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Deuce

How is YOUR health?

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Healthcare system stories always seem to be about "somebody else".

Without resorting to statistical crap, or anecdotal stories, how is your health?

I, for one, think the US healthcare system is fine. My taxes are substantially lower in this country than my HMO premium, and my kids were born in the same hospital I was (Kaiser HMO). So why all the moaning about US healthcare in particular?

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I'm doing great!

I can see, run, jump, swim, climb. I sleep well, and I feel no pain. I don't smoke or drink to excess or do any recreational drugs, I have no alergies and I'm not alergic to anything. I have private medical aid, and a twin turbine chopper on standby to casavac me to 1st world medical care if I hook it in. All for a little less than $100 a month.

You guys are being FUCKED!

t
It's the year of the Pig.

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Without resorting to statistical crap, or anecdotal stories, how is your health?




I'm doing pretty good. (could stand to loose a few pounds though :D) Everyone I know is doing good too with exception of grandma-in-law.

Thanks for asking Deuce! Glad to hear you and yours are doing good too!

Jump
Scars remind us that the past is real

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Except for a couple joints that have aged at 3x's the rate I have, I'm doing well and feel healthy. Actually, I know for a fact I'm healthy since I went to the Dr. a couple months ago. Really strong heart, good blood pressure and a sexy smile.:P:P:P
--"When I die, may I be surrounded by scattered chrome and burning gasoline."

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My health is also fine, and I have no PERSONAL problem with obtaining health care.

I know and am friends with many people who can't say the same thing, though.

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So why all the moaning about US healthcare in particular?



Becaue I care about other people and don't just think of myself.

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Healthcare system stories always seem to be about "somebody else".

Without resorting to statistical crap, or anecdotal stories, how is your health?

I, for one, think the US healthcare system is fine. My taxes are substantially lower in this country than my HMO premium, and my kids were born in the same hospital I was (Kaiser HMO). So why all the moaning about US healthcare in particular?



Because as you told me yourself, you don't have to pay for health insurance for you and your family, your retirement/disabilty takes cares of it for you. If I had that deal, I'd think it was all fine too.

Now place your family in the position of you not having had the career that you had, and not having any affordable healthcare at all. Your kids are sick, you still have a disablity, and you're faced with mounting medical bills that you just can't pay. There's a huge amount of uninsured kids in this country.

Now, although you like to poke fun at the land of my origin, if you were in that position there, you and your family would get taken care of. Sure, you might not be able to get a nice private room with a color TV, buy you would be looked after, and you wouldn't be bankrupted as a result.

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It's not the healthcare that bothers me--most of it is quite good, and I have three immediate family members who are doctors. It's the insurance companies who manipulate nearly everything in healthcare that bothers me (AND my medical family). AndyMan and I just recently switched from a great BCBS PPO family plan (which was through his now defunct employer) to an Aetna HMO (through my employer). We can't afford to have the PPO plan without another income source. Right in the middle of this switch, I was scheduled to have an MRI for recurring shoulder dislocation and joint pain.

Since my original PCP wasn't in the Aetna network, I had to find a new PCP and schedule an appt just to get a referral BACK to my orthopedic surgeon, who, thank God, was in the Aetna network. After getting a referral from my new PCP, I was calling five different people trying to obtain a pre-certification/authorization number required by Aetna to have the MRI done, and it turns out that I didn't need one.

Now, 2 weeks after my MRI, I have an office appt with my ortho to see the results of the MRI, and I can't see the ortho unless I have ANOTHER, SEPARATE referral from my PCP specifically for an office visit because the referral that I received before the MRI was only for the MRI. I'm really sick of this insurance company bureaucratic bullshit. Pretty soon I'll need a referral to wipe my own ass if I happen to take a shit in a hospital restroom.

If my employer didn't offer health benefits, both Andy and I would be SOL. I feel sorry for the people in the US who cannot afford to have any kind of healthcare. Even after all this BS that I've had to deal with, I'm am eternally thankful that we have and can afford SOME type of health insurance.

_Pm

Edited to add my MRI & arthrogram bill:

Northwestern Memorial Hospital charges $3181.00 for my MRI and $389 for the arthrogram. Aetna is contracted to pay $2183 for the MRI and $130 for the arthrogram. I'm responsible for $0 for both procedures. The billing seems to be setup to rip off people without insurance...
__
"Scared of love, love and aeroplanes...falling out, I said takes no brains." -- Andy Partridge (XTC)

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G-money, my plan costs $600 a month, for the 4 of us. I negotiated that deal as part of my forced retirement.

Kaiser is reviled as one of those "Evil HMO's" but having spent a great deal of time getting patched together there during my life, and having a great deal of prenatal care for my wife, pediatric care for my chirruns, and occupational health for crashing cop cars and fighting crime, I just don't see the evil.

My Mom has a similar plan that she bought through AARP, it's more expensive cause she got it later in life, but that's no different than life insurance.

Yikes, got anecdotal by discussing my Mom.

As to the legions of uninsured kids, I don't have any, and you don't have any, so where are they all?

Our news media would be all over some UNICEF american kids with flies on their faces.

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>So why all the moaning about US healthcare in particular?

I think because it's one of those things you don't notice until you really need it. Most people wouldn't care if the local fire department was completely incompetent, understaffed etc - but a few people would care very, very much.

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No disagreement with that, but there's this overarching disdain for our healthcare system worldwide.

Heck, a South African told me I was "fucked" just a few posts back, and I suspect he hasn't been treated in a US hospital.

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My health is fine, aside from a heartburn problem that I take medication for. As long as I try my best to keep my stress level down and don't eat anything stupid, the heartburn ususally isn't an issue.

I've had quite a few problems with the HMOs over the heartburn issue, though.

I had blue cross insurance. my doctor prescribed several meds, one after the other, to find one that works. I went through: Zantac, Prilosec, Nexium, Prevacid, and finally found Aciphex, which worked for me. I stayed on Aciphex, I didn't have any problems.

Then, I get a new job. new insurance. Cigna. Cigna will not pay for the medication at all unless my doctor fills out some paperwork. She fills out the paperwork. The insurance still insists I "try prevacid" first. They don't care that I already tried it and it didn't work. I have to try it again, because its their recommended drug, and Aciphex "isn't in their formulary."

So, I go back on Prevacid. Can't afford the several hundred bucks a month to get the Aciphex. Put up with it for a month, and then call the doctor, asking what the heck I have to do to get back on Aciphex, because I haven't been able to sleep lying down for two weeks, and can't eat much other than plain old white bread. (lost a lot of weight, tho...its easy to lose weight when you look at food and know if you eat it, it's going to HURT).

So, she calls the insurance and yells at them. Literally yells at them. They agree that if I see a specialist, and the specialist recommends Aciphex, then they will pay for a portion. Fine. So, I jump through hoops for another month to get the insurance to process the paperwork to refer me to the specialist.

Finally, I get in to see the specialist, who spends ten mintues talking with me and shruggs "if Aciphex works for you, we'll put you back on it." So, the insurance company, because of their own stupidity, had to pay for an appointment with a specialist to tell them what my doctor and I have been saying all along.

So, I go back on the Aciphex, at a rate of $40 a month! (my standard co-pay was $5.) $40 a month is a heck of a lot of money on a teacher's salary. That's $480 a year for the aciphex. Fine. If it'll keep me pain free, I'll pay it.

The other issue I had with Cigna is that they didn't cover any kind of "family planning medication" no matter why you were on it. I was on the pill for non-birth-control reasons, to regulate hormone cycles because I was an athlete and didn't have enough body fat to maintain a normal cycle. That medication cost me about $20 a month, or $240 a year.

So, as a teacher, making $23K a year, I'm shelling out $720 a year in prescriptions. I was paying more in prescriptions a month than all my utility bills combined.

So, changed jobs again and got back to blue cross insurance, which I've had ever since. I pay $5 for the Aciphex and nothing for the b/c pills, for a grand total of $60 a year as opposed to $720.

Blue cross has not hassled me about any kind of paperwork from my doctor, nor have they required me to go back to the specialist, since, as long as I have the right meds, the situation is under control.

When I got my current job, one of the questions I asked before accepting the position was whether or not they had blue cross insurance.

I've had a fabulous experience with blue cross.

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I've experienced both emergency and routine health care in the US, Italy, Czech Republic, Switzerland, and Malaysia.

US health care was, for me, by far the best of these.

I really think it's a case of "you get what you pay for." I'll take the best, thanks.
-- Tom Aiello

Tom@SnakeRiverBASE.com
SnakeRiverBASE.com

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I can't really complain. We've had some massive medical bills, and the insurance (Humana HMO) has paid practically everything. Including a $30k operation for my daughter that they didn't have to. This took much goading and jumping through hoops, but in the end they paid. They also paid $140k for the first 75 days of my daughters life, which were spent in neonatal intensive care. Then there's the weekly therapy. You get the picture.
Evil, I tell you.;)

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So why all the moaning about US healthcare in particular?



Who knows...because it's not "free" like in socialist countries?:S:P
So I try and I scream and I beg and I sigh
Just to prove I'm alive, and it's alright
'Cause tonight there's a way I'll make light of my treacherous life
Make light!

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Kaiser is reviled as one of those "Evil HMO's"

As to the legions of uninsured kids, I don't have any, and you don't have any, so where are they all?

Our news media would be all over some UNICEF american kids with flies on their faces.



You're setting up a strawman argument here, so I'll ignore that part. If you want correct figures on uninsured children, the governemt accounting office itself supplies them. That means that they have no access to care, not that they are starving and covered in flies, as I suspect you well know. Just because I don't have kids doesn't mean that I am indifferent to others children.

Kaiser themselves have done some pretty unethical things in their business, such as terminiating the coverage of some of their oldest members because it wasn't cost effective to keep them covered.

This health care system works fine,as long as you can afford to buy into it. As nicely pampered professional, middle aged white males, we get to see the nice side. The situation is completely differnet for those that can't afford to partcipate. Ask the guy who picks your food how good his health care options are.

Here's a little anecdotal tale about another countries health care.

Julie gets her arm dislocated in Sweden, gets an ambulance ride, top flight attention, hospital stay, equipment, therapy and medication. She has no insurance that covers her abroad. Total bill to her - $60.

I get knocked off my bike in San Francisco. I get an ambulance that I didn't call for. They get me to sign a waiver saying I didn't call them and don't want them. They leave, and I get a bill for $579 for the call out that I am liable for. My insurance doesn't cover it.

I know which system is the most ethical. If you're happy with your coverage, just enjoy it, and be thankful that you're able to have it, but don't pretend that becuase you are fortunate, then every one else should be grateful for your opportunities.

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doesn't mean that I am indifferent to others children.



Bah! I know you care about children. Your suggestion of a double-blind psychological test with my twins is clear evidence of that.

I spent about 13 years out on the streets in Oakland and San Francisco and was exposed to lots of underprivelidged folks. The one's on unemployment or some sort of aid had access to Medicaid and Medical.

The one's who were in a bind were the ones who worked two full-time "McJobs". But even those folks could get coverage through a bunch of subsidized government programs.

I'm not saying it's the best, but I don't think the US system is the evil corporate meatgrinder it's made out to be.

Here's what's available in my County:

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Currently: Contra Costa Health Plan serves over 50,000 people living and/or working in the County. CCHP members choose from an extensive network of County-run Health Centers and the Regional Medical Center in Martinez, or the plan's Community Physician Network of private doctors and community hospitals.
Benefit Plans Offered:

* Individuals & Families
-- for people who live and/or work in Contra Costa County. Special rates "For Kids Only" (ages 0-20) and "On Your Own" (ages 21-29). Four benefit plans and two provider networks available. Completed applications are sent through medical screening process.

* Employer Groups
-- targeted at small companies with employees who live or work in Contra Costa County. Choose from four benefit plans and two provider networks.

* Healthy Families Program
-- HFP is low cost state-sponsored health, dental and vision coverage for children from birth to their 19th birthday, in low income families who do not get health insurance through an employer and are not eligible for no-cost Medi-Cal. Monthly premiums are $4.00 per month per child to $18.00 per month for all children in the family.

* SeniorHealth
-- three different HMO benefit plans, with premiums from $41.00-75.00 per month, for Medicare beneficiaries who live in Contra Costa County.

* Contra Costa County Employees
-- several different plans offered.

* Medi-Cal Managed Care
(one of two plans in Contra Costa County) -- for beneficiaries qualified by the county's Social Services Department.

* AIM (Access for Infants and Mothers)
-- for uninsured pregnant women with incomes too high to qualify for no-cost Medi-Cal. Covers mom through pregnancy & birth, and baby up to age two.

* MRMIP (Major Risk Medical Insurance Program)
-- a subsidized, premium-based program for individuals with pre-existing conditions who have been unable to access coverage through the insurance marketplace.

* IHSS Homecare Workers
-- Plan A-2 for "homecare providers" determined eligible by the In-Home Supportive Services Public Authority.



The webpage: http://search.netscape.com/ns/boomframe.jsp?query=contra+costa+county+health+services&page=1&offset=0&result_url=redir%3Fsrc%3Dwebsearch%26requestId%3D5aa148883ac9a1c2%26clickedItemRank%3D1%26userQuery%3Dcontra%2Bcosta%2Bcounty%2Bhealth%2Bservices%26clickedItemURN%3Dhttp%253A%252F%252Fwww.cchealth.org%252F%26invocationType%3D-%26fromPage%3DNSCPIndex2%26amp%3BampTest%3D1&remove_url=http%3A%2F%2Fwww.cchealth.org%2F

As "Pampered Professional Middle Aged White Guys" we don't have much call to research the health care system that we'd have to use if things went south. It's easy to just mirror the general disdain for our system that is pervasive. I just don't think it's deserved.

And I'm not mocking any of the other systems. I just don't think the US system deserves the contempt it always seems to get.

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I'll admit that when I used to work in the welfare business (I was a food stamp certification worker and a child abuse investigator in the mid 70's) people used to move to California for the welfare benefits. Particularly the medical. They're incredibly good.

Here in Texas if you're on AFDC or SSI you can have Medicaid. If you're over 65 you can have Medicare. Otherwise, there are 3 choices:
1. be rich enough or healthy enough not to need insurance, or to pay for an individual policy
2. work for a company that offers affordable insurance ($250/mo when you're making $20,000 a year is not really affordable unless your other costs are very low indeed). We are a right-to-work state, so there are few unions encouraging insurance.
3. use the emergency room liberally because you don't have insurance.

Of course, this last option is more expensive for everyone but the patient -- they wait longer to get help in the first place, emergency room care is more expensive, and it normally addresses short-term needs rather than trying to prevent longer-term ones.

And don't forget that the city won't pay for a taxi to take you to the emergency room, so you might have to get an ambulance and have them write that bill off, too.

Or you can just get sicker and have someone else call the ambulance, or just die, or get a whole lot smarter and more resourceful.

We have one of the best healthcare systems in the world from a technical standpoint -- the quality of care that's available is extremely high. However, how it's administered is execrable. It rewards companies and patients for short-term solutions to long-term needs.

Personally, owing to excellent choice of parents, and reasonably wise lifestyle choices, my health is great. Making that good choice of parents is particularly important.

Wendy W.
There is nothing more dangerous than breaking a basic safety rule and getting away with it. It removes fear of the consequences and builds false confidence. (tbrown)

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Not so good...I have some issues with my Diabeties and what it is doing to my kidneys....

I have been in for:

Emergency room visit in Nov...I was pissing blood and it felt like I was being stabbed in the back.

An ultra sound.

Two Cat scans.

6 doc visits.

Total cost to me...........20.00 a mth.
"No free man shall ever be debarred the use of arms." -- Thomas Jefferson, Thomas Jefferson Papers, 334

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Mine is fine.(insurance policy that is)
I just had Basal Cell skin cancer removed from my face 3 weeks ago,,just a small scar left..Co-pay was $15..about $45 total to remove(3 trips)
My liver enzymes are extremeley high..Dr. is watching it and consulting my whiskey drinking7 months no cigs!
Looks like I gonna be in better shape before I get real old with even more health issues to look forward to!haha

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My biggest gripe is that my medical insurance pays for 7$ toward my birth control which costs 43$/mo. However, if I were to get pregnant, they'd cover the tens of thousand dollars it'd take for me to deliver a child + the child's healthcare for 21 years. I think this is pretty stupid. It would make much more sense for the government to pay a large portion of the costs of birth control since it would likely cut down on welfare and med ins costs.

Other than that, though.. i've gotten a LOT more $$ out of my insurance policy than i've put in, so i'm not complaining too much.

Angela.



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no complaints here....approximately $80 a month in premiums..pretty much pick your own doctor...no referrals needed for specialist....recently had my knee scoped and for office visits mri's surgery and follow up about 60 or 80 bucks out of pocket.My allergy scrip( name brand) 30 day supply $25 a month.
Marc SCR 6046 SCS 3004


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Happily, I am healthy.
I am one of those people lucky enough to be able to answer "No current medications" on doctors' questionnaires. No major surgeries. No major broken bones. No named diseases.

I do have to keep an eye on my intraocular pressure, though.
When I was younger, on through several years out of college, my eyesight was realllly good, perfect. I thought I'd been spared my mother's genes, which my brother got. I thought I would not end up nearsighted, but in 1998 I realized I was not seeing distant objects clearly. Went in for an eye checkup, and found I needed corrective lenses. Bummer. But not the end of the world, like I used to think it would be. I have a pretty mild prescription for my glasses and contact lenses, but my pressure tests showed a little high on the spectrum, so we have to watch it. Some day I might end up on eye drops to prevent glaucoma, but with a little luck it'll stay just fine and I won't have to medicate.

But with all the things that could happen to a body, I consider myself very very fortunate. I can't complain about my health. It's good.

Blue skies,
-Jeffrey
-Jeffrey
"With tha thoughts of a militant mind... Hard line, hard line after hard line!"

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My health?

Much better than most people my age! No known problems, not even arthritis.

I attribute it to 50 years spent avoiding hospitals and medical doctors.

The gripe I have with the system I am forced into is that it is a mighty bureaucracy, unethical in its dealings with its clients, prone to billing errors (always in its favor) and slow.
...

The only sure way to survive a canopy collision is not to have one.

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