
We all know health care in this nation has reached a crisis point. And we’ve heard the stats: 47 million people went without health coverage at some point in 2005, with the ranks of the uninsured rising by 6.8 million since 2000.
The crisis has gotten so bad, it’s no longer only people who are unemployed or working at low-income jobs who are without health coverage. Seems that more than one-third of those without health insurance—17 million of the nearly 47 million—have family incomes of $40,000 or more, according to the Employee Benefit Research Institute, a nonpartisan organization. More than two-thirds of the uninsured are in households with at least one full-time worker.
People like Amy. Amy is a married mother with two children but has had no health insurance since 2000. Now, Amy’s teenage son broke his hand in three different places and needs reconstructive surgery.
We don't qualify for the state's health plan, because according to them, we make too much money.
We have over $8,000 in medical bills and credit cards used to cover medical bills and groceries so we could pay cash for some of the medical bills! The creditors call us numerous times daily and are threatening to garnish our bank account, wages and all other assets they can find in our names.
Help! We're drowning! We're living paycheck to paycheck, with no end in sight!
Amy described her story as part of Working America’s “In the Heart of the Health Care Hustle,” an interactive online project to gather stories from America’s workers and channel that outrage into action. Working America, made up of nearly more than 1.5 million members, is the community affiliate of the AFL-CIO.
Although the Health Care Hustle site doesn’t officially launch until tomorrow, already more than 200 people have contributed their stories detailing their struggles to pay for health care for themselves and their families, tales of frustration with bureaucratic nightmares and worse, descriptions of loved ones who have passed away for lack of health care. Clearly, people are hungry for a way to share their painful experiences—because too many have nowhere else to turn.
Laurie Love (not her real name) is one of them.
I was lucky enough to receive a transplant that saved my life. Unfortunately, this means that I may always be poor due to paying bills, medications, and the many things that aren't covered like healthy foods, vitamins, and items that are essential to take care of my new organ and my changing health. I have gone through bankruptcy once, and I have just been sent to collections again.
The first bankruptcy had items listed as far back as 12 years when I was 17 years old. This time my payments had gone to a different account which resulted in collections turnover, even though I was paying an amount every month….After too many years of this, I would never have thought to look there for such important information. So once again I'm paying more for less…and I have insurance! How do Americans keep up?
While those who are uninsured face loss of homes and life savings, the rest of us also pick up the bill for our broken health care system. Families with health insurance pay premiums that are $922 higher each year to cover the health care costs of the uninsured. Taxpayers foot the bill at $21 billion a year when workers are forced to turn to government health care programs.
The AFL-CIO supports universal health care, and two weeks ago, the AFL-CIO Executive Council approved a statementsaying such a system should be built upon the nation’s most successful universal health coverage plan for seniors—Medicare.
In the meantime, the Health Care Hustle provides multiple options for taking action now. You can send an e-mail to one or all of the big health care “hustlers”: Big Pharma, the insurance industry, greedy corporations and Bush & Co.
PhRMa—Big Pharma—the official lobbying organization of the pharmaceutical industry, is raking it in while the rest of us pay. The cost of prescription drugs is now rising an average of 15 percent a year and the industry is making record profits.
PhRMa argues drug companies need to charge high prices so they can spend more money on research. But the seven largest drug manufacturers spend an average of twice as much money on marketing, advertising and administration than on research and development. Further, as Dr. Marcia Angell points out:
The industry’s principal output is minor variations or combinations of old drugs—“me-too” drugs. These drugs cash in on already established, lucrative markets. For example, the world’s top-selling drug, Pfizer’s Lipitor, is the fourth of six cholesterol-lowering drugs of the same type.
Angell, former editor-in-chief of The New England Journal of Medicine, has a lot more great—and deeply disturbing—facts about the real deal behind the drug industry in her book, The Truth About Drug Companies: How They Deceive Us and What to Do About It.
Meantime, drug companies also are paying big bucks to their CEOs. Henry "Hank" A. McKinnell, the former CEO of Pfizer Inc., retired in 2005 with more than $6.5 million in pay and benefits. His retirement package was second highest in the country, only behind the retiring CEO of Exxon Mobil Corp., Lee Raymond.
In 2003, PhRMa increased its lobbying budget to $150 million. According to The New York Times, the money was earmarked to lobby the U.S. Food and Drug Administration, state governments, Congress and to fight Canadian drug imports. The money also was used to develop "a standing network of economists and thought leaders to speak against federal price control regulations."
Turns out, 2003 also was the year that Big Pharma won a really big boondoggle, when the Bush administration and Republican Congress passed a Medicare prescription drug bill that barred Medicare from negotiating drug costs, as do the Veterans Affairs and other governmental organizations. House Democrats released a report last fall that showed drug manufacturers’ profits increased by more than $8 billion in the first six months after the Medicare drug plan went into effect.
Earlier this year, in its first 100 days, the new House passed by a 255–170 vote a bill that will require Medicare to negotiate with drug companies for lower prices. But, so far, no action in the Senate.
So let’s turn our outrage into action and tell Big Pharma, Big Business, Big Insurance and not so Big Bush it’s time for action. And if you have a story to share, the Health Care Hustle site is the place to go. Working America is listening.
Related posts:
- Breaking: Pelosi Unveils Merged House Health Care Reform Bill
- Funds Spent This Year by Health Care Lobby Would Have Insured All Who Died from Lack of Insurance
- Early Morning Swim: KO and Dr. Mehmet Oz Discuss Health Care Fairs
- Baucus Health Care Bill: In a Word, Awful
- Health Care: Jim McGovern Sets Them Up, Knocks Them Down in the Rules Committee





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First!
Hi Tula !
I read a statistic somewhere that 1/3 of all working people in this country earn under $11.00 per hour.
Thanks, Tula!
I’ve got insurance but it doesn’t really seem to help when it counts.
This totally sucks, Tula. Every person needs basic health care.
I’ve got insurance but you don’t want to know the size of the checks I’ve written this year for medical expenses. Trust me.
Jane Hamsher @
6
ditto and my deductibles for all kinds of testing has been raised to stratospheric levels (as has my monthly premium.)
you know, preventive care and diagnoses– they don’t want us to stay well.
{{{Jane}}}
Is it true that firedoglake is taking $2500 from Hillary Clinton’s campaign to run the Gonzalez ad on the right? I was surprised when I saw this at solidpolitics.com because I think the work you guys have been doing is astounding. Would love to hear any comments on this? http://www.solidpolitics.com/c…..ggers.html
I realize I might take some heat for this. But… I’d like to see socialized medicine come to America.
Medicare for All — what is difficult about this proposal?
Big Business, such as in GM, Ford and Chrysler, should be begging for nationalized health insurance, as they claim paying for union health care adds about $1,500 to the price of each car. In comparison, the Japanese car manufacturers are getting an arguable health care subsidy. Globalization requires the U.S. to provide everyone with basic health care/health insurance.
Oklahoma kiddo @
9
You won’t be taking any heat from me. I agree with you. But most political types call it “single payer healthcare” because when you use the word “socialized” a bunch of alarms go off……
I don’thave health insurance anymore . New job for the family and new job doesn’t include spouses or dependents . I just told my mother that to get insurance it would cost me about 1000 bucks a month just for major medical . I told my mom that if I find a lump sobeit . I won’t let my family be totally bankrupt to save me . I hate the thought of dying in pain , but I guess that’s the way it is in this America .
legaleze @ 11
Terribly short-sighted of the Chamber of Commerce and National Association of Manufacturers to oppose HillaryCare in the early nineties. If they’d been on board, they wouldn’t have the health-care “burden” they claim makes them non-competitive now. Just shows you how stupid CEOs can be.
I work in pharmacy and i can tell you how much those drugs cost. It’s insane the amount of overcharging going on just to pay for research and development. Oh and those pesky advertisement campaigns. Not just the garden variety price gouging going on. I can’t go into specifics because i really dont’ want to lose my job. But it irks me at those costs.
I DO make under 11$ an hour, even as a pharmacy tech. My own med expenses with two more or less permanent conditions makes it hard to live on those petty wages from month to month. Much less that nasty little ‘donut hole’ that our work insurance has added in. It’s not just medicare part D that has that nasty little trap nowadays.
The whole thing is not a pretty picture, and i work my ass off with the rest of my coworkers to find something less expensive that the insurances will actually COVER for the outrageousness amount of costs. For ourselves and for our patients. That’s just the pharmacy end of it. I’d hate to see the hospital/clinic costs. Ours are crazy enough!
I’m all for socialized medicine. This has got to stop.
Oklahoma kiddo @
9
Not from me, either. It’s the only thing that makes sense. Way overdue.
Besides Big Pharma, it is the insurance industry that won’t let single payer come into being. They scrape too much money off the top of our premiums.
TeddySanFran @
10
Nothing, except Medicare should be even better than it is.
We have a pretty bad track record in this country for many things medical including maternal/child mortality.
Healthcare is a right, not a privilege.
Bless you for this post, Tula.
I hope you get to reprise it – some blogosphere justice deity must be offline for this to happen…such a great post coming on a day when may will be glued to the Bushcoup.
Thanks for your work.
I wish single-payer came yesterday.
Oklahoma kiddo @
9
No heat coming from me. My boss, who’s a born-and-bred Savannah Republican surgeon with an international reputation has submitted an OpEd piece to the NYT with his proposal for national health insurance. Really. If he’s for it (who knows better than a doctor/surgeon exactly how badly the system is broken?) the rest of us had better get on board.
TeddySanFran @ 14, the health care burden; perhaps they really mean the health burden, as I imagine they don’t care about either except insofar as the cost is concerned.
Great diary.
Lack of adequate and affordable health care is probably our biggest looming crisis (longer-term than the messes that GWB and his enablers do every day).
It IS the reason American companies outsource jobs. It IS the reason Americans can’t compete against other educated people from nations who provide health care. If we don’t come up with a solution to this crisis in the next 6-8 years, we are doomed.
I’ve had this conversation with many friends and acquaintences, many who are independent, conservative, or even far-right fanatics. I have to say, I have run into no argument when we discuss this point. Everyone agrees that something needs to be done to address the lack of adequate care, the rising costs, and the huge “tax” it puts on American companies. Not to mention the “tax” we all pay for providing emergency care to the uninsured. You can frame it a dozen different ways so even the far-right conservatives realize that lack of affordable healthcare is a business crisis, and therefore an American crisis.
Right now, I am very fortunate to have health insurance for a few more months. I have access to continuing it, at a high price, but there’s no way I’m going to take the risk of going without insurance. An illness or accident beyond your control can force you into bankruptcy, and I don’t want to gamble with my health or my future. I don’t know how families without insurance get by.
We need to take responsibility on this issue – talk with every person you know, every person you meet, whenever an opening arises to mention the healthcare crisis in America, talk about it. I must admit being surprised at how easy it is to engage mere acquaintences on the topic, particularly when addressing it as a business/financial issue. Most people ARE concerned about losing their own healthcare, paying higher taxes, and having jobs go overseas. Talking about how addressing the need for a reasonable healthcare system for all is something we must do.
The people who are against universal health care are the people who have great coverage and have permanent jobs in upper management. Their world does not intersect with the rest of us. The AMA ran those scary ads against Hillary-care back when, but now every doc I know is for fixing the situation. Their business has become a nightmare thanks to the noisy few at the top of the food chain who think the magic of the market place takes care of everything.
My story is hardly believable. I actually told this story this morning at Dan Lungren’s office (District 3 representative in CA)in Rancho Cordova with the Moveon peps. I was offering up my experience with the health care system (?) in this US of A. Between 11/2002 and 06/2004 my husband was hospitalized twice. Once for an intestinal bleed and once for open heart surgery. I had breast cancer twice. In March of 2004 we were forced to file for bankruptcy due to unpaid medical bills. Yes, we had health insurance. Crappy health insurance. The problem was we were only half way through our health care crisis. Since we got sick after the bankruptcy we were stuck with the unpaid medical bills (in spite of the stupid health insurance). The good news is that we are fine. The poopie news is that we must pay $12,000 in health insurance annually and with the deductable it is actually $22,000 that we have to shell out before we see any result from our insurance company. Since we only make about $65,000 a year total you can see what a bind we are in. But-no insurance-no health care. No health care-we could die.
Oh, and belated thanks to Tula for posting this. I sent a link to this post to my boss (mentioned above in a reply to OK) so he can make use of all the great links here. The depth of FDL never ceases to amaze me…
Four years ago a career change occurred for me, after 11 years working for various national insurance companies as a Utilization Review Nurse, Case Manager, Transplant Case Manager, Disease Management and medical claims review.
When I started in 1991…. on a whole the employer groups wanted to provide benefits for their employees and have quality care. This varied by employer group and the Insurance carrier they contracted with. After working three years at a Federal Employees Benefit Plan for a Federal Union, a plan that was written by congress and also covered my elderly parents, really opened my eyes. Anyone one who spouts off that Federal employees have it really cushy know nothing about these plans.
America is somewhere around the 130-150 rating in the world behind such advanced countries as Chili and Brazil who have Universal health care.
oh, Mary McCurnin! How incredibly sad.
{{{best wishes and hope}}}
We need universal health care– how dare pols and others spout off about being the “greatest nation” when all they do is to not protect the American people and drop bombs on the “brown people” while lying through their cosmetically enhanced teeth?
legaleze @ 11
They are – but somewhat behind closed doors. GM in particular has been very upfront about how healthcare is their largest expense as a corproation. Think about it. Sure, they’ll often whine that union workers get paid too much, but their real expense is giving US employees health insurance. Why wouldn’t plants close here in MI or other US states when they can send the plant to Canada, or Mexico, or other places, have the vehicles shipped here for even cheaper than paying for employee healthcare? They also know that the costs are only going to go up in the next 10-20 years, and they can’t survive it.
Ellen Z @
16
Nor from me. Lived in Toronto & Montreal for quite a while teaching. When I moved to the States I was staggered by the lack of basic health care that covers everyone, especially children.
The emergency rooms of the hospitals around here are filled w/people using them for primary care for their kids because of having no health insurance. I know it will mean raising my taxes, but lack of minimal health care for all just makes no sense.
angie @ 27
Do not dispair for me. It has only served to piss me off even more. And we are doing well both physically and spiritually. Thank you for your concern.
I take Dr. Feelgood’s Boogie Woogie Healthcare Powders one time a day and feel like a new person.
Well, I am glad for you and your husband Mary.
More pissed off people is what our country needs!
I had a pretty deep conversation about health care this week when I was getting a haircut.
The boyfriend of the woman who cuts my hair is apparently quite ill, with low oxygen in his blood and heart racing, but won’t go to the doctor. Why? No insurance.
I went off on a discussion of the evils of the insurance companies and the need for wholesale systemic reform, stopping the race to deny coverage to the ill or those with “preexisting conditions” due to competitive pressures. I talked about universalizing Medicare as a basic public investment and allowing people to buy extra insurance for upscale coverage if they can afford it.
The whole place got quieter as I was talking, and people were agreeing with me. This issue resonates.
Healthcare for All
Medicare for All
Having the security of healthcare for everyone reminds me of that song … “Wind beneath my wings”. When you have that security, that safety net we can soar free from this Repug prison.
My exposure to the Canadian healthcare system astounds everyone I tell. We were vacationing in BC, visiting a friend whose daughter became ill during the evening. The father called the “MD on call” service and a physician made a house call in a few hours. A full exam and drugs were dispensed on the spot. AND three days later there was a followup visit. Total cost for that care?????? $8.00 Canadian.
This family pays around $1100/year Canadian for their coverage. All around Vancouver there were “Walk in” Clinics which I found out to be a mix between an urgent care and a PCP office.
Pachacutec @ 33
Often people don’t realize that they qualify for medical/medicaid. 25% of the uninsured do.
Wow Mary. Sorry for your troubles. I don’t know how you both managed to get better with all that noise going on around you. Good luck to you both. Nice post Tula!
America already spends the money required for single payer health care for all.
Why does our health care suck?
Forty percent of health insurance dollars don’t go for health care.
The insurance CEO’s rake off their hundred million salaries, “consultants” get tens of millions, investors get huge profits – and we get fucked over.
Medicare administers health insurance with an overhead of roughly 3%.
40% for the health care CEO’s and trust fund babies -
or 3 % for Medicare single payer overhead?
The political answer will change your life – or shorten it.
I have to limit where I live to within my provider’s coverage area. I can not change providers because I am now considered uninsurable.
Because of these limitations, I can not move to any where I want to move – places where my fixed income will go a lot farther. In essence, my health care provider determines where I am allowed to live.
Pach. It’s the whole crazy thing that’s just getting more and more out of control. I now have to have surgery for the one thing that’s bothering me and i dont’ look forward to the cost, the logistics nor the hoop jumping i’ll have to do in order to keep myself above water.
It’s simple outpatient surgery–but it’s STILL surgery. Which leave me out of work for at least 7 days or more. I dont’ even know if the insurance i have will cover it. I think they will but i’m looking online now for verification. Then i intend to call them up in person to verify THAT.
Healthcare is the dogwhistle issue for me to determine which candidates are bought by big pharma and which ones aren’t. Period.
Next time I hear about how people will die if big pharma doesn’t charge fees enough to support more research, I want numbers that show how many people die NOW because they don’t have adequate coverage (not just those who don’t have insurance, BTW). How many diabetics get their medicines covered 100%? Heart disease patients? Cancer patients? I’ve heard too many horror stories to believe they have a leg to stand on. They don’t have to fund drug research on grandma’s back.
In many countries….. the word guaranteed is a package deal….
guaranteed
Healthcare
Sick Leave
Maternity Leave
Vacation
Retirement Pension(Social Security)
I can hear wingers heads exploding right now just thinking about it…
What I hate most about campaigning politicians (besides the politics, of course) is how they will all step up at Election time and use it to get elected. That is the only time they talk about it because they know how much the people in this country needs it. They are a bunch of users and abusers.
Republicans were in control for the longest time and…nothing. Just like abortion. They want it to end but did they end abortions when they had control? Of course not.
I also had cancer this year and two surgeries and it cost me several checks. I had insurance. I was treated like crap in the hospital because they were understaffed. But when I think of how bad the men at Walter Reed were treated, I feel bad for feeling sorry for myself.
Oh, and I am sorry about Cheney’s clot, not.
We went to visit my mother in law in germany with our kinder. As it happens, our 2 yr old came down with pneumonia on the plane over. No problem. We called his cousins’ pediatrician for an appointment, the Doc looked him over, said ” Ja, er ist krank” and wrote us a scrip for penicillin. When we offered to pay him for his time, he just smiled and waved goodbye. Thank you Germany! It did cost us about 30 marks to get the scrip filled, tho.
Doctors’ Ties to Drug Makers Are Put on Close View
Dr. Allan Collins may be the most influential kidney specialist in the country. He is president of the National Kidney Foundation and director of a government-financed research center on kidney disease.
In 2004, the year he was chosen as president-elect of the kidney foundation, the pharmaceutical company Amgen, which makes the most expensive drugs used in the treatment of kidney disease, underwrote more than $1.9 million worth of research and education programs led by Dr. Collins, according to records examined by The New York Times. In 2005, Amgen paid Dr. Collins at least $25,800, mostly in consulting and speaking fees, the records show.
http://www.nytimes.com/2007/03…..ref=slogin
Side note: I used to work for a pharmaceutical manufacturer, privately owned by, ahem, doctors. Guess which manufacturer they wrote scrips for whenever possible?
katymine @ 41
Maybe they can think of it as the FDIC of medical care…
I’m administrate a rural health clinic, if it wasn’t for the fee adjustments provided to RHC’s, we couldn’t afford to see Medicare/Medicaid patients. My doc gives a discount to the uninsured. Still, we have a huge amount outstanding pt balances which are uncollectable.
United Health Care has reduced pmt on E&M codes and the small amount we used to make on labwork now has to be billed directly by the lab. Ins co base pmt on Medicare fees 20 percent, their pmts do not keep up with the increases in overhead.
We have a very busy practice, we have invested in an EMR system which is costing a fortune, and most months we are just making expenses.
When I was nineteen I married my first husband. He was twenty. He became a doctor. I did the classic “work to put your husband through medical” 1970’s story. When he started his practice in Mississippi (that is another story all together) I remember wondering why corporate America did not have their finger in the medicine pie. Ten years later the story had changed. And the ass*oles
had taken over the examine rooms. Do you want you doctors sticking their hands up your butts or Corporate America?
Pach, I had a very similar convo at the hair salon yesterday. Fortunately, no one is seriously ill, but my stylist has kids with chronic health issues. We talked about how she’s fortunate her husband has insurance through his job, and she could never afford the necessary medication without insurance (which her job cannot provide). I also mentioned the “tax” we all pay to help cover some of the uninsured who don’t fall through the cracks but end up with emergency care for issues that may have been preventable if they could see a regular doctor. Then, we also talked about the “tax” that a lack of a national healthcare program puts on American companies. Then, we talked about how big Pharma is making buckets of money. I don’t know her that well, but our conversations in the past give me the impression that she’s relatively conservative. This is an issue that both of us truly worry about.
And yes, others in the salon were listening and nodding their heads.
It’s a national crisis, and most people want to address it. Even some conservative doctors I know, who are most concerned about the rising cost of malpractice insurance, realize that the system is royally messed up and something must change soon.
Keep talking up this subject with everyone you can.
The research cost argument is completely and totally bogus. Most pharmaceutical research in the USA is done under federal grants to universities, which sell the patents for their discoveries to BigPharma. We are locked into a completely false and utterly corrupt system which can only be broken by a broom sweeping clean.
When politicians talk about “ensuring access to health insurance” they are in the pockets of those who profit mightily from the current system. Only when politicians talk about “health care for all” are they talking about the revolution we need, desperately and soon.
When I went to Germany a couple of years ago, I got a very bad migraine. A friend pulled over at a drug store, talked to the pharmacist, and he gave me prescription medicine on the spot, no script. I couldn’t believe it. Here, you give them your script, go back a week later to get it, and they tell you to come back in half an hour.
TeddySanFran @ 49
Exactly. the cost for the brand name drugs is all tied up in the stupid advertisement campaigns and lining their own pockets in the meantime with 17 year patents. Of course, who foots the bill? Not them. Even new generics cost a small fortune, depending on the drug.
Oklahoma kiddo @
9
Seconded.
Physicians for a National Health Program has been at the forefront of this issue for many years.
link
My own story is so long, painful and twisted, but suffice to say, I feel strongly about the issue.
Oklahoma kiddo @
9
Agreed.
I was diagnosed with Rheuomotid Arthrittis and was put on Celebrex. I saw the TV commercial for the drug, and the music playing in the background was Celebration by Kool and the Gang.
And there was a fancy Web site, and let’s not forget about the development of the brand, because you know it’s just so important that drug have a personality.
Royalties for music, bells and whistles on the web and a personality for the drug.
I know graphic designers making six figurers working on big pharma accounts.
Has anyone one been subjected to the Consumerism line relating to healthcare?
This just pushes me right off the cliff. The idea that you can “shop” around for care and since you are closer to the expenses consumers will be more concerned about the costs. The problem comes when your spouse is having chest pain and turning blue, ARE you going to go shopping around and negotiate care rates?
This is a bate and switch plot to NOT pay for my healthcare expenses.
I’m for expanded Medicare-single payer health care..but be careful what you wish for..as others have said the push will be from big industry to unload their health care costs. What we will get is another Medicare part D..piss poor coverage, run through the insurance industry who will rake off 25-40% management fees.
When I was in practice I would discount all bills to insurance. No patient got a bill..no insurance, no charge. That is now illegal..it is considered a kick-back.
I got my own little insurance surprise in the mail today, an out-patient surgery center bill for emergency eye surgery. The bill was $16,700, insurance paid..drum roll..da da..$514.
My SO’s father is in rehab now. The rehab facility is telling his wife that she needs to “spend down” their small life savings so he can be eligible for Medicaid and she won’t have to give all their money to the guvmint. She went out and bought caskets and plots for the two of them and cried to me.
This is disgusting. They don’t have much and the “care” he has gotten as an 84 yo is beyond belief. I watched for four days as they neglected him beside a filthy radiator blowing hot air and pathogens into his airway. I watched as a nurse rinsed his bedpan in a sink that he used to brush his teeth in– she wore gloves. I watched as he was left all alone for 2 hrs. in a wheelchair while the sign over his bed read “fall precautions”– I watched him and cared for him. I watched as nobody responded to the call light and nobody came in when he was critical for 7 hours. I could tell you more…
But, the worst is that “they” (the “health” care system) have consigned him to die while taking their pounds of flesh.
He became ill in the first place (terribly hyponatremic) because of the meds he was prescribed in advance of a procedure. It was only when a consultant was dragged in by us that this was made clear and yet, they still deny it.
When I go pick up my meds usually there is an elderly or poor person shocked at the latest price for their medication. I have seen people walk out of the drug store knowing that their health has been compromised because they could not afford the medication. And the pharmacists
are trying to figure a way to help their customers. Sometimes they will let people buy a few days worth at a time. And they are heart broken when they cannot help these people. How many people in the country have to make decisions on a daily basis to break unfair rules to provide necessary health care to the citizenry. And we cannot fix any of these problems until we stop spending our present and future on the Iraq War.
I visited Thailand a couple years ago, and I had an incident that landed me in a rural Thai hospital. I had emergency care, xrays (which were useless) and medicine. The cost was $8 US.
I spoke with a guide I had there, and she was flabbergasted at how much we spend on medical insurance in the US every year, and how expensive such a visit as I had in Thailand would cost in the US. She explained that she does have to pay a few dollars a month into their national insurance fund, and all care is paid for unless she “has a massive health problem, like a terrible car/motorcycle accident that kept her in hospital for months and might cost more than $750 US, then she may have to pay a little out of her pocket. The most fascinating thing is that at the end of the year, if she doesn’t use up the dollars she put into their national healthcare system, she gets it BACK as a refund. Once she reaches a certain age (can’t remember – 50s or 60 maybe?) then Thai people do not need to pay into the system anymore – they are covered for the rest of their lives.
Big pharma business is so destructive to our way of life. Other countries have absolutely no idea how our companies charge so much money and provide no care to so many of us.
There probably isn’t anyone who is not touched by this somehow.
Maybe THIS will be the “V for Vendetta” issue.
Inside the Happiness Business
The presence of drug reps wheeling suitcases of small gifts and pills through waiting rooms and hospital corridors is an uncomfortable issue for doctors. “There is a fine line,” says Dr. John C. Nelson, a Salt Lake City obstetrician-gynecologist, a trustee of the American Medical Association, and the group’s spokesman on the issue. “This is America — the land of the free and home of the entrepreneur. In a world where there are lots of similar medications to chose from, there has got to be a way for a drug maker to try to make its voice heard above the fray,” Nelson says. “But if you think your doctor might be influenced unduly by a drug company, then you may have reason to wonder, is your doctor doing what is right for you or for him? Am I prescribing the medicine that is right for you or the medication that bought me the latest trip to Aspen? Studies have shown that I am more likely to prescribe a drug over the next few days after its maker takes me to lunch.”
In 1989, Nelson became concerned about drug companies’ influence after an experience with the new estrogen-replacement patch — at the time, more expensive and less proven than an oral equivalent. “I tried it, but it irritated patients’ skin,” Nelson says. “The reps said ‘Thanks’ and gave me a pen. My partners said, ‘Heck no, that’s more expensive and less proven.’ Then the company took one on a scuba-diving trip and the other on a golf vacation. They both started using it and, to my knowledge, still do.”
http://66.218.69.11/search/cache?p=drug company reps detailers golf trips&fr=yfp-t-501&toggle=1&ei=UTF-8&u=www.drugawareness.org/Archives/2ndQtr_2002/
Inside_the_Happiness_Busin.
html&w=drug company reps detailers detailer golf trips trip&d=EgWNPhIeOXni&icp=1&.intl=us
I had one of theose $11/hour jobs. The company had two insurance options: Blue Cross/Blue Shield, or Kaiser. Some of the people who chose Kaiser still needed assistance for their kids.
Blue told me I lived too far from my doctor’s office, so I’d have to choose one they liked better.
Fortunately I only needed one once under that plan, and I changed jobs also. Don’t know what my current job has – there were a lot of papers that I filled out, and if one was for insurance, I couldn’t tell you – but being currently (knock on wood) fairly healthy, I haven’t had to find out.
I think a lot of the costs are due to insurance and its many (nonstandardized) forms and requirements, most of which have nothing to do with actual care. People I know who have worked in hospital business offices were, even twenty-five years ago, swearing at insurance companies.
TeddySanFran @ 49
Bless you, Teddy! What you said.
I was in the pharmacy the other day picking up blood testing supplies for my diabetic cat and the young pharm tech at the drive in window said to an older person, um your insurance co. no longer covers that medicine as of January.
She turned to the pharmacist and said “that stuff costs what? $260.00?”
She brushed her hair of her brow, straightened her shoulders, told the customer and the customer drove away.
shame.
If we had mandatory universal health coverage for all employed persons, as Canada has, the cost of Workman’s Comp would go down appreciably as it would only be needed for missed work and permanent disability. In Canada, self employed can buy in at same rate as everyone else. Get automakers on board with this, and they can lobby other manufacturers. We’re sunk as a competitive nation if we don’t get this done. Single payer, Medicare, immediately save 25% administrative costs. Also save the money insurance companies spend on denying claims (which is a good chunk of money). Tell insurance companies to go piss up a rope. They had their chance for some of the action under Hillary Care, and blew it off. The people in denial can just go out and buy their insurance privately if they’re so afraid of “socialized medicine”.
Mary McCurnin @ 59
That’s my workday. Thank you for summarizing it so well. I get along well with my regular patients (i’m a pharm tech), and they like the lot of us too. They know we’re the middle man when it comes to costs. We bear the brunt of their anger and their heartbreak.
I’d love to change it from the inside out, but not a chance. Not if i dont’ want to be fired from on high in corporate. I’m just a minion, a wage slave. No rank, no nothing beyond a few benefits and employee number and a paycheck. They pay me peanuts to help these people, they’re the reason i keep going back.My healthcare coverage is halfway decent. Mostly because of a union and the fact that it’s healthcare. If we dont’ get the care, we dont’ work. It’d be f*cking nice if i had a living wage to support myself while i help them along too. -_-x
My big wish…..
Medicare for All with Medicare D taken out of the hands of private insurance companies and put into traditional Medicare. That would mean ONE plan with one set of drugs and fees.
Then the insurance plans can offer buy up plans for additional coverage.
NO Drug commercials on TeeVee….
Angie @58… THAT is NOT true…..they need to talk to an estate planner or the elderly ombudsman. That is not true.
“We went to a “townhall”meeting for our area a couple weeks ago. Mysteriously none of the Democrats had been invited. Our local state house rep, whom we “fondly” call “Witless” was holding forth on the competitiveness of the US, and how great we all are and how we deserve it because god loves us (paraphrasing here), when Mr. Conniptionfit brought up how we are losing competition for manufacturing to Canada, because the companies don’t have to pay health benefits. Mr. Witless got all red in the face and accused us of wanting to live in “Communist Russia”, and proceeded to rant about how Germany and France are sinking under the burden of all that socialized medicine. We said “No, we don’t want to live in communist Russia- and by the way communist Russia no longer exists- we just want to live in America where 3 year olds shouldn’t have to die for lack of health insurance in the richest, most advanced country in the world, and where our 50 yr old neighbors don’t get their houses taken away because he had a heart attack, and had to have surgery, and was unable to keep his job or health insurance. The little facist shut up.
George W Bush, failing America, in all possible ways, everywhere, all the time.
Hehe.. why isn’t Hill running on this one? Isn’t healthcare reform her.. um.. specialty ? :P
OT – C-Span 1 showing Conyers FBI NSL hearing.
I’ve had a two month crash course in the system since my mom’s diagnosis with pancreatic cancer. This disease is so grim and the mainstream has so little to offer, we immediately went straight to the “alternative” track. I’ve been shocked to learn how many promising, natural, cheap and effective cancer approaches there are and more shocked at how the doctors who explore them are literally ostracized, ridiculed, defrocked, and persecuted,etc. Truly unbelievable.
katymine @ 68– I know. It was too late when I spoke to her about that and she’s terrified of the ramifications now and can’t hear me.
I have seen too many sheriffs placing seizures of property on unconscious people’s beds– those that were heading to nursing home beds who have no cognizant or caring families beds.
Katymine @68, Angie @58 – I have heard similar stories too many times to count. One even involved my own grandfather, but back in the early ’80s and it’s too late to do anything about it now. Why aren’t patients and their families being told of ombudsmen, other options, etc? Breaks my heart.
Health care, what is that?
If we can’t have health care then why can’t we have Kevorkian (sp)?
Angie… here is a website right of the top of my google search
http://www.priceandpriceelderlaw.com/spend.htm
We used to have a local program on our AAR radio called Estate Matters where they talked about all these issues, getting living wills, medical power of attorney and spouse right of survivorship.
Eureka Springs, AR @ 76
Because health care can be controlled but Kevorkian has a mind of his own.
A relative of mine can’t function without mental health drugs but has no insurance since she has no job. Not too many jobs have bennies nowadays, she can’t function without drugs, who will hire her?
thank you katymine @ 76.
I’ll pass it on.
;(
Sharon @ 79
Here is a section out of the Medicaid spendown
{{{{{{{{{{{Angie}}}}}}}}}}}}}}
TRex is upstairs
I’m a 61 year old man who has beaten cancer. Nobody will insure me at any price.
While I was in the hospital recovering from surgery (I was insured at the time) two women from the hospital’s financial services department came into the room, drew the curtains around my roomate, who was being treated for a brain tumor, and told him, “Sir, your insurance company has abandoned you.”
They then spent 45 minutes with him going over what options might be available after they sent him home THAT VERY AFTERNOON.
The health care crisis in this country is due to the profit-driven insurance companies whose only real way of competing is to find ways to deny coverage to the sick. And the only solution is single-payer run by the government the way it is in every other civilized country.
My medicines here cost $1 a month. In the US, $50 a month.
My son is in the US and we got a major medical policy for him, but I’m not sure if it is renewable. He is seeing a doctor tomorrow. I called from here and asked if I could get a discount, equivalent to the price that insurance companies negotiate, if he paid cash on the spot. “Absolutely not.” She was indignant. “We have contracts with insurance companies. We don’t have to give people off the street discounts.” So if you are too poor for insurance, you can pay a higher price.
The appointment in the US will cost $130. Here one gets 10 minutes of doctor time for $12, though the price is probably lower here in my small town because we are designated rural. It is higher in the cities.
It isn’t perfect, but there is a basic net, beneath which no one needs to fall. Kiwis who are irritated with socialism still seem astounded that a society could function with such callousness not to have any net at all, even for children.
Sadly, I’m about to return to the US. This reminds me that my attempts to buy even major medical are met with high premiums and an 8 month exclusion clause for most major medical procedures.
I am insured, fortunately, through my work as are my college student daughters. But, one daughter signed up for more science than she could handle and had to drop a class. This puts her under the requirement as a full-time student to be insured.
Crazy, she takes 12 units and works part time. A good kid, never has cost society a dime. So now what?
Sharon @ 78
My 18 yr old still lives at home, and on our insurance for now. This is our nightmare, that she will find herself in exactly this spot.
Slideguy @
83
If you live in a Costco state you can get coverage at a group rate. You need to have a business (easy to make up one) and you qualify. My husband got insurance, crappy though it was, that way. He pays $500 a month. Down from the $2000 a month for a single person who has had his health issues. If you what more info email me at: marymccurnin at mac dot com.
Health care is for the healthy and the rich.
thankfully, a dear friend -recently diagnosed with luekemia (CLM?)- has been accepted into a drug trial program. the medication she requires to fight this disease run about $3000/month.
me? i am without health insurance, at 50, for the first time in my life. it’s a scary place to be. the far too expensive COBRA has run its duration, and i’m scrambling to find a suitable personal plan before those magical 63 days are up.
the healthcare crisis must be solved.
~itunkala
Here is a story on Health care in France -
In 2005, I was in France on business with my family, and my son needed to see a Dr. We talked to the Hotel desk, who called a local Dr., and made an appointment for 1 hour later. My wife walked with my son down to the appointment, he saw the Dr., who wrote a script and said reassuring things, but wanted him to get an X-ray. She (the Dr) called up a clinic about 200 meters away, they walked to the clinic, got the X-ray done and were walking back to the Dr’s office when they ran into the Dr on the street, whereupon she looked at the Xray there on the spot and pronounced it fine, with no need for a follow up visit.
Total cost : 20 Euro’s (less than $ 25.00)
Total elapsed time : 2 hours
Anyone who think that the system we have here is preferable is insane.
Sharon @ 78,
I get 2 medicines from the manufacturer because I meet the low income requirments. Ask your relative to ask her doctor. It’s better if it’s a clinic, I’ve found. One doctor here in town was unwilling to do this (”We are not a dispensary” his nurse sniffed) but the health clinic was quite willing.
I feel fortunate to pay well over $450 a month for health insurance that still left me tens of thousands in debt when my wife fought and survived brain cancer. However, now they won’t see her because of past due bills.
When hunting in Canada my father-in-law suffered a heart attack. They were in the middle of nowhere but managed to make a cell call. A chopper flew out to get him and he spent a week in a Canadian hospital getting treatment. Cost? About $250. For everything.
I just got 30K worth of healthcare for FREE!!
2 CT scans, a colonoscopy, endoscopy, complete physical, and a double hernia operation.
Total value about 30K. I am obligated for the anesthesia of about $1642.00, which I am also trying to get dropped.
My secret???
I’m BROKE. No income, looking for work, no health insurance.
But for the good folks of the Pacific Northwest, of which I am now a resident, I would have been fukkked!!!
I have NEVER collected welfare (I have nothing against folks who have a true need–that’s what it is there for), and I collected unemployment for THREE WEEKS in 1984, so save the “welfare bum” bullzhit…
I came to the end of the rope where I needed the care, and I was helped.
It is NOT possible to give everyone the same ECONOMIC start in life.
It is EXACTLY what we SHOULD DO from a health care basis–an equal shot at HEALTH.
Thanks to the good folks of the GREAT State of Washington.
This dairy and thread should be enough to make anyone cry.
We have abandoned the government as a vehicle for carrying out our wishes and emobodying our values.
All for lack of proper leadership.
I am uninsured, have kids, and live in almost hourly dread that someone will get hurt and need healthcare.
Earlier this year, in its first 100 days, the new House passed by a 255–170 vote a bill that will require Medicare to negotiate with drug companies for lower prices. But, so far, no action in the Senate.
Hooyah!
O.K. As citizens let’s try and think of ways to pressure the senate to do the right thing.
Unfortunately one of “my” senators is Lieberman and he is on the take. But Dodd maybe . . .
BTW. I wholeheartedly recommend the Angell book to anyone who is interested in the Big Pharma’s role in the healthcare crisis.
It is unbelievable, and I’m glad more people are realizing how much “cancer treatment” is a sham.
The present options are too often incredibly toxic, hideously expensive, and potentially life destroying.
I’m starting to read more and more stories about people who are told they have beaten cancer only to come down with another life threatening illness related to their treatment, such as anemia, heart problems, circulatory collapse, and organ failure.
How much sense does it make to treat cancer with carcinogenic treatments like most chemotherapy and radiation?
Pharmaceutical companies ignore non-toxic treatments because they can’t patent them.
This site will give more information:
http://www.cancerdecisions.com
Getting health care for everyone is only part of the battle. The American Public should demand BETTER health care, too.
our new democratic gov in ohio, ted strickland, proposed in his state of the state speech–
medicaid for family of four making under 62, 000==those at 300% of poverty rate……
those who make more than that can buy into program…….
My wife broke her wrist while skating over the Christmas holiday (”broke” is an understatement, she’s slowly regaining the use of her fingers right now.)
We had to drive an hour from the resort to the nearest emergency room, where she had an x-ray and a shot of morphine, then a half hour drive to the closest hospital with an orthopedic surgeon. She stayed overnight, had surgery (two pins in her wrist) the next morning, stayed in hospital another day had weekly visits with her surgeon, two visits with our GP and biweekly physiotherapy.
Our only out of pocket expense was for painkillers, and the cost is deductible at tax time. (and I’m willing to bet I don’t pay substantially more in taxes than someone in the same income bracket in the US.)
That’s public health care in Canada. I can’t fathom why the US can’t do at least as well. For a family to face bankruptcy because their child was injured is just criminal.
WereBear @
96
Many thanks for the link!
Please take a look at SB 840 authored by CA Senator Sheila Keuhl. Comprehensive Single Payer Health Care FOR ALL CALIFORNIA RESIDENTS!
This bill benefits everyone but the Insurance industry.
This bill passed both houses of the leg, and then sat on Der Gropenfeuhrer’s desk for 2 weeks until he vetoed it. It’s been reintroduced and should come under fierce attack by the industry. However, labor, grassroots and consumer groups in the California Health Care Coalition are being joined by employers who also can no longer pay annual double digit increases.
This bill should be the model for the nation.
Check it out, and if you are a CA resident – join the coalition and demand that your representatives support it. If you are out of staters, ask you local leg to come up with similar language.
BTW, Der Gropen’s successful re-election campaign was GENEROUSLY supported by inusrance industry – go figure.
I’m lucky to have very good health insurance.
Still, a series of family medical disasters have put me $10k or so in the hole due to various deductables (yeah, $1K per person per hospital visit, $2K max per person per year – do the math). Fortunately, we’re not doing so badly. I wonder about others.
But the real problem, which never occurred to me before this happened, is that I can no longer move jobs easily. I had to refuse a job that would have made me more money – enough more to purchase my own health care, under normal circumstances. But I have at least one family member who is flat-out uninsurable due to hard-to-treat cancer. And so I have to stay. I’d like to switch to independent contractor status, but I’d have to double my income to be able to afford that, if indeed I could afford it at all, given the “uninsurable” scarlet letter we wear.
So I have very good health insurance, and yet I’m not protected very much at all. I can’t afford to switch jobs unless it gets me on a big health plan where I can’t be rejected. And even with our insurance, financial disaster (as in, raid every available dollar from our future, sell our house, and rent, and still be likely to go bankrupt) is a very real possibility – change of employment, plus a somewhat likely next crisis, and it’s all over.
I’ve been very lucky – the health care I have has been great, but if a high degree of employability, a solid above-middle-class income, and a good health plan aren’t enough to protect me and my family from poverty, then the system has already failed.
Truly, the folks against universal health care are indulging in ivory tower fantasies. Remember the “gold-plated health plans” line from the SOTU? Don’t hear that any more, do we. Because it went over like a led zeppelin with everyone who hasn’t got multi-millions in the bank. Because everyone gets sick and dies eventually, so every family knows about having to deal with health crises, and what it costs them.
American health care is great. But the way we pay for it is utterly broken. And it hurts us individually and as competitors in a global economy.