Forgive me in advance, Pinkies. I have never once written about politics here at Owning Pink. Why? Because it’s so friggin’ polarizing, and I have spent the last year helping build this community with the desire to help us realize how interconnected we are. And politics tends to be so divisive. So I have avoided mentioning political issues, as if doing so would make the red/blue divide go away.
But -and this is a big but- I have avoided discussing politics at the expense of my authenticity. So in the name of being true to myself, I would like to share my thoughts about the health care reform bill. I speak only for myself- not for anyone else on the Owning Pink team. Some of you will agree with me. Some will not. And that’s totally fine. I want you to be authentic to YOU. So if you hate what I write, great! If you love it, fabulous. I don’t care. Just love me for who I am, and I will love you for who you are. We can agree to disagree, if need be. I just want to speak my truth and encourage you to speak yours. So in the spirit of purple, here goes:
The Health Care Bill Explained
Like all bills, this one has a bazillion little loopholes, asides, and sneaky little buggars. Plus, it’s hard to boil down something so big to bullet points. I’m sure I’ve left things out and maybe even gotten things wrong, but here’s my understanding of the new health care bill:
• Universal health care will not exist, but the new bill aims to reduce the number of uninsured people in the US by 32 million by 2019. 23 million will remain uninsured, most of them illegal immigrants.
• Eligibility requirements for Medicare and Medicaid will expand, allowing more people to be covered by government-sponsored public aid. Anyone earning less than 133% of the federal poverty level will be eligible for Medicaid.
• Anyone earning between 133% and 400% of the federal poverty level will be eligible for a sort of sliding scale that will cap the cost of health insurance premiums.
• Most Americans will be required to carry health care insurance. Failure to do so will result in a $695 (or 2.5% of taxable income- whichever is highest) penalty.
• Employers with more than 50 employees will be required to offer health insurance. Smaller companies who choose to offer insurance coverage will be offered tax breaks.
• Insurance companies will no longer be allowed to discriminate against you based on pre-existing health conditions, and they will not be able to charge more for your premiums if you are sick. They will also be forbidden from dropping your coverage should you become ill.
• This will cost American taxpayers $938 billion over the next 10 years. Half of this expanse will be paid for by spending cuts, while the other half will be financed by higher taxes. The bill is expected to reduce the federal budget deficits by $143 billion over the next 10 years.
What Do I Think?
I am a doctor, but I am also a woman with a husband and child, a consumer of health care, an employer, and a taxpayer. My thoughts on President Obama’s administration’s new health care bill take into account all of these roles I play, so I’ll share my thoughts based on which hat I’m wearing.
Doctor
As a doctor, I have watched my feelings about health care reform change over time. When I was younger, I feared government intervention into health care more than I supported it. Who wants some bureaucracy telling me what I can and can’t do with patients? But the truth of the matter is that physician autonomy has already been so compromised by managed care that it can’t get much worse. So my feelings have flip-flopped on this issue, as have the feelings of almost every doctor I know. Yes, I live in California, but at least here, I am not alone in my support of universal health care.
In light of that, I am disappointed in this administration. I know they did the best they could, but I don’t think it’s enough. Like many other doctors, I have lost all faith in private, for-profit health insurance, and I believe that our broken health care system will not begin to heal until we eliminate insurance as a business that is raping the American people (breathing deeply to keep my blood from boiling, so bear with me.)
I also think that any health care reform bill must reform our legal system. Keep in mind that I am a doctor who has only been sued once. My one lawsuit came from a woman who swears I stole her labia. (Yes, you heard me right. She took me to court three times, and I had to defend myself in front of a judge and explain myself to the California board and every insurance carrier. And don’t worry. All her paranoid schizophrenic parts are right where I left them.) Any system that forces me to pay outrageous sums of money to lawyers and malpractice insurance companies and go to court to fight something so ludicrous is dangerously flawed. Yes, there are unethical doctors who make dangerous mistakes. And yes, they should be punished. But with all due respect to lawyers (some of whom are my best friends), the blood-sucking ambulance chasers simply have to go. Accept a little personal responsibility, people.
As a doctor who spent a dozen years serving the uninsured in emergency rooms, I see how lack of preventative health care leaves people broken, bleeding, and only able to receive health care when they wind up with life-threatening emergencies. I believe health care is a right, not a privilege. All Americans should be granted the right to good doctors, services, and disease prevention and treatment. Period.
But hey, the health care reform bill is a step in the right direction. I continue to have hope.
Mother and Wife
I do not have life insurance, and I am the primary breadwinner for my family. So it comforts me to know that- should my husband and daughter wind up without me to help support them- they might be eligible for government assistance that will ensure they receive health care.
Health Care Consumer
My family has always been blessed to carry health insurance. Frankly, right now, we can’t afford it. Because I quit my fancy six figure job and am now self-employed and building a business from scratch, we’ve been on Cobra health insurance and are approaching the three year limit. We must get new insurance. But my husband and I both have preexisting conditions, and the private insurance we tried to get turned us down, even though we’ve had continuous coverage our entire lives. It’s criminal. So we pay $1000/month for insurance we can’t even use because we no longer live near the city where we are insured by an HMO. So basically, we’re only covered for catastrophes. Which pisses me off.
Maybe this new bill may help. If insurance carriers aren’t allowed to discriminate against us, we might wind up with insurance we can use. Yes, it may cost us even more, but at least we might be able to use it.
Employer
Owning Pink only has a handful of employees and will not meet the 50 employee limit that would require us to offer health insurance to our employees, but we are already looking into being able to offer that option to our employees, not because we have to, but because it’s simply sacred commerce. I care about every single one of my employees, and should something happen to them, I want to rest assured that their needs will be met. If this means a greater portion of the profits I know we will someday make goes towards nurturing those who work for us, so be it. It’s worth any price to know that my fellow Pinkies be able to OWN their health.
Taxpayer
Yes, it’s crazy expensive. Yes, I worry about making government too big. Yes, this will affect me personally. I will be in that higher tax bracket that is sure to get hit. That means fewer luxuries, less money toward saving for my daughter’s future, and fewer resources to put into growing our business ventures. There will be less money to pay back our debts, less to invest in retirement, and fewer dollars to spend on helping start the Owning Pink foundation, which will help fund Pinkies who wish to take our workshops or receive health care through our practice. But it’s worth it to me to give up some of my personal financial security in order to serve the world. People deserve to be healthy. It’s the first step towards being vital and getting your mojo back.
My Gestalt Feeling About The Whole Shebang
I’m disappointed that universal health care remains but a pipe dream. I’ve been a supporter of universal health care since Hillary Clinton pushed for it, long before it was popular among doctors to support the idea. (FYI- my Dad is rolling over in his grave because I just wrote that, God rest his Dr. Daddy soul.) But I feel a ray of hope that this is the first step in that direction. Frankly, I think insurance companies and lawyers have ruined the whole health care system, and until insurance is not for profit and until we manifest effective tort reform, we’re spinning our wheels. But hell, it’s something. So kudos to Obama for taking a stab at it and rallying the troops to make two steps forward.
Can We Lead By Example And Show the World How to Talk About Politics From a Place of Love?
What do you think, Pinkies? I really want to know. Feel free to disagree with me. If you think I’m nuts, you’re welcome to get pissed off and secretly vow to get un-Pinkified. But please be respectful to me and to the other Pinkies. Play nice in the sandbox. I adore every one of you- even if you’re a Republican who hates Obama and thinks the health care bill is a baby-killer. So speak up- and let’s demonstrate that we at Owning Pink can rise above the hateful political divide and engage in healthy debate from a place of mutual respect. I promise not to love you any less and will honestly appreciate your candor, your voice, and your truth.
Letting go of my fear that politics will divide us and believing in the power of Magical Eyes,
Lissa
Lissa Rankin, MD is the author of What's Up Down There? Questions You'd Only Ask Your Gynecologist If She Was Your Best Friend (St. Martin's Press, Sept 2010) and the founder of the Owning Pink Center.
When you comment on an Owning Pink blog post, we invite you to be authentic and loving, to say what you feel, to hold sacred space so others feel heard, and to refrain from using hurtful or offensive language. Differing opinions are welcomed, but if you cannot express yourself in a respectful, caring manner, your comments will be deleted by the Owning Pink staff.
Comments
Melissa, Thank you SOOOO much
By Lissa Rankin on Friday, 03/26/2010 at 4:53 AMMelissa, Thank you SOOOO much for trusting us with your views. This is not a place for us to all be drones who share the same beliefs. It's a place to be ALL YOU, ALL THE TIME. To be real, authentic, and whole in a loving way.
So thank you for trusting us. Big big love for all of you Lissa
Lissa, Thank you so much for
By Denese R. Peebles (not verified) on Friday, 03/26/2010 at 4:24 AMLissa,
Thank you so much for opening this forum. I believe for us all to truly be able to reach a point of understanding we must be able to discuss our opinions. Isn't that at the heart of what we are wanting to do? No one is always right and no one is always wrong. It is in the ability to share what we both believe and feel that we come to the heart of the compromise and hammer out change that can benefit all of us.
I too came upon this site by accident but will be a devout follower from now on. The healthcare reform bill is not the cure-all but it's a step. It's progress. It's scary, but most changes are.
Kudos for the courage to express your opinion and give others the right to express theirs.
Peace, D
I really wanted to leave this
By Melissa Lehman (not verified) on Friday, 03/26/2010 at 3:26 AMI really wanted to leave this alone, as I, too, typically avoid political discussions because they can so easily and quickly turn ‘ugly.’ I was especially hesitant to voice my opinion in a space (although ‘safe’ – and I trust you all implicitly even thought I don’t actually KNOW you directly) where I’m clearly in the minority. Thank you to the other few who posted your opinions opposed to the legislation.
I’m opposed to this bill and even more so to universal health care. From the broadest perspective, I believe that governments can do *almost nothing* as effectively as ‘we the people’ can do for ourselves. Are there problems with our health care system? Yes. Are there good, smart things in the bill? Yes. Is it shameful that in a country as abundant and strong as ours that we should not be able to take care of everyone? Yes. But I believe the government is over-reaching its responsibilities and creating a big, expensive mess. (And I’d also repeat the other expressions voiced here about everyone needing to take care of themselves. If you rely on someone else for your well-being, what is the incentive for taking care of yourself?)
Next, our *rights* are enumerated in the Declaration of Independence and the Bill of Rights. Health care is not among them – any more than are the other things we NEED to live – e.g., food, shelter, clothing (or even simply jobs/money to secure those things we need). Even if you’re expressing your view that health care is a “right” from a loftier perspective – v. confining your view to what’s strictly defined by our legal rights – how then, do you apply those “rights” *within* our system of government? Said differently, what “rights” *wouldn’t* you awesome, generous, loving, kind Pinkies bestow upon us all? What ABOUT food? (Or better “a healthy, nourishing diet.”) Money? Clothing? Shelter? Taken even further – Meaningful work? Safety? Or even loving, supportive families who never harm us in any way? As much as we Pinkies would all love to see all of humankind thrive in a loving, kind, generous world, there’s no one (save a higher power) to go to for those “rights.”
Finally, my most glaring ‘issue’ with this bill is this (and I will admit, I did not think this up on my own, but someone else pointed out this perspective to me): I don’t believe it’s about health care / medicine (v. money, power, control, “fairness,” etc.). If it were, I believe our government officials would have reached out to the people who administer health care (e.g., doctors, hospital administrators, insurers) and tried to facilitate private sector solutions before they swooped in and simply tried to solve the problem all on its own. As it is, our government officials have virtually taken over an industry (two, if you count medicine itself and medical insurance separately) in which they have no experience.
And I don’t even want to touch how I think there’s NO possible way that passing something so expensive can even be presented as something that will REDUCE the deficit. That will make my head explode!
I often wish that I didn’t hold these views. It seems like it would be so much easier to believe that this is a smart solution. It seems so much easier for people to believe that you care about your fellow human beings if you’re for this. I’m for life circumstances improving for any and all. I just think that this is something that sounds good but won’t actually make things better. (By which I mean on the whole. Clearly, certain individuals will reap immediate improvements.)
Isn't that the truth, Amber!
By Lissa Rankin on Thursday, 03/25/2010 at 12:07 PMIsn't that the truth, Amber! And while insurance premiums go up every year, reimbursement to doctors gets cut every year. In my old job, when I accepted insurance, we had to see 40 patients/day in order to cover our overhead and earn half of what my doctor dad earned in 1975. It's madness.
Insurance should never be able to profit from people who wish to stay well. It's criminal. Thanks for bringing that up, Amber! Don't get me started....I could go down a very ugly rant about this!
Really thoughtful responses
By Amber George (not verified) on Thursday, 03/25/2010 at 12:01 PMReally thoughtful responses and Lissa thanks for starting the conversation. I think the big issue that I see not discussed enough it that there needs to be more regulations and competition in the health industry. I have had tons of problems dealing with my insurance company and I am healthy. I have no pre existing conditions but it was extremely difficult to get insurance and I pay through the nose. We can afford it, but not for much longer since our rates go up about 40% a year, not to include the age hikes every five years.
In 6 years, our insurance will be the same amount as our mortgage if the rate increase we've seen in the last 4 years hold at the 40%. Something will have to give.
Imagine if other things in life went up that much that quickly. I hope that this can become part of the discussion more and more.
Thanks!
Amber
Oh, thank you Pinkies! Bless
By Lissa Rankin on Thursday, 03/25/2010 at 11:07 AMOh, thank you Pinkies! Bless you! Big hugs. xoxo
Lissa, You are a voice of
By Tara Sutphen (not verified) on Thursday, 03/25/2010 at 9:49 AMLissa, You are a voice of reason in the darkness of this corrigendum. I appreciate you. Much Love Always Tara Sutphen XOXOOX
This is the first article I
By katbron (not verified) on Thursday, 03/25/2010 at 9:39 AMThis is the first article I took the time to read about health care reform. I'm so sick of being bludgeoned to death by people's opinions. I'm glad I read it and I wholeheartedly one hundred percent agree with you. I would chose you as my doctor if you were in Nebraska. Thank you Lissa. Kathy
What a great question,
By Lissa Rankin on Thursday, 03/25/2010 at 6:49 AMWhat a great question, Carla! In answering, I do so only for myself (so speak up Pinkies. Tell us what you think!)
I hear you- and I value what you say beyond measure. Just as we can't count on doctor or other health care providers to "fix" us, we can't count on the government to make us healthy. You can never go outside of yourself for the answers. And yes, this is what Owning Pink is all about- realizing that you already have all that you need to have all that you want.
But here's the problem when it comes to health care. It all comes back to money. Because health care in this country is so expensive, and many simply don't have the money either to buy health insurance or to pay cash for their care, they wind up in the ER in the midst of an emergency and we all wind up paying for it. An uninsured person's heart attack is paid for by us all. In this country, preventative care will not get covered for the uninsured. You can't show up in an ER and demand a mammogram. But catastrophic care is considered a right. This is just WRONG. If health care is going to be considered a right, we must cover preventative care too. And we just can't count on the individual to do this.
Yes, I hear you. We should be able to be accountable for ourselves and not expect big government to save us. But it doesn't work. It hasn't been working for ages in this country. We need help.
So I think universal coverage- for both preventative and catastrophic care- is the answer. With that in place, it's up to all of us to OWN our bodies, nurture our temples, and be responsible health care consumers.
That's just my two cents, for what it's worth.
Wow Carla! Great question and
By Debbie (not verified) on Thursday, 03/25/2010 at 6:46 AMWow Carla! Great question and observation. I'm thinking on this and looking at it from Pink's philosophy and my own (still developing)
Thanks for raising this for us to consider in the fullness of who we are here and in ourselves. I like to be challenged in my learning and thought process in this community.
Lissa, an interesting
By Carla Reeves (not verified) on Thursday, 03/25/2010 at 6:13 AMLissa, an interesting conversation and one I appreciate. After reading your message, the messages of others and knowing the message of Owning Pink, I feel a contradiction. Pinkies and Owning Pink are all about embracing who we are, being free and owning our power...why then do we want to look to others to provide and take care of us? Don't we want to be free to take responsibility for our own lives? -living the life of our dreams and pouring out the generosity of our hearts when we feel called to do so - not when the government demands we do?
I agree everyone deserves the right to be healthy. A question to ponder is "where do our rights come from? If the government gives us the right to health care - then, can they too take it away? Do we as powerful beings have the right to demand others to take care of our health or do we want to own that ourselves? The beautiful message I hear on this site and from all you amazing people in this community is to fly free, be who you are, take charge of the power within to shine. How can we truly be this if we are looking for something or someone else to provide for us?
Thank you all for being so
By Lissa Rankin on Thursday, 03/25/2010 at 5:38 AMThank you all for being so respectful in sharing your opinions across state and party borders. It brings such a smile to my face to see that we CAN talk about politics at Owning Pink! Wow. (*grinning*)
Love you all- red, blue, or purple Lisa
Mr Rogers from Michegan
By Sarah (not verified) on Thursday, 03/25/2010 at 4:34 AMMr Rogers from Michegan stated it far better than I can. This is video of hearings in the legislature.... http://www.youtube.com/watch_popup?v=G44NCvNDLfc
I agree that the private sector should step up to the plate to fix the problem. When I see repeated documentation of decreased survival rates for cancer (mr rogers mentions this in his commentary as well) it makes me cringe. When I see federal funding for abortion held off 'only' by a presidential order (which may be rescinded at will-as Prs.Obama did by rescinding the Mexico agreement that provides federal funding for elective abortion in foriegn countries) I cringe for the children that will be murdered. The elders that will be counseled into 'end of life decisions' that are essentially suicide.
Limit lawsuits. Put an end to insurance companies outrageous practices. Allow transportable insurance. Let us group together across state borders so we can bargain with insurers on health care. Do NOT increase medicare premiums for seniors.
this is NOT a good thing. Unfortunately this bill passed.
S.
I feel the same way Megan
By Shawn Kozlovsky (not verified) on Wednesday, 03/24/2010 at 8:48 AMI feel the same way Megan Monique feels! Thank you for creating this space to display our own opinions! I am a very opinonated person and I want to use my opinions in a positive way. Owning Pink & Pink Posse help me to do that! And I thank you for that and for sharing your opinion on the Health Care Reform. Nothing but love, Shawn
Thank you for sharing this
By Carmen (not verified) on Wednesday, 03/24/2010 at 6:49 AMThank you for sharing this Lissa.
Tamlyn, Thanks for offering
By Lissa Rankin on Wednesday, 03/24/2010 at 5:38 AMTamlyn, Thanks for offering such a sane view from across the ocean. Yes, I think we have all gone bonkers. As Matt said, we just need to stop selling out to special interests and take care of what really matters in this country- the people...
Bless you all for being here and engaging in this discussion!
Lissa, This is brilliant.
By Mary Lopez (not verified) on Wednesday, 03/24/2010 at 3:21 AMLissa, This is brilliant. Because of your making it concise and down to its smallest increment, I can now speak about health care without sounding like a babbling idiot.
It is an honor to be on your site and to be touched and fed by you. Thank you.
I will return in kind whenever and however I can. Strength, Woman.
Mary
You know, I have been
By Tamlyn Leigh (not verified) on Wednesday, 03/24/2010 at 1:00 AMYou know, I have been watching all the health care talk from my country, and frankly thought everyone had gone bonkers. It is unbelievable to me that people in your country can get bankrupt from medical bills.
It is also rather obvious from where I am sitting, that the ones who really opposed the bill were the insurance companies and their lobbyists.
We have universal healthcare, every citizen has a right to a basic package, and when they want more, they pay for it. We aren't a socialist country at all (I think that the opinions of what socialism really is amongst a lot of Americans shows a lot of people need to get back to class!), we even might get an ultra right wing prime minister, if it all goes horribly wrong.
I think that it is a victory, but one with a very bitter aftertaste. I truly hope that this is just a first step. Everyone should have health care.
FYI, PInkies, here's a letter
By Lissa Rankin on Tuesday, 03/23/2010 at 7:02 PMFYI, PInkies, here's a letter from the President of the American College of Obstetricians & Gynecologists, in case you're curious:
http://www.acog.org/departments/govtrel/20100320PelosiLtr.pdf
Thank you all for your brilliant, astute, heartfelt, impassioned truth. xoxo Lissa
I appreciated the care you
By Debbie (not verified) on Tuesday, 03/23/2010 at 5:51 PMI appreciated the care you have taken in representing yourself and inviting us to remain in the Pink about this as we digest our reactions vs. actions to what is being shared here.
It's all still feelin' safe here to me and,as usual, your lay out of the issue and cause in light of your many hats are so helpful as we look at the whole of this matter. Thank you for the encouragement to participate and the reminder to remain respectful. This is the best of places to learn about ourselves and support each other.
I've learned more about this issue here then in the weeding out that I've been trying to keep up with on my own. It's a great discussion for those of us without political savvy.
Thank you for posting such a
By Jilian (not verified) on Tuesday, 03/23/2010 at 3:44 PMThank you for posting such a postive and realistic approach to this topic. I firmly believe this has opened up discussion for true healthcare reform in hopes to possibly strong arm insurance companies to do the "right thing" in America.
I am a nurse who works in a non-profit healthcare system inthe suburbs of Phoenix area in Arizona. Large numbers of our patients get medical care when it is an emergency (not just illegal immigrants). Why? Because they do not have insurance to see their primary care doctor and do routine maintenance of their disease due to lost jobs, self employment or it's just too expensive to pay for when earning minimum wage.
Amazingly very few doctors are in agreement for healthcare reform. The few doctors that are in favor for healthcare reform are those that have lived in different countries where decent universal healthcare is available.
Hopefully, some good work can be done with this passage of healthcare reform and help millions of underserved people in our communities.
I also want to say that a
By martina (not verified) on Tuesday, 03/23/2010 at 3:26 PMI also want to say that a best friend of mine suddenly found a node in her neck, which turned out to be from ovarian cancer. She had been getting every checkup recommended, she is a smart woman and has worked in the hospital lab for 35 years, and she is a doctor's daughter. There were NO abdominal symptoms. Now she has had surgery and is getting chemotherapy. This sort of thing has happened to several other people I know, in the years between 50 and 65, when they couldn't "afford" their insurance coverage, or like Lissa, had to let it go after Cobra coverage, because of a pre-existing condition. I want everyone to get the care they need. I don't want any of my patients to be sitting home twiddling their thumbs, because they are afraid to come see me, in case I find something which their next insurance coverage will call "pre-existing". The real reform underlying this bill is to force the insurance industry to stop cherry-picking the healthy people. and do what is called "actuarially sound" planning. There are so many "surprise" diseases which are unlikely but possible. Patients need to understand that EVERYONE needs to be included in the risk pool for it to be a proper actuarially sound base for insurance. And that the insurance industry should not TAKE from the health givers, to give to investors. The money from the premiums paid by families should be used for the delivery of care.
Lissa, I applaud you for
By Caren (not verified) on Tuesday, 03/23/2010 at 1:15 PMLissa, I applaud you for going out on that limb. So many times we are afraid to tackle such highly charged issues. My thoughts are like many others, but my worries are different, or maybe not so different. I worry about my parents as they age and are on Medicare, I worry about their prescription costs. I worry about my sister and her upcoming hysterectomy, because she is only 39 and I worry about the care she will receive not just for her body but for her spirit. I worry about so much when it comes to health care.
I too, was for Universal health care back when Hillary was fighting for it. What I don't understand is how these so called law makers can, with good conscience, not do what is right by the people who elected them. I believe health care is the right of everyone.
I often find it interesting that "we the people" seem to have a better grasp on what would be good for our country than the elected ones.
I am grateful to President Obama for starting what I can only hope will be a giant step towards healing our country. and you are right, there was a time when women didn't have a voice and now look at us. Health care will have its day too.
Thank you for bringing this subject to light and giving us all an opportunity to share our personal views. This is what makes me proud to be a member of the Pink Posse.
Yes. Exactly, Danielle. I
By Lissa Rankin on Tuesday, 03/23/2010 at 1:06 PMYes. Exactly, Danielle. I know these are growing pains. I know we're moving in the right direction. I'm thrilled we have SOMETHING!
I just hope it's enough to keep up the momentum. Thanks for chiming in! And yes- it's shocking. You? Uninsurable? Preposterous...
Lissa- Thank you for sharing
By Danielle Vieth (not verified) on Tuesday, 03/23/2010 at 12:54 PMLissa-
Thank you for sharing your voice on such a charged topic. I also avoid political issues because they tend to be so divisive but once again you deliver your truth with love. Thank you for speaking up as not only a MD but as all of the other hats you wear.
I was rejected for health insurance last year because of an illness I had over a year ago, that was quickly cured in a matter of days, but it shows up on the insurance "reject list" in the computer. I was baffled. ME, not eligible for health insurance? I hardly ever get sick, my physicals are off the charts and I'm fiscally responsible, (I don't even have credit card debt!), and I teach people about preventative health. It was then I personally realized something was way off.
I honestly don't know what the best solution is but I believe we all want the same thing: good, affordable health care and the freedom to choose our care. The details of how is where it seems to get hazy.
I think we're just having growing pains. Whenever a system that no longer serves us is crumbling there's always a little dust and a little mess. I hope we do look back one day and say "what was all the fuss about?"
I hear you, Kay. I worry
By Lissa Rankin on Tuesday, 03/23/2010 at 11:57 AMI hear you, Kay. I worry about that too. That's why universal health care is the ultimate answer. Someone like you might wind up with higher taxes, higher premiums- or the cost of being uninsured, which SUCKS.
But I think back to women's sufferage and the Civil Rights movement and realize that, while it shouldn't be this hard, this country has had to work massively for every critical change to its systems. One day, we will look back and say "what was all the fuss about?"
Some of the provisions in
By Kay (not verified) on Tuesday, 03/23/2010 at 10:30 AMSome of the provisions in this health care bill are definitely a step in the right direction, although I feel the omissions and private deals could prove to be huge and expensive failure. In rushing through and only doing part of what is necessary, I think this bill will probably be a disaster and way more expensive than anyone realizes.
I am also concerned that the very bill that is suppose to give insurance to everyone will take mine away ... here's why ... This bill creates a new doughnut hole. I am self-employed (so no employer sponsored health care plan) and I fought tooth and nail to get the individual insurance I have for a reasonable price (benign medical condition with daily meds). I am at the bottom end of the income bracket that receives no subsidy, but it barely keeps our family afloat. I can't afford an increase in my premium or a decrease in covered services, will get no help paying for it, not eligible for Medicaid or other such programs and face a fine of $700+ dollars plus the entire cost of medical care if I don't get any. So what am I suppose to do?
Wow, Lissa...So
By Kristen (not verified) on Tuesday, 03/23/2010 at 9:11 AMWow, Lissa...So enthusiastically pissy, yet poetic & full of love! :) You rule. Thanks for sharing your world with us! xoxo
Lissa, I am one who avoids
By Megan Monique Harner on Tuesday, 03/23/2010 at 8:44 AMLissa, I am one who avoids politics at all costs. However, in some cases I need to be aware of the changes taking place so I can see how they might affect/benefit me in the future.
Thank you for sharing your voice with us, laying out the facts and your opinion. It is appreciated.
More so, thank you for having a sacred space where we can still love each other in spite our difference of opinion.
Lissa, thanks so much for
By Zora (not verified) on Tuesday, 03/23/2010 at 6:54 AMLissa, thanks so much for going out on a limb and coming from a place of love and integrity. your explaination was really clear and being in a private practice caring for women across their lifespans, it's was nice to hear this in an understandable what it really means fashion. Kudos for speaking out.
I live in the UK where we
By BucksWriter (not verified) on Tuesday, 03/23/2010 at 6:51 AMI live in the UK where we have had universal healthcare for many years and where few people take out insurance. Is it perfect? No. Am I still proud of it? Yes.
For example, I recently needed a potentially life-saving test. I went to see my local doctor and got the test two weeks later. No money changed hands and cost was never mentioned.
Of course I understand the anxiety about taxes but what you save on removing lawyers and insurers from the mix will more than pay for what you have to give. Really, it will.
Also, I think everyone needs to ask themselves, what price basic care for all citizens? What is that worth, and not just in an economic sense? What does it say about a country and its priorities?
Matt, yes. Why does it have
By Lissa Rankin on Tuesday, 03/23/2010 at 6:41 AMMatt, yes. Why does it have to be all about ME? What happened to the heart of this country?
And yes, Kelly. Many other countries seem to be doing this very well. If only we can figure it out...
Christina, I hear you,
By Lissa Rankin on Tuesday, 03/23/2010 at 6:39 AMChristina, I hear you, girlfriend. This is an expensive proposition. But imagine how much money we might save from what we are currently paying via Medicare and Medicaid if we can actually offer people prevention???
Thank you Deborah for recognizing how much guts it took for me to write this- especially here!
Linda, Yes. I do pray for our President. May he guide us towards the highest good for the most people with God's blessings.
I haven't had insurance at
By Kelly (not verified) on Tuesday, 03/23/2010 at 6:35 AMI haven't had insurance at all since 2007. Luckily, I have excellent genes and take excellent care of myself, but not everyone is so fortunate. I have to admit that when I lived over in Europe I was amazed at the health care my husband received there and wondered, how can all the other countries do it, but we can't figure this out???? I don't really know what is going on with all of this because I choose to limit my intake of negativity, so I can't really speak to what is best. However, the one thing I question when I hear that a public health care system is "socialist", is why do we have a public education system? I think the health care system should be handled the same way - public health care for everyone unless they want to pay for private health care. I just don't understand why that is so hard.
Thank you for trying to
By Matt Klein (not verified) on Tuesday, 03/23/2010 at 6:29 AMThank you for trying to create a safe space where the subject of health care can be talked about in a different way. Of course the solution is flawed because politics and debate have been dominated by the self-centered question, “How is this going to affect ME, ME, ME.”
When was the ethic of making this a better world for all people lost in this country? Kudos to Obama, and others with vision, to push forward with a health care initiative which tries to help the disempowered who don’t have lobbies, who don’t have money, who don’t have a voice in the arena of money politics which has come to dominate our country.
Is what was passed in MY best interest? Not entirely, but I’m willing to suffer a little financial loss, not always get exactly what is in my best interest, not have a law that is all about ME, so that others might have the chance to receive healthcare.
This is not the last word on change in healthcare, merely a first step. It would be a better, Pinker, world if we could all step back from our own needs and think too about the needs of others. And when we find ourselves talking about healthcare wouldn’t it be great if we could try to understand (rather than criticize) people with different needs, opinions, and expectations, and treat each other with kindness and respect.
I am so glad that you broke
By Linda (not verified) on Tuesday, 03/23/2010 at 6:28 AMI am so glad that you broke it down like you did. I have been in the management area of the medical field for 20 years and I have seen the heartbreak of those that slip between the cracks of Medicaid and Private Insurance. I have, like you, always had decent healthcare, but I have seen so many suffer financially, physically and emotionally from not being able to afford medical care. I also believe that it is only a small step in the right direction, but a step means we are moving. I don't agree with everything our President does, but he is our President and I do agree with most of his policies. I believe that we should pray for him everyday and send such good thoughts his way that he can't help but be the best leader we have had. Well, enough rambling, thanks for the post. I love you on twitter, that is how I found you. THANKS! Love Linda
Lissa, Very well written!
By Debra Riedesel RD, LD (not verified) on Tuesday, 03/23/2010 at 6:28 AMLissa,
Very well written! That's what I call "Pinkie Courage" I couldn't agree more with you, actually I'm a little relieved to see your professional point(s) of view. I can't image the stress placed on doctors today it's so much harder to be a physician these days due to litigation. I want to thank you for putting your thoughts out there. Two steps forward...
I agree that some kind of
By Christina (not verified) on Tuesday, 03/23/2010 at 6:25 AMI agree that some kind of reform is/was necessary but I DON'T agree with the tactics used to push this through. Why were there so many back room deals made? Why the rush? Why not keep the people informed correctly rather than creating this monstrosity that no one can even read? What's hidden in there that we don't know about yet?
Why was torte reform NOT a part of the bill? Could it be that it's because Obama has a legal background? Not accusing, just wondering...
I'm truly frightened about how we're going to pay for this. In my part of NY we're already paying through the nose for taxes, especially school taxes, and that will go up now because our state can't afford to give out the millions of dollars in state aid our districts were expecting.
So now on top of everything else, we're going to get taxed even MORE to cover this health care reform. It will be a miracle if we can afford it...
Amen, sister. Yes, I do have
By Lissa Rankin on Tuesday, 03/23/2010 at 6:20 AMAmen, sister.
Yes, I do have hope. It is definitely a step in the right direction. And yes, I know that our political system is so divided and so bullheaded on both sides that major reform will never happen overnight. Even if this bill serves only to keep insurance companies from dropping people when they get sick, this will be huge.
So yes, deep breath.... It's all good...
Hi Lissa! Thanks so much for
By Stacey (not verified) on Tuesday, 03/23/2010 at 6:17 AMHi Lissa!
Thanks so much for your thoughtful post! I'm working in the hospital today (caring for lovely women who have Medicaid or no insurance) and only have a moment to respond, but want to say this:
I strongly feel the health care reform bill is a step in the right direction. A baby step, perhaps, but a much-needed step.
When he spoke at the 2004 Democratic Convention, Barack Obama was a little-known Illinois State Senator (running for US Senate). Did anyone anticipate that he would be elected President four short years later?
Is the bill flawed? Is the health care system flawed? Is the Obama administration flawed? To quote Sarah Palin, "You betcha!"
No, none of them are perfect. And that works out just fine, because neither are we. But we want to do better and be better and we're committed to the baby steps (and pleaps!) that get us there. Much love to all, Stacey
That's how I feel, Karen.
By Lissa Rankin on Tuesday, 03/23/2010 at 6:11 AMThat's how I feel, Karen. It's all about the people. I've seen way too many people who have neglected their own health care simply because they can't afford to pay cash for preventative measures and wind up with emergencies. It's heartbreaking. My bleeding heart aches.
The way I see it, I think health care in the US will ultimately wind up being a two tiered system. We will have universal health care as a baseline. It won't be great. And no- it probably won't be what we're used to. The docs that staff that program may be more technicians than healers. But at least their overhead will be reduced, they won't waste energy fighting insurance companies, and all Americans will have coverage.
Those who can afford it will pay cash for the premier doctors who opt out of being providers for universal coverage. (It's happening already.) Those who are privileged will get better care, it's true. But at least the underprivileged will get SOMETHING. And the docs will be able to focus on what they do best- serving the people.
Amen Sista! Love that you
By Karen (not verified) on Tuesday, 03/23/2010 at 6:00 AMAmen Sista! Love that you broke this all down into the roles that you play in your life, b/c it does affect us all in different ways! I am so grateful that Obama pushed and pushed! It's just stunning to me how much fear there is out there, and how this turned into a politcal issue of "who's team is going to win" instead of really what's best for the people. What's best is that we should all have health insurance. Ever watch "Sicko"? (Michael Moore)....I know he's got his own tweak to his movies, but it was still very eye opening to watch!!!! Here's hoping that we actually see all of this change in a positive way for all Americans! In Pink love, Karen
Dear S, Good luck in medical
By Lissa Rankin on Tuesday, 03/23/2010 at 5:49 AMDear S, Good luck in medical school (sending out a little prayer for you- it's rough. But you'll make it through!)
And yes, there is a lot of scare tactics, misinformation, and hoopla around the whole thing.
Stay true to what you believe. You will be the future of this world. Our lives are in your hands. Bless you for being here among us. Love, Lissa
I randomly found this posting
By S. (not verified) on Tuesday, 03/23/2010 at 5:46 AMI randomly found this posting thru google. I am a second year medical student. Although I have been in favor of a healthcare reform in general, I haven't had the time to know the details. There is so much rumor and scare tactic going on, especially on the talk radio, its hard to keep honest, unbiased opinion.
Thank you for sharing your thoughts. As a future physician (I hope!), your writing was very helpful.
Deb, I did once write an
By Lissa Rankin on Tuesday, 03/23/2010 at 5:46 AMDeb, I did once write an article about Sarah Palin's hair loss for another website- so I assume you're speaking about that. And yes, it's true- I'm not a fan politically. I'm sure she's a perfectly lovely human being, and were she here in our community, I would give her a great big hug. And frankly, the way in which some Pinkies lashed out at me for saying something I considered honest to my integrity and truthful, I felt a bit wounded. So you're right. This is the second time I have alluded to something political.
And Anges, thank you sweetheart. I agree with you. Personal responsibility for health is critical. Waiting until we're having a heart attack to nurture our bodies is not the way to go. I love what you represent.
Much love and respect to you all Lissa
Oh and I have gone vegetarian
By Anges the Soul Awakener (not verified) on Tuesday, 03/23/2010 at 5:40 AMOh and I have gone vegetarian too...
Lissa, I am in love with you.
By Anges the Soul Awakener (not verified) on Tuesday, 03/23/2010 at 5:37 AMLissa, I am in love with you. I love your appeal to talk about politics with love and respect and anyway I agree with everything you said. I go further, I am a pro-preventative health management, i.e. I believe that every person should take responsibility for their health by pursuing a health promoting lifestyle (I am not preaching here but I used to smoke, weight 24 pounds more, eat not very healthily - although I thought I did - and was really rubbish at managing my emotions... plus I didn't exercise. All that has been put right, one thing at a time... I want to motivate others to do the same.
Actually, you have spoken out
By Deb (not verified) on Tuesday, 03/23/2010 at 5:35 AMActually, you have spoken out politically against Sarah Palin...