Fear Mongers Won’t Stop Health Care Reform

They’re at it again. The fear mongers who have few positive ideas to contribute to the debate are rounding up a posse to take shots at the health care reform train. The internet is the latest weapon in their arsenal.

In addition to the blogs that seem to multiply like gerbils, a friend forwarded an email from an unknown source. It was based on a blog post by Betsy McCaughey that appeared on Bloomberg.com. McCaughey is an adjunct senior fellow at the Hudson Institute, a non-partisan policy research organization supposedly dedicated to innovative research and analysis.

McCaughey’s post criticizes the section of the stimulus bill that establishes a Federal Coordinating Council for Comparative Effectiveness Research. This council will pinpoint treatments that are most effective.

McCaughey claims the council’s work will lead to limitations on treatments for serious illnesses and shift funding toward younger patients. Her post fails to mention the $1 billion set aside for prevention and wellness programs, which should reduce the need for expensive treatments by preventing disease. The bill channels an additional $8.2 billion into research to find cures.

The Council has not been granted authority to establish guidelines for private or public plan payments or coverage. It will establish a database where professionals can easily access the latest information. McCaughey seems unaware that proven treatments often take several decades to reach the consumers who desperately need them.

Now the email I received is spreading claims that Democrats want to ration health care for the elderly and that those efforts need to be stopped. Doesn’t the author realize we’re already rationing care for everyone under the current system? The list of doctors who won’t take new Medicare patients in my area seems to grow daily, and out-of-pocket expenses are rising for everyone, including Medicare recipients. How many people do you know personally who can afford the care they need, with or without insurance?

Every health care consumer in this country, whether satisfied with the system or not, should watch the film Critical Condition, which aired on PBS last year. It highlights the struggles of four people whose lives were totally disrupted when they couldn’t afford the care they needed.

The story I will never forget followed a man who opted to have his foot amputated so he could return to work before he lost his benefits. He thought the treatment his doctor preferred would take too long. When his recovery period was longer than expected, he lost his job anyway, and the insurance company retroactively denied his claim for a prosthesis. He was forced to have his ill-fitting temporary prosthesis repaired after it broke because he couldn’t find work. He received severance pay and found a new job after a year, but was concerned that his new employer’s insurance would not cover a pre-existing condition.

Most of the people I know have experienced some nightmare in the system or know someone who has. Health professionals, insurers, advocates, business leaders, and patients agree that change is inevitable.

The fear mongers won’t succeed this time. The question is no longer if but when and how.

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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.

Economic Health Requires Revolutionary Change (Part 1)

Corrected 11/19/08

Most people in America understand that radical change is overdue in this country. The votes they cast in the last election signaled this basic understanding. Few people who cast those votes understand how much change is needed to save the U.S. economy and economies around the world.

Low wages don’t leave room in family budgets for health care expenses. Inflexible work schedules and long hours don’t leave time for workers to do what it takes to prevent disease. The resulting chronic illnesses make workers less productive and increase health care costs for employers.

Employers reduce expenses by slashing some jobs, moving others to foreign countries, and cutting work hours for remaining employees. That leaves employees without the means to pay for retraining programs that can prepare them to find better jobs. They stop making payments on second mortgages and credit cards that have helped them live beyond their means.

Unemployed and underemployed workers apply for public assistance as the tax base that pays for the assistance shrinks. People who once supported non-profit agencies that help the needy now seek help from those agencies. The agencies must turn people away.

Next add to the mix students who have borrowed heavily to prepare for jobs that aren’t there and now can’t repay their loans. This leaves lenders reluctant to lend money to anyone. Businesses that depend upon credit lay off more workers or close their doors. Tax revenues decrease even more, which leads government officials to slash budgets and lay off still more workers.

The list of people who have been reduced to buying just necessities, when they can afford them, is growing daily. When we stop buying, people in other countries who grow or manufacture many of the goods we used to buy make less money. They, in turn, purchase fewer products from us.

The country has not faced this many challenges since the American Revolution, says Nouriel Roubini, Associate Professor of Economics at New York University’s Stern School of Business and former adviser to the U.S. Treasury Department.

In a consumer-driven society, there can be no stability on Wall Street without stability on Main Street. In spite of this fact, most of the aid in this economic crisis has been directed toward the financial services industry. The new man in town promised to change all that, and the people voted to let him try.

Reports are circulating that President-elect Obama’s advisers are weighing the political consequences of pushing incremental versus rapid changes. In a democratic society, the people must be willing to come along for the ride, but they will only continue the journey if they see results.

Effective solutions will involve careful planning that addresses short-term, intermediate, and long-term needs. Here are my suggestions for the next phase of the new American Revolution:

Meet again with lenders to develop and enforce a mandatory plan for restructuring mortgages. The new loans should be closer to 30 percent of an applicant’s available income. That was the accepted standard before the housing crisis began. The plan announced earlier this week will allow buyers to pay up to 38 percent of income. It also reduces the lending rate for only five years before it begins to slowly climb again. Both Sheila Bair, chairman of the Federal Deposit Insurance Corporation (FDIC), and Bruce Marks, head of the Neighborhood Assistance Corporation of America (NACA), have said the new plan is not good enough.

Rewrite new mortgages to include penalties for anyone who abandons a home. Some mortgages include “no recourse” provisions. Many lenders are waiting for a government bailout, and more people are shirking their responsibilities every day. The government can’t continue to reward bad behavior.  City and state officials also need to know how much tax revenue they will have to meet their obligations.

Recognize that we have a housing crisis, not a mortgage crisis. Allan Meltzer, economist and professor of Political Economy at Carnegie Mellon University, says housing prices won’t stop falling and credit won’t ease until the excess supply of homes decreases and the balance sheets at financial institutions stop shrinking. Meltzer proposes a tax credit through the end of next year for those who purchase homes that have already been foreclosed. This move will kick start the slumping construction industry as well.

Merge General Motors with one of the other “big three” automakers, then allow the remaining companies to reorganize under bankruptcy protection. This idea came from both Bill Ackman, CEO of hedge fund management company Pershing Square Capital Management, and Joseph Stiglitz, a Nobel Prize winning economist and professor. U.S. automakers aren’t prepared to meet the challenges of today or those of tomorrow. Bankruptcy will force them to develop long-range strategies.

Recognize that we have a service-based economy. Our economy is imploding because we have forgotten a basic principle of good business–find a need and fill it. Low-, medium-, and high-skilled workers are needed in all areas. Craftsmen, accountants, educators, writers and editors, engineers, and people with other transferable skills are essential.

Move displaced workers into similar jobs rebuilding the infrastructure and building a “green economy.” Infrastructure projects can build and repair roads and bridges and expand public transportation. Overlap them with public and private “green” construction projects that rebuild communities affected by disasters. Retrofit buildings that don’t meet energy efficiency standards. By doubling our current rate of recycling, including waste from these construction projects, we could replace almost every job that has been lost this year. Pulitzer Prize-winning journalist, author, and columnist Thomas L. Friedman says “green” projects can employ workers with diverse skills.

Subsidize or give tax credits to organizations that hire displaced workers. Those who move into related positions may even be able to start immediately and train on the job. Workers who have good jobs are less dependent upon government assistance and can afford to stay healthy.

Without changing the policies that created this mess, we will not see the end of the downward spiral or avoid creating another one. My next post will address strategies for making intermediate and long-term changes that address both domestic and foreign policy issues.

The second sentence in the eighth paragraph has been corrected to end with financial services industry instead of businesses. The word occupants has been changed to anyone in the first sentence of the twelfth paragraph.

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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.

Government Can Afford Natural Care for All

by Jacqueline L. Jones

The evidence is clear. According to the Centers for Disease Control (CDC), people with chronic illnesses like diabetes and heart disease account for more than 75% of the nation’s $1.4 trillion in medical care costs each year. That figure could jump 42 percent by 2023, according to an Oct. 2007 report by the Milken Institute, a think tank in Santa Monica, Calif.

As the American Medical Student Association (AMSA), the Institute for Functional Medicine (IFM), and practitioners in emerging and ancient disciplines report positive results in fighting these illnesses, the path to reducing health care costs seems clear. Equal access to disease prevention services and effective natural treatments could reduce costs for all.

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