The attempt to repeal and replace Obamacare (ACA) failed. I don’t think there is one person that can confidently say they even know what was in the last revision of the proposed American Health Care Act. Politicians were so desperate to pass the bill, changes were being made faster than it could be revised on paper. What was certain was that the bill did not meet all the Trump administration mandates: that it provided “Affordable coverage for everyone; lower deductibles and healthcare costs; better care; and zero cuts to Medicaid.” Even though the various revisions of the bill failed to meet any of these mandates, the administration supported it.
This was purely political. It failed because it was wrong. It failed because after seven years of complaining about Obamacare, the Republican congressmen STILL had no plan to replace it and threw something together last minute. It failed because enough Republican congressmen refused to be bullied (to vote for it) and pledged to vote their conscious, in favor of what was best for their constituents.
Nothing about this congressional effort focused on the good of the American people. It was never about quality healthcare. It was ALL about repealing Obamacare- destroying Barrack Obama’s legacy. That was the single goal.
Bad, Better, Worse?
In order to discuss the cost and accessibility of healthcare, here are some thing you might want to consider:
- The Affordable Care Act (ACA) and the failed bill, the American Health Care Act (AHCA) are/were both flawed. The combination of coverage, cost control and availability do not work in favor of the American people under either plan. Still, had the ACA been replaced with the AHCA, 24 million Americans would have lost coverage. A big problem with the ACA is that the model (ratio of insured) hasn’t been reached, driving premium costs up.
- Without regulation, healthcare providers are at liberty to charge uninsured patients whatever they want. Insurance companies have a stringent table of fees it will pay for services, yet it can vary from provider to provider, affecting individual premium costs.
- Healthcare insurance policies vary so greatly that it’s nearly impossible for the average American to decipher. This leads to confusion, inadequate coverage and unnecessary higher out-of-pocket costs.
- Healthcare coverage is more a subsidy than it is an insurance policy. Most Americans would not be able to afford quality care, especially in the situation of an emergency or long-term illness without some sort of assistance. Paying out-of-pocket is simply not an option.
- Half (or more) of individual American bankruptcies are attributed to debt from medical expenses.
- Public and private hospitals alike are prohibited by law from denying a patient care in an emergency. The Emergency Medical and Treatment Labor Act (EMTLA) passed by Congress in 1986 explicitly forbids the denial of care to indigent or uninsured patients based on a lack of ability to pay. (from Google)
Taking the above issues into consideration, if we are guaranteed treatment, with or without coverage– who pays? We all do. Whether through higher taxes, bankruptcies, rising premiums or out-of-pocket. We will all pay for healthcare for everyone.
As long as healthcare is for-profit in America, any efforts to make it affordable are likely to fail.
Here’s one example of a for-profit problem: Mark Bertolini, Chairman and CEO of AETNA received $27.9 million in compensation in 2015, up from 15 million in 2014. The combined compensation of four other top AETNA executives was $18.7 million, not including $17.4 million in restricted stock and stock options. In spite of a huge profit margin and exorbitant compensations for top level executives, AETNA withdrew from the ACA marketplace in eleven states this past year, to assure their financial gains. From 2015 to 2016 their net profits rose 8% to $603.9 million dollars.
We are told they can’t sustain services because Obamacare doesn’t work. In reality, it’s about greed.
Life, Death… Corporate Greed?
When the actual healthcare professionals that you and I are likely to come in contact with– such as EMTs, nurses, doctors and medical office staff– have problems affording adequate health coverage– there is a serious problem with the system.
There are really only three possible options, I can think of, to bring costs under control and make healthcare in America affordable:
- Heavy government regulation of all healthcare in America.
- Make all healthcare nonprofit.
- Establish a single payer national healthcare system.
None of these are easily fixes. What other solutions can you think of?
Washington may be willing to push this issue to the side (for now) but the problem isn’t going to go away.
Eyes wide open.
Staring at the world
Taking it all in
Enjoying the good things
Surviving the bad
Questioning it all.
I started this blog several years ago to share my thoughts. I think I often have an interesting perspective on life and wanted to share that with others. I have a voice and I wanted to be heard.
Everyone has a story. A tale to tell.
For whatever reason, I’ve often felt like I’m on the outside looking in. Even when I’m in the middle of it, part of me is watching from a distance.
I’ve started dozens of posts over the past year and a half– with a hundred more ideas locked in my brain. Aside from my travel posts and those about my furry children– most have gone unpublished. Unread. Silenced or self-censored.
I became completely obsessed with Presidential election, cable news and the expansive concerns that have divided America. At times, it could be so overwhelming that it was paralyzing. It seemed to invade every waking moment of my day.
The lines between broadcast news, journalism, social media, advertising and ‘fake news’ have become so blurred many people don’t know what to believe. Unfortunately, to the detriment of society, too many people will believe anything they hear. Anything they want to believe, that is.
Well, I’m over it. My silence is about to be broken. If I can help or at least entertain with my words, so be it. I may hurt or anger a few people. If I can educate or open a few people’s minds along the way, then I’ll be achieving my goal.
I may not be an expert on some topics but I also won’t post blindly. I believe that even posting an opinion requires some research and justification. We can’t help who we are or what we believe; though helping others understand the backstory can make the picture more clear. Truth? Fantasy or fiction? In today’s burgeoning mecca of information it’s often difficult to tell.
I don’t want to write about just one topic because that’s not who I am. Theatre, Film, Animal-Lover, Writer…. Nature, Politics, Travel, Equality… History, Restoration, Photography, Reading, Cooking and Gardening… the Human Experience… these are the things that contribute to my psyche and make me a whole person. In daily life, my mind can jump from topic to topic in an instant. I want to share just some of what I see and what I feel. We may not agree– but by communicating there is a place where we can connect. We all have a common ground though many are afraid to approach it.
I’m going to write about it. I’ve been guilty of posting things on Facebook that require more than a one sentence proclamation or allegation. People have become too sensitive and judgemental and often aren’t willing to accept other people’s right to self expression. They aren’t afraid to tell you, you are wrong– yet refuse to defend or debate in a respectful manner.
Some of my posts may be short and hopefully, to the point. I think this blog may be a better platform to express myself. Besides, more than likely, those people that want their Facebook feed to be nothing but ‘cute’ memes and puppy dogs won’t bother to read it anyway.
I just don’t get it. It is easier than ever to communicate with the world. So why are so few people willing to listen?
I’ve talked a lot here and on social media about our dogs but there’s another member of our family that isn’t mentioned much. Our crazy, black cat, Collins.
So why an unbirthday? That’s because we don’t know exactly when his birthday is, or even how old he actually is.
Here’s the story: It was ten years ago, in 2006, about a week before we were supposed to leave for Christmas in New York City. I was putting garland and bows up on the fence around our property and I happened to glance down and see this black cat watching me. I spoke to him and he meowed back at me. It was the beginning of a conversation that hasn’t stopped.
The next thing I knew, he was purring and rubbing against my leg. I petted him and told him to go home but he proceeded to follow and talk to me. This went on for a couple of hours. He followed me completely around the fence and then into the yard.
Over the years, we’ve seen many feral cats in our neighborhood and not one has ever approached us– let alone let us pet them. He obviously belonged to someone and must have either gotten out or was abandoned.
I finished what I was doing, told him to go home again and went in the house. I checked again later, before letting the dogs out but he was no where to be seen. I just figured he wandered home. Actually, he was still there but he was smart enough to hide. He was here and he wasn’t leaving.
A little later I went out and he came running down our back stairs, purring and meowing for attention. Concerned he hadn’t eaten recently, I put out some wet cat food for him but he wasn’t interested. So I still figured he was just visiting. (He must be eating somewhere!)
This became a pattern over several days. He was always there. He’d see us coming or going and as long as the dogs weren’t around, he’d follow us. If we went in the house, he’d sit in the driveway and wait.
I tried not to give him too much attention because I get attached too easily and he was just too friendly to be a stray. Still– worried he hadn’t eaten, I tried putting out some dry food and he devoured it in minutes. (He’s a finicky eater! He will not eat wet cat food.)
We felt like we had to do something. He wasn’t leaving…. and we couldn’t stop worrying about him.
Michael happened to mention the situation to our friend Tony, at work. Tony happened to be considering the idea of getting a cat but he thought he have might have allergy issues. Michael told Tony we hated that we were leaving town– and worried about leaving him all that time in the snow and the cold. (Nasty weather was in the forecast.) Tony said he’d take him (on a trial basis) and at least he’d be safe.
For us, that was a relief. While we were gone, Tony took him to the vet and had him checked out. The vet guessed he was probably about three years old and was perfectly healthy. He also suggested that he should be neutered. So Tony took care of it all but his allergies were bothering him and he didn’t feel like he was going to be able to keep him.
That’s the story. When we got home, Tony brought him back to us and we had a new member of the family.
We had been adopted.
We named Collins after the character Tom Collins in the musical RENT.
For anyone wondering, we did check the available resources at the time to make sure whether anyone was looking for him or not.
Collins always seems to get along with the other kids just find. Except, dogs play a little too rough so Collins always knows when to make himself scarce.
Some Collins facts/highlights from the past ten years:
- Collins goes crazy over cheeseburgers and melted cheese from pizza. He smells it and come running and begging!
- Like many cats, Collins is nocturnal. He sleeps most of the day and plays at night.
- We tried letting him sleep with us but after one broken lamp– he’s pretty much banned from the bedroom.
- If we happen to leave the bedroom door open, no matter if it’s day or night, Collins will be found sleeping on the bed.
- After Roxie died and after years of pretty much ignoring each other, Cash and Collins became regular snuggle buddies.
- Since I keep crazy hours and I’m always up way before the dogs– Collins is my constant companion in the wee hours of the morning– until Belle and Dudley get up. Then he disappears. Belle likes to tackle and lay on top of Collins if she can catch him. Collins does not appreciate this!
- Collins and Belle will frequently sit in the stairwell and have a stare down. This can go on for hours.
- Collins loves to talk! He will meow at you nonstop until he gets sufficient attention.
- Collins’ purr is quite loud and he loves to give kisses and lick your face like a dog.
- Collins does not like to have his picture taken and absolutely WILL NOT wear clothes, costumes or hats!
So Happy UnBirthday Collins! He’s probably the sweetest, friendliest, most docile cat I’ve ever met.
I better finish this up– he’s on my lap and pawing my face because I’m not looking at him enough. That, and he keeps covering my computer keys with his paws and tail.
Michael and I headed to Florida over Thanksgiving week to spend time with both our families. We celebrated Michael’s side of the family in Inverness on Thursday and then with my family in Auburndale on Saturday. Sunday morning, we decided to spend a few hours at the Circle B Bar Reserve on Lake Hancock.
Named after the cattle ranch that once existed on the property, Circle B was restored to its natural state by Polk County, beginning in 2005. The restoration that has occurred on this marshland in just ten years is pretty impressive.
The visit brought back many memories and images of the Florida that I grew up in back in the 1970’s.
Here are a few images I shot during our visit:
I’d return here to Circle B over Disney any day.
Time to say goodbye to Europe and head home. Whirlwind trips like this are so rewarding and overwhelming at the same time. Here, on the last day, I was full of mixed feelings: sad it was over, anxious to see my pups, and needing a vacation to recover from vacation. But– what an incredible experience!
When I got up, I walked back over to St. Peter’s Square. The sun was rising as I watched the nuns and clergy making their way to work. People were already lining up at the Holy Door, waiting for the first service at the Basilica.
I just took a moment to breathe it all in….. Absorb it….. Memorize it….. Knowing it was time but not quite ready to file it away.
The four of us had breakfast (Michael, Mary, George and I)– which opened a little late– causing us a bit of a rush before our transportation to the airport arrived.
By the time we got our luggage downstairs, our transport was waiting for us. I took one last look at the grand columns surrounding St. Peter’s Square as we climbed in the van, bidding Rome a fond farewell. Ciao!
We got to the airport quickly and easily, then said our last goodbyes to George and Mary. (In all likelihood, we wouldn’t see them again for seven months– in Paris!) Then we proceeded to get checked in and head to our gate.
Everything was pretty much on time. We got settled in on the plane and shortly after take off, I watched the tearjerker, Me Before You. I thought it was really well done. It’s one of those sad, schmaltzy, romantic films that can easily be done wrong– but it kept its edge and believability throughout, without getting too sappy.
Over the course of the ten hour flight, I dosed on and off. My head was full of all the places we’d been. Growing up I’d never thought I’d ever see the world like this.
When we arrived at O’Hare, we breezed through customs with our Global Entry clearance and the new, automated ‘self serve’ kiosks that definitely sped up the process.
Peggy had picked the kids (Belle & Dudley) up from their vacation– and took them home before she came to get us. If she hadn’t, we’d have had to wait two more days (Monday) before we could get them.
We pulled in the driveway and it was overflowing with fallen leaves– just the first reminder of all the fall projects still ahead.
We were home.
Looking back, Michael and I had shared another truly amazing journey. We’d expanded our travel log: adding 5 West End shows, meeting nearly a dozen Broadway pros, visited 4 more countries and 18 cities, in addition to sailing the Mediterranean Sea. And– we still have so much more of the world to experience! We made new friends, created memories with old friends and had a thoroughly wonderful time.
I can’t stress enough the value of traveling and seeing the world. The history, different cultures and most important– seeing how others live and adapt– really help put the big picture in perspective.
(Original Travel Date: October 1, 2016)