I am Obamacare.

Via Jeannie Page
on Mar 3, 2012
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Update: Obamacare fails to collapse. Time to move on, folks. (washingtonpost.com) 7 Million sign-ups, 9.5 million including previously insured have gained coverage.

At 37 years old, I am the healthiest and most fit I have ever been.

I practice yoga 4-5 days per week. I walk a minimum of 10 miles per week, up and down the hardcore hills of San Francisco. I eat a healthy, whole food diet and I drink at least eight glasses of water per day (as I have all of my life). I take my vitamins. I sleep for at least eight hours a night, I receive regular acupuncture treatments and I meditate regularly. As a result of this healthy and mindful lifestyle, I have very minimal stress and anxiety in my life. All told, I lead a very healthy and happy life.

So you perhaps can imagine my absolute shock when I received the letter from Blue Shield of California informing me that I had been rejected for health coverage due to pre-existing conditions. As a self-employed writer, my only option is to purchase a private, individual healthcare plan. This makes me among millions of other small business owners in the United States. Those of you who are accustomed to the comprehensive coverage that a corporate group plan provides (as I had been for the past 15 years), may not be aware of how high the costs are for individual plans, and of how poor their coverages are, even at high premiums. Although the plans were all pretty poor in terms of high premiums, high deductibles and high out-of-pocket costs, after months of researching, I settled for a plan that seemed like the most decent option for my budget. I was willing to pay for the best possible coverage that I could afford. I was not looking for a handout.

As this same company, Blue Shield of California, had insured me four years prior on a similar private plan, I was not at all concerned about being accepted for coverage. That made it all the more shocking when I did receive the rejection letter. For the purposes of full disclosure, I will share with you the relevant aspects of my health history:

When I was 25-years old, my doctor had ordered a diagnostic ultrasound as a result of a kidney infection that I had. During the ultrasound he inadvertently discovered a small cyst on one of my ovaries. Never having had any pain or symptoms of having this cyst, the doctor performed a routine laparoscopy to find out what it was. It turned out to be a small endometrial cyst, and it was at that time that I received the diagnosis of endometriosis, a female reproductive disorder that is shared by an estimated 176 million women the world over1, more than 6 million of those in the U.S.2

The good news was that the doctors had found the cyst before it had further developed into a full-blown and problematic case of endometriosis. The even better news was that this disorder was easily and routinely treated hormonally by being on continuous-dose birth control. Since that day, now over 10 years ago, I have continued to be successfully treated with a very inexpensive, generic form of birth control. In 10 years I have never once had a single symptom or incident associated with my endometriosis. The birth control has, for all intents and purposes, kept the endometriosis at bay.

Blue Shield of California insured me four years ago, knowing that I had endometriosis.

Fast forward 10 years. At the age of 35 I was diagnosed with a thyroid disorder, specifically hypothyroidism. My doctor advised me that thyroid disorders are extremely common and that 1 in 5 women will be diagnosed with a thyroid disorder in their lifetime. In talking with friends, I discovered that over five of the friends within my own circle also had a thyroid disorder, thus illustrating how common it in fact is. Like my endometriosis, my hypothyroidism is also easily treated with daily hormone therapy, in my case with another very inexpensive, generic drug called levothyroxine (brand name, Synthroid). For the past two years my thyroid disorder has been successfully maintained, without incident, with the daily dose of levothyroxine.

When I received my rejection letter from Blue Shield, it cited these two extremely common and non-serious pre-existing conditions as the reason why I was being denied coverage. I am still to this day flabbergasted by this. The statistics above speak for themselves. My conditions are clearly conditions that are shared by millions of others, so if I am being denied coverage, chances are millions of others are as well.

According to a government study, up to 50% of adults have at least 1 pre-existing condition.3

But what concerned me far more than myself in this scenario was, what of the millions of people who are suffering from far more serious conditions than I, conditions that need much more extensive and expensive treatment? What about the people with diabetes, cancer, HIV, etc., people whose lives depend on getting proper treatment? If these health insurance companies were rejecting me for having two very minor and easily treatable conditions, it breaks my heart to think about what is most likely happening to the millions of people who are in much more dire and critical need of healthcare. I suspect I know what is happening to those people, and chances are you do too, as we see stories on the news regularly: many of them are going bankrupt, they are losing their homes, and in many cases they are losing their lives. This is the sad state of health care in our country.

By Bernard Pollack (Flickr: LA: Highway to Healthcare, Baton Rouge), via Wikimedia Commons

Before I go on to tell you the happy outcome of my personal story, and why I feel that Obama has provided hope for this country, let me share with you some of my past experiences and perspectives. Day after day I watch in dismay as the healthcare debate wages on in this country. So many of our fellow citizens are terrified at the prospect of “Universal Healthcare,” and due to a very successful propaganda machine they have become convinced that it is evil. They are convinced that to have Universal Healthcare means to “God forbid end up like our Canadian neighbors.” First I feel compelled to tell you that I know dozens of Canadians living in the United States and they all continue to express to me their horror at the backwardness of our healthcare system. (All of my European, Latin American and Asian friends express exactly the same.) They have seen and experienced it from both sides, first hand, and when I ask them about the healthcare system in Canada (and other countries), while they admit it is not perfect and there are definitely problems, they tell me they feel it is a far more humane option than the American system; they believe that it is the humane duty of a compassionate society to provide at least basic healthcare for its citizens. On this I could not agree more.

My own views on Universal Healthcare began to form when I was 20 years old and spending my junior year living abroad in Spain. My own experiences of the Spanish healthcare system were nothing but positive and my American friends and I had many in depth and insightful debates with our Spanish friends about the pros and cons of their healthcare system versus ours. Like the Canadian system, the Spanish system is also not perfect, but from the Spanish perspective they viewed us Americans as somewhat barbaric and cruel for not providing the most basic healthcare for our citizens. As I myself continue to be, they too were appalled at the knowledge that American citizens could be bankrupt out of house and home (and in the worst cases out of their lives) at the expense of their healthcare costs. Having lived in and spent a lot of time working and traveling in both Europe and South America, I know many foreigners and I have yet to meet a single one who wishes they had our healthcare system versus theirs.

In fact it dawns on me as poignant to mention that the day I received the rejection letter from Blue Shield, I happened to be on a road trip with a good friend who is a Canadian, and who has lived and worked in the U.S. for 20 years as a healthcare executive. This guy knows the U.S. healthcare system inside and out, having worked for several major healthcare providers himself, and when I told him about my rejection letter he was furious and went on to tell me of all the problems he has seen inside U.S. healthcare and insurance companies. I will admit I am no expert on public policy, nor do I claim to be. But this friend of mine is exactly that, a U.S. healthcare executive and an expert on healthcare policy. So when he speaks on the topic, I know it is with authority. He went on to explain to me all that is wrong with our system and how it is flawed compared to the Canadian system, and the Universal Healthcare systems of virtually every other developed nation on the planet. I will not go down the rabbit hole of those specific details today, I’ll save that for the public policy experts.

My point in saying all of this above is not to say that the only solution is a free, Universal Healthcare system. That is not at all what I’m saying. I’m simply trying to stress that our current system is broken and is in desperate need of fixing, and like anything the real solution is probably somewhere in the middle. But to Obama’s credit, he is trying to fix it, and as I learned personally, I for one believe he is succeeding… little by little.

The day I received my rejection letter, I called my mother in distress, completely uncertain about what possible options I had left. I knew that Obama’s larger healthcare reforms were set to kick in in 2013 and beyond, and that those included provisions for citizens with pre-existing conditions, but that was still a year away. What would I do in the meantime? I was faced with the troubling eventuality that I may have no choice but to live without health coverage. This was a daunting proposition.

Flickr Creative Commons, by Intel Photos

Thankfully I have a mother who loves to research this sort of thing and she immediately began digging. And it is to her that I owe having found California’s Pre-Existing Condition Insurance Plan (PCIP), which is a new initiative enacted by Obama’s healthcare reform. This plan is specifically designed for people just like me; people who have, for various reasons, had to go without healthcare for the previous six months and who have subsequently been denied for healthcare due to a pre-existing condition. I couldn’t believe that this plan existed. It was exactly the safety-net that is needed for people like me who are now un-insurable due to the broken state of our healthcare system. Not only was I able to get coverage, but because I am now able to be part of a larger pool of insurees, this reduces the overall costs and allows in turn for much better coverage at lower negotiated rates. Afterall, this is exactly what Obama is aiming for with more universal coverage: larger pools of people that can provide greater leverage to negotiate rates with the insurance companies.

For those of you who may read this and falsely assume that I am somehow sucking off the system or taking advantage of a government program, I must be clear that this is not a government welfare program. We the insurees are largely paying for this plan and I will tell you that my monthly premium is $275/month (based on age and zip code) (this, incidentally, is higher than the premium of the plan from which I was rejected), and I still have a sizable deductible and co-insurance on top of that. This is no small amount of money. But as I said above, I was never looking for a handout. I was perfectly willing to pay my fair share for coverage… I was simply looking for someone who was willing to provide me that coverage.

Today I had my annual physical and the first doctor’s visit that I have been able to have in over a year; a year during which I had to run the very scary risk of being without healthcare. Today I am able to get back to complementing my already very healthy lifestyle with a preventive health and wellness routine. Today I owe a huge debt of gratitude to President Obama and all of the legislators who made this possible. And today I have hope for a nation, for millions of other uninsured and sick people who are in the same, and far worse positions than I was in.

So yes, today I am proud to say, “I am Obamacare.”

 To learn more about PCIP plans in your state, click here.

1. Source: http://endometriosis.org/
2. Source: http://www.endometriosisassn.org
3. Source: http://www.healthcare.gov/law/resources/reports/preexisting.htm


Update 10/6/2013:

Though I wrote this blog back in the spring of 2012, the content of the story is more relevant than ever in today’s political climate. I wanted to share with you the progression of my health coverage since that time:

I have now been covered by California’s Pre-Existing Condition Plan (PCIP) for well over a year, and I could not be more grateful for the coverage and for the peace of mind that has come with it. I have been able to stay on track with my preventative and maintenance health care routine and my health continues to thrive.

This past July, in preparation for the full roll-out of the Affordable Care Act, my California PCIP plan was rolled over to a federal transition plan, and from July through the present, I have been paying a slightly higher rate of $287—still a much better value and coverage level than the private Blue Shield plan that rejected me.

And as of this October 1st, I have now received the same letter of enrollment that all other uninsured and under-insured have received, advising us of the enrollment period to enter into the open marketplace provided by the Affordable Care Act; here in California it is called https://www.coveredca.com/.

Between now and December 31st, I will be doing all of the necessary research to determine which is the best plan for me, and as of January 1st, I will be thankful to be part of an even larger, and therefore more competitive, marketplace. And at the same time that I am enrolling, so too will another family member who is also self-employed and is currently paying extortionist rates through Cobra.

He too is thankful for the ability to enroll in the healthcare exchange.

For those of us who are self-employed and are responsible for our own healthcare, and even more so for those of us who carry the stigma of a pre-existing condition, we are more fortunate than ever to have the guarantee of coverage in a marketplace that, through sheer volume, will be forced to be more competitive, and humane, than ever before.

Now, let’s get back to work so we can get this show on the road.


About Jeannie Page

Jeannie Page is a reformed .com management professional who has made a dramatic shift in her life, a shift to follow her bliss and to get into alignment in order to be a force for good in the world. Martha Stewart’s Blogger of the Month in Whole Living Magazine, Jeannie is also the founder of The Yoga Diaries and also maintains her own blog The Awakened Life. Jeannie, and details about her current book project, can be found on Facebook here and on Twitter at @jeannienpage. Jeannie's Spanish Facebook page can be found here. Jeannie also previously served as the Spanish Language Editor for Elephant Journal. Click here for the Elephant Journal en Español Facebook page. ____________________________________________________________________________________________________ Jeannie Page es una profesional de gestión reformada quien ha hecho un gran cambio en su vida, un cambio para seguir a su felicidad, para entrar en la alineación y ser una fuerza del bien en el mundo. Ella mantiene un Blog a Despertando a la Vida. Jeannie, y detalles sobre su proyecto de libro actual, se pueden encontrar en Facebook aquí y en Twitter a @JeanniePageES. Jeannie también fue la Editora del Idioma Española para Elephant Journal. Haga clic aquí para la página de Facebook de Elephant Journal en Español.


65 Responses to “I am Obamacare.”

  1. Brian Culkin says:

    Although I think your post is admirable — you are so severely misinformed on matters such as contracts, economics, and an old concept people once called 'freedom'

    Barack Obama, like George Bush, is currently killing untold thousands through overt and covert warfare in the Middle East.

    And soon will invade Iran — and you want his same same government who kills without restraint to provide healing and health care for you?

    I get what you say about corporate insurance companies and I in no way support them either so I can be sympathetic to your disgust and mistrust of these monsters — but ObamaCare actually takes the problems of Blue Cross and magnifies them … 10x …. maybe 20x

    What we really need is to get back to local, organic, grass roots, community doctors … not the state run insanity of Obama or any other politician. left or right.

    Again …. putting this on the top page? This article is full of inconsistencies and falsehoods from top to bottom.

  2. Ozz says:

    Jeannie – there are some things I don't think you are considering. In fact, you've seem to have left out of your analysis a couple of the more important factors. For example, Big Pharma and the insurance companies lobbied like hell to get Obamacare passed. That's right – the same insurance industry that denied you coverage worked hand in glove with Obama to get this monster passed. Why do you suppose that is, hmmm? Have you given any thought to this apparent contradiction?

    Here's how this works: these companies are greedy – I mean, really greedy (like, they'd just as soon their clients die if it adds to their bottom line – you have seen the film 'The Corporation' right?) – and they know the best way to make money off of you – i.e. to guarantee long term visible of their revenue stream – is to do so in collusion with the State, which can after all force you to pay taxes, whereas insurance companies do not have police forces and court systems. So when it becomes law, we ALL have to pay – or go to jail. Insurance companies make bank, the government makes bank. Big Pharma makes bank, by exploiting a crisis THEY created. I've been around longer than you and I have seen this game play out over and over and over. Government and industry collude to create a 'crisis,' which is then used rhetorically to advocate for government to "solve" the crisis – but the funny thing is, the industry that's vilified in this process (in our case, the 'nefarious' insurance industry) somehow comes out after the government program is put into place making out like a bandit! Well, that's because they are. But wait – it seems in this happy scenario, everyone wins, right? I mean, insurance companies and Big Pharma, having dumped millions into lobbying for this bill, will make billions. Government gets to administer and control ever more aspects of our lives, which is it's raison d'etre, and you get your health care coverage. Wins all around right?

    OK, so here comes the big question that rarely gets asked (and is shouted down when it is asked, as is likely here) – a question you don't even touch on in your piece, yet which is the key to the whole thing:

    Who pays for it?

    This country is broke. We owe $15T in public debt – but if you actually factor in (as all legit accounting methods do) the unfunded liabilities (primarily Medicare and Social Security), estimates range from a real debt of $80T to $200T – and that's not including Obamacare! We don't have the money for Obamacare, which means the only option is to borrow it and pile on top of existing debt, which means that we're saddling future generations with the obligation not only to repay that debt, but the finance charges on top of it (so banks and foreign central banks that hold US Treasuries will be winners, too).

    This nation (and its citizenry) is addicted to debt, yet we seem to have forgotten what it is: debt is a claim on the future. That is, it's a financial obligation levied on the future.

    This means that all the players who are alive now (or at least of voting age) are the winners – while the losers losers are future generations not even born (or at least not yet of voting age) yet, so they can hardly defend themselves against such a transgenerational assault.

    Seriously, can you explain to me how grabbing for current benefits for ourselves and then forcing our kids and grandkids and so on to pay for those benefits fits into any sort of moral or ethical framework? I just can't see it.

    But wait – it gets worse!

    Remember another salient aspect of debt: INTEREST. So there is a built in assumption in this 'who pays' equation – since debt must be paid back with interest – that the future HAS TO BE bigger than today, economically speaking. Which means this whole scheme demands ever more consumption, ever more economic growth, which means ever more ecological degradation and exploitation of the same folks – the poor and 3rd world – that is already tipping the world into revolution.

    So now Obamacare – and all other such schemes – not only steal from the future, but they do so in a way that bakes into the cake social injustice, economic exploitation, and ecological degradation.

    This is not an opinion, it's a fact that derives quite simply from the reality of debt. So while Obamacare may appear to solve YOUR problem as you explain in great detail above – it does so at a pretty horrific cost, which analysis is absent from this article.

    I hope that clarifies things.

  3. Hi Jeannie,

    I'm trying to figure out my stance on this issue. Could you explain why you had a gap in coverage in the first place? Why did you have to apply anew for coverage? Did you try applying to other plans, and were younalsonrejected there? As a self employed writer myself, I was privately insured for many years, so I partly understand the challenge. Just trying to get the full picture!

    Thanks 🙂

  4. Ozz says:

    Couple of things left out of this analysis. First, Big Pharma and the insurance industry (yeah, the same one that denied you coverage) lobbied uber hard for this legislation. Have you wondered at the apparent contradiction? That's how it works: an industry and the feds collude to create a 'crisis' and then rake in the bucks after passing legislation which 'solves' the crisis. Seen it happen over and over and over again. I mean, it's the government that gave insurance companies the hold they have over health care in the first place by making it a tex deduction for BUSINESSES but not individuals. That's why it's so expensive for you.

    But who cares right? I mean, the insurance companies will make obscene profits, Big Pharma will make obscene profits, the government gets to administer yet more aspects of our personal lives, and you get your coverage. So it's a win all around right?

    Except all of this leaves out the big question: who pays for it?

    Well, there's $15T in public debt, but that doesn't count off-budget unfunded liabilities, and if we add those in (mostly Soc Sec and Medicare), we find that we as a nation owe between $80T and $200T (depending on whose math you use). In other words, the United Stats is insolvent. We can pay for Obamacare out of taxes (even if we raised rates dramatically) and so we will do what we always do: we'll borrow the money. We'll finance it with debt.

    After all, we're a society that is addicted to debt so to us this seems normal!

    Well, except there are two salient features of debt that you have not considered in the 'benefit analysis' above and which in fact are the core ethical issues:

    1. Debt is – by definition – a claim in future productivity – it is a financial obligation levies on future generations. Given the current level of debt ($80T – $200T) this means that the benefit you want wil need to be paid for by your kids and grandkids. So can you make a good argument as to how demanding that unborn people pay for your health care fits into any moral or ethical framework? I can't.

    2. Debt also includes INTEREST. This means that a debt based economy like ours DEMANDS that the future economy be MUCH BIGGER than today's. So not only are we demanding that future generations pay for our health care – but we're also insisting that they pay for the finance charges – necessarily by consuming more (since that's how growth occurs under our insane economic regime), and perpetuating the cycle of infinite growth on a finite planet, which means continued ecological degradation and continued exploitation of the world's poorest nations to keep our extractive economy growing.

    In other words, Obamacare is just one in a long line of programs that perpetuates ecological calamity and social injustice on a global basis. There is no honest ethical case that can be made for it, or for the other numerous programs already in place that are rapidly impoverishing and oppressing both the global poor in current times, as well as our kids and grandkids in the future who will be put in the position of having to continue to exploit their world to pay back debts WE chose to incur.

    Is this really so hard to understand?

  5. Ozz says:

    Couple of things left out of this analysis. First, Big Pharma and the insurance industry (yeah, the same one that denied you coverage) lobbied uber hard for this legislation. Have you wondered at the apparent contradiction? That's how it works: an industry and the feds collude to create a 'crisis' and then rake in the bucks after passing legislation which 'solves' the crisis. Seen it happen over and over and over again. I mean, it's the government that gave insurance companies the hold they have over health care in the first place by making it a tex deduction for BUSINESSES but not individuals. That's why it's so expensive for you.

    But who cares right? I mean, the insurance companies will make obscene profits, Big Pharma will make obscene profits, the government gets to administer yet more aspects of our personal lives, and you get your coverage. So it's a win all around right?

    Except all of this leaves out the big question: who pays for it?


  6. Chip says:

    @ Bethany – Jeannie clearly states that she went from working for someone else to becoming self-employed. The ” gap in coverage” was a result from having to switch from a company plan to an individual plan. That’s kind of the whole point of the article… that Blue Cross of California was aware of her previous condition while covering her earlier, before she was turned down for an individual policy. Question: did you bother to read the story before posting? I’m curious, because I don’t know how Jeannie could have been any more clear about her circumstances. I apologize for sounding a bit testy, but it’s starting to become clear to me how there can be so many undecided “Independent” voters in this country.

  7. yogi henry says:

    jeannie, sorry to be harsh…..your article sounds like propaganda to me. So many generalizations and quick conclusions. My wife recently retired from her corporate job and just got accepted from blue cross/ blue shield of illinois with 2 pre-existing conditions and one is the same as yours….she’s been on synthroid for over a decade….her premiums for 5 million dollars of lifetime coverage are about the same as yours…..approx. $250 a month….and she’s 59 years old!!! So perhaps there are other scenarios at work here? If we allowed insurance companies to compete across state lines maybe? How about your bc/bs of california rejecting you knowing that your insurance at pcip was guaranteed by the federal government? see ozz’s comments above. Finally, your endorsement of every other countries healthcare system being better than ours is over the top. Your example about Spain is over 17 years ago! What about now? Every day headlines and stories abound about the fiscal messes in Greece, Spain, Ireland, etc. See Ozz’s comments again please. Nothing is “free”….Yes, there are problems to be solved, yet portraying Obamacare as the universal solution is naive and just plain risky or perhaps wishful thinking. The market place will adjust to conditions and if the government does a horrible job of administering our health care system, a parallel or even worse, a black market for health services will pop up. Have you thought of that? Why is it that foreigners from all over the world come here for their health services? And if you have the disposable income you may even be one of those people that purchase your health care services outside the government mandated system. Only this time it will be on top of the regulatory premiums you will pay regardless if you use their services or not. Who knows? Maybe government run health care will work. I’m happy you got a resolution to your particular need. What’s in the other 50,000 pages of

    legislation? Do you know? Does anybody? That’s a big reason to call you on endorsing the whole Obamacare law based on your example which in my particular case just wasn’t the same negative outcome.

  8. Montana says:

    What do your didactic ramblings on debt clarify? The point of this story is that without the recent Healthcare Reform laws, Jeannie wouldn't have been allowed coverage due to a previous condition. Here's a question to you Ozz: what's your solution? You, and people like yourself, are so quick to vilify "Obamacare" (I have a hard time trying to argue with snarky people who don't have the courtesy and respect to call things by their actual names)… what's your answer? Where were you with your feigned outrage over the national debt over the eight years previous to Obama's administration? I don't recall anyone trying to pass any sort of meaningful health care reform since Clinton… except, of course, the unpaid for prescription drug plan by Bush. Is your answer that things should have been left as they were and the problems would have worked themselves out on their own? Who pays for it Ozz? Who pays for the millions of uninsured who go to the ER with sick kids because the regular doctors won't see them? Who pays for the millions of people who go undiagnosed with curable illnesses that could be treated? Who pays for the millions of people who don't get regular preventable care for sicknesses that turn into more serious maladies? I'll tell you who… ME and every other person who pays his/her taxes and pays for individual or corporate health insurance. If the Republicans hadn't done everything in their absolute power to stall and stop health care reform of ANY kind, maybe we would have a better plan than what came out of Washington, but we don't. This is a start and isn't meant to be the end of it. Did you ever stop to think that one of the reasons insurance companies were lobbying for reform was because it would be good for business to expand the poll of insured to include all of the young healthy people? How high would your auto insurance rates be if they just covered those who are accident prone, speeders, teenagers and the elderly? Insurance rates go down with the number of people covered paying into it.

  9. Hi Bethany,

    I lost my job in early 2011 and the cost of COBRA was prohibitive- it was more than $500 for an individual. So I went without. When I was no longer comfortable taking the risk, I applied for a private plan, and was immediately rejected. My friend who is an executive in health care advised me that if one healthcare company rejected me, then it was likely that the others would as well. That is the way things have been going these days. My doctor also advised me that the insurance companies are rejecting people for every little thing these days. And then I found the PCIP plan, for which I was automatically eligible (with better coverage) because I had been rejected. I applied for that and never looked back.

    I hope that helps!

  10. Hi Ozz,

    Thanks for your comments. You're obviously passionate and frustrated about this topic, which makes you the same as virtually every American. 🙂 Who pays for it? I'm paying for it. As I said this is not a free government program, not remotely a handout. I am paying a sizeable monthly premium of $275 (for an individual) and I have sizable deductible and out-of-pocket costs on top of that. All that the government has done is create a pool for people to become a part of, and because there are large numbers of people in that pool (as I said 50% of the public has a pre-existing condition) that gives the plan managers great leverage to negotiate rates with the insurance companies.

    Many of the people who are against Universal healthcare take that stance because they don't want to add to the deficit and tax burden. But this is not remotely a government welfare plan. It differs greatly from the European and Canadian plans in that sense. The individual plan holder is paying for this plan, not the government.

    Of course for me, as I come from a more European perspective, I would much rather see a higher tax burden overall (bearing in mind that we pay the lowest individual tax rate of any developed nation.) and see healthcare provided for all. That to me is the only humane society. But that's not what I'm talking about in this plan. The government has simply provided an option for people like me with pre-existing conditions, and by creating this very large pool of people, they are able to negotiate much better rates with the insurance companies. This makes it more affordable for all.

    As I said in my piece, I am not a healthcare policy analyst, nor do I wish to be. But I have read enough and talked to enough people who are experts to form my own opinion. And I am also speaking largely from my own experiences. I for one and grateful for this plan and I suspect that millions of others are as well.

  11. Hi Brian,

    I respect your opinions and I'm all for local, organic, grassroots. I truly believe that inevitably we need to get back towards a more Shamanic society. I have written about that here: http://www.elephantjournal.com/2011/08/chicken-li

    And while I think the world is eventually heading for that, I think we still have a long way to go. In the meantime I find myself in a position of having no option for healthcare other than the plan I have mentioned. As I do have pre-existing conditions that require regular check-ups, this is very important for my overall health and well-being (and yes I am very much into holistic health and alternative healing methods, but so far I have found nothing that treats my 2 conditions as well as western science).

    But how is my article inconsistent? I'm simply reporting my own experience and what happened to me about getting rejected for insurance due to a pre-existing condition and then being relieved to find coverage in Obama's PCIP plan. Those are the facts and the events as they occurred to me. The statistics I have presented are real as cited in the sources. The rest are simply my opinions based on my experiences living in Europe. Nothing inconsistent there. This was simply my story and I know there are millions other in the same position as me, being rejected for pre-existing conditions, I wanted people to be aware that there are other options for help.

  12. Hi Chip, thanks for trying to clarify. I did not state very explicitly (because I didn't think it was fully relevant) in my article how I had come to be without insurance, other than to state that I was self-employed, so I think Bethany was just trying to understand fully so she could apply any parallels to her own experience. I have responded to her with more details to clarify.

    And to clarify further, Blue Cross hadn't been the plan that I had with my previous job. I had purchased an individual plan through Blue Cross four years ago during a period of unemployment. Because they had insured me back then, knowing that I had the one condition, I didn't think there would be any problem with them insuring me this time around. But the insurance companies have largely clamped down on who they will insurance. During my doctor's visit yesterday, my doctor informed me that "everyone is getting rejected these days." She told me that she's even had patients get denied coverage due to having a history of cold sores! COLD SORES??!! This to me just highlights even more the need for reform, and in my opinion, based on my own positive experiences, I believe that Obama is on the right track. I know that 50% of the country will disagree with me, but then again that's the state of America, right?

  13. Hi Yogi Henry,

    Then it sounds to me like your wife was very fortunate. I guess the insurance companies in California are not being as generous as the ones in Illinois.

    I do see all of your points, for sure. I have no way of knowing what Blue Shield's motivations are for rejecting me, but I know that they did. And I know that if it weren't for Obama's PCIP plan, I would be without insurance right now and still taking a very big risk. So I am very relieved, and I suspect that millions more are in the same shoes as me.

    As for my experiences in Spain, you are right, that was years ago and many things are going wrong over there, but that's a much bigger global finance story. They aren't going broke simply because of their healthcare. I should ask my friends from Denmark, Sweden, the Netherlands, etc to respond to this one. They all have much more extensive healthcare programs than we do and they are by no means in the same position as Spain and the southern European countries. I could talk for hours about how that is related to being tied to the Euro, American financial markets, etc, etc. But that's not my point and that's a different rabbit hole all together.

    I only mentioned Spain to make the point that I had lived in a system with more universal coverage and my experiences were only positive. But I went on to comment to someone else above, that in talking about the PCIP plan, I'm not even comparing that to the Spanish system in terms of saying it should be a free, paid-for-by-government plan. The PCIP plan is being paid for by users like me. One reader commented on FB that for her to insure her family under PCIP in Maryland is cost-prohibitive, thousands of dollars/month. So this is by no means a free, government plan and I tried to make that very clear by being transparent about the costs that I pay.

    Everyone has their own views on this topic, obviously. The country is very divided on this issue, obviously. I can only speak to what I know and what I have experienced myself. And I do think there is strategic value in opening up this sort of plan to a wider pool of people so that there is greater bargaining power with the insurance companies. So I still stand by Obama on this one. There's no doubt that reform is needed and I personally think that Obama is on the right track.

    As for my piece being propaganda? I simply don't agree with that. I have simply told my story as it has occurred to me, and shared my opinions that have formulated based on those experiences.

  14. barbarapotter says:

    I just found out I need a knee replacement on my right knee (cannot walk on it now it is shot) and down the road most likely on my left which is damaged but not as bad. The right is urgent at this moment. I was with the corporate insurance since 1997 that my husband had until he retired in 2010 and we went on Cobra. I was self employed all those years and we were always on his plan. My Cobra expires in 3 months from now and I have to get surgery scheduled and all this done before that happens. All this time I never had anything major. Just an ultra sounds and recently a few MRI's. I pay $303.00 per month on Cobra for Blue/Cross Blue Shield of Florida even though we live in California. The corporation is headquartered in Florida. I called them and asked them if I could continue with the same company when the Cobra expires and not have any pre-existing conditions and they said that because I live in California it would have to be from them and because it is a different state I could not get continuous coverage. Strange. Especially because when my doctors here bill my insurance the bills are sent to Blue Cross of California so why is it not the same company? The back of my card says bill your local Blue Cross.

    I do have deductible and co-pay and co-insurance as well. I will not be eligible for Medicare and the other parts of that like my husband has until I turn 65 which is 16 months after my Cobra expires. I looked into that plan you talk about in California which means I will have to be without insurance for six months after it expires. I will also have to be turned down by the insurance company. I am not sure if they will turn me down or hit me with a very large premium that I cannot pay instead so that would leave me out of luck. I live on Social Security now and that would probably be more than I get each month. My head is spinning at the moment. I feel like the car that breaks down after the warranty runs out.

  15. Hi Barbara, sounds like a complicated situation. If you don't get turned down for private insurance then that is a GOOD thing! I only applied to the PCIP plan because I had no other option after getting rejected. I am thankful it's there as a safety net for people who are rejected, but I was perfectly willing and ready to pay Blue Cross for my own private plan. But they refused to cover me, so this is the option with which I was left.

    Good luck as you try to navigate a very tricky system!

  16. Lonnie L. Jones says:

    We supposedly have "free" and "universal" healthcare in Canada, but after a few recent experiences, it seems anything but free or universal. Yes, the government funds visits to doctors, specialists and covers surgeries, but often specialists and procedures are several hours away, and the cost of gas, meals and lodgings can get expensive if follow-up appointments are necessary.

  17. oz_ says:

    Jeannie, if you actually believe that Obamacare will not result in an obscene amount of government spending, then all I can say is: good luck to you. I don't think it is possible in such a case to have a productive discussion, because, no offense, but that would imply you are not willing to face reality.

    If you actually wish to understand the reality, you might begin with this GAO report:

    which details how Obama's administration has been handing out waivers left and right to avoid the large premium spikes that compliance would cause. The obvious implication: costs are going to skyrocket and no amount of self serving rhetoric on the part of participants will change that.

    Your $275/month plus deductible and OOP costs may seem large to you, but that's beside the point, I'm afraid,. The question is: will what you pay actually cover the services you receive? And we have very, very clear data about these sorts of program after all – all we have to do is to look at Medicare or any other government program that relies in part of participant contribution – NOT ONE pays for itself Jeannie – not a single one. You may have missed this piece of my initial post, but Medicare is one of the two major reasons why our debt is in fact not the $15T our politicians pretend it is, but somewhere between $80T and $200T. And yes I have talked to people on Medicare who insist that 'they pay their own way' via premiums, deductibles, and OOP. But, like you, they are mistaken.

    So I am sorry to say that this notion that you are paying for it is quite simply a delusion – though I'm sure it 'feels' true. I would challenge you to look and think more deeply about what I've said because this is not only about intellectual integrity – this is about ahimsa. What if I am right and you are in fact unwittingly advocating for a program which will harm your kids and grandkids? Seems worthy of more critical thinking than I've seen evidence of here.

    Make no mistake – in the end, the trillions spent will come from your (and my) kids and grandkids (although, I expect a currency crisis and economic collapse before that can happen due to recklessly irresponsible government borrowing for programs like Obamacare – it's nearly a mathematical certainty at this point). This is how the entire business operates, Jeannie. Taxes do not begin to cover outlays – nor do participant contributions. It's certainly seductive to be able to tell ourselves this is not true, but the fact it, it is true. We are committing transgenerational assaults on future generations on our own progeny.

    BTW, it may be worth stating that I stand neither on the right nor the left when it comes to politics, but on a different axis altogether. As strange as it may seem to most Americans, there are actually considerably more political philosophies that just those two poles. In fact, from where I stand, the two poles might as well be one – only minor differences in action exist, despite the vast difference in rhetoric.

    Oh, and it may also be worth stating that I have a chronic and potentially terminal condition and I have no health insurance, and that I will refuse Obamacare benefits because of the stand I have articulated above.

  18. As I mentioned in one of my other comments, I for one (and this is just my personal view) would rather see a much higher tax rate and at a minimum a basic level of healthcare provided to our citizens, more in line with the models of the social democracies of Europe. So no, I am not worried if it leads to higher government spending. Nothing is for free. We don't have our infrastructure, our social security, our police and fire services, our military, etc for free. It all comes from taxes and it's really a matter of what each one of us believes should be part of a humane society. My views clearly differ from yours and that is fine. I respect your views, but it sounds like you are not willing to respect mine.

    I am not saying that Obamacare will not cost money. I am fine with it costing money and I am fine with our entire nation paying a higher tax burden- as right now we are nowhere close to other civilized, developed nations. But what I was saying is that this particular plan about which I'm speaking, PCIP, is NOT funded solely, or even largely by the government. The plan members are paying a good portion of it ourselves. No, I know that $275 is not horrible for healthcare, but most people who have corporate plans (individual) pay under $100/month, or nothing at all. In my last corporate job I paid nothing for healthcare premiums, it was 100% covered by the employer. And with past employers, I've paid on average $60/month. So compared to that, yes, I am paying a higher burden to pay for my own plan. This is why I want to see a larger pool so that we can lower the overall costs.

    If you choose to refuse Obamacare benefits because of your own views, then that is your choice. It is a stubborn one, but it is yours. And I respect that. I for one am relieved to have the option to have this coverage, am happy to pay for it, and am happy that millions of other people with pre-existing conditions will also have access to this same plan. Going without health insurance can ultimately cost the entire system more money when we are not having routine, preventive care. But that's another debate that I am not going to argue.

  19. Carole says:

    Interesting post. The best book I have read for many years is Better – it was lent to me by a neigbour otherwise I would never have thought of it. http://caroleschatter.blogspot.co.nz/2011/11/bett

  20. Jeannie, I would like to begin by saying I admire you and your courage in venturing to speak your truth about this important issue. I think we can all agree that healthcare is an incredibly complex issue, particularly when you consider that we have a documented population of nearly 312 million people.

    Perusing the many comments placed here one thing is abundantly clear: many of the participants failed to take note of the fact that you made it abundantly clear from the outset that you are not a subject on healthcare – rather, you were writing anecdotally, from your own experience.

    In my opinion, the fundamental responsibilities of government are to insure the safety and security of its citizenry along with insuring they have the opportunity to attain an acceptable quality of life. To me there is nothing more important to attaining this goal than insuring access to quality health care and adequate education. End of story. And to say the United States has failed to attain those goals would be a gross understatement.

    As you know, I have lived in Argentina for the last 5+ years. This country of only 39 million people with an annual GDP of less than 400 billion dollars is somehow able to provide free medical care to anyone inside its borders irrespective of national origin, residency status, or status as a tourist who has only been off the plane for thirty seconds. Argentina also provides a free college education to anyone interested.

    And before anyone chimes in, I believe that the quality of medical care here is far superior to that if the USA. The educational system here for doctors should be the envy of the USA and many doctors here have studied abroad at well respected institutions such as the Mayo Clinic and John Hopkins. All the private doctors here are required to serve a certain amount of time in public hospitals so you basically end up getting a private hospital level of care within the public system. The only complaint I have heard here is that it might take an hour or two to be seen at a public hospital. Hell, people wait 10, 12, 14 hours or more in private hospitals with the best insurance available in the USA (I have had to wait upwards of about 12 hours myself, so I know this first hand). There are even people dying in waiting rooms and videos showing hospital staff merely stepping over them.

    Health care, in my opinion is the number one issue plaguing the USA today and quite frankly the lack of an adequate public healthcare system is a national embarassment. (I know I certainly have spent a lot of time the last 5 years trying to explain to Argentines, Brits, French, Canadians and the like why the greatest industrialized nation in the history of the world fails to provide for the health of its citizens.) It is an appalling situation.

    And sure, I am upset at the money spent on foreign policy (i.e. wars, covert and otherwise). And yes, I am sick to death of unfair lobbying practices by the medical, insurance and pharmaceutical industries. And sure, I am sickened at the though of national debt hitting the trillions.

    However, with all due respect – however heartfelt the posters here may be – none of that has anything to do with your article. Yours was a passionate piece exploring and sharing your own experiences and horror of having to wade through the failures of our national healthcare policy.

    The disconnect with the subsequent dialogue here is amazing. The fact that we have an aggressive foreign policy including wars, both covert and overt going back a couple of centuries has nothing to do with your inalienable rights to life, liberty and the pursuit of happiness – none of which would be remotely possible without adequate health. Killing someone with the left hand does not and will not ever justify letting someone wither and die at the denial of the right hand (healthcare).

    The only direct connection between healthcare and our policy of foreign aggression is that our foreign policy bleeds resources that would better be served to insure the quality of life for our own people at home. That is why piss ant little non-industrialized nations like Argentina are able to provide free healthcare and education for all – they are not spending all their money on global imperialism (or what I call killing brown people with oil).

    Adequate healthcare is not about our existing national debt. There is no obligation more vital to successful government moving into the 21st century than safety, security and health. End of story. And were we to cease all entitlements today, close all welfare programs immediately it would not be enough. It would not begin to put a dent into our current economic crisis (which anyone with half a brain should know is a global issue anyway – what happens in Greece with its current national debt crisis might very well destroy the way of life in much of Europe and have catastrophic effect in the USA).

    The problem in the USA is not a lack of money, of funding or even of national debt. We can manipulate debt as all industrialized nations have been doing for decades. The problem is the distribution of the money in the USA. Like it or not, want to accept it or not, economic circumstances demand a return to more equity within taxation and overall distribution of wealth in the USA.

    And we are not talking about something new or radical here. We are talking about returning to systems, mechanisms and standards that were supported by Ronald Reagan himself – meaning we are only wanting to go back to the 80s.

    And all the leading Republican economists going back to many who worked for Reagan are all telling us that tax cuts failed.

    Anyway, thanks for the wonderful and insightful article. And bottom line, you were simply telling your story, your truth, about your own experiences with the horrors of healthcare and how Obama’s new systems may have literally saved your life and have certainly made adquate insurance (healthcare) available to you and to the many thousands, possibly millions of others who find themselves in similar circumstances.

    I really with that the national dialogue could shift from people trying to bicker and to attack anyone bold enough to speak his or her mind……… that it would shift out of that realm and into the land of solutions. For the more we focus on the problem the greater it seems and the more attention we pay to the solution the stronger it becomes.

  21. Brian Culkin says:

    Hey Jeannie–

    Yes– my last line was harsh. And I in no way infer that your personal story was 'inconsistent or false'

    My point is simply that a society is based on contracts. And if you look at that as the underpinning of any argument for centrally planned system — it is inconsistent and false.

    Barack Obama has the former Monsanto lawyer as the FDA head and I can assure you that the people who would benefit the most from 'Obamacare' are the largest, worst playing insurance companies.

    Again– I sympathize with your points and I want to see the same thing as you .. people healing, people living healthy, people being treated with respect, etc, etc.

    And this is just my opinion and I am more than willing to admit I don't know all the facts, etc..

    I re-read your piece and I enjoyed your writing style and I totallllly get where you are coming from.

    When I saw the title "I am Obamacare" I nearly fainted though … props to you for such a daring title

  22. Brian Culkin says:

    You wrote: "I respect your opinions and I'm all for local, organic, grassroots. I truly believe that inevitably we need to get back towards a more Shamanic society. I have written about that here"

    I can think of nothing more unshamanic in the history of planet earth than a centrally planned medical healing bureaucracy in Washington D.C.

    Just sayin….

  23. oz_ says:

    Jeannie, it's not that I do not respect your views – it is that I am not willing to go along when non-facts are portrayed as facts, and when fantasy is invoked in place of reality, and that is what continues to happen in this discussion. I am sorry if what I've written comes across as disrespectful to you – I assure you that has not been my intent.

    The facts are that – despite your assertion that "It all comes from taxes" – most of this money most assuredly and demonstrably does NOT come from taxes – that is what the very term 'deficit' means, after all. If our taxes paid for everything, then that usage of this word would not even be familiar to us! It is a FACT that tax receipts pay for only about half of the budget every year, and the rest – is incurred as debt, via borrowing, accomplished by selling US Treasuries, and in fact this constant borrowing is why the debt continues to increase year after year. These are readily ascertainable facts. You seem to not be willing to acknowledge this, and yet the argument you are trying to make is incomplete without consideration of these facts.

    This debt-based financing in fact constitutes money borrowed from future generations in a way that demands a future in which additional economic growth (and attendant ecological decimation and social exploitation) has been mandated by our current choices. So the argument you are making boils down to: it is ethically OK for us to consume benefits and force future generations to pay for them. I know you don't 'see' it this way, and I certainly do not think you are being dishonest in this regard, but please understand that just because you don't 'see' something a certain way does not mean it is not that way in reality.

    There is little wiggle room here – it is a logical impossibility to argue that massive government spending and the debt that has resulted – and BTW I am even more opposed to the percentage of that coming from military spending than from corporate welfare programs like Obamacare which at least have SOME redeeming effects – does not constitute trans-generational tyranny. This is one of our culture's dirty little secrets. I appreciate that it's hard to face up to, but I don't think ignoring and dismissing and pretending it away allows for sound policy decisions to be made.

    But of course I have pointed out these basic facts already, so unfortunately, I do not feel like you are able to hear me, or to acknowledge the facts I have offered. That's too bad because there really are a lot more nuances and complexities to this issue than you have considered, based on your responses so far. For that reason, I suspect our debate is at an impasse.

  24. William E. says:

    I was hesitant to post this after reading the comment from Mr. Warde, as I agree with so many of his points, but, here is my take.

    From reading the comments to this post, it seems that the commenter's want to discuss many different topics.

    Perhaps you want to discus Americas wars of aggression in the middle east. This is a very important topic, and it needs to be discussed, but it's not about health care.

    Maybe you want to talk about how through government run programs, we are bankrupting our country, and putting an undue burden on future generations. This is a crucial issue, but it's not about health care.

    If you want to go over how government is hand in hand with the insurance companies and big pharma, and in the end it is they who benefit, no the people who need it most. We can argue this point, and though it may be closer to the topic of Jeannie's post, it's still not about health care.

    If you want to talk about how other countries are able to provide for their citizens health, where America in the past has not. While that is an interesting topic, AND it is about health care, to my mind it's beside the point.

    Here, to me, is the point, and here is what I would ask you.

    Do you believe that America, as a country should insure that all of it's citizens have a base level of health care coverage that they can rely on, and not be denied access to? If you say yes, you do agree with that, great. If you then say that you don't think Obamacare is the right road to do that, fine. You have a voice, you have a vote, and you are reading this you have access to the Internet, so start a movement to change the health care laws into something better. Our country will be better for your active participation.

    If you instead say that you do not believe that America has any need to insure health care for all of it's citizens, that the government should stay out of it and let the private sector handle it, than that to is your opinion, and if you want that changed, then change it.

    Whatever you want to discuss, argue the point on it's merits, be civil, and stay on the topic that was brought up.

  25. paul says:

    There are so many unsourced and unacknowledged generalizations in the comments it's hard to know where to start, but I'll add my own anyways. I've read that Medicare is 5% bureaucracy, while most insurance companies are 20% or more. So why, if a company could cut a cost in half, would they decline to do so? My best guess is that the real insiders and power brokers have their own interests tied into the success of the current system, supported by a philosophical stance against being controlled from afar. (A system that confuses drug makers and drug/medical innovation, the insurance of health providers and of the sick, and of course the worst confusion: people for money.)
    No country will be able to compete without universal health care/medicare for all, without killing people on a large scale. (Again, what are the expected returns on our wars?) And to just say "debt" obscures all unmetricable things that add to to that "debt" like how a country of sick people paying multiples more than every other country else is going to survive.
    A commenter above claims to be on a different axis altogether. I think the axis should be taken off the "what does it cost" and put on the "yes life does has value" axis. Reforming our prison-drug complex (by rehab and legalization not punishment, aka treating people like they might be adults), we reduce cycles of poverty and abuse, but it takes time, but more to the point it takes money from one industry and puts it in another- from the gatekeepers to healers. (Yes, gatekeepers are essential, I just think they get far too much of the resources). It seems obvious to me that people are more innovative, productive, etc. when they are healthy. Doesn't economic health depend entirely on people's health?
    I think that as conversations get more transparent, a clear and correct direction does come about, so thanks.

  26. Really insightful comments, Paul. I especially loved, "Doesn't economic health depend entirely on people's health." Excellent point.

    Thanks so much for sharing your views.

  27. paul says:

    Quite welcome, I'm glad you found something amongst the bad grammar- oy.
    Here is some reference for the above, so many memories from 2009 when it was a healthcare bill (not "Obamacare"), and when single payer could barely get in the door let alone on the table.

    The 5%/20 % came I think from the II.2 and II.3 studies of http://healthcarereform.procon.org/view.resource…. which is a very clear expression of this admin-fee argument, which certainly doesn't tell a complete story, but does tell an important one about where healing-centered health care might be.
    A 2006 study says Medicare administrative costs will be 1.6% by 2025, http://www.cahi.org/cahi_contents/resources/pdf/C
    Another from 2003 says, "administration consumes 31% of US health spending, double the proportion of Canada (16.7%). Average overhead among private US insurers was 11.7%, compared with 1.3% for Canada’s single-payer system and 3.6% for Medicare" http://www.pnhp.org/single_payer_resources/admini

    As for customer satisfaction, http://motherjones.com/mojo/2009/05/private-healt… discusses http://www.commonwealthfund.org/News/News-Release… titled Elderly Medicare Beneficiaries Give Their Coverage Higher Ratings Than Do Those With Employer Sponsored Insurance.

    Physicians for a National Health Program has some great collections of research, http://www.pnhp.org/resources/pnhp-research-the-c

    here's a few more from them:
    Illness, medical bills linked to nearly two-thirds of bankruptcies: Harvard study http://www.pnhp.org/news/2009/june/illness_medica

    Summaries of some studies supporting the cost-savings of single-payer http://www.pnhp.org/facts/single_payer_system_cos

    Then there's http://www.gao.gov/browse/topic/Health_Care but I can barely get past the titles 🙂

    There was a bill to create a public option, that the CBO said would saves $68 Billion from 2014 through 2020, http://www.stark.house.gov/index.php?option=com_c… but it has gone nowhere. There was a single payer bill in 2009 (Conyer's HR 676) that would've been scored by the CBO but was withdrawn (by Weiner), so never got a number, but Conyer is going to reintroduce it, so yay.

    A fun morning for me I guess, I hope "Yes We Skim!" replaces "Winning the Future" 🙂

  28. Wow, I recognize that that took an immense amount of energy.. Thank you so much for sharing all these valuable resources. Excellent information.

  29. Montana, thanks so much for sharing your perspectives. All excellent points, especially agree with the very simple and yet entirely relevant metaphor to auto insurance. It is simply true. The more people that are in the coverage pool, the more affordable it all becomes: that is the whole point. Thanks so much for sharing.

  30. Mark Ledbetter says:

    Some of the participants here seem to feel this discussion is getting a bit off track or overheated. For me, this has been an incredibly informative and civil discussion on all sides, from top to bottom. I went ahead and gave a thumbs up to every single post.

    A couple of thoughts…

    Financial collapse will be REALLY bad for the health of the nation's people. What if China and Japan decide they can't afford to buy our debt anymore?

    Why is health care so expensive? Big Pharma in bed with govt is one reason, as Ozz/Brian point out. Another is the govt-sponsored cartelization of the health industry by the AMA so many years ago. The AMA, according to one libertarian analyst, is the most powerful labor union in America, to our detriment. The second most powerful, I suspect, is the Am. Bar Association. Together, and with the help of govt-business collusion, they have sent costs through the ceiling. THAT may be the reason private insurance costs so much and why they have to be so strict about who they will sell coverage to.

  31. Thanks for sharing your thoughts Mark! Lots of good food for thought.

  32. Mark Ledbetter says:

    Ok, I’m way out of my league here. But, let’s consider cartelization of medical care by the AMA, and meds themselves by pharmaceutical companies.

    Cartelization means legally limiting entry into a field to the benefit of those already working there, but at the cost of higher prices and lower quality. Ozz and Brian have mentioned meds. Let’s consider workers.

    Cartelization limits the number of doctors that med schools can graduate. Supply and demand. Costs go up; service goes down. Small towns and inner cities are sometimes left with no doctors at all.

    Cartelization limits the procedures that non-doctors can perform. So you have to pay high prices for a doctor even when you shouldn’t actually need one.

  33. Mark Ledbetter says:

    Two examples.

    Mid-wives. A few states still allow them and have not seen higher mortality rates. Imagine two maternity wards. One has ten expensively trained and paid doctors. The other has two doctors and eight relatively cheaply trained and paid midwives. Guess which hospital will offer cheaper service.

    Bone-setters. This is a job that can be done well by relatively cheaply trained and paid technicians. Here in Japan, I see signs for bone-setters all over the place. They don’t seem to be doctors. And I haven’t heard of any particular problems arising from this.

    Do any other possibilities for technicians taking over certain roles occur to the readers of Ele?

    Anyway, financial collapse is bad for most people's health. Very bad. And govt programs inevitably push us towards financial collapse. Why not consider lowering costs by letting the market work? We haven't really done that for about a century. If we had a market in medicine, I bet Jeannie could have found a good insurance policy.

  34. yogi henry says:

    jeannie, you said;
    “As for my piece being propaganda? I simply don’t agree with that. I have simply told my story as it has occurred to me, and shared my opinions that have formulated based on those experiences.”

    Your title; “I am Obamacare”is a blanket statement implying endorsement of the entire Affordable Care Act of 2010. It’s also a play on the commercially slick ad campaign of several years past; “I am Tiger Woods”…do you think those making those ads feel the same way now? I doubt it.
    Your article deals with a very specific part of the Affordable Care Act of 2010 namely the PCIP. California is one of about 20 states that participates. It’s also set to expire in 2014. From the http://www.pcip.ca.gov website:
    “The federally-funded program is called the California Pre-Existing Condition Insurance Plan (PCIP)” It’s federally funded; meaning it’s similar to Freddie Mac and Fannie Mae…..how did those government programs work out? Who pays for the overruns in cost? who pays for the mismanagement? (clue: all the taxpayers..not just Californians for California overruns.) And it gets worse when it comes to collecting monies both premiums, costs, and penalties directly from the citizenry.
    quote: “H.R. 3590 gives the federal government specific access to individual bank accounts and medical records as provided by that individuals health plan. The government may monitor an individuals finances and medical records electronically, for the purposes of determining an individuals eligibility for certain programs under the bill. They may also monitor an individuals finances and medical records to ascertain whether that individual has health insurance and is making regular premium payments to an approved health insurance plan; this will allow the federal government to determine each individuals financial responsibilities with respect to penalties and fees prior to or at the point of care as outlined in the bill. This clause also gives the government the ability to transfer funds electronically to or from an individuals bank account for the purposes of debiting his/her account for fees and penalties.”
    I find this scary and unacceptable. Also, the great number of waivers from the program itself has been granted to over 1500 companies and includes those that legislated the bill.
    Don’t you find that odd? I’m just an ordinary citizen and I’m not granted a waiver or the choice to choose. Sound fair to you? Forgive me if I don’t jump up and down in wild support.
    So….because your article gave a limited example and used generalizations and unsupported opinions and exaggerations to endorse a much broader,complex piece of legislation,that is indeed by definition PROPAGANDA.

    H.R. 3590: Patient Protection and Affordable Care Act, Pages 58-77

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  42. William says:

    If only our (US) problems were as minimal as yours.

  43. edspyhill09 says:

    How to pay for things like the ACA. Hmmm, let's see – cut military spending by at least 50%; stop being the policeman of world conflicts; repeal subsidies paid to oil companies; repeal farm aid paid to agribusiness; get rid of all corporate tax loopholes; tax foreign profits; put a tariff on all products made outside America (just that will jumpstart American manufacturing… I bet you can think a few more.

  44. edspyhill09 says:

    Why is the German Healthcare system completely ignored? Because it is what the ACA was supposed to be initially. Nobody ever said the Canadian healthcare system was the ideal, except for republicans and tea potters. The same goes for the UK, which is the only truly socialist system out there that is completely owned by the government – notably my co-workers in the UK never complain about their healthcare system and are incredulous when informed about the American healthcare solution. Nothing is free – you all contribute to the pooled risk system.

  45. ann says:

    amen and halleluja.

  46. Daniela says:

    In 2009 the 1st part of Obama care was pushed thru and activated immediately. It was for PECs and banned insurance companies to deny coverage in all states and in all plans. If you remember, your premiums increased and you received a yearly letter explaining the increase was due to the PEC law. The author does not address this.. Has the author received increased premiums and deductibles? Many on blue cross have as many nationwide have too…

  47. kim says:

    I commend you on your lifestyle, and your commitment to good health. That said, I hope you will listen to my opinion, which is based on tons of research. The Affordable Care Act (Obamacare) will prove, for most people, to be UNaffordable, and UNcaring. It is all an ACT. The name is completely misleading. What this program will accomplish is it will eliminate (gut) all medical services for low-income and poor, by eliminating funding for free clinics and state medicaid programs. It will force people to pay that have no money. It will put otherwise law abiding and responsible people in jeapordy , by penalizing them for non compliance. It will strengthen the horrible power of existing insurance monopolies (where only a fraction of members’ premiums collected are actually paid out to doctors or hospitals, and the rest is distributed to those at the top). It will give large corporations an out as far as providing deserved medical benefits (we are already seeing the deliberate reduction of hours in order to keep employees just under full-time). It will financially encumber members with future debt in every case. It will create a stratificaton of the quality of medical services so devastating as to be the worst our nation has ever known, FOR those signed on to the Obamacare program. It has many aspects that are frighteningly hidden among those many pages, that have honest lawyers screaming their heads off. It is just as bad, and even worse, than the existing cruel system we have now. A true single-payer option, and eliminating private medical insurance completely, is the only reasonable way to reform our nation’s medical system. If I may add one more thing… The medications you take are not free of serious side-effects, especially when taken long term. I assume that they are taking into account that they fully expect you to acquire the diseases and conditions associated with taking these drugs. They are likely forecasting such things as relapse, cancer, liver failure etc, when they look at your medical history (that is their job). Right now you are fine, but statistically they know the risks you are taking along with the drugs, though their marriage with big pharma will not permit them to reveal this reason to you. Hold out for a whole new system that is fair for all. Hold out for, and demand, single-payer.

  48. Kathleen says:

    This is a complicated issue, but one that I hope everyone will continue to work on. I am from Canada, and have been a student in your country for the last two years, and am now a working professional. I want to say that I never felt anxiety going to see the doctor in Canada beyond the specific health concern that was prompting my visit. I always felt assured that I would be treated for whatever ailed me, and wouldn’t be out-of-pocket too much, save potential prescriptions. I can’t stress to you enough the amount of anxiety that rises up in me when I visit a doctor in the US. I am always concerned about the cost, or if I will be able to get treatment. Sure, part of this is unfamiliarity with your system, but it’s also due to co-pays and limitations on care. It’s a very strange feeling! And now that I am working, and am paying almost as much tax as I did in Canada, I am flabbergasted as to what my taxes here are paying for? Don’t get me wrong, I feel honored and lucky to be able to study and work here. I’m just commenting on the differences I feel. I do think that in terms of our health, there is so much to be concerned about just to be well, that the added pressure of expense is tremendously sad, especially as there are ways to relieve it. I hope that change comes soon. Thank you for sharing your experiences!

  49. Barbara says:

    I have a pre existing condition. I had stage 3 cancer not that long ago, 8 years. I have wonderful insurance now with great coverage. No problems with them what so ever. Now if I had to rely on Obama Care with my pre existing condition, I'd be scared to death.

  50. James Fraser says:

    I shared your article on FaceBook with my personal comment:

    If you oppose Obamacare…please take the time to read this. I lost my health insurance in 2000 when my employer went bankrupt. No one would insure me due to pre existing conditions, until my health deteriorated to the point that I qualified for SS Disability. When you are approved for Disability, normally you must wait TWO YEARS before you can get Medicare (how does this make sense?), but I was becoming so sick that my Congressional Reprsentative- Mazie Hirono- interceded on my behalf….otherwise I would still be waiting…or DOA…