Euthansia, I thinkI have to admit; the whole "debate" about health care has me puzzled.

In February of this year, I flipped an ATV in the desert.  I do have health insurance, so they were good enough to fly me to the hospital in an emergency helicopter.  I spent five days in the ICU doped up on morphine.  I lost sensation in my legs, below the knees.  I also, for some odd reason, don't have feeling in my fingertips.

My bill came out to around $75,000 and they discharged me without a real diagnosis.  It's a long story, but I have nerve damage and there is a possibility that I could end up in a wheelchair, but they aren't sure why.  The scans didn't reveal a broken neck, as they initially thought.

A couple of months ago-- in July I think-- I tripped and fell while walking my dogs.  I actually fall down often, because of the problem with the loss of feeling in my legs.

Anyway, I dislocated my shoulder when I fell.  It was incredibly painful, but it was about to get a whole lot worse.

Because I know how insurance companies work, I was smart enough to call my insurer before I went to the emergency room.  And this was definitely an emergency room situation.

When I called my insurance company, the customer service person almost started laughing.  She said:

"Mr. George-- you used up your entire emergency benefit for the year this past February!"

"So now what?" I asked-- genuinely, because I really didn't know what I was supposed to do at this point.

"You'll have to pay cash."

I hung up the phone very depressed.  A dislocated shoulder requires that you be anesthetized so the doctor can pop it back in.  I knew I was looking at thousands and thousands of dollars.

So, like so many people without insurance, I made the decision to avoid the hospital bill.  I can't afford it right now.  I just don't have the money, period. 

But I do "have insurance!"  And I do live in the country with the "greatest medical care in the world!"

I've got a friend who told me we could pop it in by leaning against a wall.  So I leaned and my buddy gave me a hard shove.

My vision went black for a second and I almost passed out from the pain.  I might have screamed like a little girl, but I won't admit that.  My friend laughed hysterically.

Of course, my friend is an idiot, and I am an idiot for listening, but again:  What am I supposed to do?

Shockingly enough, my arm didn't heal correctly and I can't lift it above shoulder height.  This makes putting on deodorant or changing my shirt very arduous tasks.  I have to put my arms on the bathroom counter, take a couple of steps backward, sort of hunched over and stretched out, and very gently apply the deodorant with my good arm.

If my arm doesn't get better-- if I screwed it up permanently-- I'll never be able to do manual labor again.  I am reminded of John McCain's shoulder injuries and the fact that he can't lift his arms above his shoulders to this day.  He can't even comb his own hair.   This terrifies me.

Of course, I have no idea what the damage is, because I can't afford to see a doctor about it until next January, when a new insurance year starts.

So this is why I am so puzzled.  I don't understand how my fellow Americans can look me in the eye and tell me "tough luck."  Why don't conservatives want me to get my arm fixed?  Do I really deserve to be in pain and only have full use of one arm?  I'm an American Citizen for goodness sakes.

What do we do with poor people who hurt themselves?  Tough luck for them?

I can't even believe that this is an issue.  It is truly beyond my comprehension.

Because if you think you have health insurance:  Just wait until you have a real problem. 

My wife had cancer and I owe the Mayo Clinic $630,000.  And that was with an insurance company that was contracted with Mayo.  That's what I owe after all of the B.S. denial-of-coverage letters that we received.  They wore me down.  After fighting them for several years and exchanging HUNDREDS of phone calls and letters, I finally just gave up.

But that's not all I owe.  I also maxed out all of my credit cards paying for cancer treatments that weren't authorized by my insurance company.  For example, my wife needed a PET scan and I had to pay $5000 that day, before the scan.  Because of the cancer, I also have about $80,000 in credit card debt.  All in all, I owe more than $700,000 in medical expenses.

So which one of you teabaggers likes the idea of maximum lifetime limits on your insurance policy?  Because you've got 'em.  Yes indeed you do.

And yes, you will eventually get "dropped" if you acquire enough medical bills.  Even patriots.  God help you.

Which one of you teabaggers has $700,000 in case your wife gets cancer?

I know.  Tough luck for me and anybody else who is struggling financially.  That must be the compassionate conservatism I so enjoy reading about. 

 
Post is included in group: Dissent
Post is included in group: Blatant Politics
Post is included in group: 'ACTIVIST' Rain

25 Comments on So You Think You Have Health Insurance? Ha!

SEP
21
189,360 Points 18 Featured Posts Outside Blog

Hi Mike, I sent a flag to have this post featured. Don't know if it will be featured or not, but to me this is the very reason our country needs a better health care system.   I personally have health care already (which I pay for monthly). I do not expect that to change in the future.

However, the scenario you just wrote about (both scenarios) are happening daily to fellow Americans. This is a HOT topic and people are very vocal about both sides.  I am curious as to the answers you may get to your question, so I would like to park here.  And good luck to you. I would say, just go get it checked and add it to the bill you already have. At this point you need to put yourself first.

1:23pm • #1
128,997 Points 29 Featured Posts Hit Router

Thank you so much Karen.  Of course, if it gets featured, I will probably be attacked for posting the facts.

1:28pm • #2
151,124 Points 5 Featured Posts Localism Sponsor

Hello Michael.  You do not know me, but i did support your wife and know EXACTLY about your frustration.  While our problems could never compare to yours, we share the commonality.  Being self employed and having the responsibility of everything, health care has always been a luxury.  We have to depend upon our faith when we are confronted with health issues. 

We appreciate you sharing your touching story and hope as Karen suggested, that it gets featured. Meanwhile, be encouraged.... if you can.  I will pray asking for a miracle for you.

Diane

1:39pm • #3
279,980 Points 1 Featured Post Outside Blog

Michael, I, like you, just can't wrap my head around the disgust in this country for health care reform.  Those shouting the loudest have obviously never been affected by you scenarios, and think they too are covered head to toe, 24/7 for every eventuality.  Does it take an illness like your wife's or two accidents such as yours to WAKE THEM UP?  In my honest opinion, I think it has nothing to do with health care reform, but everything to do with obstructing any change Obama is trying to make.  We couldn't have possibly digressed into the sub-human culture we are witnessing today, could we?  I'm hoping time will heal your nerve issues.  Often times the nerves are inflammed and given time they get back to normal.  Thanks again for another personal, heartfelt post!

1:49pm • #4
128,997 Points 29 Featured Posts Hit Router

Diane-- thank you for the comment.  Of course, I always appreciate anybody who supported my wife.  She had a tough life, to say the least.

Terry-- You are right about...well, about everything.  The reality is that the people who are so vocally opposed to health care don't actually have any experience or first hand knowledge with this.  So it's a protest born from ignorance.

2:08pm • #5
Hit Router

Michael great post because it shows how the lack of health care can impact us on a daily basis.

2:48pm • #6
158,658 Points 11 Featured Posts Localism Sponsor Outside Blog

Michael,

You are such a strong person and a true inspiration.  I'll admit, I am ignorant regarding most healthcare insurance issues.  My family and I have insurance, yet we have been blessed with good health so we rarely use our insurance.  

Tina in Virginia

4:24pm • #7
Localism Sponsor

Thank you Michael for "Fighting the GOOD fight"

I joined this site just before your beautiful wife's passing. I was Blessed to read all of her posts and her own personal daily diary last year. In the past two days I have been blessed with reading most all of your posts and comments. I was diagnosed August 2007. I have met with the "death panel', been denied treatments when privately insured, lost everything I own including my home and car, thousands of dollars in debt and I GET IT.

Sadly the Blind will remain Blind. No matter how many eloquent or descriptive words we use to describe the color Blue to a born blind adult they will never truly know what blue looks like, until their eyes see, as do ours.

4:54pm • #8
121,532 Points 17 Featured Posts Localism Sponsor Outside Blog

I am right there with you Michael.  This the people who fight health care for everyone of us sicken me, I hate to say it, but it's true.  My husband had metal fly into his eye using a hand tool, but we don't have any insurance.  We couldn't afford it when the recession hit.  As many self employed, it is out of our range.  So he let metal RUST in his eye before going to the emergency room because we couldn't afford it. They had to use a dremel tool to carve the rust out.  Nice right?!.  My business partners farther (who lives in England) was diagnosed with cancer.  She wanted to go on a cruise with him and I warned "don't use up his money, he'll need it for health care and she looked at me dumbfounded, "but that is taken care of".  When is our country going to take care of our own??!! Just iike education and emergency services, health care is something every American should have.  And if they think they aren't paying for it in one way or another, they are mistaken!  Sorry to rant on your rant, but we're in the choir together!

The poster above is right, the only ones opposed to healtcare have not had to fight insurance companies, not had to live without coverage, not had to be dinied for reaching their limits or having a pre-eixisting condition and the list goes on.  It's sadly not just a fight born of ignorance, it is a fight about "me first and forget you!", I hate to say it but it's just awful! I'm really really sorry to get worked on up your blog.  I just feel so strongly about this.... It is and will always be my number one issue.

And just like the poster above, my stories do not comparey to those of yours and Karen's, but we join the chours of millions of stories of millions of Americans.

6:01pm • #10
156,113 Points 9 Featured Posts Outside Blog

Michael - I  have too gone through trauma medically.  I paid my own high-deductible insurance for many years before I got married 5 years ago and got on my Hubby's plan.  But many who were in my situation would not have bought insurance at all.  Even though they could afford it.  They bought other things.  I've had it since I was self-employed as a real estate agent at age 27.  I think everyone should have insurance, too.  I think the Republicans also agree.  The real question is the specifics of the plan and who pays for it. 

6:34pm • #11
Outside Blog

My family can't afford insurance either. Our truck is eight years old and not exactly what we want in this stage of life.  But we will forego buying a new vehicle until we are sure we will be able to pay for it.  I have a boat.  It is a 1973 bass boat with a 1973 50 horse power outboard.  I look sort of quaint out there an the lakes next to the shinier, faster boats.  I sure would enjoy some of the new upgrades.  Instead, we pay for insurance.  Because my family matters more to me than any vehicle, or upscale home.

All of our policies carry a $5,000.00 deductable.  I have a Health Savings Account with roughly half of my deductable available, if needed.  We are beginning to save for other deductables, post tax.  Out of concern after reading Michael's post, I took a closer look at my own policy, and found that it has a $5,000,000,00 Lifetime Maximum.  I find nothing about an annual maximum.  I don't know if my policy is typical or not.  However, if I were to go to the emergency room with metal in the eye, or a dislocated shoulder, I would be paying the full bill out of pocket, too, even with the insurance.

It seems to me, though, that an insurance policy is a contract.  If I make a claim for a covered expense, and it is denied, I would think I would have simple contract law behind me (and my attorney).  But, I can't deny the real life experiences.  If people are really forced to forego healthcare, well, so it is said.

It is a fallacy to state that conservatives don't want healthcare reform.  I believe the vast majority of us want it as much as you do.  We want it to be done in the best way possible, and we want our representatives in government to be aware of what they are voting on.  Is that so hard to undersatand?

The way HR 3200 was first presented, with no opportunity for reading and debating and crafting a workable solution, set the stage for the screaming and paranoia.  Obama himself set out to sell the bill without really knowing its contents.

Michael, I want you to get your shoulder fixed.  And I would like to see every man, woman and child insured, and secure in that insurance.  I just think a good bill is preferable to a quick one.  Go ahead and call me a teabagger, or a slave to the corporate whatever.  Rather than the name calling, and the attempts to make me appear without compassion or intelligence, I would rather hear ideas that would afford us all the care we need without bankrupting the country.

7:32pm • #12
128,997 Points 29 Featured Posts Hit Router

Hi Patrick--

I appreciate your comments; I really do.  I appreciate that you took the time to write it out.

I was not attempting to name-call when I used the term "teabagger."  Honestly, I wasn't.  And I wasn't calling you a teabagger.  I was simply asking that any genuine teabaggers tell me why they think poor people shouldn't get health care.

Obviously, you are not one of those people.

$5,000,000 maximum?  That's sounds pretty damn good.  I probably didn't make it clear; but I was talking about lifetime maximums for specific treatments.  For example, my wife may have had a $5,000,000 maximum herself...I'm not sure.

But more specifically, we had a chemotherapy maximum benefit and she used it up in her first year of treatment.  Just like I have a maximum emergency room benefit and I used the whole thing up by February.  I might have a $5,000,000 lifetime limit myself, but if I can only spend a certain amount per year, what good is it?

Thanks again for your comment.

8:16pm • #13
Outside Blog

Michael, I almost became a teabagger on July 4th.  I was heading up to the Wisconsin 'Nortwoods' with my family, and I thought I'd go out on the boat and toss a teabag over the side (of course, I would have immediately scooped it up, so as not to be a litterbug).  But I forgot to bring a teabag.

Not to make light of your post or your situation.  I am sorry for the agony you and Karen endured.  I hope things get better for you.

8:47pm • #14
277,432 Points Outside Blog

Mike, I understand your situation. I will say I agree with Patrick and Wendy assessment. We just want a reform bill which make sense. This is not about politics as a couple here are bringing up. It is about being responsible so we don't have loopholes like the one your in. So we have only one chance at getting this right and we must get it right.

8:54pm • #15
128,997 Points 29 Featured Posts Hit Router

Frank-- thank you.

I can't believe that nobody has commented on that awesome picture.

The conservatives will like this:  But I can't believe that woman is actually a real conservative.  She must be a Democrat who is just trying to make teabaggers look like idiots.  Nobody really believes that young, Asian people are going to fly over here and kill your grandmother.  I mean...right?  This is so borderline retarded, that I am not even sure that I can believe it myself.

10:15pm • #16
SEP
22
Localism Sponsor

I don't know if AR will feature, but Dissent will.  Congratulations!

Patrick & Frank - I agree that H.R.3200 should have been initially presented with more time to review and that's a misstep by Obama's people.  Where I do not see eye to eye with you guys is the notion that we need a reform bill "that makes sense".  Well, yes we do.  But the thing is the bill does make sense.  Is it perfect?  No.  It does need tweaking.  But what I've heard from detractors for the most part is often so far-fetched that it's clear to me they have no idea what's in the bill.  I can say I've read some of it....which probably puts me in the top 99.9999999999999999999999999999999999% of the American population (shame on us!).

In fact, I'm convinced that healthcare lobbyists are behind most of the smoke and mirrors.  My concern is about the cost - that's really the only major concern and I need clarification on the funding.  That should be the main concern for most of us regardless of political affiliation.  But what I hear are things like "illegal immigrants will get insurance funded by our government", "we're paying for abortions", the public option is described as "the government's taking over healthcare".  WTF?

 

 

2:49am • #17
121,532 Points 17 Featured Posts Localism Sponsor Outside Blog

I personally don't believe that politics should even involved in such a fundamental issue, but that is how it is I guess.  The main concern should be, as you said, finding a solution.  If we were ever able to pull ourselves out of the picture and look at the entire country's health care in a holistic manner (ie what is currently spent on health care premiums, health related law suits, designer prescriptions, "emergency care" for the uninsured, etc.) I am betting that the funding is already there and already being spent, just in ways which make 1) lawyers, 2) insurers and 3) pharmaceutical companies all rich while everyone else suffers; 1) the public, 2) health care providers, 3) government. 

If this issue could ever be reworked from the ground up, I am really betting that we would all be able to have health care with good preventative care, affordable prescriptions and procedures and not have to live in fear that should the most catastrophic occur, that we have to worry about how we are going to pay for our care or what debt we are going to incur rather than taking care of ourselves and our loved ones like Michael and Karen have had to.  I honestly couldn't sleep last night thinking what a failure of the system this one very poingnant and tragic example this is to all of us.

Michael, I wish your story could be heard by Congress, I really really do.

11:23am • #18
2 Featured Posts

Michael - I, too, am hoping this gets featured by the AR folks.

Patrick, Frank and Wendy - from the language on the signs, interviews with the 9.12 protesters and all the screaming of half-truths and lies by Rush, Beck, Malkin et al, this isn't about the healthcare bill.  It can't possibly be about the healthcare bill, because if it were, at least a portion of those arguments would make some sense.  As it stands right now, I think the GOP knows that Health Care Reform, if it passess, will be landmark bit of legislative success, and they will do anything at all to stop this presidency from being able to accomplish something this country has been trying to do for a very long time, hence all the opposition.

It also doesn't help any that the Insurance and Pharma lobbies are as rich and resourceful as they are in being able to sway the debate.  The healthcare of millions of people, both insured and not is hanging in the delicate balance of a political powerstruggle.  A scary thought, at the moment.

11:46am • #19
Outside Blog

Tchaka and Inna - I think you are right that there is a political element in the resistance to Obamacare.  Part of it is likely backlash from the treatment of Bush during his presidency.  Mostly, though, I think it is genuine concern that bad legislation was being crammed down our throats. 

Like Tchaka, I have read parts of HR 3200, not all of it.  Unlike Tchaka, I don't feel any shame in not having read the whole thing.  That is the job of my Representative and Senators.  I have a full-time job. 

But I will say that it only took me thirty pages of reading that bill to see that it would probably kill the private insurance industry.  The enrollment rules were pretty much designed to steer us into the "public option" upon job change, or plan change, or a number of other events. 

It's interesting, Inna, that you place so much emphasis on Republicans' trying to block everything Obama tries to accomplish.  The Republicans are largely irrelevant, you see, and this would not be happening without significant opposition from Democrats and Independents.

While there has indeed been some exaggeration and inflamatory language from the right, I think the best way to quell that is to explain those passages and clauses in a way that will put rational people at ease.  It might not satisfy the fringes, but the opposition would be a lot smaller in numbers.  I don't see that happening.  Why not?  All I see from the left is attempts to belittle the people who infer an outcome of the legislation that may not be accurate.

I remember when Bush tried to reform Social Security with a private option.  That effort was DOA because of lies, half-truths, and inflammatory rhetoric.  I would bet that most people today still don't know the essence of that reform attempt.  I maintain today, even with the economic bloodbath we are experiencing, that it was a great idea and that we would have been much better off today and in the future if it had been enacted in some form.

My apologies to Michael for getting slightly off topic. 

12:57pm • #20
162,489 Points 10 Featured Posts Localism Sponsor Outside Blog

"I remember when Bush tried to reform Social Security with a private option.  That effort was DOA because of lies, half-truths, and inflammatory rhetoric."

 

Patrick,

Given the events of the last year there was a damn good reason why that idea was DOA.....it deserved to be...and thankfully for millions of older Americans who are now in serious trouble, it was... How on earth can you use that as an example?

9:10pm • #21
SEP
23
Outside Blog

Ruthmarie - You exemplify my point.  I don't want to further hijack this thread by getting into a discussion about the merits of Social Security reform as I saw it then, and still do. 

What I will do is retract one part of my statement above - that we would be better off today.  That is probably not accurate.  It would probably make no difference at present, since the transition would  be in its infancy.

To illustrate my point, however, I will point out two aspects of the reform that your reply does not appear to recognize:  The PARTIAL diversion of funds into a private account would only be available to younger workers (in their 20s, as I understood) so they would not be in trouble today, and; accumulated funds would be required to be pulled from the stock market well before retirement age and put into safer investments, such as CDs.

12:17am • #22
SEP
27
256,233 Points 25 Featured Posts Localism Sponsor Outside Blog

Hi Michael,

We totally agree with you on this.  We reduced our plan last year so we wouldn't be paying such high premiums and we were relatively healthy and then bam, I found out I had Grave's disease.  Not terribly serious unless left untreated thankfully but we just had to pay more out of pocket expenses and now the premiums are going up.  What a joke, we ended up right back where we were but with less coverage.  There is no winning with the health care that we all have nowadays.  So sorry for your accident and we are also so sorry about Karen's passing.  She will always be missed by those who knew her here in the Rain.

Lisa

1:51pm • #23
OCT
06
180,943 Points Outside Blog

So many are in this position. I just went thru a hospital stay recently. It's never good.

3:36pm • #24
OCT
18
247,687 Points 1 Featured Post Outside Blog

It would be great if the government could simply look to solve the obvious financial issues that you discuss instead of gutting and overhauling the whole system.  Clark Howard actually has some fabulous ideas to make health insurance much more simple and streamlined.  Unfortunately those in Washington don't seem to be listening.

10:44am • #25
NOV
21
180,943 Points Outside Blog

Being the richest country in the world and we can't take care of each other. Other countries must look at us and just laugh. It all comes down to MONEY. Pure and simple. It's so confusing.

11:48am • #26

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