solutions, and prioritizing to address the most serious issues... perhaps catastrophic health care expenses and tort reform. 

Apparently there are a lot of people in government who believe in "throwing out the baby with the bath water" instead of just wiping the dirt off the baby's elbow.

12:27pm • #19
120,616 Points 9 Featured Posts

"Think about your car insurance. You don't get to go and get your oil changes, your transmission flushes and your tires rotated and changed with your car insurance. That is not included in your car insurance premiums. The same thing should go for health insurance."

I couldn't agree with this more.

"Insurance is for emergencies, real emergencies! If people would treat insurance this way, it would be much cheaper."

The Emergency Room is like a doctor's office these days. 

 "The best way to keep health care costs down is through prevention. Prevention is rarely covered in insurance and certainly is not included in government health care."

These are all great points to contemplate.  Terrific article! No need for me to elaborate anymore when you've covered everything here Katerina.

12:43pm • #20

Great post with some great points. This is a very heated topic and I appreciate reading your view point.

12:56pm • #21
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Prest Realty- We have a public option right now, it is called medicaid. Why were those people not able to use medicaid? I know a lot of people who go to medicaid for their medical emergencies. A better question is; if they could not get medicaid to cover their emergency now what makes you think that widening the medicaid system would give them the care they need? It won't. They would not be able to afford the public option either or they would be turned down for that treatment. Katerina

1:11pm • #22
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David- Thanks. Mike has also a great idea in his comment and that is to get rid of the state lines limiting insurance. Create a more competitive environment and allow people in different states to choose their insurance companies so that groups like NAR can offer affordable insurance rates. Also, the pick and choose alacarte insurance idea is also a good one.

Now, to get someone who writes bills to listen:)

1:17pm • #23
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Margaret- At least people care, that is a huge step. I have never seen so many people really care about what their leaders in DC are doing. Sometimes it takes things of this degree to get people to become involved in the debate, the solutions and be interested in their country. I see some light at the end of the tunnel:)

1:19pm • #24
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I agree on a few topics, and disagree on a few others.  But that's just how it goes.  The woman up the street is morbidly obese.  How she got this way, I don't know.  I gave her granddaughter a date as a snack.  The little girl never ate a date before, and I suppose because it wasn't full of sugar it didn't fit her ('refined') tastes.  She said, 'Yuck' and spit it out.  A date is naturally sweet, and it's a good, heathy snack.  If she doesn't learn better eating patterns, so too will grow up to be morbidly obese.  Her grandmother is, her mother is, her sister is . . .

On "tort" reform -- as a victim of a doctor's "oopsie" I disagree.  My entire left leg is now fake (75% of my femur, 50% of the tibia, and all parts in between) when it was severely damaged by a doctor who butchered a knee replacement . . . and then didn't bother to tell me he had fractured my bones during a total knee replacement (done last May '08).  Dude fractured my bones and because I don't read x-rays, I didn't know what was wrong.  I suffered, and continue to do so.  I was in surgery over six hours in an attempt to repair the damages, after I found a second doctor who knew what they were doing.

Tort reform wouldn't be an issue if doctors didn't practice "OSTRICH" medicine when they 'f-up.

Tort reform . . . for what??  The one-half of 1% of the nation's doctors that actually face sanctions.  Do you know how many doctors went up before their state's medical board for reveiw?  @2,700 since 1999.  BIG DEAL!

100,000 people are killed from negligence from medical errors . . . 100,000 . . . a year!  The national average for car accident related deaths are less then HALF (40,000) per year.

Don't even get me started on MEDICAL DEVICES that go into people (can we say GUINEA PIGS, boys and girls?) that aren't even FDA approved and/or tested.

1:24pm • #25
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Katarina

First of all, I am fortunate to have great health insurance through my husband's employment.  But I am a big believer, as you are, in a healthy lifestyle.  I'm a vegetarian and have been running and exercising for over 30  years.  My mindset is:  I Am Healthy. This results in very few illnessess.  You are so right in saying that prevention is the key - it's neither encouraged nor paid for.

Even being covered, I hesitate to go to the doctor until really necessary.  I must have a hip surgery in January that my doctor told me would require a one-night stay - I told him I wanted out the same day! 

It would be fine with me if we had just catastrophic insurance and had to pay for the routine stuff ourselves.

1:53pm • #26
Outside Blog

That is wonderful that you go to a homeopathic doctor and get natural herbal treatments instead of spending money on prescription drugs. Most Doctors will not treat you if you are not insured. I agree Prevention is the best way to go.

1:54pm • #27
482,745 Points 1 Featured Post Localism Sponsor Outside Blog

Katerina,  Ironically, ideas like yours were shouted down at so many town hall meetings by the extremists that our elected officials must try to reform our health care system without the type of input you are promoting !!! 

2:23pm • #28
358,265 Points 31 Featured Posts Outside Blog Hit Router

Katerina -

Thanks so much for the attribution.  No, no death threats here yet, thankfully!

The concern and frustration many of us have is lack of control over the situation.  Hence, the need for some sort of change. 

I have no objection to paying for routine care out of my own pocket, but prescribed drugs medical costs have gotten many to say - is it worth the expense.

Competition will create more choices - and there is no reason so many of those in - still - the most prosperous nation on earth go wanting for medical care and drugs.

Gotta be fixed!

Thanks again - take care, and hi to Nestor!

DEAN & DEAN'S TEAM CHICAGO

2:31pm • #29
745,186 Points 3 Featured Posts

Nestor and Katerina,

Major medical emergencies can just about wipe out a family without insurance.

In Canada, basic medical care is considered a human right. So, in that regard, everyone is covered.

The system is not perfect, and could always use some improvements.

Brian

2:32pm • #30
395,129 Points 6 Featured Posts Hit Router

Wow! This is dead on accurate. 

 

Medical care is NOT a human right.  You have the right to life, liberty and the pursuit of happiness.

2:46pm • #31
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Carla- Tort reform does not mean that you hold doctors harmless from errors. I am sorry about what happened to you and in your experience I am sure you have a very strong and valid point of reference to form your opinion. However, it is the lawyers that get rich off of claims like yours, not you and not others. People talk about the European style health care, well, what they don't talk about is their tort laws. There are caps on what you can sue and it is very hard to make a claim there.

What tort reform should entail is to put limits on the amounts and to get rid of frivilous law suits which is the biggest culprit in the cases.

I don't feel that my good doctor should suffer because of a some bad doctors. She should be rewarded. I also don't think we should be able to sue the doctor based on a decision we make. Like if I don't want a c section when it is what the doctor wants to do in order to make sure my baby comes out alive. If I am warned my baby might die in a vaginal delivery because let's say the baby is having breathing problems, then I still say no, I don't want the c section. If my baby dies, that was because of me not the doctor.

FDA not approving products does not warrant squat with me because the FDA is full of crap. They don't approve good drugs and they approve bad drugs, depends on who pays them more. They shut down natural homeopathic offices, arrest people who create natural alternatives to chemo, allow poisons like aspertame that kill people to be sold to us, don't think that we should be told that there are GMOs in our food, and the list goes on and on. Who are they? Nothing but a bunch of paid by Big Pharma and Monsonto cronies who do their bidding while trying to make it that we have to buy our herbs and minerals through prescriptions. That is one rant that I can go on forever about. I have seen first hand the destruction of lives the FDA and the FTC are responsible for. Follow the money. Katerina

 

3:26pm • #32
368,065 Points 38 Featured Posts Outside Blog Hit Router Called Shot Master

Katerina - I got my own health insurance when I became a self-employed Realtor many years ago.  It was catastophic, high deductible, so I always asked for a cash, no-insurance discount, and got it from every doctor.  Many self-employed people will not buy insurance, even though they could afford it.  I could have chosen not to buy health insurance on my own in my 20's, and spent the money on other things. With the proposal in place, those people who can afford to buy insurance, but just choose not to, would be covered by other taxpayers.  However, there is disparity in the fact that responsible individuals are already paying for health insurance on their own, when they could have skated along and opted for the emergency room if necessary.  I do think those who truly cannot afford it should be covered, but only those.

4:31pm • #33
161,090 Points 1 Featured Post

I think I agree with every point. I heard recently about a doctor that ran his own "plan" for self-pay clients and was chased down by some regulatory agency for operating an insurance company. He never gave up and was finally able to change some of the "terms" so he could continue to service his clients. He was very inexpensive- One yearly fee covered standard visits, etc. He actually did a lot more for a lot less.

4:38pm • #34
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Dave Keys- Yes, the insurance companies and governmental agencies don't like the doctors who do a self pay cash program becaus they want to force insurance down people's throats. I love our family self pay deals we get. And you do get a lot more than if you have insurance. There is also something to be said about someone writing a check for their office visits; less paperwork, less regulatitions of what is or is not covered. Thanks for the comment.

5:35pm • #35
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Dean Moss- You are Welcome!
Great topic for discussion and debate with very interesting perspectives and ideas. Thanks for writing your post which inspired this post! Katerina

5:41pm • #36
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Wendy- I think that we who can afford to have high deductable catastrophe insurance should have that. Just like I think that we should have liability coverage on our cars. I am not a fan of insurance, think it was one of the biggest scams ever invented, but it is what it is.

Here in Florida we have awesome insurance: All children under the age of 19 in middle to low income families can have Florida KidCare which is an awesome program with co payments of zero to $20 per visit, and $10 for emergency visits.There is no kid here in Florida that should go without health care because of Kidcare. And to top it off- Florida has no state income tax as you know. So that is saying something about what can be done.

We have wonderful Catholic hospitals here like St Mary's where the poor are served with dignity. We have awesome charity run clinics where doctors donate their time and pregnant women get the prenatal care they need. Also, medicaid even now, covers maternity and prenatal care and newborn care. There is plenty to go around for the poor here in Florida. Great programs.

They have healthy mothers/healthy babies here for unwed and married women/ they set them up either on a payment plan or on a program like medicaid for their pregnancy.

5:53pm • #37
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Brian- That is what medicaid is for. You can get emergency care and get it paid through medicaid and then you can set up a payment plan for some of it.

The beauty of living in Florida is that we are an asset protection state, so if you can't pay the medical bills they can not take your home. They can not garnish your wages. And you can always file bankruptcy and still keep your home.

5:56pm • #38
390,959 Points 3 Featured Posts Localism Sponsor Outside Blog Called Shot Master

I would love that I could have payed my own way, but was thankful for insurance. I had major back surgery 3 years ago, final bill was over $90,000. In the UK where I come from it would be free. Without surgery I was on a morphine patch, Vicodin was a baby pill for the pain I had. I had to have the surgery. Now my husband got laid off and we had to stop paying Cobra, unreal cost, I have to pay my sons insurance, he has Crohns and needs Humira, he is 20 but cannot afford it. I cannot get health insurance now because of my back surgery.

Tell me this is not 'messed up' as the young generation say!

5:58pm • #39
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Corrine- Nothing is ever truly free, you paid for your insurance with your taxes in England. I was a Navy child- the military care was free for us dependents however it was horrible and incompetant doctors. I would have rather had a choice in who my doctor would be.Cobra is crazy high! I refuse to be taken hostage by them or the government. If so many people did not put such a strain on going to the doctor for every scratch or fever, then you would not have experienced this in this way. Overwhelming the system will not create better care or cheaper care. You also have to realize that England has a much smaller population of people than the United States does.

For your son- He can be healed with Bio Feedback therapy and also EFT. It may sound way out there, but they do work. In the meantime he can be very careful of what he eats. The pharma meds don't heal they just cover up the symptoms and then create more disease by the toxic waste they leave behind in the cells and in the system. He needs to go through an entire detox and cleansing system for the kidneys, liver and colon. Then he has to drink lots of homemade fresh juices. Medicines do not lead to health. Crohns happens because the body is trying desperately to cleanse itself and because of the food we eat, it will not be able to do so. I know many people have been rid of this irritating symptom. Stop eating red meat altogether, no fast food, no refined foods, no refined sugar, no chemicals and no drinking alcohol.

7:40pm • #40
419,712 Points 71 Featured Posts Outside Blog Called Shot Master

"The best way to keep health care costs down is through prevention."

Health Class 101.  What took us so long to actually realize that very statement?

I'm a smoker and have no qualms paying higher taxes being such, and am astutely aware of the possible ramifications down the road.  I eat healthy, work out, and watch movies that don't have Sean Connery as the main character.  That should add about ten years to my life:)

I honestly believe health care should not be an issue in this world.  If you want it, you should have it.  If you don't, fine.  If you are a citizen and working for a living, or part of a family where someone else is bringing home the bacon, you should have affordable options...

Capitalism is competition.  And education helps avoid most of this in the first place.

9:16pm • #41
351,030 Points 24 Featured Posts Outside Blog Hit Router Attended Rain Camp Called Shot Master

Katerina - Your right about "nothing is truly free". I paid for health insurance while employed in Germany which is mandatory even if you are married and your husband carries health insurance as well. Although, I never thought about it too much in Germany because it is just the way it was, now I'm thinking about how much money could have been saved. It is now that the health-care insurance system is broke and folks are paying co-pays, for medicines, hospital stay.

You have made great suggestions worth thinking about it.

9:27pm • #42
546,315 Points 11 Featured Posts

Hi Katerina -- You raise some very good and valid points, and I agree with most of what you said -- there is a whole lot wrong, a whole lot needs to change, but I also feel that that small entrepreneurs get penalized as they don't have the buying clout, and this is the engine of our economy, so if a catastrophic or even major but non-life threatening illness were to result, it can easily destroy the livelihood of an individual, and that isn't right.

10:00pm • #43
865,593 Points 50 Featured Posts Localism Sponsor Outside Blog Hit Router Attended Rain Camp

There are a couple of things I would point out here... 

Howard Dean was only partially transparent... we'll call it translucent.  What he failed to mention is that ATLA is VERY one-sided in their political contributions.  And the people that they give to are Democrats.  The GOP would cut them off at the knees, but they don't have the power.  In the 2008 cycle, the "Law Industry" gave 78% of their almost $127M to Democrats... In fact, of the top 20, only Educators, Entertainers and Civil Service gave a higher percentage to Democrats...  But the Law Industry was #1... 

Next, as I recall, someone under 21 might qualify for SCHIP... 

Finally, the government just completed a study that showed that prevention is more expensive than treatment from a payer standpoint.  Basically, it costs more to prevent a disease in millions of people than it does to treat it in thousands of people that would actually get it.  So, don't expect a government run health system to spend the extra cash to cover prevention... 

And a "Public Option" is NOT competition, it is a way to remove private options from the market.  The "public option" wouldn't be responsible to cover its costs, nor even follow many laws that the private system would have to do...

10:12pm • #44
579,719 Points 71 Featured Posts Outside Blog Attended Rain Camp Called Shot Master

Katerina- You definitely are on the right track.  What's happened to common sense in our gov't?  Doesn't it make more sense to encourage preventive care, even with some medical plans covering this, than to wait until a person needs extreme care then have the insurance kick in?  I have no faith in either party to run a health care system.  I envision a system that becomes so bogged down in governmental paperwork that the focus becomes just that and not good medical care.

You mentioned something that really hit home for me.  With self pay, where you write a check yourself, it's so much simpler.  You don't have to wait to wait for EOB's from your Ins. company to explain what was covered and what wasn't.  Ten years ago my husband had 2 stents put in.  We were covered through his insurance.  Now, we are both college graduates, but it took me many hours and phone calls to the insurer to try to understand what was covered and what I needed to pay. 

Regarding Tort Reform, most everyone would agree how much it is needed.  Malpractice has its place but the fix there is not so much tort reform but for the medical profession to police themselves.  If the profession did a better job of policing themselves and sanctioning incompetent physicians, there would not be such a great need for tort reform.

I don't know what the answer is for health care but it saddens me that in this wonderful country that we live in, there are families, young and old, that can't afford proper medical care.  What does that say about us/

10:18pm • #45
608,296 Points 26 Featured Posts Localism Sponsor Attended Rain Camp Called Shot Master

Katerina, I agree that neither party has it right. The Republicans had 8 years and did nothing. I read recently that our country is not being run by the people anymore but by industries. There are so many lobbiyists and special interest groups that the people's voice is not being heard. There is a place for medicine and pharmaceuticals when there is an acute life threatening problem, but there is a huge need to recognize alternative treatments in this country which are much less expensive and less invasive.

It's like we're going from one extreme to the other. Neither extreme has the answer. We need to bring into the mainstream great alternatives like ACV and chiropractic and massage - and the healthy Kangen water we drink that is in hospitals in Japan and prescribed for patients. Our lobbyists and special interests are holding back meaningful reform and only want a bandaid of socialized medicine which will put more money in their pockets and many of our elected officals are going along for the ride.

Sharon

10:40pm • #46
577,905 Points 15 Featured Posts Localism Sponsor Outside Blog Hit Router Attended Rain Camp Called Shot Master

What was that old saying, an ounce of prevention is worth a pound of cure? Neatly summed up why our heath care costs are so sky high imho, Katerina. Have you e-mailed any of your thoughts on the matter to President Obama? No, not to the congressmen and senators...they've got all the lobbyists and the public to contend with...maybe, just maybe....

10:41pm • #47
1,007,488 Points 36 Featured Posts Outside Blog Attended Rain Camp Called Shot Master

It sounds like you've found good ways to keep your medical expenses down while keeping your medical costs down.

I'll be looking into alternatives for my son's issues in the very near future.

11:07pm • #48
AUG
30
2009
502,137 Points 1 Featured Post Outside Blog Attended Rain Camp Called Shot Master

Katerina:

Wow.  A health insurance solution that didn't take a 1000 pages to explain.  Way too simple for Congress.

1:47am • #49
837,443 Points 163 Featured Posts Localism Sponsor Outside Blog Attended Rain Camp Called Shot Master

Katerina - I am in the midst of reading the entire proposed health care bill, and I intend to blog about my thoughts and about what is actually contained therein. 

I sincerely wish that being self pay patients had helped us when we had our last two children - they cost almost $15,000 each our of our pockets, and (as you know) both of them were natural child births with no drugs of any kind for my wife. 

 

10:51am • #50
861,456 Points 76 Featured Posts Outside Blog Attended Rain Camp Called Shot Master

I am lucky enough to have a husband with good health insurance. But even with our 80/20 plan, the bills are crazy if you ever have a hospitalization. The hospitals and doctors OVER charge to make up for nonpaying clients and those without insurance. That is just not right.

1:59pm • #51
1,256,101 Points 242 Featured Posts Localism Sponsor Outside Blog Hit Router Attended Rain Camp Called Shot Master

Jason- WOW, that is a lot for self pay maternity care. Mine was like $1200 for the doctor for the entire 9 months, $3000 for the delivery. That was my last baby in 2002.

Both of my daughters qualified for healthy mothers/healthy babies program here in Florida which is an awesome program for single women and those who are middle to lower income levels.

2:54pm • #52
837,443 Points 163 Featured Posts Localism Sponsor Outside Blog Attended Rain Camp Called Shot Master

Katerina - Each one was in the $13,000 - $15,000 range.  This was in 2006 and earlier this year.  Our first two children cost us about $100 total (under true group health insurance - my wife was still working then).  I am amazed at how punitive things are for the self-employed these days.

4:29pm • #53

Great post.  My wife has health insurance where she works but we practise preventative medicine.  You know "an ounce of prevention is worth a pound of cure?"  We watch what we eat; we..well I exercise regularly --she walks with the grand kids; we use herbal remedies (I wrote a blog on "Tonic Time")  and we go to the doctor only when necessary.

We don't get sick very often (I'm 53 & she's 52) our kids and now grand kids have healthier diet options -- in short we don't tax an already over taxed health care system. 

Hey! where's my cash back check?!

5:45pm • #54
AUG
31
2009
579,083 Points 61 Featured Posts Localism Sponsor Outside Blog Called Shot Master

Here we go again - sigh...

Actually Katerina,

I agree that some people overuse general care.  The problem is that this is not where the real problem lies. The cost of this type of minor care is miniscule which is why insurance companies don't seem to fight it too much.  You can't get catastrophic care in NY...Not available.  Why?  The insurance industry can't make money that way unless the premiums are sky-high with a massively high dedcutible to go along with it.  That still doesn't get you away from  lifetime caps. 

This is the way I look at it...in order to sell themselves, the insurance companies have to offer something.  They offer general care and they do that very well. They keep the healthy happy, but fail to treat the sick.  Most  are satisfied until they get seriously sick or are involved in a serious accident.  That's when the insurance policy is put to the test.  But isn't that what the insurance should be for?  Trouble is - one serious injury, one serious illness can put you back over $100k.

My father was very pleased with his for-profit Medicare HMO - until he got sick.  Unfortunately, all the organic food in the world will not cure stage 4 colon cancer.  He needed chemo and he needed it fast or he was going to die.   They did everything they could to "postpone" the chemo. Since he had about three months without it, it was a deliberate attempt to make nature take its course.  Talk about death panels?  We already have them in the insurance industry.  How about death by stonewalling and benign neglect?  Way too many people find out all too late that their insurer will work overtime to deny care should they have to fork up any significant coin.  So medical insurance is failing on a massive scale. It singlularly is failing to do what it was designed for - safeguarding the insured against catastrophic costs from a serious illness or accident.

The good news is that my Dad is still alive. I put him on "traditional" medicare with AARP supplement during open enrollment and there have been no more problems with treatment protocols.  His oncologist said that this was the ONLY policy that covered the 67+ group with any reliability.  Every other policy put the doctor into a pitched battle with the insurer who would generally try any hook that they could find to avoid paying for what really should be covered. These battles are all very costly as well.  My father's oncologist has an army of staff that do NOTHING but try to process insurance claims.  This adds dramatically to the cost of running her practice. Hours/days/weeks of time were spent by these employees trying to get my father's BASIC chemo approved.  They do this every day with multiple patients. It's a complete mess and the people who run that branch of her practice have the patience of saints.

Wake up folks.  Those posts were filled with horror stories.  It speaks of a basic flaw.  Good care is not consistant with a for-profit insurance industry.  Free markets work for many things - BUT NOT FOR THIS. What we do as business people is a world away from my former field. Research was about discovery that might held down the line - it was not about profit.  The doctors want to treat their patients and make them whole again. Many work for a pittance given the years of education and the long hours they put in. It's not about making money- its its about saving a life.  This is NOT a model that is conducive to a publicly traded company. The two don't mix and that is why the system is in the state that its in.

I too make use of chiropractors and acupuncture and organic food. My dogs ensure that I get a good deal of outdoor time and exercise.  I carry insurance at great expense because this is not a solution to serious illness that can happen to just about any of us.  No one is immune. Lifestyle has something to do with it, but not everything. My genetic dice are quite loaded for some illnesses - as are the genes of many other hard-working non-hypochondriac Americans.  My mother led an exemplory life - but was devastated by a rare form of lung disease that usually hits smokers. Inflammatory lung disease killed her way too early.  She was ill for 12 long years.   The cost for her meds the last year of her life (and this was 1995) was  $34,000.  She had the money for it (it was before drug coverage for medicare.) It was interesting that she was concerned enough for others to ask  what do other hard-working Americans who are not so fortunate do?

12:53am • #55
210,219 Points 3 Featured Posts Localism Sponsor Outside Blog Attended Rain Camp

I feel we do need to overhaul our present system.  My primary care physician charges $250 for a 10 minute consult.  I'm sure that fee is based on the fact that I have insurance.  I'm not sure what he would charge if I was self pay.  It is all about profits for the insurance companies.

 

2:42pm • #56
1,256,101 Points 242 Featured Posts Localism Sponsor Outside Blog Hit Router Attended Rain Camp Called Shot Master

Bonnie- I am no fan of insurance of any kind. I always thought it was a huge scam. However, you say that it is all about profits for the insurance companies. What else would companies that are not charities be in business for? I am in my business for profits. I don't know of any business that is not interested in profits.

A ten minute consult with an MD here for self pay is going to run about $50. That is my point. A great way to teach competition is through supply and demand. Lower the demand on insurance companies without government involvement and allow fair competition in the free market. Allow people to get catastrophe insurance and pay for the rest as you go. We have medicaid already for people who really need it. Allow more incentives for non profits to get involved with health care, especially the religious charities and hospitals. I know a man who owns a hospital and takes no paycheck at all from that hospital,. does not take any income at all from that hospital but just because of owning that hospital he has to pay an extra $250,000 in taxes each year.

 

7:55pm • #57
SEP
19
2009

What about the "poor?"  The American poor are not only the indigent, or homeless, or jobless.  I define poor as those who work 1 or even 2 jobs, still can't make ends meet, have healthcare... BUT if they lose the job, or develop a dreaded "illness", heaven forbid... they will soon be indigent or bankrupt, and possibly dead... due to our current state of health care.   Why or why, can someone tell me why, we are the only industrialized country which does not provide FREE  health care to all its citizens????  (albeit funded sometimes by taxes and sometimes by government subsidies or a combo)  

Thirty-nine other countries have provided their citizens with the freedom from fear of getting sick.  (including Italy where my brother lives, England where I have cousins and aunts, and Malta where I have many relatives).  Getting seriously sick is something that will happen to all of us, ending with the ultimate sick of death.   I do not follow the logic of those who say we must not do this.  Governments come and go... ours will be around for a long time.  We are blessed to live in America, unless you get a terminal illness and have your insurance cancelled.  Our lawmakers always seem able to come up with trillions of dollars to fight wars... it will find the money to care for its people.  Only if we demand it.  Thanks for listening.   

Elaine Giamona, Broker, Lincoln, CA

http://www.mccoyreo.com

 

11:26pm • #58
OCT
03
2009
1,256,101 Points 242 Featured Posts Localism Sponsor Outside Blog Hit Router Attended Rain Camp Called Shot Master

Elaine- The poor and indigent are qualified for medicaid, social programs, pregnant women and newborns are qualified for medicare.

If you go broke, you get medical help from the government right now.

If you are a senior citizen you get medicare and medicaid.

How's that Medical working for you in California? A huge part of why your state is more than broke. I don't say that lightly as I am a native Californian. I don't see California sending billions of dollars to the wars. So what is their excuse? You have the highest taxes besides New York in the entire US and you still don't have enough money for Medical expenses. And your wonderful medical also makes tough live or die choices for patients. You also have that awful Kaizer in California which is governed and regulated by your state. Yet neither the state, medicare nor Kaizer would treat my grandparents in their late 90's because of their ages! Can you say, Death Panel! Government would only make what is bad even worse.

What does our governmet do that works? I have not seen much in many years!

All the government has to do is allow insurance companies to sell insurance across state lines. You know who won't let them do that? The big insurance companies who are in bed with politicians and don't want to sell across state lines because then markets will force the price to go down and pre-existing conditions disqualification would disapear. That one thing would change everything!

I stand behind my belief that all people should be able to get catastrophe insurance.

I do not believe there should be any insurance for regular check ups, colds and other minor health issues. That is just like getting your car's oil changed and a tune up. With that part taken out of the equation- there would be a lot of money left over to pay for emergencies.

And mostly I do not feel the government should ever force anyone to pay for insurance. It is none of their business whether I have insurance or not. And the IRS to be in charge of enforcement is beneath contempt. Katerina

3:37pm • #59

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Nestor & Katerina Gasset Realtors® Wellington Florida Homes For Sale

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