Friday, June 01, 2012

New Health Care Reform Legislation

By Denise Coleman Wednesday, March 24, 2010

There are a myriad of different opinions about the Health Care Reform Act passed by Congress and signed into law by President Obama.  I think the most important fact is that it was passed and is a good start to really reviewing and reforming health care in this country.  While there has been very little discussion about the quality of and methods of delivery for health care, which needs to be done before we can honestly say we have reformed the health care system, providing coverage for many who have been under or uninsured is a wonderful first step.

 

There are many positive components of this Law, however I am sorry the process was mired down by such negative politics.  It didn’t need to and it shouldn’t have. We have always had a competitive two-party system, however the level to which the interaction between the politicians in both parties has fallen is disturbing and embarrassing.  It should be unacceptable to all of us, regardless of our beliefs, and we should make our politicians aware that we won’t stand for it.  It is one thing to stand up for your convictions and quite another to denigrate someone else’s beliefs by personalizing your criticism.  What kind of example are we setting for our children and young people?

 

The racist, bigoted and uninformed name-calling is something I never thought we would see in our nation’s Capital.  We have a right to our personal beliefs and the right to free speech, those are basic Freedoms provided to each of us in the Constitution.  We also have a responsibility to allow others to have the right to their convictions.  And does free speech mean that we must act like poorly behaved children and call each other names in public?  No, it means we have the right to debate these issues, but can’t we do so on a mature and informed manner?  I love to debate opposing views, when the conversation remains on the issue and the debate does not include personal insults and name-calling, which many of our national leaders seem to have fallen to.  Neither political party is blameless; just allowing this to take place puts responsibility on all of Congress and all of us.

 

I believe that President Obama had the best intentions when he started this process but I wish he had used a different method. For what it’s worth, this is how I think the process could have been improved.

 

 Both Houses of Congress are made up of politicians from various backgrounds; social, geographic, vocational, educational, religious, etc.  I think it is asking too much to expect this group to come together and develop legislation of such sweeping proportion from scratch.  It isn’t surprising that special interest groups, such as insurance and pharmaceutical companies, played such a large role, after all they are the knowledgeable ones about the issues being considered.

 

Wouldn’t it have been better to start by appointing a bi-partisan blue ribbon Commission, chaired by two senior members of Congress, one from each party, and comprised of medical professionals, corporate representatives, including but not limited to pharmaceutical and insurance companies, small business owners, hospital administrators, and patient advocates, to name a few. This Commission, similar to the one appointed after September 11, could have been given a general statement of the current state of health coverage by private and public entities, and charged with making recommendations for reform with the final goal being to cover as many people as possible, with a primary focus on insuring all children.

3/24/10 2:28pm

Denise,

Well said! And I agree 100% with your opinions, thanks for such an eloquent post.

Millie

3/25/10 4:32pm
Thanks for your supportive comment. I don't know where this will reform effort will lead, but we all need to stay alert and speak out, in appropriate ways, to let our elected officials know what we think about these issues and how we will be affected by certain changes. We need change, but not just for change sake. We need intelligent, informed reform of policies that prevent so many of us from receiving quality medical care. Thanks again for your comments. Denise
3/25/10 3:06pm

And that was part of the problem.  The Republicans on the committee just said no to everything.   Other Republicans, not on the committee, were continually invited by Obama to write any proposal of their ow but instead they just crossed their arms and did whatever they could to be negative to anything suggested by the committee.  It was more about trying to see Obama fail then to try to reform health care.  

 

Unfortunately, Obama came into the presidency in the most difficult time and being considered "black" he had to be very carefully not to be too strong, not to act "uppity", not to offend.  I think that he has all the best qualities of leadership that any country could ask for but he has to tread lightly because of the racism that still exists in America.  I say this as a former teacher who taught in ghetto schools before integration and after.  I have seen many great changes in young people but not in our older politicians!

 

But it's not only about racism, it's about the struggle between corporate America who in their greed wants to control as much as possible and make as much on the bottom line as they can without consideration of how this affects others.  If any of our legislators had to live on what the average family has to live on they would not be behaving the way they do.

 

Most of them don't even go to a grocery store.  Have they used bus transportation?  I don't think so.  

 

Do they really represent the needs and desires of their constituents?  I don't think so.  

 

Do they represent the needs and desires of corporations.  Yes.  I think so.

 

 

 

 

 

3/25/10 4:28pm

Thank you for your comments.  I think we agree on most of the points you have made.  Unfortunately, there is no easy way to fix the problems, at least I can't think of any.  Not while so many Americans are apathetic about the government and either don't vote or don't pay enough attention to who they are voting for.  

 

We all have to remain aware of what is going on around us and let our politicians know what we think about the issues.  

 

Thanks again,

Denise

3/26/10 9:08am

Oh please, obamacare is going to destroy this country.  People do not realize what this means for our great Nation.  The gov is going to be in control of 1/6 of our entire economy!  You are going to have gov officials telling doctors what they can and cannot do for you.  How are you going to feel when they decide, ahhh, you don't need that pain med, or you don't need that surgery.  Wait and see where this goes!  People have no idea what this bill holds inside.  This will bankrupt all insurance companies and only the gov will be in charge of your healthcare!  READ the BILL!  GET INFORMED about what you are talking about.  You have no idea.

 

http://www.youtube.com/watch?v=HcBaSP31Be8

3/26/10 9:39am

I am not even going to respond to most of what you have posted here.  In my opinion you are very, very, uninformed.  The only reason racism is alive and well for the most part (not all) is because the minorities keep it that way with their constant whining and complaining of racism.  I could care less what color the president is, but lets face the facts, the only reason that moron got voted in was so everyone could "feel good" about themselves and show they aren't racist.  Now look at the mess this country is in...  You shouldn't post about politics on this page if you don't want to get into it because people are disgusted and upset with where this idiot is taking our great Nation.

CRegal, Editor
3/29/10 10:23am

Obviously it is a touchy issue and the politics of the situation can cause divides among us. 

 

You're welcome to discuss but please try to keep things civil!

 

Thank you.

3/29/10 10:37am

Very true.  There has never been a time in our country that people have been so divided.  It's a bad subject to talk about here for sure!

3/29/10 11:37am

Thank you for your comment.  I have been struggling with an answer to a few of the comments I received, and you have responded beautifully.  Everyone has a right to their beliefs but we need to remain respectful in our responses.  I appreciate your reminding all of us.

 

Thanks,

Denise

3/29/10 11:51am

I disagree that this isn't a topic to discuss here.  I can't think of a better place to discuss health care reform since people reading and writing on this site are most likely involved in the health care system at some level and should express their feelings about proposed legislation and their experiences with the system.

 

I say this with one caveat; that we do so with respect.  It is not appropriate to demean another person's beliefs or comments.  We have a right and obligation to let our elected officials know how we feel about proposed legislation and guidelines, however if we don't set a higher standard of discourse we are going to continue to be subject to the low level of debate that we have been receiving from our legislator during the past few weeks. 

 

I believe the name calling, the racism and the ongoing use of scare tactics are unacceptable. Let us have conversations on this site that share information and perhaps debate opinions, but let's not stoop to the low level of conversation going on at the national level.

 

 I invite everyone to comment on my Share Posts, as long as your comment are respectful of other people's opinions and writing. 

 

Thanks,

Denise

3/29/10 11:54am

Denise, I apologize if I offended you or anyone else.  I am pretty firm in my political beliefs and things that are happening to our country.  I did not mean to be offensive, so sorry if I was harsh - I know I was... 

3/27/10 5:12pm

Well said, Denise. I wish our congress could behave like grown-ups and really do what the country needs. They accomplished some good things but could have done even better but they act like a bunch of whiney, spoiled children. It really is disappointing but what we got is way better than nothing. I alway appreciate your posts. Thanks for putting it all out there.

 

3/28/10 12:56pm

Thank you for your comments.  I agree that we have made a good start and there are some important components to this Legislation.  Health Care is such a massive industry and need in this country that I would like to see serious examination of all areas, including but not limited to, medical school curriculum and continuing education for medical professionals, hospital regulations and determination of length of stay, which I think should be based on medical need rather than insurance charts, accessibility to medical care by all, effectiveness of treatment determined by medical professionals, and many other areas that affects us all.

 

Those of us in pain face many barriers to effective pain treatment, which is why I became an advocate for the American Pain Foundation's Action Network. There are legislative and regulatory barriers to effective treatment, as well as the stigma and perceptions many people have about opioids and those who take them to relieve severe chronic pain.  And this is only one area of concern we must be aware of.

 

I appreciate everyone's comments because as I said in my Post, I feel everyone has a right to their opinion.  I just wish those opinions, especially at the legislative level, could be offered with respect.  

 

Regards,

Denise

3/29/10 11:47am

Yes, I agree with you on some of what your saying, most definately.  I just think there were better ways to deal with it, rather than what has happened.  I definately think there should be more discussion about how people are undermedicated because doctors are scared to treat them properly, and those types of issues.  People who have never dealt with non-stop nerve pain for instance, have no idea what it is like to try to struggle in to work everyday.  When I personally am late sometimes, I know they are talking dirt.  They have no clue how I feel ever day of my life, or how many things that I adore doing, I have had to give up.  It makes me sick.  I think the first step is making people realize just what chronic pain entails for the person living it.  Sometimes compassion is right out the window, maybe that is moreso because I work for the government and women here tend to be pretty harsh, I'm not sure.  You would think people would be able to see and think, this person used to be the funnest, jokester, we all had such a good time, and what has happened to this person that she seems so miserable and full of pain?  But people don't, they assume you have suddenly turned into a dick I guess.  I know one of them that I used to be fairly close with, I explained about my situation, and the nerve pain that shoots with every heartbeat and how my pain meds controlled it very well, but once they wear off, it's over and I'm restricted to one every six hours instead of one every 4 hours like I need to be comfortable and just feel like the old me.  She told me I needed to get off that medicine because people die from it, and people get addicted and blah, blah, blah.  I couldn't believe it.  I said well it sure beats the alternative.  she said and what is that?  I said blowing your brains out because you just can't take it anymore...  People have no clue...  I know I certainly have considered it from time to time...  Thank the Lord for my first grandson!  He makes me want to stay - for now, he is enough..

3/29/10 12:02pm

You have raised some serious issues in your comment.  I cannot address them all very well in this response, but I encourage you to look at some of my  past Share Posts, specifically ones related to my work as an advocate with The American Pain Foundation's Action Network.  This is a national organization, mostly volunteer, that reaches out to legislators, media, community leaders, people in pain and the general public to inform and sensitive people to the fact that there are over 70 million Americans living with pain, and that there are numerous legislative and regulatory barriers, as well as perceptions and stigma associated with taking strong pain medications, that prevent people from receiving the most effective treatment for their pain.

You can see more about the work we are doing through the Action Network by going to www.conqueringpaintogether.org.  If you have trouble finding information you want let me know and I will link you to the write page or send it to you.  

We must all work together to spread the word about effective treatment of pain and to remove barriers that prevent people from receiving these treatments. 

This is one of the reasons why I have said that the health care reform legislation that has just been signed into law is an important beginning, but it is about health care insurance and coverage, and we have not begun to discuss the quality or delivery of health care.  That is another major issue and needs to be addressed carefully and completely.

Thanks,

Denise

3/30/10 6:25pm

I have a Medicare Advantage plan, and it's my understanding that this will affect all of these plans in a negative manner. I fully understand why change is needed, but why take away from the existing plans that took years to get?

4/ 5/10 5:03pm

Exactly..  This is just another way for the gov to make money off the taxpayer.  They don't care about our health in any way, shape or form

4/ 5/10 9:52pm

Hi to everyone, I'm a 47 year old male, having been disabled since Jan 2006. I had a four level lumbar fusion in May 2006, and although the pain that I had was relieved, I suffer from post surgical nerve pain. I take strong narcotic pain meds around the clock. I have good days and bad days, and when the bad days come, they are relentless. I have osteoarthrits in my spine, hips and knees. Now, I'm beginning to get back in the same shape I was in prior to 2006, or I should say 2005. I worked in severe pain for a year, having to resort to smoking marijuana on the job to stand it. I'm afraid of what this health care package will bring with it. Sure, there's those who have said that the "donut hole" will eventually close, but how are our medicare advantage plans going to start giving out a lot of expensive brand meds, when a lot of us (me, too) has to take cheap generics to avoid the gap. They are not going to suddenly start handing out expensive brands just because there's no coverage gap. Too, I'm afraid that medicare recepients will begin to be treated like Medicaid recepients, because the doctors will take a cut in pay, and won't be as eager to treat us. It's been bad enough these years, having to hire an attorney to prove to the SSA that I'm sick, and it took going in front of a administrative law judge to win my case. Thankfully, the judge was compassionate, and after only 10 minutes into the hearing, he stopped the proceedings and gave me a fully favorable bench decision. Usually, it's a wait, and even my attorney was shocked at the swift outcome. But for the most part, that was the best part of my ordeal. I live a life of pain and torment. I can't stand the thought of more surgery, the suffering is horrible, but I'm thankful for my family doctor. He does the best he can for me, but my system has became immune to the effects of the meds. At one time, I was taking 80mg oxycontin (brand) every 6 hours, plus 15mg IR oxycodone (no tylenol) every 4 hours as needed. Now, because of the "donut hole", I take 30mg methadone every eight hours, with the same 15mg oxycodone every four. And I take 2mg alprazolam every 6 hours for anxiety disorder (I had this prior to my other problems). After having been on these meds for so long, I'm becoming depersonalized, I wake up waiting for bedtime to be here. The quality of my life is going downhill fast, I just go through the motions of life, and don't care one way or the other if there's a tomorrow or not. I'm tired of fighting, and now the system that was supposed to look after us all is going to cut funding to Medicare Advantage. The plans were already becoming fewer, and more of the cost was being shifted our way. Now I'm worried about that. Living in pain and worrying is taking a toll on me, both physically and mentally. But I would never do anything to harm myself, it's just that I'm homebound, all my wife wants me for is my check, she treats me as though she's my mother, and I'm powerless to change things. I need help doing the basics. But one thing I want to do is thank Denise and Karen for all they do, going to bat for us. They do so with all of their hearts, and the letters that I receive here are encouraging. I really enjoy reading them. Please keep up the good work for us.

4/29/10 8:17am

I too hate the situation of vitriol our nation has come to.  My WW2 vet father says he's never seen such hatred between the two parties.  However, and everyone says the two parties should have worked this thing through together, the republicans have never wanted to change any of it.  Powerful pharmaceutical lobbyists have always been in charge of the two most potent forms of government we have:  health care, and campaign finance reform.  So, since we are looking at change, those opposed to it continue to get false information from radio talk show hosts, who get paid millions to whip up fury and hatred by promoting government failure.  Death squads don't exist.  Living wills and advanced directives always have.  Insurance companies have power to bankrupt you in life and death situations without telling you in advance.  Medications that were covered last year may not be this year.  Out of pocket, after my premiums are paid, I pay $1500.00 monthly for meds and healthcare, leaving little to live on.  While we insist countries with universal health are socialists, none of us live there, so how do we know this?  They resent us for this.  We pay postal workers, park rangers, firement, police workers, transportation workers, teachers, albeit too little, and, the V.A., whose system generally cares for all, and we don't call vets socialists.  Flaws?  You bet.  Who doesn't have them.  Diane

6/ 4/10 4:18pm

Health care reform will hapeen when people require it. Until then the health care industry as the NEJM indicated last  year remains largely unchanged in 20 years. The healtjh care industry is inadequately oriented to the needs of people in our Nation as indicated by the poor quality and high cost of health care. So health care reform since it is imposed by government is unlikely to change the attitude of a health care industry that prides itself on being free to ignore cpg's and the just demands of the public with regard to pain care, with regard to people feeling they are heard by the health care industry.

Perhaps for some they take comfort in a belief that the health care industry is doing the best they can. I for one believe there is much room for improvement and real improvement wont come until the people served by the industry require better care.

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By Denise Coleman— Last Modified: 12/20/10, First Published: 03/24/10