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Posts Tagged ‘ACA’

Stripping away the mandate for people to purchase healthcare, chopping healthcare down to the bare bones of a “skinny” bill that would have thrown millions off Medicaid, with a simple assurance of replacing the ACA in the future, was unacceptable to three Republican senators. And thank the Lordie for that!

Now we can return to our summer fun with a side-eye on politics, waiting for this administration – and NOT our healthcare – to implode. If you’re in the market for a good beach/lake/pool read, here’s what’s on my revolving nightstand (a bookcase in the form of a table).

I just finished reading one of Parnassus Bookstore’s Special Editions, “Do Not Become Alarmed,” by Maile Meloy. It’s a thriller, with three families on a cruise ship to South America when their children are suddenly swept away by a tide during a botched shore excursion. I approached this read half-heartedly since I didn’t need to be depressed in my fictional life, but I was swept away by the prose. Full disclosure, I didn’t finish the book at night since I was afraid it would have left me sleepless!

I’ve joined a virtual book club that has another Nashville connection. I adore Reese Witherspoon, probably because I can see her playing the Flapper in the movie version of The Novel, and she just started her own book club on Twitter: https://twitter.com/RWBookClub  She gave her followers three choices, and the winner is  “The Alice Network,” by Kate Quinn. The year is 1947 and although I’ve only just started, I’m in love with the main character. Based on the true resistance network of brave women and men who had gone behind Nazi lines in France, I’m anticipating a wonderful ride.

Teed up and ready to read are two more books: J Courtney Sullivan’s “Saints for All Occasions,” and “Hunger,” by Roxane Gay.

Who wouldn’t love Sullivan’s exploration of family and faith? I read her novel, “Maine” months ago and it had the ring of truth to this lapsed Catholic. Here is what Ron Charles at the Washington Post had to say about “The year’s best book” – “Saints for All Occasions:”

“This family has a way of forgetting what it doesn’t want to know,” Sullivan writes, and Nora depends desperately on that common predilection. “She wondered how much longer she could keep up the lie, even as she understood that she had committed herself to it for life.” The most fascinating element of the story is watching a daring act of deception coalesce into the solid-seeming shape of history.    https://www.washingtonpost.com/entertainment/books/j-courtney-sullivans-saints-for-all-occasions-is-this-years-best-book-about-family/2017/05/08/3a57acd8-30ca-11e7-9534-00e4656c22aa_story.html?utm_term=.d32d5c3a3b0f

And getting skinny is somehow not on and always on the mind of memoirist Roxane Gay. In “Hunger,” another First Edition’s pick, she chronicles her childhood rape and her reaction to that trauma by overeating. In her own words: “I grew up in this world where fat phobia is pervasive,” she says. “And I just thought, ‘Well, boys don’t like fat girls, so if I’m fat, they won’t want me and they won’t hurt me again.’ But more than that, I really wanted to just be bigger so that I could fight harder.”

Whether you get your books in the mail from Nashville, download them on your tablet, or visit your local bookstore or library, you may want to peruse the Man Booker Prize long list: http://themanbookerprize.com/news/man-booker-prize-2017-longlist-announced

And if you are lucky, you may light upon a free book in a public place. Yes, I did say free so keep your eyes peeled! The talented Emma Watson is an official book fairy, but you could sign up to deliver books too! All you have to do is clap your hands, and visit their site, truly. http://ibelieveinbookfairies.com/

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Today Republicans will be voting on healthcare. Apart from a last ditch effort to blame their inability to “repeal” OR “replace” the ACA on Democrats, at least one Congressman from Texas believes the gridlock is a “repugnant” result of his female colleagues.

“Some of the people that are opposed to this, they’re some female senators from the North East… If it was ‘a guy from south Texas’ who was generating so much discord in the party, I would ask them to settle their differences in a gun fight,”  Blake Farenthold said. One woman senator is from Alaska, but I guess if you count West Virginia with Maine that makes it 2 -1

So it’s High Noon on the Hill?

While it is true that three GOP women profess they will not vote on any bill they haven’t seen or don’t understand, they may also be slightly peeved that they were excluded from the bargaining table in an infamous photo of an all men panel. Or maybe their reticence indicates a deeper truth – that women and children will suffer if Medicaid is cut:

“According to the Kaiser Family Foundation, about half of all births are now paid for by Medicaid, ranging from 72 percent in New Mexico in 2015 to 27 percent in New Hampshire.” Oh, and it also pays for about 62% of all nursing home residents, most of whom are women. So the party who calls itself the party for LIFE, would like to cut the life line of those women most in need of health insurance.

In fact, all their so-called “crisis pregnancy centers” will most likely have to close. The irony of it all…and since Planned Parenthood is under attack, your guess is as good as mine as to where our country will fall on the world’s Maternal Mortality Rates. Oh wait,

U.S. women are more likely to die during childbirth than women in any other developed country, leading the U.S. to be ranked 33rd among 179 countries on the health and well-being of women and children. Women in the U.S. face a 1-in-1,800 risk for maternal death, the worst among the developed nations surveyed in Save the Children’s 16th annual State of the World’s Mothers report http://www.modernhealthcare.com/article/20150506/NEWS/150509941

In 1979 when the Bride was born, the entire hospital bill was $2,600. That included a day in the NICU, which I’d rather not explain since I’m sure that doctor would not like my story. We paid for that bill ourselves because we didn’t have insurance at the time. Due to an ancient and unheard of practice, all my pre-natal visits were free, ie “professional courtesy.” Today, the cost for a C-section (I had a breech birth) is most likely tens of thousands of dollars!

Sen McCain will be returning to vote on some form of a healthcare bill that would affect up to 69 million Medicaid patients – there was an increase in 11 million after the ACA passed. This means 15 million people may lose coverage by 2026. It would have a devastating effect on women, on the elderly and disabled, and patients undergoing opioid addiction services. Is that what the heartland wanted when they elected Mr T? http://www.npr.org/sections/health-shots/2017/06/27/534436521/from-birth-to-death-medicaid-affects-the-lives-of-millions

I’d like to think that just like Gary Cooper, who played the marshal in High Noon, McCain will stand alone and face down evil. He will exhibit compassion by doing the right thing. The producers of the iconic western in 1952 were being pressured by McCarthy’s Red-baiting fears to fire the writer and blacklist Carl Foreman, who was Cooper’s friend. John Wayne was leading the charge against Foreman when Gary Cooper said, “If Foreman goes, Cooper goes.”

“They’re making me run, I’ve never run from anybody before,” Marshal Will Kane said to the neophyte Grace Kelly.

Today is the day to get up and move, to call your senators people. Here are my grandchildren under a wishing tree; what will these senators tell their grandchildren?

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You’ve all seen them while running through an airport. The giant ads – no, not the picture of the Parlor Mob at JFK – pictures of doctors in white coats, smiling in front of computers. Why wait for hours at your local Emergency Department? Can’t get an appointment with your actual doctor for months? Maybe you’re too sick to drive, and just too busy to take an Uber to an Urgent Care?

Well, the Virtual Doctor is in!

The first time I saw my very own Dr McDreamy at UVA I was slightly disappointed. Like many women, I had never had a primary internal medicine doctor before…ObGyns sure, and specialists to repair meniscus tears etc. Whenever something was seriously wrong, I always had Bob to remind me this was just a virus and it would get better with time. But a real doctor, this was something new to me.

Let’s go over the best parts first: the waiting room was almost empty; he was on time; his nurse was efficient, I was blessed with some very good genes so my medication list is mostly vitamins; his resident asked all the right questions; and finally, when I saw the doctor, he sat and talked with me for a very long time. I was in love!

And now for the not so good parts: I had to drive 40 minutes to park in a gigantic cement parking garage I would later get lost in; the walk to his office was well over a mile; and the worst part of all, he never actually touched me. I never got undressed and jumped onto an exam table clinging to a paper robe. No physical exam…I left his office with appointments for tests like blood work and a mammogram.

Let’s skip ahead to that week between my fall off the steps in Nashville, and our trip to the South of France. I called my Primary Care doctor and he was away and they couldn’t fit me in. I called my Orthopedist and his office said since I didn’t break any bones, he doesn’t do muscles! I didn’t bother trying to see my Dermatologist. I wondered aloud, is this what it’s like for everybody? When you finally really really need to see a doctor, like you can barely walk and you’re about to get on a plane, they are nowhere to be found?

Well folks, I think Bob may have found his retirement second act. Emergency docs have to know a little bit about every disease and a whole lot about the ones that will kill you. And isn’t that what we all want to hear? You don’t have a terminal illness. It’s just a cold, get over it! Well, maybe they will say it with a bit more finesse, into their monitor.

Dr Ali Parsa, founder and chief executive of digital healthcare app Babylon, sees the (remote physical and mental) health trend as an undoubted force for good.
“It’s time to do with healthcare what Google did with information – using the power of technology to democratise access for all, and put a personal (digital) doctor in everyone’s pocket regardless of geography or income,” he says. http://www.bbc.com/news/business-40629742

Bob’s been doing this for years already with our relatives and friends. People send him pictures of rashes, x-rays of broken bones, brain CAT scans. He’s functioned as our collective consultant at seders and dinner parties. “My foot’s just not getting better.” Or, “Will you just take a look at all the drugs I’m taking?”

I’m pretty sure I wouldn’t want an App or a Bot to speak to about my medical condition, but having a real, live physician on FaceTime or Skype? Sure! And the doctor or the patient could be in Katmandu, so long as the WiFi is working – this takes boutique medicine to the next level.

Lots of hospitals do this already. Did you know in most rural parts of the country, smaller community hospitals have critical care ICU docs checking in via monitors from their big city university hospital? At night, radiologists in other countries read X-Rays that are sent  digitally from the US. This has been going on for years.

I’m feeling hopeful today after the Senate saw fit to drop their misguided bill to “fix” the ACA and throw millions off Medicaid. The sheer irony of Sen McCain delaying the vote because he was busy having a surgical procedure his insurance covers illustrated their sinister deliberations. http://www.cnn.com/2017/07/18/politics/how-the-republican-health-care-bill-fell-apart/index.html

I hate that we politicize health care in this country. Until we see fit to have Medicare for all, maybe technology will help restore access and autonomy to the doctor/patient relationship. And at the very least, we would know if we need to go sit in an ER because our neck is tender and we must rule out meningitis. The doctor is on deck!IMG_0846

 

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The bitter cold is back, so I bundled up in my pink pussy hat and gloves. Today was our first day of action as a couple, and Bob and I wanted to stay warm in the wind chill of minus freezing. But first maybe I should back-up.

After the Women’s March on Washington, I was commiserating with Great Grandma Ada about the day. She really wanted to go, but I’m glad she didn’t. Being packed in like sardines for almost eight hours, in a wheelchair, would have been a bit much at 92. Or 82 even. So she listened to my excitement, then calmly told me what her book club was doing about Mr T’s agenda.

She had me Google “Indivisible,”and told me about this movement across the country to basically use the Tea Party’s strategies to further the Progressive agenda and stop Mr T at every turn. You know, the same way they stopped immigration reform in its tracks. This was way before Mr T instituted a Muslim Ban, or kicked the Joint Chiefs out  of the National Security briefings, plugging in his favorite conspiracy theorist, Steve Bannon.

You know the guy, the one who said “Islam is not a religion of peace, it’s a religion of submission.”

Well I submit to you, Bob and I liked what we saw on https://www.indivisibleguide.com so we downloaded the entire manifesto and printed it out. We also joined their Google group; and that’s how we found ourselves sitting in a packed church this past weekend. Bob turned to me and said, “Do I really have to be a revolutionary again?” I said, “Yes!”

Which brings me back to today. I wrote a letter to our GOP Representative, Tom Garrett, about not wanting Congress to throw out the ACA without fixing it, or replacing it. I told him how the Rocker’s old friend had been diagnosed with MS and had no health insurance. Obamacare saved his life. I told him that I knew how local government works, and that health care in this country should not be politicized. We joined a few hundred in front of Mr Garrett’s office, and I hand-delivered my letter to his secretary and spoke with his Outreach Director who declined to come outside..

Meanwhile the Mayor of Cville, Mike Signer, was holding a rally on the Downtown Mall against the latest Travel (Muslim) Ban. The Gold Star father, Mr Khizr Khan was there too, as were hundreds of people to protest the ban on seven primarily Muslim countries. It was a glorious, sunny day when the Mayor proclaimed Charlottesville, VA the “Capital of the Resistance!”

Bob and I just saw ourselves on the local TV news during dinner. I must say that was weird. But I’m proud of our city, the one once called Thomas Jefferson’s Academical Village, and hopeful about the future. We have a real bully in the White House, and he poked the wrong bear.

ps – The Bride and her family marched in Nashville and they are planning on feeding a homeless shelter in April. The Rocker and Ms Cait are planning their wedding, and also visiting LAX. Thank you Grandma Ada, you raised us right.

https://www.theatlantic.com/magazine/archive/2017/03/how-to-build-an-autocracy/513872/

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