Bill Promotes Economic, Physical Health for All

I never knew public policy could be so much fun. The summary of the American Recovery and Reinvestment Bill of 2009 that passed the House of Representatives is more exciting than any of my favorite movies.

This bill shows an amazing grasp of the complexities of the current economic crisis. It addresses immediate needs and makes a down payment on long term goals while reducing the stresses that can lead to chronic illness and higher health care costs in the future.

Implementation of this bill could substantially reduce entitlement spending in several areas and reduce the burden for all taxpayers by addressing the following issues:

  • The increases in food stamps and food services for the elderly will promote better nutrition to reduce health care costs
  • Vocational rehabilitation and public service opportunities will allow the disabled and the able seniors to reduce their reliance on public aid
  • Increases in unemployment insurance, Medicaid, and COBRA insurance for those who have lost their jobs will help them meet basic needs, maintain their health, reduce costs associated with advanced stages of disease that result from lack of treatment, and preserve some jobs in the retail and health care sectors
  • Funds for job retraining, work study, Pell grants, and research will prepare the country and its citizens for the jobs of the future
  • Infrastructure projects and loans will create new businesses and help existing ones retain current employees and hire displaced workers from the housing and auto industries and other sectors who have transferable skills
  • Green jobs will create a healthier environment and reduce the pollution that contributes to chronic disease while reducing the need for assistance with energy bills
  • When basic opportunities are available and basic needs are met, expenses for the criminal justice system are reduced.
  • Funds to train primary care workers will avert the consequences of a shortage when they will be needed to provide care that reduces the cost of chronic diseases
  • When basic opportunities are available for the strong and basic needs are provided for the weak, fewer people enter the criminal justice system and related expenses are reduced

The bill reduces waste by utilizing public and non-profit organizations that are experienced in meeting the challenges we face and have accountability procedures in place. It also preserves jobs in those sectors and provides protection for whistleblowers who wish to report fraudulent use of taxpayer dollars.

By providing economic opportunities for a broader cross-section of society, this bill can broaden the tax base, help reduce chronic illness, and reduce dependence on entitlement programs. That can lower the tax burden for all if coupled with a more judicious use of military force. The financial sector will only return to health when the people can afford their services.

The Republican response to the bill is an example of why they don’t need to be in charge of the country’s business anytime soon. Their ideas are based on the myth that everyone can pull themselves up from their bootstraps. They don’t understand the impact of unfair public policy on average citizens. Unless they gain an understanding of the issues that face common people, they will remain the party of a vanishing breed: people who are actually thriving under their policies.

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Jacqueline Laurette Jones is author of Unmasking a Diagnosis: How to get Help for a Confusing Chronic Illness Without Filing for Bankruptcy.

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Use Multiple Sources for Caregiving Help

Middle class families usually don’t qualify for much help with caregiving. Home health agencies teach you how to do your part more efficiently. That won’t help if there aren’t enough people in your family or hours in the day to perform necessary tasks.

The rules for additional help don’t usually make allowances for real life circumstances. If all members of a family of three have chronic illnesses, they may need more assistance.

What do you do if you need and don’t think you qualify for help? Where can you turn if placing your loved one in a nursing home isn’t a wise option?

The first place to turn is your Area Agency on Aging. The staff may know about resources in your area. You may not qualify for much, but a few hours of housekeeping and respite care are much better than none.

Next, spend some time searching your budget for ways to trim household spending. This may yield enough money to hire additional help for a few hours each week.

Though friends and family may be too busy to help with remaining tasks on a regular basis, most will have a few minutes or hours here and there. Keep a list of everyone who volunteers to help and what they are willing to do. Some may be able to help with specific tasks for short periods on a regular basis. Others will be willing to help during emergencies.

When people say they are willing to help, take them at their word. You’ll ruin your health if you try to do everything by yourself.

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Jacqueline Laurette Jones is author of Unmasking a Diagnosis: How to get Help for a Confusing Chronic Illness Without Filing for Bankruptcy.

Health Care Changes are Within Our Grasp

Tears filled my eyes as I watched the inauguration of Barack Obama. At last there is a friend of the chronically ill in the White House.

If you’ve attempted to get help for a chronic illness through our dysfunctional health care system, you know that help can be hard to find. When you find it, you may not be able to afford it.

Those who doubt the new president’s ability to lead us toward reform have forgotten these important factors:

  • He understands the issues
  • He has proven his ability to communicate his vision for change to people with conflicting views
  • His choice to lead health reform, Tom Daschle, is a seasoned politician who understands the complex nature of the challenges ahead and has hit the ground running
  • Insurers, medical professionals, and consumers alike are aware that the system will collapse without radical change

The legislators who won this past election are well aware that they no longer have the luxury of taking our votes for granted. There are more voters in this country than lobbyists in Washington.

We can can see many of the changes we need in our lifetime. If we continue to pressure our leaders to work toward creating a system that works, and support those who have workable ideas and clear vision, we can see those changes sooner rather than later.

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Jacqueline Laurette Jones is author of Unmasking a Diagnosis: How to get Help for a Confusing Chronic Illness Without Filing for Bankruptcy.

Universal Care Requires Personal Responsibility

Compassionate people around the world are outraged that the richest country on earth doesn’t use its wealth to provide health services for its own citizens. I join them in celebrating Barack Obama’s victory on Tuesday because he understands that these conditions must change. But as we celebrate, let’s remember that his acceptance speech included a call to personal responsibility.

The United States is the only wealthy industrialized nation that doesn’t provide universal health care for its citizens. Some European countries have replaced government-run plans with programs that combine government and private coverage. Obama’s plan takes the latter approach one step farther. Its focus is preventive care, an essential component of any plan to reduce expenditures for the chronic illnesses that plague our nation.

Preventive care will require us to take responsibility for our own health. This is our duty to the nation and to our families. Neither the government nor private insurers can afford to pay for the results of undisciplined or self-destructive behavior. Our families also need us to help care for them and reduce their need for government assistance.

If we all vow to take charge of our health, we can help rebuild this nation with the strength we gain and the money we save.

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Jacqueline Laurette Jones is author of Unmasking a Diagnosis: How to get Help for a Confusing Chronic Illness Without Filing for Bankruptcy.

Radical Change Can Save Medicare, Medicaid

Updated 10/17/08

The next president of the United States must address the challenge of trimming Medicare and Medicaid costs. The vast baby boom generation has just begun to require services. Young and old citizens alike are succumbing to chronic diseases that can require years of expensive treatments. Many enter the system years ahead of schedule because of partial or total disability.

As a person living with and caring for someone with chronic illnesses, I want to share the following strategies that could greatly reduce the costs associated with these and related programs.

Redistribute a large portion of the funds now set aside for nursing home care into agencies that provide home care, day care, and respite services. The current regulations are absurd. Many caregivers provide full-time care for their loved ones because they can’t afford to send them to nursing homes or because most nursing homes have such bad reputations. The stress of attending to someone around the clock can lead to disability, premature death, or an illness that requires both the caregiver and patient to be admitted to a nursing home, in spite of the caregiver’s heroic efforts.

In addition to the in-home medical care and health education now provided, caregivers need help with bathing their patients two to three times a week and cleaning their homes once a week. Sitters and overnight respite care should be available as necessary. If based on individual family circumstances and guided by practical regulations, these services could help to reduce the number and length of nursing home admissions and create new jobs.

Require certification of non-medical home care agencies and training for their personnel. The pay is often so low that many of the workers don’t take their jobs seriously. Requiring certification and training would justify higher fees and wages and attract more responsible individuals into these positions.

Simplify paperwork for medical professionals. The amount of required documentation increases the cost of medical care and frustrates providers. The number of providers who will accept new Medicare patients in my city shrinks almost every month.

Reimburse non-traditional services provided by practitioners of functional medicine (FM). Unlike mainstream or allopathic medicine, functional or systems medicine addresses the causes of disease. FM practitioners focus on prevention as well as treatment of chronic diseases.

Give enough in food stamps to cover the cost of nutritious meals. Malnutrition leads to disease. Most people I know who are on food stamps run out of food long before the end of each month. A friend of mine, who is disabled, receives $10 a month. That won’t buy enough food to keep a cat healthy.

Ask recipients and providers how to improve these programs. Participants understand the weaknesses and strengths of the system.

For more on elder care issues, read my next three posts, “Elder Law Can Interfere with Good Care,” “Never Assume Anyone Thinks Like You,” and “Blog Offers Thanks for Spotlight on Elder Abuse.”

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Jacqueline L. Jones is author of Unmasking a Diagnosis: How to get Help for a Confusing Chronic Illness Without Filing for Bankruptcy. The book is available through Lulu.com and soon will be available through Amazon.com and other online book retailers.

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