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Health Care Debacle - The Human Cost

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nyrussell

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Quote -

Health reform's human stories
Countdown producer bears witness to America's health care shortcomings

MSNBC
updated 7:39 p.m. ET, Mon., Nov . 16, 2009

New Orleans, La. — - It happened as I watched a 50-something woman walk out, after spending several hours being attended to by volunteer doctors. "She's decided against treatment. A reasonable decision under the circumstances," the doctor tells us as she heads for the next patient. The president of the board of the National Association of Free Health Clinics tells me why: "It's stage four breast cancer, her body is filled with tumors." I don't know when that woman last saw a doctor. But I do know that if she had health insurance, the odds she would have seen a doctor long ago are much higher, and her chances for an earlier diagnosis and treatment would have been far greater.

After watching for hours as the patients moved through the clinic, it was hard to believe that I was in America.

Eighty-three percent of the patients they see are employed, they are not accepting other government help on a large scale, not "welfare queens" as some would like to have us believe. They are tax-paying, good, upstanding citizens who are trying to make it and give their kids a better life just like you and me.

Ninety percent of the patients who came through Saturday's clinic had two or more diagnoses.
Eighty-two percent had a life-threatening condition such as cardiovascular disease, diabetes, or hypertension. They are victims of a system built with corporate profits at its center, which long ago forgot the moral imperative that should drive us to show compassion to our fellow men and women.

Health reform is not about Democrats or Republicans or who can score political points for the next election, it's about people. It's about fairness and justice in a system that knows none. I'd defy even the most hardened capitalist-loving-conservative to do what I did on Saturday and continue to pretend that the system in place right now is working.

Countdown chose to highlight and raise money for the Association of Free Clinics because we knew the work they do is so vitally important and we wanted to show in real terms how great the need is. We invited several politicians to attend so they could see first hand how critical the situation is. All declined. Some explained that they talk with constituents all the time and know very well of the need for reform.

I have news for them, these people didn't need to speak. Their actions spoke far louder than any words. Having to get a check up and diagnoses at a free clinic because they have no other option tells you all you need to know. There are no words that can accurately describe the quiet desperation on the faces of the patients. Every single one I spoke to, and every one I heard talking with doctors, expressed their gratitude for the event and wished that they were held more often.

They have been given the resources in their local communities with which they can get follow up care, but they are also the few. Over 700-thousand people in Louisiana alone have no health care, most of them with jobs that don't offer insurance.

Or, worse, they have to decide whether to pay for that or food and housing. Four patients were taken out on stretchers and admitted immediately to hospitals. One woman who didn't know why she was feeling bad had a blood pressure of 280 over 180, numbness in her right arm, and "a slight headache." She now has a shot at survival, but without her attendance at the clinic, it was a matter of time before the inevitable happened.

I spoke with a nurse who was there not as a volunteer, but as a patient. He works two part time jobs at hospitals providing quality care to those who have the one thing he doesn't. Many of his patients share his condition of high blood pressure, but they are fortunate to have insurance to pay for him to care for them while he goes without.

His situation is not uncommon, he has tried for years to get more hours at one of his jobs so he will be eligible for benefits, but it hasn't happened yet. Our system of for-profit health care can't afford to give him and others benefits - might make the stock price drop a penny or two.
The last time the media gathered at that convention center, it was for a natural disaster in which our government was rendered useless due to incompetence.

This time we were there to cover a man-made disaster of even larger proportions. This is a disaster that goes largely unseen by most Americans. It is not too late for our current government to show that they are competent, and can do what the vast majority of Americans are asking them to. The incredibly dedicated people at the Association of Free Clinics told me the clinic would change me and I knew it would. None but the most hardened and heartless among us could watch that event and not be moved to action.

I have changed. I am gratified that just over one thousand people were able to get the minimal amount of care and resources for follow up. But, I am heart-sick for the many more like them who didn't have the time or didn't know that they could get care on Saturday.

They walk through their lives not knowing when the ticking time bomb might go off.
Politicians continue to tell us we are the most compassionate and caring people, and clearly we have done much good in the world. I left the event overwhelmed by the hard work and dedication of the volunteers, doctors, nurses, other medical professionals, as well as ordinary citizens who came to help. I am left with one overwhelming question: what does it say about us as a nation of people who can live in a country so rich and yet allow this to continue?

- End Quote
 
Same old same old just cut costs and fix the system don't ram this bullshit reform that is a moving piece of artwork in the minds of do good liberals .The government cant make a national health care system work without more waste than there is in Medicaid (remember the money we are going to save to fund this all smoke and mirrors) . Harry Reid today wants to start the debate without a bill to reade grow up get a life I work in Camden NJ every day and see my money wasted away stolen by politicians for the good of the people.Cory Nelson
 
I don't want to get into a huge debate here, and I don't dispute that reforms are needed. I'm just concerned that they want to make such massive sweeping changes in one shot with out taking the time to do the math.

Anyway, the above seems to perpetuate the myth that without insurance you can't get healthcare. Personally, I can't afford to replace the engines in my boat (now it's Hatt related :D ) so I change the oil and do the maintenance required to keep them running well and avoid problems. They're saying that people can't afford to buy health insurance, but that does not mean they can't afford to go to a doctor for a check up and pay out of pocket.

Similar to the above, on another site, a poster who was in the insurance business was telling a story of a client who ended up with cervical cancer because she couldn't afford the premiums for her own health insurance policy, but she had bought life insurance instead. I wonder what a pap-smear and follow up treatment cost compared to the cost of the health insurance, or the life insurance for that matter. Because I know that if it's caught early it only costs a couple of hundred bucks to get treated and prevent HPV from turning into cancer. My point is that this fear-mongering that people are dying in the streets because they don't have insurance is specious and detracts from the issues that really need to be discussed. i.e. as Noel and I discussed at the last HOF Rendevous, "Why is healthcare so expensive?"

And frankly, by perpetuating the notion that you must have insurance to get healthcare we're discouraging people from getting basic, affordable maintenace healthcare on their own. Essentially deceiving people into risking their life and health to perpetuate a myth that further's somebody's agenda. That's just evil. :mad:
 
The best part about all the discussions on health care is Americans are starting to pay attention whether for or against and the politicians are getting scared and we need to keep them this way. Cory Nelson

Debate is healthy as long as it is not in with your family!
 
Holy crap Batman.... More smoke and mirrors from people. Who the bloody hell cares about a few abusers... Oh yes, scaremongering works ala Teabaggers etc.... This is about being a human being, not the few abusers who get caught in the end anyways.

How about this, you choose, food and rent or health insurance. Work 2 jobs and because you "don't qualify" due to only working x hours instaed of y? Or am I the only who is not steeped in party doo doo?

Oh yes, this was possible due to donations of $$$$ and time (who here in those areas did either? hmmmmm

And Corey, Camden is Unique? Or is it just that you have your head in the sand so far you are not seeing the problem, or is cutting back and thereby cutting services goig to solve this?

How about removing the incentive to deny coverage? hmmmm, anybody here have a pre-existing condition? Would that not preclude you from getting coverage and thereby the needed medication (or would you go without food and shelter)?
 
Oh yes, explain it to the lady who has stage 4 cancer, or the 4 carted off in ambulances... This is a crises and in the end will affect all sides. Get over the politics people as I have been on both sides of the fence and am personally terrified that scaremongering is going to ruin my childs options as well as my folks (and don't give me crap about "death panels" as even Cigna (the rights insurance company in this case) offers end of life counseling.

Admiral and I were in tears over those families that are really hurting last night when we heard this. She even asked why we don't have a better safety net.

Again I make the proposal I did to Rob B. then again I would never be re-elected either so....
 
Going back to the story in the initial post that started this thread, if the woman was diagnosed at a free clinic after waiting until her symptoms were at a Stage IV level, why didn't she go to the free clinic long before she got to the point where she is? You can't blame that on a lack of health insurnace coverage. Just curious.

Some people are just plain stupid. I had a case that we investigated before rejecting it. It sounded like that women in the story above. She was uninsured and felt a lump in her breast. She blew it off until it became the size of a golf ball 2 years later. Then, she went to the community free clinic for the dreadful diagnosis. Yeah, she's screwed with cancer now, but guess what...she wanted to sue a doctor due to the outcome she suffered which was from her own neglect.
 
Everyone should have basic health care. Basic is not the all encompassing health care we all think we should have.

Why cant we do like car insurance.

Basic care is required.

We need basic plan that ends at a certain piont.Maybe it has ER visits, generic drugs and standard in office doctor care with a few added items like Xrays and lab test.

Additional care should be available at an additional cost. MRI's prescription name brand drugs, extended care beyond the basic plan. This is available to anyone wishing to pay for the better coverage just like the higher limits on your car insurance

extraordinary care could be the big bad additional care plan. Transplants, Home health aids and the rest should be on the options at additional cost basis so we can all choose what we are willing to pay for and recieve.

With this mindset all public assisted and paid plans would end at the basic level. No Viagra or fertility procedures. No transplants. No BS. If they want more they can earn it by getting a job and buying it.

Now the easy way to get it started.

In 6 months ALL FEDERAL EMPLOYEES including congress and the POS POTUS go on this plan. Also the publicly assisted people getting federal money for their medical. They have the ability to man up and buy the better plans but they will need to be the first on the plan. No Illegals.

6 months later the state employees go on the same plan along with people on the state programs.

6 months after that large and small business have the transition to the new system of levels and can choose to add at their own cost.

After this retirees who worked and paid into the plan get to migrate their medicare over and finish the overhaul.

Never to see a government program. If people receiving benefits have a set limit private insurers could include them for considerably less cost than the Gov system.

With the limits on the outlay of the insurance companies there should be significant reduction in health care costs.

I'm sure some bleeding heart liberal will ask why rich people get to pay for better care than poor people. The simple answer is because they can. It is not a right to have MRI's, bone marrow transplants and the best drugs someone else's money can buy. Generic drugs and moderate procedures will be theirs for free. If they want more they can get to work and pay for it.


Doctors and hospitals need to recognize that not everyone can be treated the same if there is going to be care for everyone. I do not mind paying some of my taxes for others to get coverage but when they get coverage that I can not afford or even access because of the system it angers me.

I bet no one here expects any of the pelosis posey to even consider this but what the heck.

By the way I do not consider this rationing. If you only have $50k in insurance on your car because you don't want to pay more that is not rationing and neither is this.
 
Is this America?
Since when was America not about self sufficiency, and about relying on somebody else to take of me. Health is the most personal issue, do you eat right, exercise go to the library for free internet research about the wierd lump. Where do we draw line for who needs to be taken care of, unless you are truly helpless.Is this the only way for a society to progress by providing more for those who do less ?

Capt. Rob
 
Where in The Constitution do you find the authority to require someone to buy health insurance?

If you want a single-payer system funded by general tax revenues, then just come out and say it. That MIGHT be Constitutional. Maybe.

These proposals are NOT.

Remember that the reason the state can require you to buy auto insurance is because if you wreck you might injure or kill SOMEONE ELSE. That is, it's not for you, it's for the other person you hit.

You are not required to carry insurance against destroying your own car.
 
True Karl but you also can choose how much to carry. If you get sued for more than your coverage you are responsible for it. The same should be for health insurance. There is no need to make coverage by individuals of the age of majority mandatory but their need to cover their children may be a question.

No insurance should mean no care that you can't pay for. If you choose not to have it then you do not get the treatment.
 
{an actual discussion?} :D This is good
 
I was at this event as a VOLUNTEER. Over 83% of the patients reported that they were employed without health insurance. I can tell you that the idea that these are a bunch of deadbeats looking to leach off the system is not true.

We saw almost 1,000 patients – several who hadn’t been to a doctor in years because they could not afford it – lots of diagnoses of high blood pressure, diabetes, etc. Once person tested positive for HIV and now is on a treatment plan to good health. Thanks to the efforts of over 600 volunteers, we changed so many lives on Saturday for the better - to be part of this movement – to say the least – has been so rewarding and emotional. The NAFC is a bipartisan organization and we have been very careful not to make these events political – it is all about the patients – providing them care, and putting them on a plan for better health moving forward. Obviously the popularity of these events is due to the health care debate and we are riding the wave. No matter what your stand is on healthcare reform – there is definitely a crisis in this country and the NAFC provides free healthcare to people every single day – 4 million last year and 8 million this year. Incredible.

Nicole Lamoureux, Executive Director of NAFC is an amazing person; she has been featured on the news and Olbermann show several times and I am honored to know her - she is fantastic!

To be fair I to have concerns about health care reforms. We are going to reshuffle the deck on one sixth of our economy. Even with the best of intentions there could be many unforeseen effects. I am a capitalist at heart, it is the competition of capitalism that has made this country what it is. BUT I also find it hard to justify the injustice that I see when working class people are suffering from ailments that are really very simple to cure.

So what we need is to stop and have a genuine debate free of the unnecessary drama (death Panels, portraying Obama as Hitler, etc.) that derails the process.

If you want to really make a difference, volunteer or donate at:

freeclinics.us
 
I was at this event as a VOLUNTEER. Over 83% of the patients reported that they were employed without health insurance. I can tell you that the idea that these are a bunch of deadbeats looking to leach off the system is not true.

We saw almost 1,000 patients – several who hadn’t been to a doctor in years because they could not afford it – lots of diagnoses of high blood pressure, diabetes, etc. Once person tested positive for HIV and now is on a treatment plan to good health. Thanks to the efforts of over 600 volunteers, we changed so many lives on Saturday for the better - to be part of this movement – to say the least – has been so rewarding and emotional. The NAFC is a bipartisan organization and we have been very careful not to make these events political – it is all about the patients – providing them care, and putting them on a plan for better health moving forward. Obviously the popularity of these events is due to the health care debate and we are riding the wave. No matter what your stand is on healthcare reform – there is definitely a crisis in this country and the NAFC provides free healthcare to people every single day – 4 million last year and 8 million this year. Incredible.

Nicole Lamoureux, Executive Director of NAFC is an amazing person; she has been featured on the news and Olbermann show several times and I am honored to know her - she is fantastic!

To be fair I to have concerns about health care reforms. We are going to reshuffle the deck on one sixth of our economy. Even with the best of intentions there could be many unforeseen effects. I am a capitalist at heart, it is the competition of capitalism that has made this country what it is. BUT I also find it hard to justify the injustice that I see when working class people are suffering from ailments that are really very simple to cure.

So what we need is to stop and have a genuine debate free of the unnecessary drama (death Panels, portraying Obama as Hitler, etc.) that derails the process.

If you want to really make a difference, volunteer or donate at:

freeclinics.us

Now there is a man I can be proud of. Great Job and we will probably add to their coffers sometime during the holidays!!!!

KUDOS to you and all the other volunteers!!!!!!!

next one is in Little Rock I hear, anyone else volunteering?
 
It took over 200 years to grow the federal deficit to 6 Trillion. In the past 8 years it's grown to 12 trillion. Sure give the Gov. control over 1/6 of the economy that will solve the problem for sure. After all they have such a great track record. Some people simply like to pound they're chest and say yes I'm for health care reform and if your not then your just not a compassion person. Others look at what our Gov. has done in the past and they look at what's being proposed and see it for what it is and say no. They realize that Gov. controlled health care will result in a system of health care with all the competence of the DMV and the compassion of the IRS. If you think the human cost is high now just wait until the Gov. is in control.

Brian
 
And your solution is? Or do you even have a positive thing to say?
 
REFORM is getting the government out of the healtcare provider business and having it become viable for everyone to participate.

There is no reason someone does not got a doctor for years because it costs too much. They have many free clinics and subsidized options. The real answer iw what was more important for them. Was it the iphone or the Dr? Maybe the vacation in Vegas or a Dr. Maybe the steak dinner or a Dr?

There are plenty of things I can not afford ( my boat lately) but I have my priorities. I keep the healthcare paid for and work a second job so I can have the nice things I want. Did I mention that I work extra to afford the things I want and need.

Sadly my family has used the healthcare system in the past few years. It's not an option and the cost is high BUT it's the system we have.

I am not for the Government to run anything BUT if the get congress and the rest of their employees on the plan BEFORE they start enroling us it may have a chance. Since they have already exempted them selves it shows as another bunc of smoke for them to blow up our.....
 
And your solution is? Or do you even have a positive thing to say?



If our government was truly interested in helping those that want insurance but can't afford it there are many things that could be done that would cost nothing. They've all been put out there things like portability and tort reform. High deductible catastrophic policies are a good answer for young healthy people. The problem with what's being proposed right now is that the goal is not to get health care to those that don't have it. The goal is to get control of a very large segment of the economy and do with it the same thing with it they've done in the past. Your idea of reform is going to create a disaster for 85% of the people and do very little to help the un insured. Being pro reform does not make you compassionate or enlightened unless the reform is worthwhile and right now it's not. This keeps happening over and over and it seems like some never learn from the past. Some people get so wrapped up in the concept and they ignore what the reality will be. It's like a Hat owner getting so excited about getting his engines rebuilt so lost in thinking about how great it will be then turning the job over to a hack mechanic who's going to ruin the engines. This happens because he didn't use do diligence in his decision making process. Your doing the same thing with health care reform your not using do diligence your not being smart about it. So your version of compassion will result in a disaster that will harm us all and in the end will be more cruel than compassionate.

Brian
 
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