Monday, June 15, 2009

Health care Reform and cap on Earnings?

I don't know, the things I am hearing from DC just have me shaking my head and shuddering thinking about what next. If you believe in destiny then all this makes no difference to you. What will be will be. Karma. But if you believe your the captain of your own destiny then having pirates take control of your ship should worry you and make you ready to defend your ship.

Just think of the this new health reform committee. It authorizes the Medicare Payment Advisory Commission (MedPAC, created in 1997) to go even further and set lists of approved treatment standards and actually have enforcement powers over methods of healthcare delivery and reimbursement. Think about that. I mean really really think about that. These are not doctors or even health care professionals. Its like letting a truck driver steer your ship. He may good at driving a truck, but a ship is a totally different mode of transportation. He just may run it aground.

Already we see procedures and medications the doctors have ordered for us refused because of our insurance. Ambiem CR works great for me. I sleep a good 8 hours and feel wonderful when I wake up. Will my insurance let me have it? No....... I can only get the ambiem. Still works good but I only get 6 hours of sleep. So what difference does that make? 2 hours more of restful sleep to the nurse who works 12.5 hours of night shift. That is a huge difference. Then what about the lap band I tried to get. My doctor thought it would work great for me. The surgeon thought I was a perfect candidate. But the insurance company, laymen, all decided it was not necessary.

The first time we had a form of health care reform our costs skyrocketed out of control and are still out of control. Creative billing and coding was created to get the most reimbursement you could get out of insurance companies determined not to pay. So a simple cysto became a surgical procedure and a ace wrap costs you $40.00 bucks. And the doctor that sat and did a complete assessment and H & P was given all of 5 minutes to find out what was wrong with you and send you on your way. Gone the doc who knew all about me and my family to be replaced by the health care professional you see on the conveyor belt of care we have today. And most of the old doctors have retired and these new doctors don't even remember the way it used to be. Not that they are not good doctors, they are, but their hands are tied also.

Give the government even more control then what they have already it will only get worse. You think your care will be better? Wrong. Think the poor and uninsured will all of a sudden get the care they need? Wrong. It will be decided you don't really need it. Because your old, and didn't take care of yourself, and are not productive enough to warrant the cost it would take to treat you. And your doctor won't have any say in it. It will have to be on the list of approved treatments. Experimental treatment for cancer. Maybe if your rich enough to have a really good supplement or if your one of our many many many government officials. I am sure their care will never be affected by the laws that we will be forced to live under. If it is good for the goose it should be good for the gander. They should live under the same rules and restrictions. But it doesn't work that way.

So then next. Cap on Earnings. Gee.... those docs earn so much money. They are the reason your bill is so high. Lets just put a cap on what they can earn each year. Those nurses earn way more money then necessary. They should get half of that and whats with making more just because they work nights, lets put a cap on that.

What is your job worth? Do you feel you earn every cent and more? I do. I love taking care of patients, but face the facts. If the money wasn't good I wouldn't do it. Why would I clean up other peoples poo, get exposed to other peoples diseases, get insulted and slapped, spit on by drunks and low lifes. Shorten my lifespan working nights for less pay. I am not a saint. I am a good nurse. A well trained professional nurse. A nurse who takes additional training their entire life to give you the best care you can get. Regardless of your race, your ability to pay, your position in life, your age or how nice a person you are. There are no VIP's on my floor. All of our patients are VIP's.

You get someone who gets a brilliant idea. Invents something that the entire world benefits from. The person starts a company, small at first and then larger and larger. More and more people are employed by this person. They make a living working at his factories or stores and raise their families. And complain about how the owner of the company is making way to much money when you.... the worker does all the work. Lets put a cap on his income. And capping his income? He will have to cut back on workers because now he can't afford to keep all the companies open. Now he can't afford to give everyone the new government regulated health reform. Now you earn nothing to raise your family. And why even strive to become successful? What would be the purpose. So the only ones who would not have a cap on their income would be politicians because face it. They are the ones who make the laws and it is written in the laws that the elites in government do not have to be governed by the laws we will all be forced to live under.

The less the government sticks their nose in your business the better. Because like my doc accurately said, they screw up everything they touch. And that is not what they are there for. They are not there to make our life anything. We make the lives we get. We work for the benefits we get. We make the decisions, right or wrong. Us. Not them. They don't know us. They don't know what is good for us or right in our circumstances. We do. We just have to take the responsibility. Sure it is easy to give up the control....then you have someone to blame if it goes wrong. But that is not what they were put there for. And we shouldn't let them.

The trouble with the type of leadership we have in office right now is they believe they are the smartest and the best. The only ones capable of making the right choices for you. We are not smart enough to make the decisions ourselves. Well wrong. I am. I am smart enough. And left alone will do just fine. If they would just leave us alone. And historically when you have a government that feels that way, like they did in Germany, China, Cuba......... history tells what happens then.

So did you make it to the end of my rant. And maybe it should be in my rant and rave blog. But. Maybe I should be screaming this from the rooftops. Can you hear us.... can you hear us......CAN YOU HEAR ME?

3 comments:

Jeannette said...

You put this so well Julie. It sounds like your health care is going down the drain. Ours isn't perfect but it's better than the system you have. If I lived in the US I'd be frightened to be sick. I'm sure your patients are thankful to have you looking after them, it sounds like you take good care of them and are a lot more professinal than your government! Jeannette xx

Marie said...

Julie, I don't entirely agree with everything you've said, but I really admire your knowledge, intelligence and passion.

I wish there was some way to create a truly non-partisan government where intelligent and passionate people could put their heads together and come up with a genuinely workable solution. Unfortunately, as my grandmother used to say to me, if wishes were horses then beggars would ride. :(

Thanks for your thought provoking posts.

Jimmy's Journal said...

The government can't even run itself on a bipartisan basis. Now they own GM (Government Motors) and want a crack at health care as well?

Obama's socialistic attitutde is aimed at everyone except the majority, who pay all the bills with their hard earned tax dollars.

You can bet your ass that this bill will be aimed at free rides for welfare recipients and illegal aliens.

Jimmy

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