AnotherVoice

Waxahachie, Texas, March 29, 2005 -- Believing what I was raised to hold sacred, that every voice counts, I've bombarded my local paper for years with letters and op-eds (and been active in politics). Yet here in the heart of everyone's favorite "red state," where it's especially important that another voice be heard, no one seemed to be listening. This is my megaphone.

Thursday, June 25, 2009

The doctor will see you now

The worst thing about undergoing a biopsy is the inevitable wait for the results to come in. And if you plan ahead poorly and have the procedure on a Thursday or Friday, I can just about guarantee your weekend will be ruined, because it’ll be Monday before you get the word.

Of course the really worst thing is to have what doctors ironically refer to as “positive” results when they really mean you are not going to be happy to hear them. Your red flags should go up when the doctor asks you to come see him as soon as possible, to talk about your situation.

Imagine this scenario: After sitting in the waiting room with half a dozen or so other patients, you find yourself confronting your future. Your doctor explains that you have a tumor, in fact of the kind that grows fairly rapidly, making surgery the only real option for treatment.

The doctor, whom you trust absolutely and have known for half your life, doesn’t mince words. If you don’t have the surgery, you will die, and soon.

This is not just one kick-in-the-gut time, but two. When you were laid off, fortunately you had enough savings to tide you over until you could find another job, and now that is going to run out while you recover from what will be major surgery. Not only that, but you lost your health insurance with the job, and no other insurance company was willing to cover you because you have had diabetes, even though it has been controlled with dietary changes.

You are looking at tens of thousands of dollars, all told, that you just don’t have. The choice is pretty simple: Find the money or die.

Family conference time: you have a decent amount of equity in your home and will be able to borrow against that. Then two of your kids, who are each doing pretty well, offer to pitch in. They have lots of equity in their homes and can easily raise the money. “We want to keep you around, Dad.”

This is not where you say, “No, I’d rather die than let my kids go into debt!”
At least, I certainly hope not!

How could I even suggest such a thing? Because if you cast the situation in terms of the current opposition to President Obama’s health care plan, you’d be running up a deficit and placing a financial burden on your children.

I don’t know about you, but if I were in your situation, I’d have no problem with that concept. And neither would my children, or so I’m told.

Opponents of health care reform that is likely to add “trillions” to the public debt constantly worry about “passing it on to our children and grandchildren,” as if that made any sense. At worst, it’s a cynical argument to make us feel guilty, at best it’s a pitiful lack of understanding of how the world works.

I’m someone’s child, and grandchild for that matter, and I’m probably still paying for World War II, the GI bill, the interstate highway system, and the NASA program, all things that have kept our country safe and prosperous over the years.

If debt is bad, then get rid of the house, the truck and your kids’ college educations, not to mention that 52” flat-screen TV in the rec room. And forget about the trip to Disney World that your credit card would have made possible.

The point of health care reform is to bring the system under control so that costs will be lower and everyone can afford some form of insurance which cannot be denied for pre-existing conditions. Like diabetes. Like you.

Once everyone is covered, emergency rooms will be freed up to deal with emergencies. Preventive care will kick in and that will lower costs all through the system. A 21st century method of keeping medical records will streamline doctors’ ability to provide informed care and will reduce the enormous amount of paperwork presently required of both doctors and patients, allowing doctors to focus on their patients.

This cannot happen in a month or two, or even in a year. But when we pay enormous amounts for our children to attend college we expect they’ll go through at least four years of study, perhaps more with graduate study. And we don’t expect they’ll be hired into a $100,000 a year job even before they graduate, do we?

In fact, you won’t see a return on your investment for years, but you don’t mind because you’ll know it was worth it as the kids begin to prosper. Same with health care reform; it’ll take a while, but it’ll be worth it.

You’ll get your investment back as costs go down and the system works better — and now your kids won’t have to help pay for your surgery.

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