Senator Lieberman thinks we should go slow on health care reform, wait until the economy recovers before we enact expensive programs. He sees no need for immediate action.
I will translate: There are a lot of working poor who don't have insurance. It would be expensive to cover them. If we wait, we will save money because we won't help them pay for health insurance, and many of them will die without health insurance and never need to be covered.
Health rationing is real and has real consequences. I know. See my story.
His remarks can be read here along with an interesting analysis.
Let's talk health rationing. That is how conservatives are trying to scare the public about health reform. What the conservatives neglect to mention is the health rationing that they approve of, the system we have now.
The system we have now rations on the ability to pay. I am a perfect example. I have several pre-existing conditions that keep me from getting health insurance except in the state health risk pool. There I pay $807/mo for a policy that has a $2500 deductible and a separate $3000 co-pay. The result is all I have is catastrophic coverage. Oh, I have a low income thanks to the economic down turn.
My insurance has another fabulous provision. If you try to commit suicide, there is no coverage. That means if you survive your suicide attempt, then you are left with all the medical charges: ambulance, emergency room, etc. So when you return home, you are inundated by bill collectors. If you weren't depressed to start with, you will be afterward. I think the insurance pool is telling you not to attempt suicide, but just do it right and die.
Back to rationing. I have a bad knee right now. I actually pushed something solid back into place under the knee cap a couple of weeks ago. I have no money, so I cannot go to the doctor because I can't pay for an office visit and X-rays. The pain has been so bad that it makes me nauseous. Luckily, the knee is slowly improving. I just have to be sure not to bend it going up or down steps.
In addition to my knee pain, my blood pressure is dropping. I stopped taking one of my medications that lowers it. This has stabilized my blood pressure although occasionally it really drops. My heart rate is slowing, too. I should go to my doctor, but, guess what, no money. I will wait until I cannot function. I know from a previous diagnosis that there is a finite chance that the nerve from my brain to my heart is being compressed interrupting the signals to my heart. I certainly don't have money for tests or to see a neurologist. I struggle on hoping my finances improve to the point where I can seek medical care. No money, no medical care. This is rationing.
How many people are like me? How many have insurance that is almost worthless? How many have none? None of us can afford our system. The President of the AMA, J. James Rohack, agrees we have health care rationing now.
People without insurance and those like me plug along until we land in the emergency room or dead. You'll ask why do I bother with insurance? Because the insurance company has negotiated a lower pay rate with doctors and hospitals, so I pay much less than I would without insurance. Of course, when you are broke most of the time, you can't do much.
This system does have an advantage for Republics. Lower income voters tend to vote Democratic. A system that supplies less medical care to the poor and low income increases their death rate. This removes these people and their votes for Democrats. No wonder Republics want to maintain the status quo.
In Texas, a living will is a "Directive to Physicians and Family or Surrogates" and allows you to put in legal form your end of life decisions. The Directive divides end of life decisions into two categories, one if you are facing eminent death and the other if you are in a persistent vegetative state. No matter where you live, you need to consider these two categories.
What kind of medical treatment do you want if you have a very limited time to live? Do you opt for comfort? Do you choose a last ditch effort at treatment to prolong your life? There is no correct answer. While I would choose comfort and not a life prolonging treatment because I am a Christian and convinced that death is a door to better existence, I do not believe that should be everyone's choice. I fear that too often societal pressures make it seem that we are misusing resources and somehow wrong to fight for every minute of life. I believe this becomes more prevalent as we age, but quality of life, not age, should be the deciding factor. For this reason, I think you have to consider this choice long before you are enmeshed in medicine's clutches.
I know people who have advanced directives that make it clear that they wish to stay alive at all costs. Others I know do not want hospice. However, I believe the vast majority of people who bother to execute a living will do so because they do not want their life prolonged by artificial means including artificial nutrition and artificial hydration. I find that in the absence of a living will or other clear direction, most families opt for all life prolonging measures.
More difficult for me is to decide what you want done if you are in a persistent vegetative state. As I understand this state, you are never expected to regain consciousness, but you will not die if you are given artificial nutrition and artificial hydration and personal care. This is difficult because here we confront the imperfections of science. In extreme cases, there is no doubt that the person will never recover, but we all know cases where there has been a seemingly miraculous recovery. My choice would be no artificial nutrition and no artificial hydration: let me die. I do not think that is the correct choice for everyone. Only an individual can make that choice for themselves. In the absence of a directive or other clear directions, every effort should be made to keep someone in a vegetative state alive. Again, make your wishes known in a living will.
This is the day after Christmas and time to contemplate the passing year. I fear for our country. As a nation, I fear we have lost our heart. Why should people suffer because they are too poor to pay for health insurance? Yet, as a nation we have turned our backs on such pain. We let insurance companies make life and death decisions based on profit and loss. There is no compassion or nurture.
Christ asked us: "Who is your brother?" We have answered: no one who costs us money. Our second television is more important than a child's smile whose pain has been relieved. We are so afraid of being cheated that we turn away all. Is it time to ask why in a nation of conspicuous consumption, why so many struggle to survive?
We are a self-centered nation. Our goal is wealth. Our God has become the golden idol of gratification. We pay those who defend our nation, but not enough. We would rather have the money go to private mercenaries with exorbitant fees because this is free enterprise, not government. Our corporations look only at the bottom line, not the worker at the bottom.
We must remember that we are our brother's keeper, and we are judged by how well we treat the least of those among us.
