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Chronic pain, health insurance, and me — 55 Comments

  1. You are an incredible woman.

    If there was only a way to make a million people read this.

    The reality is – Liberals/Democrats believe they “CARE” and therefore they are make changes for the good.

    They do not believe you care and therefore they do not ‘care’ to hear you.

    We need to administer some sort of treatment for their character weakness.

  2. Baklava, how about administering a caning to liberals. They will be more concerned with their own pain than “caring” about ours.

  3. 10 years ago, at 48, I had to have both hips replaced. I had reasonably flexible insurance and I found an extremely helpful website for hip surgery candidates around the world and spent hours studying their posts and reading up on the alternative therapies, all time well spent. 10 years ago Canadians (and Brits with no access to private medical care) were uniformly reporting 6- to 12-month and greater waits for hip surgeries, since they were considered “elective”, even though for many patients the operation meant the difference between walking and not walking and surcease from crippling pain. Me, I made my appointments, had my surgeries, did my recoveries, and (D.G.) haven’t looked back.

    10 years later, the situation in Canada and Britain has only degenerated, and the “free” care promised isn’t even a mockery of care for someone in constant pain and unable to move normally, who could be helped by a relatively simple simple, straightforward, well-understood procedure which isn’t available because either there aren’t enough surgeons, or surgical beds, anesthesiologists, or nurses, or implants — in short, rationing, because that’s how government-run systems save money. In fact, the ONLY way they can save money.

    It is a matter of concern for me and for every hip-replacement patient in this country, because the implants don’t last forever, and usually need to be replaced (called a revision) within 12 to 20 years after the first surgery, depending on a lot of variables. So for me (and the rest of us), Obamacare means a double whammy: around the time I most probably will need revision surgery my insurance options will have evaporated and I’ll have been forced onto the “public option”, but by then I’ll also be too old and valueless, and will be told that the revision procedure is too costly to be wasted on me, and the new implants aren’t available — I should just take some pain pills and buy a wheelchair. Cheaper, and more convenient for the state. The future is not a pleasant vision.

  4. First of all, I am glad you were able to get some relief and had the ability to get the treatment YOU decided on. If Obama keeps going and I get something like that I probably won’t even be able to buy a gun to put myself out of my misery – but then again there will probably be licensed clinics more than happy to help in that respect – that will be covered under the Kevorkian clause of the public option.

    I had a friend who recently had a liver transplant – in his mid 60’s he had to have extensive tests done on several possible donors over a period of a couple of years. I have no doubt Obamacare would have told him to be thankful he had time to get his affairs in order as they patted his hand and gave him some pills to help with the pain in his waning days.

  5. Lucius,

    How about Canada care for liberals and the market for everyone else.

    They want it? They can have it ! 😉

  6. Coincidence: I found your site just today and you’ve written on a topic that has affected my family since my wife and I first met. She had spine surgery in 1988 to correct a curvature (scoliosis). She has had four spine surgeries since that time, one to remove the rods inserted in the first surgery, which had become infected. Each of the subsequent surgeries were intended to relieve pain, and each resulted in increased pain.

    Your description of neuropathic pain is as she describes it. She is an energetic person by nature, and most people don’t realize the pain she is suffereing all of the time. Most people think the answer is to ‘suck it up’ and take a pain pill.

    She is under the treatment of a wonderful doctor who doesn’t take insurance, but our plan allows us to submit for reimbursements. She has struggled to have her current thereapeutic regimen authorized for partial reimbursement, after numerous letters and angry phone calls. We also put $4,500 each year into a 125 plan, and that evaporates by August. With all of this, we have reached an equalibrium in a steadily declining situation, if that’s possible.

    Under ObamaCare our current arrangements would go away. My wife would be classified as expendible. Quality of life would rapidly deteriorate to the point of unbearable. Before long assisted suicide will have become a healthcare option. She wouldn’t survive a cost/benefit analysis.

    Bill West
    Los Angeles

  7. Baklava, you reminded me of all those liberals’ cries, in 2004, intending to move to Canada due to incomprehensible Bush win in elections.

    Ah, if only they knew how to keep their word! Double benefit…They by now would have learned what state-backed medicine means and We would have got rid of them and their folly.

    Neo: I can’t say I feel your pain (as a fellow lower back sufferer I know it’s impossible), but I can imagine what those years of health concerns meant, in practical terms.

    Please accept my sympathy.

  8. When I read the Telegraph article on reducing access to steroid injections I was reduced to sputtering fury. Is NICE setting out to be stupid as well as vicious? 95% reduction in steroid injections means substantially reduced productivity for those chronic-pain patients who have been denied. I would have thought the UK could use all the tax income they could get, but maybe not.

    Neo didn’t touch upon this part of the chronic pain game, but the first time chronic pain sidelined me my productivity, expressed in income, was reduced by 75%. Reduced productivity, reduced income, reduced tax revenues to pay for the vast bureaucracy that will scrutinize every aspect of our healthcare. In order to pay those bureaucrats, something will have to give. Identifying that, is an exercise for the reader. Anecdotal hint: my most important doctors say they will quit the practice of medicine, and I believe them.

    Whatever method of rationing, will suit them.

  9. Wonderfully detailed as usual. I won’t bore anyone with my spinal issues but needless to say, Obamacare has me in a fright. My best hope is that any bill passed by these liberals will do nothing worse. Instead of creating an expensive and inefficient govt health insurance, why not offer something like vouchers to every American citizen to pay for a private plan? Wouldn’t that quiet the criticism while providing the universal coverage at a more affordable budget? Oh I forgot, we’re not dealing with sober players in Congress or the White House. It’s the Chicago thugocracy in charge. God help us.

  10. Wow, thanks for the perspective. I am an anesthesiologist. Although my practice is limited to pediatrics, I had enough exposure to chronic pain and neuropathic pain to give me some insight. You just gave me more.

    As a healthcare provider (and regular reader) I am truly in fear of the changes on the table. I fear for my future as a practitioner, but more importantly, I fear for all of my fellow citizens and patients. Whats coming isn’t good at all and I fear choice is the target more than anything else.

    While health care is the topic, control is the real issue. The people in government want control of us, our health and our pocketbooks. They want to make the choices not leave them to me or you. Very scary.

    Now is the time to rally and for us to educate our fellows and make ourselves heard. As I have written my representatives, if its not good enough for you, its not good enough for me or my family either….

  11. Do you know what is really unfair?

    The unequal access to computers.

    As somebody who has worked in the computer field for 20+ years, I think the government needs to provide all people computers.

    🙂 He he

  12. My sister in law has a story of American health care and American health insurance:

    She had two rare and difficult to diagnose (and undiagnosed) infections inside her organs and digestive tract. Over a couple of years, she was constantly sick, had no energy (she looked, to me, like she was slowly dying), and definitely was miserable. She went to doctor after doctor. No one could find the problem. Luckily, she had good health insurance, and was able to doggedly continue her quest to find what was wrong with her. Finally, after approx 2 years of searching, she landed with a disease specialist – a self styled medical Sherlock Holmes – in New Orleans. After extensive (and expensive) testing, he discovered her problems, set her courses of medication, and in only a few weeks she was dramatically strengthened and back to normal. I saw her before and after: the change in her health was dramatic. She is not a wealthy woman. IMO, her health insurance likely saved her life.

  13. If you have anything that is not life threatening in Canada you have to wait. I have had recurring and debilitating “dizzy spells” lasting 3-4 days about once a year for the last 6 years. Waited 6 months on a waiting list to see an ear nose and throat specialist. On the day I was finally scheduled to see the doctor, she rushed out to the hospital to operate on a guy who shot himself in the face with a nail gun.

  14. One thing the Canadians and Brits have is the U.S. as an escape hatch. If we go the government route, there will be no escape.

    Drudge has some links today to videos of angry voters confronting politicians. Maybe people are waking up.

  15. Neo,
    To heal your affirmity you heroicly demonstrated, accountability, self-reliance, determination and resolve. These are qualities absolutely necessary for survival, and qualities completely alien to the despondent minions that have allowed themselves to be swallowed up by the Obama Borg.

    Thanks for sharing 🙂

  16. I am very glad that you had this surgery and that you have your life back.

    I would also like to thank you for sharing such a powerful, personal story as to why we would be at a loss if the government were to close off doors for healing in the name of “reform”.

  17. Yes, thanks for sharing that intimate and powerful story.

    But ever since then I’ve continued to pay extra for the medical insurance most likely to preserve my freedom to choose. You are in luck! Democrats are all for keeping a woman’s freedom to choose!

    Oh. What’s that? That’s not what they mean by choice? Never mind.

    That points out an irony, though, doesn’t it? As I understand things, Democrats say the “right” to “choose” abortion should be a decision made between a woman and her doctor, but it looks like every other medical choice is going to become, if they get their way, eventually, a decision made by one’s loving, caring federal bureaucrat.

  18. Fascinating story. Thank you for sharing, Neo. This is, I think, what is frightening a lot of people.

    Some interesing comments at the NHS article link. One of my favorites:

    “So compassionate…this Nationalized Healthcare that covers everyone and treats no one.
    P. Aaron
    on August 03, 2009
    at 12:00 PM”

  19. Oblio,

    WOW. I had not seen that video.

    Arlen Specter: “Every bill is read and understood by me before I vote.”

    LIAR! So crazy what these people are doing.

  20. I believe shingles must be a form of neuropathic pain, albeit usually milder than what you experienced. My father has been suffering for months with them, though they are getting better.

  21. Pingback:The Anchoress — A First Things Blog

  22. There are so many stories such as yours, Neo, that illustrate how a market system of healthcare allows us to get better treatment for really difficult cases.

    Single payer healthcare sounds good to those who cannot or will not see how much better the system works when doctors and patients are allowed to work together. When a medical standards board sets the rules for treatment, anything unusual like
    Neo’s problem is just left untreated or under treated only with cheap pain meds. Adam Smith first recognized how many thousands of decisions by the individuals involved did a better job of making the best decisons and achieving the best outcomes. The Obama crew just do not recognize the genius of that. Somehow to them it seems so chaotic and………UNFAIR.

    This debate over healthcare reform is, in fact, a debate over whether we are going to be a free market, small government nation or become a nation of sheep herded into pens by central planning. I am writing and calling my Congress critters every other day. I’m attending two Tea Party demonstrations against healthcare reform this month. If you are frightened by the ideas that the dems want to institute, you should make your views known to your representatives. They work (supposedly) for us. That video of the crowd at Specter’s meeting – those are taking place all over the country. Make your voices heard. It is the only hope we have.

  23. Note to self: when in need of immediate attention under our future Obamacare system, shoot self in face with nail gun.

    Neo, you’re a woman of rare courage. I know you didn’t share your story to earn accolades – but please accept our admiration and respect. I’m glad you didn’t have to go the nail gun route.

  24. I am so grateful that you were able to find some relief for your pain.

    I believe that the proposed heath care “reforms” will kill us all.

  25. I never cease to be amazed and impressed when I come here. Thank you, Neo. As always, I leave with my heart warmed, knowing there are good people out there.

  26. I also am a sufferer from chronic pain. In my late twenties I injured a disk @ L4-L5 as a herniation. That resolved itself over about 3 years to just occasional bouts of spasms. Then 4 years ago at age 53 I injured L3-L4 as another herniation. BTW, L5-S is naturally fused.

    The resulting pain from the L3-L4 injury was too much. It involved shooting pain from the right hip to the middle of my shin. It was so severe, I could only sleep for a few hours and I could only walk with a cane for 25 feet or so then have to stop and gasp until the burn subsided. I tried several non-invasive things to try and get better:
    1. Therapy with no improvement. Just the opposite.
    2. Facet point injections (3 each) of cortico-steroids and time release pain killers to try and alleviate the nerve irritation. These had no lasting success. After 3 to 4 weeks I was back where I started. You can only take so many at one site as they tend to strip the calcium out of the bone.

    Then we went to surgical consultation. A more detailed MRI was done and all the damage came to light. Degenerative spinal stenosis due to osteo-arthritis and age. It is called skiers back due to repeated impacts from the sport in my youth.

    I had the surgery to reduce the herniations and clean out the bome channels and spurs – discectomy at both sites. They also did nerve conduction tests during surgery and found diminished function. It helped some but I now find myself with reduced circulation in both legs, the right side (L3-L4) injury is coming back, severe pain in soles of my feet as a side effect of the facet point injections (they don’t spell out that possible side effect) and limited mobility from the constant pain. I take the opioids and gabapentin to treat the pain. But they only help so much.

    Because of all of this and other medical history, I now find myself uninsurable. It sucks but I still do not want the public option to be put in place. It will bankrupt the nation. I imagine I will be one of those who is found to be not treatable and asked to consider ‘other’ options.

    Screw the fascists. Never give in.

  27. “But ever since then I’ve continued to pay extra for the medical insurance most likely to preserve my freedom to choose.”

    When you lose your freedom to choose, your life isn’t worth the proverbial “plug nickel” once essentially dishonest, incompetent, shallow left-wing blowhard bureaucrats are in sole control. The Democrat’s agenda, across the board, is so incredibly sinister it boggles the imagination. But only with the healthcare reform issue does it become upfront and personal in the most intimate and compelling way. I’m often in awe of your ability to pump out these articles faster than I can think about them and respond thoughtfully, and here again you have outdone yourself with your best article yet Neo. When everyday is even a little bit of a pain filled physical hell, arrogance becomes so incredibly annoying…

  28. I know you wrote about your ordeal to illuminate issues of choice and access, but I came away from reading your history struck by your resolve, resourcefulness and plain old courage. Many people afflicted by chronic pain are destroyed by its relentlessness. You, by contrast, seem to have been steeled. I wonder if you’ve ever thought about whether there is a connection between what it took you to get through your pain — what Oblio called dealing with what is — and what it took to make your political change. Both are acts of dealing with what is, and also acts of courage. Did one help you find strength for the other, or are they chicken and egg?

  29. RE jon baker:
    Yes, shingles does cause neuropathic pain. I thought of that when reading this post, since I had shingles on my leg last year. Some unfortunate people end up with a condition called post-herpetic neuralgia, which is a challenge to treat. (Thankfully, I was spared that complication.)

    I can identify a bit with neo’s description. It is a very unique pain that is hard to imagine if you’ve not experienced it. In fact, my case of shingles began with neuropathic pain before the blisters appeared.

    Neo, your story is both an uplifting testament to persistence and a cautionary tale regarding the impending changes to personal choice and health care. Thanks for sharing it.

  30. I would not wish that experience on anyone, of my political stripe or not. Certainly, this qualifies you to participate strongly in the discussion, and I hope that you do.

  31. bill, I disagree. neo does not qualify to “participate strongly in the discussion” because of her suffering; everyone is qualified. If neo had never suffered, she would still be qualified.

    neo deserves to be listened to because of her clarity of mind and strength of character.

  32. Neo is

    1. Qualified
    2. Well spoken
    3. Commands respect
    4. Is persuasive

    Certainly everybody can write. What Neo brings is an ability, a set of experiences, and a higher possibility of the listener giving an ear to what she is saying.

    It’s like Kelly King speaking saying she will not vote for Obama again.

    It has more impact than the 39 year old white guy (me) who has no health problems and some ability to write but nowhere near Neo’s. 😉

    It’s an unfortunate thing that liberals focus less on substance of the words and more on who is speaking and style……

  33. Systemic /proteolytic enzymes, pharmaceutical grade
    Germanium but do your research before buying
    – very potent analgesics minus harmful side affects

  34. Neo, first, Your account was articulate and vivid. I wish you well in your continued recovery. I hope any and all remaining pain that you may have will be taken care of and no longer cause you trouble.

    As for Obamacare… as I’ve noted in previous postings. It’s as if these leftists are wedded to their precious theories. If they really believe that such centralized health care is the answer, then they have their heads so stuck in their theory books that they dont look at reality. If, as some have stated, they don’t care about reality and cling to theory as a means to expand their power, then what they are doing is immoral. So, they are either stupid or despicable.

    I’m not all the way to the right politically, but I know enough not to trust the same government that concocted the so-called stimulus package (a hapharzardly put together collection of pork pieces parts with the word “stimulus” attached), and which enacted and administered the laughable “cash for clunkers” plan, to take hold of our health care system.

  35. At the risk of being redundant, I have to quote Jim G.’s posting, above, which stated so well WHY I dont trust the govenment, and prefer a free market system. Reality refutes the theories that the ledt concocts. The free market, though chaotic, takes better account of the chaos that is reality.


    Jim G. Says:

    There are so many stories such as yours, Neo, that illustrate how a market system of healthcare allows us to get better treatment for really difficult cases.

    Single payer healthcare sounds good to those who cannot or will not see how much better the system works when doctors and patients are allowed to work together. When a medical standards board sets the rules for treatment, anything unusual like
    Neo’s problem is just left untreated or under treated only with cheap pain meds. Adam Smith first recognized how many thousands of decisions by the individuals involved did a better job of making the best decisons and achieving the best outcomes. The Obama crew just do not recognize the genius of that. Somehow to them it seems so chaotic and………UNFAIR.

    Well stated Jim. G.

  36. A very moving post and perhaps the most important argument against nationalized healthcare.

    I have link to you in my own humble post.

  37. My own attitude toward the healthcare debate is still undergoing an evolution.

    Here’s some interesting thoughts I’ve come across, mainly at Kausfiles.com:

    Right now healthcare is 17% of the GDP. People talk about the high cost of healthcare(“sky-rocketing!”) but considered as an average 17% doesn’t seem all that high to me. Sure, it used to be lower but we have better medical technology and procedures today than in years past. Not that I don’t think it couldn’t be lower, or shouldn’t be lower. We are much better at prolonging life and treating certain diseases and that has a tendency to be more expensive.

    I came across the economic concept of superior goods and inferior goods.

    Inferior goods are those things that we don’t buy more of if our income rises. If I win the Lotto I won’t be buying more magazines or more jalapenos.

    Superior goods are those things we buy more of as our income rises. If I come into a windfall I would probably buy a better abode, an automobile — perhaps 2 or 3, take a long tour of Europe, etc.

    Healthcare is definitely superior goods. Since America has over the years become richer it is only natural, in economic terms, that more is spent on healthcare. A nation has a tendency to spend more on superior goods as it becomes wealthier. There’s not much spent on big screen TVs or healthcare now in Sudan but that will probably go up if Sudan becomes a richer nation.

    I think the debate on healthcare is somewhat misplaced on both sides. While keeping healthcare costs down is a worthwhile goal, cost containment should not be the primary goal and cost considerations should not be the primary driver of policy.

  38. Neo,

    Your story illustrates another very important aspect of the health care debate: the the issue of outcomes research, and best practices.

    Of course, it’s hard to argue with “experts” getting together and deciding what’s the best approach to various health care problems. But many, many areas of medicine are not at all black and white — multiple treatments exist for a condition which is recalcitrant (like chronic pain syndromes) because no one treatment is helpful in everybody. This ambiguity actually promotes medical advances by allowing “off-label” treatments & medications to help these difficult patients.

    Bottom line is that under the new federal bureaucracy & single-payor government plan, your elbow surgery would never have been approved.

  39. grackle wrote, “I think the debate on healthcare is somewhat misplaced on both sides.

    It probably depends on who you are reading and what their arguments are on each side.

    I believe our GOOD MINDS are not misplaced with this debate.

    Consider…..
    Everybody’s health for the most part is in their own power to control. Their diet and exercise are crucial to this. Health simply isn’t injected into your body with money or government. Health is a series of individual decisions. Health costs have gone up because of our collective unhealthy decisions, advancements in technology and GOVERNMENT which has helped INFLATE prices.

    Now, for those people who have health issues that are not due to their own decisions (like Neo or a baby with a disease or cancer, etc) there is NOBODY who goes without care. It is and has been illegal for a hospital to turn down caring for a patient.

    Thus the red ink that many hospitals incur whose location is bad.

    How do we solve the ‘access’ and ‘cost’ issues?

    The leftist/Democrat/liberal solutions actually would take away ‘access’ (see Canada, British health care anecodetes).

    The left approach would increase ‘cost’.

    Our smart minds on this topic do have solutions that will reduce costs and improve access.

    Will. reduce. costs. will. improve. access.

    Do you recognize this?

  40. I can think of lots of counter-examples off the top of my head. I am bi-polar. It’s mostly controllable as long as I take my very expensive meds. I also have a counselor and a psychiatrist I can see regularly.

    My husband has Crohn’s disease and Hashimoto’s disease. He did nothing to acquire those, but he needs a specialist for each, and again, more meds. Crohn’s meds are especially expensive.

    My sister-in-law also has Crohn’s. Hers has required surgery as well as specialist visits and lots of meds.

    I don’t believe Neo’s injuries were within her power to control.

    Not to mention I don’t believe things like cancer or heart disease are as cut-and-dried linked to certain factors as many believe. In any case, all of us would probably get short shrift under nationalized health care, and none of us have done anything “wrong”.

  41. Pingback:Health Care Critics: An “Angry Mob” or “Expressing Their Concerns”? « Minnesota Free Market Institute

  42. I’m having chronic burning sinusitus that is affecting my sleep very much in the manner of yours.

    I’m still fighting my HMO. They’d rather give me opioids as against a cure.

    There is a consistent theme with all but one of my physicians: they always contradict me. Twenty-one years have passed. It’s a shame.

    When a physician cannot accept the falsity of his diagnosis his emotions turn to anger, resentment and hostility. When he gets it wrong, then the patient is being ‘difficult.’

    I rather suspect that I’ll have to visit the Mayo Clinic. (They saved my sister’s life for which her children are truly grateful. )

  43. Our smart minds on this topic do have solutions that will reduce costs and improve access.

    I’m NOT against reducing costs. What I’m doubtful about is using cost reduction as the primary concern when making policy.

    I’m not sure what is meant by the term, “improving access,” so I am not sure how to respond. In general it seems to me that everyone has some access to healthcare — even those who cannot pay. Our emergency rooms are not allowed to turn people away. I guess the issue is what kind of access and under what circumstances.

    Will. reduce. costs. will. improve. access.

    Do you recognize this?

    Well, I’m not for anything floated by Congress at this time. It seems to me that we would be better off leaving the system alone.

    I’m not against some reform of the insurance industry. It seems to me that there are things that could be changed to benefit both the consumers and the doctors that deal with the insurance companies.

    I like the idea of abolishing requirements that consumers buy insurance only from companies in the state in which they live. What the present system amounts to is an absence of competition.

    Standardizing the administrative transactions of the insurance companies would also simplify things for both doctor and patient.

    In short, I would like the insurance companies to be made to honestly compete with each other instead of merely divvying up the consumer pie as they do now. Real competition would probably result in a reduction in cost.

    But I don’t want draconian reform that would have the effect of eventually driving the insurance industry into bankruptcy. Eliminating all “preexisting conditions” seems to me to be a recipe for eventual bankruptcy of the insurance industry.

    We can’t have folks deciding to buy insurance only after they come into a catastrophic medical condition. On the other hand, refusing to insure someone because they take high blood pressure medication seems unfair.

    Stopping the practice of conditioning promotions, raises and bonuses on insurance adjusters’ rate of refusing claims is another step I favor.

    I am emphatically NOT for any kind of single payer system.

    I would be in favor of relieving the doctors of the onerous malpractice insurance fees they pay now, perhaps with a mandatory ceiling on jury awards and a downward limit on legal fees going to the lawyers. The lawyers are in business just like anyone else but we make it too tempting for them to try to hit the jackpot through frivolous litigation.

    But as I’ve said before, my attitude in this area is undergoing evolution. I’m open to arguments for particular viewpoints. Fire away but please be specific.

  44. i am very sorry to hear of your pain…

    though some may find this interesting:

    Neuropathic pain: The sea provides a new hope of relief

    A compound initially isolated from a soft coral (Capnella imbricata) collected at Green Island off Taiwan, could lead scientists to develop a new set of treatments for neuropathic pain – chronic pain that sometimes follows damage to the nervous system. Currently this form of pain is very poorly controlled by the usual analgesics (aspirin like drugs (NSAIDS) or even opioids like morphine) and novel treatments are urgently required. The conclusion of a paper published today in the British Journal of Pharmacology is that this new compound could be a candidate.

    http://www.physorg.com/news168674447.html

  45. “Right now healthcare is 17% of the GDP. People talk about the high cost of healthcare(‘sky-rocketing!’) but considered as an average 17% doesn’t seem all that high to me.”

    It’s not the macro that matters. It’s the micro.

    I’m no fan of gov’t healthcare. But I’m no fan of insurer-driven “exponential cost curve” either…ie. healthcare cost as percentage of wages. (and diminishing wages at that..)

    So yes, cost containment does need to be a goal, of WHATEVER we do to address healthcare, public or private.

    Since suggestions are seldom offered as to how we bend that curve down, and how on earth Americans will continue to absorb the Y-over-Y increases, I’ll offer my 2 cents:
    – immigration reform
    – computerization (and standardized records access)… every step of every process, cradle to grave.

  46. I don’t understand why a public option is necessary in order to negotiate lower prices with drug companies to bring costs down. We have free trade for nearly all other products coupled with quality control regulations. How fast would drug prices drop if we could buy high quality drugs from abroad 10 times cheaper?

    The two big issues are making health insurance mandatory for all employed citizens, and also making sure no one is excluded for pre-existing conditions. It’s ridiculous that insurance companies are allowed to do that. Are bad drivers denied car insurance? No. It simply costs more.

    No one likes to pay for expensive health treatments. And some folks have bad health problems requiring expensive treatment through no fault of their own. It is more than possible for the rest of America to chip in to help those people. Thank God we already do through taxpayer-backed emergency room care for the uninsured/charity hospitals, etc., even though we draw the line at preventative care.

    This is all simply about who pays for an incredibly expensive service that we ALL require. Thank God we don’t live in a nation that denies immediate healthcare to anyone. Figuring out how to pay for it all is no easy task. The liabilities increased by $8 trillion when Bush added prescription drug coverage to Medicare for the elderly. And that’s JUST for the elderly.

    The benefits of private medicine are undeniable, and free choice of doctor is important. I certainly hope ObamaCare does not mess with that. Government control is very scary. At the same time, private insurance and drug companies are REAPING profits while squeezing doctors and patients. And no one has the guts, or the money, to take them down.

    1) Limit insurance companies ability to make profits at the expense of our lives and our health. There should be no billionaire insurance company executives.

    2) Allow free trade for drug imports, with careful quality control and regulation. This will help the rest of the world as much as it will help us, and it will flush out inefficiency and price distortion in the American drug market.

    3) Make sure all employees are required to purchase health insurers, same as all drivers being forced to buy car insurance. Make this automatic and streamlined— take it straight from their paycheck but still give them the option to pick the insurance, AND the doctor they want.

    4) Tort reform for doctors so they no longer have to practice expensive, defensive medicine to avoid lawsuits

  47. Well put. Let’s remember please that there are MANY US citizens unable to obtain ANY sort of health care. That is who this plan is about. I understand the nit-picking of the privileged, but it’s best viewed from a micro standpoint.

    Yes, you are privileged if you have a computer, are reading this, and have any sort of health care.

  48. Hi, I had the exact same problem with my ulnar nerve fingers and arm/elbow. Had the exact operation about a year ago. It is not better but the surgeon says to give it a little time. Nerve pain is debilitating. I use my tens unit a lot. Some days are difficult to get through. The surgeon found a lot of scar tissue and my ulnar nerve tethered to my elbow bone. Your story made me hopeful. I too pay a lot for supplemental health insurance with medicare and appreciate the freedom I have in choice.

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