When I first heard about The Soccer Mom Vote, I was intrigued, but mentally decided that I wouldn't be a good candidate to write over here. I tend to describe myself as apolitical, because I have strong feelings about certain issues but have not made up my mind about others, and because I avoid party affiliations.
But the more I thought about it, the more I realized that my voice might be an important one to share. I'm sure I am not the only voter in this country who doesn't define herself squarely in one party or another but is still passionate about social, environmental, and political concerns. So this forum will be my soapbox -- or better yet, my sounding board, where we can discuss and relate and share and learn from one another. I am thrilled at this opportunity.
I have a personal interest in a fair and equitable healthcare system
for the United States, due to a rare disease that requires me to
receive an exorbitantly expensive treatment once a month. For life. A
treatment which I literally could not afford without my health
insurance.
But I am one of the fortunate ones in this country. I have
excellent insurance, partially subsidized by my employer, and a plan
that covers me and my family. We are able to choose our providers to a
large extent. We do not have to worry about referrals. We have not
been refused treatment. We do not have a lifetime cap on costs which
would require us to switch insurance companies and possibly be denied
coverage due to preexisting conditions.
Many, many individuals and families in the United States are not so fortunate.
Sometimes people have to "float" without coverage
for days, weeks, or months before their new coverage kicks in. They
must hope and pray that they will not get sick enough to require
treatment, or that they will not suffer from an accident or injury that
will require hospitalization.
Or families can be denied health insurance altogether.
Sometimes
emergency rooms refuse treatment to individuals because the doctors
don't think a patient's insurance will sufficiently cover their
services. People have to sell off all their worldly possessions to pay
for medical treatment, or must incur serious debt to pay off medical
bills.
And heart-breakingly, insurance sometimes doe not cover treatment even in the most desperate of circumstances.
You might have assumed that many of the United States' uninsured are
the poor and/or unemployed citizens and residents of this country. But
there are some sobering statistics about America's healthcare system
and who exactly are the nation's uninsured. In a fascinating article
on this subject, Dr. Mike Magee of "Health Politics"* breaks down the
numbers:
There are approximately 290 million U.S. citizens, [of
which] 244 million, or 84%, have health insurance, and approximately 46
million, or 16%, are uninsured.
[The] 46 million number pertaining to the uninsured is somewhat
misleading... First, it includes only those without insurance for 12
months. If you count all who went without for at least 1 month in 2005,
the number jumps to 64 million uninsured. Second, it says nothing about
quality of the insurance. And as insurers and employers are rushing to
embrace consumer-directed health plans with high deductibles and health
savings accounts, the risk of losing it all is rising for the American
family. Third, the number doesn’t include an estimated 7 to 10 million
illegal immigrants who function in the U.S. under the radar screen,
arriving at the nation’s emergency rooms when they’re sick and
desperate.
So many people and families without insurance. Avoiding the
doctor's office or hospital until they are close to death's door, and
then wondering how they will foot the bill. Worrying about family
members who suffer through illness and injury untreated.
And the issues faced by individuals and families that DO have
insurance are still too numerous to count. For most Americans, health
insurance is inextricably tied to one's employment. It is not designed
to be portable as individuals move from one job to another. So a
person losing his job often suffers a double whammy: loss of income due
to unemployment and loss of insurance due to the severing of their
healthcare.
America's health care system is reactive rather than
proactive. It's not uncommon for emergency rooms to treat the heart
attack victim repeatedly, rather than implement wellness visits to ensure that the individual is
following a recommended dietary and exercise regimen. Proactive health
management can address glaring problems in the community such as poor nutrition, lack of exercise, and mental health
screening to detect depression and other issues before they become a
crisis -- but it's still not widely utilized or accepted.
Conditions for medical professionals impact the quality of healthcare provided. An ongoing nursing
shortage in this country has left the nation's nursing core overworked
and burned out, and subject to leaving the profession to find a less demanding career. Medical malpractice costs have
crippled physicians and affected insurance costs.
Workers everywhere struggle with not having enough sick leave or
family leave. Many hourly wage earners get no sick days, so they must
carefully weigh the impact of a day's wages lost against going to work
while they are under the weather. If they work,
they run the risk of infecting others, but if they don't work they lose
that valuable paycheck.
Even salaried workers with benefits struggle with having
enough sick leave. New moms who have just returned to work (after a too short maternity leave) must often take unpaid days off when sick, or work through illnesses -- their meager leave is often used to stay home with their sick
children.
Our healthcare crisis is is a huge and complex problem, and I'm not sure any one person has all the answers. Some people believe that universal healthcare is the answer, pointing to the successes of a single healthcare system as implemented in other countries. Detractors of this approach say that universal healthcare can exacerbate the divide between the haves and have-nots, because those with access to resources can bypass the regular system and pay for their own high-quality care.
I am still trying to understand all the complexities of this problem, as well as potential solutions. However, it helps if we all can be informed consumers of healthcare and work toward
bringing about a better solution for the nation.
Some good sources of information on this subject:
Families USA is a
nonprofit, non-partisan organization that strives to achieve better
healthcare. It addresses issues regarding the uninsured, prescription
drugs, and Medicaid.
Patient Advocacy Resources:
this site includes an online guide for patients and their families,
which tells consumers what they need to know from their doctors about
their health, including lists of questions people should ask before
surgery and regular check-ups. Also explains the rights people have as
patients and as human beings.
Universal Health Care Action Network (UHCAN) is a nationwide network that promotes comprehensive health care for all through education, strategy development and advocacy.
The American Medical Student Association's page on Universal Health Care features a number of resources, including a helpful overview of health policy.
Read. Become informed. Come back and discuss.
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