I admit I don’t know…

December 17, 2009 at 11:04 AM (Uncategorized) ()

The best road, at this point.  But I think I have the beginning of a handle on the choice we’ve been given. It’s called Hobson’s choice.  And it’s beyond crazy that we’ve been given it by one guy.  Not a Republican (Yet).  Not the President.  Not the head of Health and Human Services.  Not a doctor. Not the Supreme Court.   But it’s all come down to a single Senator.  WTF country is this?  The Monarchy ended here in the 18th century…or so I thought.  But here are the choices.

Status Quo:

1. Economic Rationing

2. Denial/rescission (Cancelling of Policies) for Pre  – Existing Conditions

3.  Crazed Premium Increases.

4.  Not forced to buy coverage

5. Forced into free clinics or the ER  even for primary care, driving up costs.

6. Lifetime coverage limitations

“Reform.”

1.  Rationing by Procedure (If you have cancer, we can’t drop coverage anymore but we can decide not to pay for chemo, which of course, to a terminally ill person is the same as remission.= Privately Run, for Profit “Unlikely to make it ” Panels)

2.  Insane Premium Increases if you get older.  (I can see it now.  “Don’t Get Older! Avoid the Rate Hike! ” WTF is this, Logan’s Run?)

3. Insane Premium Increases if you get sicker.  ) “We’ll deny the chemo *and* give you a rate hike! a Two-Fer!)

4. Annual Coverage Limits: “Say, can you hold off on that life saving transplant till January?  Because you’ve *used up* your coverage by September…Thanks.”

5.  You have to by this stuff that will rarely pay for stuff….because it’s the law, and if you don’t you’ll pay a fine… [The reason I have a problem with this:  If I’m told by law I must carry health insurance, if I get cancer, I want chemo.  No guarantee I’ll get it with the bill as it stands now.]

6.  The actual good stuff. Young healthy people will have to buy into the system have preventative and primary care *outside of the ER* thus costing less to the system as a whole. And if everyone sees a primary care person more often, because they’re covered, fewer people will be dealing with long term illnesses.

But the ones who do….will be essentially uninsured….paying premiums all the while…that get higher, and higher and higher….

The only good answer that remains is reconciliation, but since that’s optional, not mandatory…there really is no good answer now.

Until the private insurance industry is wisely regulated in all 50 states, with limits on premiums, co-pays, deductibles and penalties for rescission or denial for pre existing conditions, and penalties for procedure, or coverage caps….

It cannot do the job. “The job” being: Coverage for US citizens because America finally proves it gives a damn about the health and quality of life of it’s citizens

Medicare for all (or at least for some more ) can, and is doable in reconciliation.  It’s not creating a new bureaucracy, but building on an existing one.

Americans like Medicare.  Especially the Teabaggers.

It’s the only road to go.

But I guess that road doesn’t go through Connecticut.

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