Wow, this kind of sounds like what I've gone through. I'm on SSI
(which I don't feel guilty about since I've been paying for it my
entire working adult life) and also Washington STATE medical
assistance. I'm not quite sure why I'm on the Washington STATE medical
thing but when I was in the ICU for a week with a heart problem the
hospital signed me up for all kinds of crap I wasn't aware of. At the
time my mind state was, whatever.
Anyway my medication has always been very cheap or free due to this
Washington STATE whatever plan. However, I've had occasion that I
needed to have my doctor call or "whatever" and tell the pharmacy I
was in this category or that, whatever. I was told it was all due to
insurance companies, which I guess Washington STATE deals with, and
them needing certain codes and categories, etc. Basically anything to
make it as difficult as possible to meet the end of the contract they
agreed to.
Can you imagine buying a car and then having to ask for the tires?
Once you get those you have to ask for the seat belts. And then you
have to ask for the keys. And then..............
This is all crap and insurance companies should be taken before
congress, the courts, anyone and everyone and be tarred and feathered.
They are worse then the Mafia ever was. They are worse then Bin Laden.
They are even worse then (gasp) socialism.
But for those willing to pay these crooks, I've got a home security
system I'm going to sell you. Don't both signing up for it. I'll just
bill you. And trust me, it's there and in place in your home. If
you've made your payments and get robbed, let me know. I'll let you
know if we'll cover it. If you have a problem with that, take me to
court. By the way, if you haven't made your payments I'm going to send
you to collection and ruin your credit.
Jeff Miles
jmile...@charter.net
Join my Mafia
http://apps.facebook.com/inthemafia/status_invite.php?from=550968726
On Sep 6, 2009, at 5:08 PM, Rev. Stewart Marshall wrote:
First off politicians say a lot of things when they are working on
getting elected and before they become candidates.
Follow through is not very good. (Matter of fact it sucks!!!!)
Once a politician gets elected they go into re-election mode. Which
means many of their ideals get tempered.
OK on the Mackey thing. Yes I did read it, and he has some great
things to say, HOWEVER.
You must have government mandate minimums. If they do not many
companies will try and fly through with a bunch of worthless
insurance.
Instead of removing mandates, make them nation wide. At present we
have 50 states that have 50 different standards. Cant do what
Mackey wants without mandates. (By the way at present my health
plan comes out of Minnesota while I live in Alabama so whose
mandates am I covered by?)
Mandate all companies of a certain size be required to offer
insurance and allow like companies (food service, grocery etc.) to
form co-ops to purchase coverage.
I know the local guy who owns a Dairy Queen nice guy, but tighter
than all get out. He will never offer insurance to his folks unless
he is mandated to, or he an find a plan that is cheap enough to
offer. Most fast food places are franchises so that they only have
maybe 5-6 outlets and not enough purchasing power to get a decent
plan for a decent amount.
Even my own church body had to go with a few other church bodies and
negotiate rates with providers (Typically with a large entity we are
self insured but contract out the processing of the insurance to get
better rates and coverage,)
What will we end up with at the end of this present process? Who
knows, but there is a lot of improvement that needs to be made. I
do not see a single payer or a mandated minimum or coverage for all
at present.
Just an illustration of how bad some of the coverage is. At present
my wife takes Mobic (Generic) which is a type of Cox2 inhibitor for
Arthritis. She has been diagnosed Rheumatoid Arthritic for the past
5 years. She has been taking medication for it. Recently she
started to develop GRD (Gastric Reflux Disease) which can be caused
by many of these anti arthritis pain medications.) In talking with
her primary physician about this he said a change of pain meds would
be a good idea, and changed her to Celebrex as it is not free from
problems but will aggravate her stomach less. Doctor gives her a few
weeks of samples to see if it improves and helps.
Lo and behold condition improves GRD dies down and she decides she
should change permanently the Pain meds. Calls doctors office to
get prescription to get it filled. They call it into pharmacy. We
go to pharmacy a day later to pick it up and they tell us the
prescription plan company would not authorize it. So off to home we
trek without prescription and I get on phone. (Now before this I
have gone over my formulary (you know the list of APPROVED and non
approved medications and checked to see what it says) I get a
pleasent lady on teh phone who tells me the doctor needs to call and
get prior authorization for this medication because it is a STEP
medication. (What that means is that you must have gone through
required steps, over the counter, generic) before going on the name
brand. So now we have to wait till Tuesday to call the doctors
office and hope he will call the prescription company to get
authorization to prescribe a needed medication for my wife. Oh it
is this or my wife gets put on anotehr stomach medication to counter
the reflux problem. (Nexium is a STEP medication so she cant get
that either)
Now before you think this is some fly by night company they are one
of the 3 largest mail order pharmacies in the US. Many of you use
this company but in order to save money and make sure we do not
spend too much on medication I an required to go through these steps
to get a medication on my formulary that my wife needs. (I am told
my plan requires these things)
What we need is more health plans like this right????????????????
Stewart
At 06:37 PM 9/6/2009, you wrote:
Search youtube for obama single payer, should be the first hit posted
by nakedemporer. I'd post the link but I still can't copy/paste.
Sent from my iPod
Rev. Stewart A. Marshall
mailto:popoz...@earthlink.net
Prince of Peace www.princeofpeaceozark.org
Ozark, AL SL 82
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