Booman Tribune

Medicare D: Now HERE's What's Going On!

by Street Kid
Sat Jan 21st, 2006 at 10:37:44 PM EST

As stated in yesterday's diary and implied in gwb's weekly radio address, gwb's intention is to ignore the problems that Medicare D has caused.  Instead, he will  make general statements re:  health care, such as the following:
"This year, I will ask Congress to take steps to make [health savings] accounts more available, more affordable, and more portable...Congress also needs to pass Association Health Plans, which allow small businesses across the country to join together and pool risk so they can buy insurance at the same discounts big companies get."

Also, I have found nothing to even suggest that he is at all concerned about the problems that people with disabilities have faced when [attempting to] get their rx's.  A few  examples:

Dr. Steven S. Sharfstein, president of the American Psychiatric Association, said the transition from Medicaid to Medicare had had a particularly severe impact on low-income patients with serious, persistent mental illnesses.

And
Dr. Jacqueline M. Feldman, a professor of psychiatry at the University of Alabama at Birmingham, said that two of her patients with schizophrenia had gone to a hospital emergency room because they could not get their medications. Dr. Feldman, who is also the director of a community mental health center, said "relapse is becoming more frequent" among her low-income Medicare patients.

And these are the ones that have been reported!!  What about those of us who are/could be in similar situations due to this fiasco?

Now, here  are some responses by other republicans:
Georgia Rep. Jack Kingston:  

"There's a tremendous opportunity for members of Congress to go out there and be the white knights -- to listen, answer questions and get in the weeds with their constituents...But for members who feel they don't want to bother, they are going to hear from those voters in November."

Anyone else think we've got to start raising hell about this NOW?

Rep. Philip Gingrey, R-Ga., a physician who voted for the program:

"It's no windfall politically...It could hurt us, but sometimes doing the right thing does hurt."

A physician who advocates supporting a program that denys people their rx's insists that is doing the right thing?

Senate Finance Committee Chairman Charles E. Grassley, R-Iowa:

"It's too early to commit to any legislative options...It's unacceptable that some of the poorest, sickest people are having the most trouble, and it's not what Congress intended."

Hey Chuck, here's a couple of questions:  Then why the hell did Congress make Medicare D so difficult to understand and implement?  Or are you just playing to both sides and hoping you'll come out of this unscathed?

Tony Fabrizio, a GOP pollster:

"The real rubber meets the road when they see what their expectations were versus what they actually get."

News flash:  from an aide to a prominent conservative member of Congress who asked not to be named because he was not authorized to speak for his boss:

"The fallout is likely to be huge...It's likely to anger seniors, while reminding the conservative base about the big-government approach that Republicans took to health care."

Quotes from Democrats quotes below

Sen. Charles E. Schumer, D-N.Y:  
"This Medicare bill is the biggest government fiasco in recent memory."

Rep. Rahm Emanuel, D-Ill re:  the "donut hole"/gap in coverage (increased expenses):  
"If you think they are mad now, you ain't seen nothing yet."

So are you two going advocate fixing the damn thing now, or waiting until after the mid-terms?  There are people's lives at stake here!!!!!!!!!!!

Some of the legislation proposed by the Democrats in the Senate would:

  •  provide federal reimbursement to the states that are stepping in with emergency funding for low-income seniors.

  •  staffing sign-up locations with trained Medicare employees and improving the agency's telephone hotline.

Excuse me, but Medicare D was enacted in 2003!
It is now 2006!  Why weren't Medicare employees "adequately trained"  earlier?

And, here are three  more points to consider:

First:  


Our health care system is private. They set their own rules and prices. They're not accountable to anyone except maybe their share holders to assure they're making a profit. They don't take full responsibility for health care and yet they control the health care system.

Second:  
We currently pay at least twice more per person than other countries do and we get the least value due to administrative waste and lack of the ability to get discounts through bulk buying.  Studies show we have enough money in our health care system to provide every man, woman and child with a high quality, basic health care package if we administered the dollars wisely through a single payer, non profit system.
We could SAVE $286 BILLION in health care paperwork.

Third:  
If you can afford  a good health insurance policy, you get care; if you can't, you don't.  It's been reported that 18,000 Americans DIE every year because they don't have health insurance.

ANYONE IN DC EVER THINK ABOUT THAT???



Display:
I am extremely upset about this, due to my near-relapse w/pneumonia as the rx's that do work are not covered under Medicare D!  I lucked out as I have a good doctor, but I do realize that not everyone does.  Also have to wonder about next month...Doesn't do my health any damn good!

...hearing organized by Rep. Henry Waxman, D-Calif. Only Democratic lawmakers attended.

Gonna check into that a bit more...That is, if Waxman is at all interested in hearing from a traumatic brain injury survivor...

"First, they ignore you. Then they laugh at you. Then they fight you. Then you win." Mahatma Gandhi

by Street Kid on Sat Jan 21st, 2006 at 10:44:00 PM EST

And it is a turning point for the US, much as Operation Crescent Cleansing was and is.

Whether the majority of Americans, including those directly affected, those whose family members are affected, as well as those who will be affected only indirectly, will quietly accept it as "the right thing," as Rep. Gingrey says, be comforted by the rousing and indignant speeches of the Democrats,  or whether there will be a Revolution, remains to be seen.

This is not an exaggeration. This has to do with some of the largest and most powerful corporations whose wealth depends on one of the most high-profit commodities in the US - life.

Culturally, elimination of the poor and infirm is a good fit. Honor and self-worth in the US means money, and the ability to make it, either for yourself or for someone else. While just as we see in New Orleans, there are some insurgent cleansees who defied America, and continue to defy it, screaming in the faces of the politicians, there will be some Medicare D insurgents, like Street Kid.

Even Washington advises people, do not leave the pharmacy without your medicine, but most will. Either because their name does not appear on "the list," or because they do not have money to pay for it.

And if there is one thing that mainstream America understands and accepts as a divine law, it is no money, no medicine. Many will go home and quietly perish, some will take their own lives, as economic honor killing, others will tell their children in distant cities that they received their medicine when in fact they did not.

In some cases it will be the children who will fight, Street Kid-like, for the lives of their elders, others, forced to choose between housing for their children and the lives of the elders, will bow to the will of their government, who must know best, after all. "sometimes doing the right thing does hurt."

Whichever way it goes, Revolution or full-blown Reich, either way, there will be no turning back.

one man's conspiracy is another man's business plan
Blog updated as needed

by DuctapeFatwa (DuctapeFatwa@yahoo.com) on Sat Jan 21st, 2006 at 11:17:21 PM EST
In some cases it will be the children who will fight, Street Kid-like, for the lives of their elders, others, forced to choose between housing for their children and the lives of the elders, will bow to the will of their government, who must know best...

Your above post and description of me, actually I am flattered by that...

Right now, I am doing all that I can to try and keep this very important issue alive (no pun intended) and try to make others realize that this isn't just a balance the budget routine...People's lives are at stake...The health care system is totally fucked-up.

And I intend on continuing to write about it and, as stated yesterday, the need for a single-payer health care system in this country.  The two are directly related...And I am going to do my damnedest to throw that "culture of life" crap into anyone's face...How the hell can the leaders of this country go on and on about a culture of life when people are being denied rx's that are needed?  

I realize that I don't have much, but there are others who have less than I do.  (That is a scary thought, believe me.)  And I also believe that every person deserves repeated chances to keep on keeping on, as opposed to just surrenduring to the myths that are being justified in denying health care to all.

I was amazed at some of the names/organizations that were listed on some of the sites re:  a single-payer health care system...totally amazed...Thing is, this is  a really big thing...and some people appear to not realize it.

BTW, I have actually considered contacting Waxman's office to find out if he would be interested in hearing things from my perspective, as a traumatic brain injury survivor who lives on SSD/Iand as a writer/bloggger...    That is on the top of my things-to-think-about and maybe do-on-Monday list...

"First, they ignore you. Then they laugh at you. Then they fight you. Then you win." Mahatma Gandhi

by Street Kid on Sat Jan 21st, 2006 at 11:53:36 PM EST
[ Parent ]
I've got to tell you about my conversation with Howard Dean about health care.  But, I'm falling asleep as I type.  Will you be around tomorrow?

Eat 4 Today: Just today I'm not going to take seconds & not eating between meals
by katiebird (katieremovebird@everestkc.net) on Sun Jan 22nd, 2006 at 12:02:26 AM EST
[ Parent ]
in the evening...G'nite!

"First, they ignore you. Then they laugh at you. Then they fight you. Then you win." Mahatma Gandhi
by Street Kid on Sun Jan 22nd, 2006 at 12:07:20 AM EST
[ Parent ]

This program is a beginning. US cannot afford to maintain even the vestigial and token social programs it currently has, much less provide universal medical care.

There is of course the "baby boom" issue. As this large population chunk ages, they will naturally develop medical problems, as most older people do. And there is aso the burgeoning underclass, whose poverty has already caused a whole other class of medical problems.

The question involves not only the mega-interests of the medical and insurance business itself, but even larger industries. And it is not realistic to suppose that any of them will voluntarily relinquish their profits in order to prolong the lives of individuals who are unlikely to generate any revenue.

The cost of the crusade in Iraq alone is expected to exceed 2 trillion dollars. That does not include Afghanistan, maintaining the various client states and "covert" operations around the world, and the cost of Operation Iranian Freedom will be double or triple that of Iraq.

Probably the most pragmatic thing the politicians of both parties can do is "frame" the domestic adjustments as necessary sacrifices to the "war on terror," and those who lose their lives as a result as "heroes" of that war.

As I said in my previous comment, the only alternative would be a full scale Revolution, and while such an eventuality is possible, prevailing cultural values and the small number of Those Opposed make this unlikely.

The US, of course, does not exist in a vacuum, and while US policies and priorities, and their effects on the domestic population may, and in all probability, will be accepted by most Americans, the same cannot be said for the rest of the world, whose motivation will not be driven by the subject of whether Americans have access to medical treatment, but whether their own children have access to freedom from the danger of US aggression.

It is for this reason that I have expressed the view, on multiple occasions, that it would be better for Americans if the "correction," or Revolution, were to be imposed voluntarily and internally as opposed to the alternative.

one man's conspiracy is another man's business plan
Blog updated as needed

by DuctapeFatwa (DuctapeFatwa@yahoo.com) on Sun Jan 22nd, 2006 at 07:11:58 AM EST
[ Parent ]
if the people of this country can do the "Support Our Troops" number (w/o even paying attention to the dollar amount), they sure as hell can support a single-payer health care system!  

BTW, I love your input--your comments are so full of ideas!

"First, they ignore you. Then they laugh at you. Then they fight you. Then you win." Mahatma Gandhi

by Street Kid on Sun Jan 22nd, 2006 at 05:25:16 PM EST
[ Parent ]
I don't know how we can live with ourselves.  The state of health care in this country was pretty marginal for a lot of people (see Diabetic Health care is self service at Eat 4 Today), now it's descended into something beyond what you'd think even the cruelest of corporate apologists could justify.

But, justify it they do.  So they don't get it at all.  And Ductapes right: Whichever way it goes, Revolution or full-blown Reich, either way, there will be no turning back.

Eat 4 Today: Just today I'm not going to take seconds & not eating between meals

by katiebird (katieremovebird@everestkc.net) on Sat Jan 21st, 2006 at 11:30:48 PM EST
Followed the link.  As I read the article, I had one thought:  The words "traumatic brain injury" (tbi) can be substituted for diabetes and, as opposed to nutritional info, there could be info on life after a tbi, but the point would be the same--the knowledge on how to live a person's life after something so life-changing is not readily available to all...that bugs the hell out of me...(Had another idea pop into my head as I was typing--it's not all jelled together yet, will definitely pop up in another diary...)

"First, they ignore you. Then they laugh at you. Then they fight you. Then you win." Mahatma Gandhi
by Street Kid on Sun Jan 22nd, 2006 at 12:01:06 AM EST
[ Parent ]
Did you see my note above?  I'll be here tomorrow if you can talk then.

Eat 4 Today: Just today I'm not going to take seconds & not eating between meals
by katiebird (katieremovebird@everestkc.net) on Sun Jan 22nd, 2006 at 12:04:58 AM EST
[ Parent ]
Evening or later...got some stuff to do during the day...G'nite!  Look forward to talking to you...

"First, they ignore you. Then they laugh at you. Then they fight you. Then you win." Mahatma Gandhi
by Street Kid on Sun Jan 22nd, 2006 at 12:08:52 AM EST
[ Parent ]
Also:  Thanks to chocolate ink for posting the link to the NYT article in yesterday's diary!  (2nd link really helped illustrate/drive the point [home]!

"First, they ignore you. Then they laugh at you. Then they fight you. Then you win." Mahatma Gandhi
by Street Kid on Sun Jan 22nd, 2006 at 12:05:25 AM EST
You're welcome...I usually read all the stuff I can find on this whole mess and how it's being reported around the country.  Probably have more links saved if you want me to check them.

I'm off to bed also as it's past one in the morning here so will talk here more tomorrow.

'Poverty is the worst form of violence'--Gandhi

by chocolate ink on Sun Jan 22nd, 2006 at 04:23:50 AM EST
[ Parent ]
You probably have links saved that I missed and the other way around, thanks again!

IMO, it is necessary to get as much as the info in one place as possible and then tie it all together to demonstrate the need for a single payer health care system.  Our specific instances are a starting point, but, the fact of the matter is that some are willing to accept a "few isolated instances" of people getting screwed over by Medicare D.  (And, sad to say, just you and I are considered "a few isolated incidents"--I hate that phrase, but I cannot think of a better one.)

When everything begins to/is all put together, I really hope that people will wake up and see wtf is going on w/Medicare D and health care in this country.

"First, they ignore you. Then they laugh at you. Then they fight you. Then you win." Mahatma Gandhi

by Street Kid on Sun Jan 22nd, 2006 at 05:35:07 PM EST
[ Parent ]
I mean the numbers of people effected by this...seems to me that the one thing that lawmakers and the public understand and pay attention to is numbers!

"First, they ignore you. Then they laugh at you. Then they fight you. Then you win." Mahatma Gandhi
by Street Kid on Sun Jan 22nd, 2006 at 05:38:04 PM EST
[ Parent ]
I think healthcare is going to be the sleeper issue in the next couple of elections, at least.  The level of discontent with the current system, even among normally-red voters, is rampant.  It seems everyone you talk to has had a bad experience or knows some who has a bad experience--employer's healthplan has been down-graded or dropped altogether, claims denied, hassles with insurer's customer support, people who have been battered financially by medical bills, etc., etc., etc.  And this is the people who have (or had insurance).  People with kids coming out of school and having to start in those "McJobs" are worried about how their kids will be able to handle a medical emergency.

I posted a diary on DailyKos on a healthcare-related issue a couple of days ago and was absolutely flabbergasted at the level of response. This is clearly an issue people want to talk about.  I know some Democratic candidates are making healthcare an issue in congressional races this year, but I don't know how widespread that is.  It needs to be a top issue in every one.

Medicare D is clearly an issue that effects far more than just the seniors and Medicaide patients.  Those of us with parents in that age group are worried sick if they're going to be able to cope with the mess that program has been revealed to be.  My wife's parents, for instance, are both in poor health and just don't have the stamina to stand in a pharmacy for hours to fight for their benefits.

The political danger with Medicare D, of course, is if the right tries to paint it as an example of how "government healthcare" just naturally turns out.  It's a case where we need to preemptive and call it out for what it is.

by dsteffen on Sun Jan 22nd, 2006 at 12:51:59 AM EST
Could you link to the diary that you wrote?  I'd like to see your thoughts...

But, IMO, this issue cannot wait until any longer...The time for a single-payer health care system is NOW!

"First, they ignore you. Then they laugh at you. Then they fight you. Then you win." Mahatma Gandhi

by Street Kid on Sun Jan 22nd, 2006 at 12:57:02 AM EST
[ Parent ]
Link to diary here. The diary itself isn't much--the comments is where the action is.  So many people with so many horror stories...

This is one that really caught me off guard:

I'm ready to be a government employee... (4.00 / 6)
I've been in practice about 25 years...
(Link to david78209's comment)

by dsteffen on Sun Jan 22nd, 2006 at 02:39:18 PM EST
[ Parent ]
david78209's comment said it all.  You have to bitch and constantly call your Senators a/o congresscritter (mine is a wingnut) to get any thing done!  (I swear, the staff at one of my Senator's office knows me on a first name basis--I'm constantly calling about something.)  That is bullshit!  You should not have to raise hell to get a person to do their job!

"First, they ignore you. Then they laugh at you. Then they fight you. Then you win." Mahatma Gandhi
by Street Kid on Sun Jan 22nd, 2006 at 11:23:42 PM EST
[ Parent ]
just for the hell of it:  x-posted at dkos

"First, they ignore you. Then they laugh at you. Then they fight you. Then you win." Mahatma Gandhi
by Street Kid on Sun Jan 22nd, 2006 at 01:51:34 AM EST


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