From a Friend who is an Amputee, Regarding Healthcare

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Just thought I'd share this with you guys. This is something my friend posted. I've had similar experiences, but nothing like his.
Background: He was driving home from DJing at Penn's Landing 27 years ago on I95. He stopped to assist another driver who had been in an accident. While doing so he was struck by a hit and run driver who was never apprehended and lost his leg. He now owns a popular entertainment company in Philly.


The Sad State of Healthcare in America Dear Facebook friends and internet at large,
It is with heavy heart that I write this...

For those of you who may not know, I am a left leg amputee, and have been for the past twenty-seven years. At that time, healthcare – specifically Blue Cross – covered 100% of the cost of my prosthetic leg. Over time, not only has the cost of such prosthesis gone up, the percent of coverage offered by health insurance companies has gone down. First by 20%, and now, 50%. Today, an entire prosthetic leg can cost in upwards of $22,000.00.

A month ago, my prosthetic knee “wore out” and needed replacing in order for me to be able to walk. Thankfully it was just a knee, the cost of which was just over $4,000.00 out of pocket.

As this was transpiring, I had a conversation with a friend who works in fundraising, who asked me to take a look at their information to see if I might be eligible for assistance. I agreed. Once I received it, and understood that I would be literally getting charity, and that it required fundraising on my behalf, I knew right away it wasn’t for me. Three reasons really, the first and foremost being that I have the money, and until the day I do not, I will pay my own way.

The second reason is a bit more complicated, and by far more personal. Besides having a handicapped license plate – something I only gave in to about ten years ago – I do not consider myself handicapped. Or at least I try not to. I work. For how long I don’t know but ever since I became an amputee I pride myself in knowing that I have never collected a penny in government assistance. No workman’s comp, no disability, no nothing. This I do for me, not for bragging rights. Mere selfish pride.
But beware… Pride is one of the deadly sins.

All through the process, it seemed like everyone was advising me to “take the money and run”. Everyone from friends, to co-workers, and even the folks working at the prosthetic place pushed for me to accept financial help. So much so that it became confusing. In the end, I stayed my course.

This brings me to the third reason. Yes, I had the money, yet I could not stop thinking of the tens of thousands, perhaps more who do not. This weighed heavy on my mind and still does as I write this. Those folks have pride too, and I’d bet that many of them are too proud to ask for the help that they greatly need. While taking the money was never really even a consideration for me, I was left feeling empty and sad that there are so many in need who have no help, and her I was with no need and countless offers for help.

This experience was a crash course for me in how broken our healthcare system is. A crash course I am unlucky enough to have reinforced every six to seven years. No American should go without healthcare. The organization that offered to help me is called Help Hope Live, and they give away millions upon millions of dollars every year to folks who need it. Frankly, I find that disgusting… Not that they help people with so much money, but that so much money is needed just for people to have the healthcare they need. Organizations like this should not have to exist, but they do have to exist because our system is so broken.

Members of the U.S. Congress (Senate and House) get free healthcare, no co-pays, paid for by our tax dollars. Remember that. No American should go without the healthcare they need. No American should have to ask for charity because they cannot afford a procedure, or operation, or medicine. None of it. Pride and healthcare are both luxuries I can afford, yet one so many cannot.

The folks at the Prosthetic and Orthotic(sp) place I go to have my leg repaired regaled me with stories of folks who must go without because they are employed yet cannot afford healthcare and/or co-pays, while those on unemployment get a free ride. When it comes to healthcare – your own and that of the ones we love – we should all get a free ride. No one should have to sacrifice their pride or dignity, healthcare should be an inalienable right of all Americans.

As if illness is not scary enough, the price tag of being ill should not be.
Thank you for reading. Feel free to share.
 
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This seemingly innocuous little sentence sums up the problem.

"The folks at the Prosthetic and Orthotic(sp) place I go to have my leg repaired regaled me with stories of folks who must go without because they are employed yet cannot afford healthcare and/or co-pays, while those on unemployment get a free ride."

Obamacare killed the working little guy. Premiums skyrocketed as did deductibles. The middle class and the working poor are the people who got an unbearable burden put on them. The rich can afford the premiums and deductibles. The non working (or under the table working) people get free healthcare. They could care less about premiums or deductibles. Is that right? Undocumented aliens and those who can't or don't work get a free ride while Joe worker has to make decisions about what premiums and deductibles he can afford. He and his family are the only ones in the system who have to make decisions to go without. Thanks Obama. That shit just ain't right. But those little guys have no lobby. They fall through the cracks and there are multiple millions of them.

As for free for everyone, sounds great, but the costs are prohibitive the way this country works. There will always be unlimited demand for health products and services that help people with their health. That's why there are huge advances being made. Because insurers rarely say no to new drugs/procedures/technical equipment that come on the market. They just raise premiums. The whole system is at a breaking point but no one has a solution that makes everyone happy. British or Canadian healthcare would just not fly in America. If you want that model get prepared for limited healthcare and long waits even in critical care.

I do agree that there is no way that our representatives in the Government and even government workers should have any health coverage that doesn't fall at or below the mean plan for health coverage. That preferential treatment was also guaranteed through Obamacare. Let them eat stale bread like many of us.
 

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Great story Scott, thanks for sharing. I mostly agree with the guy, but there is no simple solution and everything costs money. Medicare, for example, as an unrecorded liability estimated to be 50 trillion dollars. Whatever the number is, it's huge, it's bigger than our recorded liabilities and neither of those numbers include unrecorded social security liabilities. As for the quality of Medicare coverage, everyone who can afford supplemental insurance buys supplemental insurance.

Furthermore, most people that had insurance in 2009 have worst insurance today.

points? Whatever the solution is, government run insurance and Medicare for all is NOT it. There's no utopian fix
 

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Mich/Willie thank you for your considered comments. About a year before the election I saw an interview with Chris Christie on CNBC. What he said about addressing entitlements was similar to Willie's post. Everyone's afraid to discuss tackling the truly difficult issues because it can cost you an election.
 

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System is NOT broken.

It is unfortunate for your friend, but healthcare in the USA is still the best, or at least among the very best in the world.

The problem is we have access to so much superior technology, so many effective medications, and it is all used extensively, maybe overused actually, and that drives up the total national tab, it is enormous. And we give free healthcare to those that simply go to an emergency room. And free healthcare to many illegals. Most civilized countries A) do not have near the amount of technology & meds we have or B) do not allow it as extensively through their government controlled healthcare (limited medication options, long waits for some procedures we get ASAP, etc).

Think of the Lou Gehrig movie, he was dying in the hospital, nothing in the room except a pitcher of water. Doctor stood there with a clipboard. No equipment, and there were <1% of the medications then that are available today. People died 15 years, 20 years earlier back then. People are being kept alive and that adds to the expense dramatically.

The USA pays the most per capita because we provide much more healthcare than anywhere else (again, maybe excessive and it needs to be more closely managed somehow), but this backfires, we are running out of money and people like your friend are in bad "seam in the zone". Sorry to hear.
 

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I wasn't going to say anything because I didn't want to appear to be a attention whore but
since we're taking health/care/insurence I'll chime in.

Medicare isn't very good. My wife and I pay more now than we did when we had insurance
through work.

As most of you know I had prostate cancer in 2006. Numerist tests and 9 weeks of treatment
amounted to a little less than a grand out of pocket.

Well I have been diagnosed with lung cancer which was confirmed. After numerist tests I'm
already over a grand out of pocket and I haven't even started treatment yet.

So when anyone touts medicare for all just walk away. It won't be free and and it will cost
you more than they would lead you to believe.
 

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With Medicare, you need a supplement, it will be about $250 a month premium, that should cover almost everything.

Again:
1) we have far and away the best system on the planet
2) costs have skyrocketed, even in the last decade, but certainly in the last 30 years, with all the incredible technology & life saving pharmaceuticals (keeping people alive till they are mid 80's unfortunately is problematic, extremely expensive, backfires)
3) costs are now out of control and more and more people will not get everything as needed...
 

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With Medicare, you need a supplement, it will be about $250 a month premium, that should cover almost everything.

Again:
1) we have far and away the best system on the planet
2) costs have skyrocketed, even in the last decade, but certainly in the last 30 years, with all the incredible technology & life saving pharmaceuticals (keeping people alive till they are mid 80's unfortunately is problematic, extremely expensive, backfires)
3) costs are now out of control and more and more people will not get everything as needed...
[FONT=Verdana,Tahoma,Arial,Calibri,Geneva,sans-serif]Your figure of $250 a month is a bit pricy and certainly not worth it. I've be on
Medicare for 7 years. If I had followed your advise I'd be $21,000 out of pocket.

I have no idea where I'm headed but if it turns out to be expensive as hell for
treatment and I can't get assistance from somewhere I'm prepared to just die.

I'm certainly not going to go bankrupt and leave my wife high and dry.

Maybe I'll go to Mexico and reenter as an illegal and get it paid for that way or
maybe I'll rent a P.O. Box in Cali and apply for assistance.
[/FONT]
 

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Your figure of $250 a month is a bit pricy and certainly not worth it. I've be on
Medicare for 7 years. If I had followed your advise I'd be $21,000 out of pocket.

I have no idea where I'm headed but if it turns out to be expensive as hell for
treatment and I can't get assistance from somewhere I'm prepared to just die.

I'm certainly not going to go bankrupt and leave my wife high and dry.

Maybe I'll go to Mexico and reenter as an illegal and get it paid for that way or
maybe I'll rent a P.O. Box in Cali and apply for assistance.

Dave Ocasio Cortez, has a nice ring to it

Best of luck my friend, treatment has improved dramatically over the years.
 

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Sorry to hear Dave. I wish you well and hope your doc caught it early.
 

Life's a bitch, then you die!
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Dave Ocasio Cortez, has a nice ring to it

Best of luck my friend, treatment has improved dramatically over the years.
:)

[FONT=Verdana,Tahoma,Arial,Calibri,Geneva,sans-serif]If I have to change my name so be it. I'll become a LINO. Whatever it takes.

I was referred to a pulmonologist before it was confirmed and when it was he started
talking thoracic surgeon and chemo and radiation and on and on. I had to tell him to
chill. Hell we don't even know what stage it's in yet.

I told him I was going to seek a 2nd opinion so he referred me to an oncologist.
I don't have an appointment yet but when I do I'm looking at immunotherapy.
If that isn't an option then I'll probably let mother nature run its course.

There a difference between existing and living. I not up for being sick as a dog
only to find out the treatment didn't work. And like I mentioned there is the cost factor.

It is what it is and I don't what it is yet. If nothing else it should be interesting.
[/FONT]
 
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Dave, I'm really sorry to hear of a lung cancer diagnosis. I fear the same may be coming for me someday. I smoked a ton and quit in 2010. They say the cancer can show up for 15 years out after quitting so I'm still 6 years from out of the woods. Frankly, I smoked so much I don't know how it hasn't surfaced yet.

Did you smoke? Had you quit? What were the symptoms?

I know you don't believe in this stuff, but I drop into a chapel in downtown Boston once or twice a week. I'll put you on my prayer list. Can't hurt, bro.
 

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Dave, the below is something Railbird posted in BuddyLou's pancreatic cancer thread, FWIW

-----------------------------------------------------------------------

https://www.youtube.com/watch?v=w-2TLG330iw
this guy saved my life, opdivo-yervoy combo . I had an inoperable brain tumor

its an immunotherapy, google and youtube jim Allison, he won a noble prize last yr for curing many cancers via immounotherapy. He should be a household name instead of these celebrity and athletes
 

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A Railbird is someone who sneaks up next to you and steals your chips off the Blackjack or Craps table when you're not looking.

His posting history reveals a highly combative nutbar, so caveat emptor.
 

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Dave, I'm really sorry to hear of a lung cancer diagnosis. I fear the same may be coming for me someday. I smoked a ton and quit in 2010. They say the cancer can show up for 15 years out after quitting so I'm still 6 years from out of the woods. Frankly, I smoked so much I don't know how it hasn't surfaced yet.

Did you smoke? Had you quit? What were the symptoms?

I know you don't believe in this stuff, but I drop into a chapel in downtown Boston once or twice a week. I'll put you on my prayer list. Can't hurt, bro.
[FONT=Verdana,Tahoma,Arial,Calibri,Geneva,sans-serif]Smoked a pack a day for 50+ years. Currently down to 6 a day.
It's a contributing factor but not hole reason. Family history,
your gene pool all play a part. They way it was explained to me
is one day a gene just decides to go haywire and bingo you have
cancer. The medical community doesn't know why, it just happens.

I don't have any symptoms so to speak. Coughing up blood, fatigue,
weight lose are some of the symptoms. My GP found it when she was
listening to my lungs. She said "your not getting enough air."

A CT scan showed abnormalities. A CAT scan with radiation revealed
nodules. A biopsy confirmed small lung cancer.

I'll know more after I see the oncologist.

And by the way I appreciate you talking to the Big Man on my behalf.
You're absolutely right it can't hurt. I'll take all the help I can get.
[/FONT]
 

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Dave,
I'm really sorry to read about this. I hope your treatment plan works and please stay strong and fight it with all you got.
 

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Dave,
I'm really sorry to read about this. I hope your treatment plan works and please stay strong and fight it with all you got.
[FONT=Verdana,Tahoma,Arial,Calibri,Geneva,sans-serif]Thanks Ace. Got an appointment for Monday. We'll see how it goes.[/FONT]
 

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