Health Care, Please Read, Humor Me.

Why all the fuss about health care reform and a quick background. 

I'm you're average guy.  I live in Monmouth County, NJ, 50 miles outside of NYC, on the shore (NOT a cheap area).  I have two kids, 8 and 10 and I'm divorced.  I used to work at a local Ad Agency, making anywhere from 75-100K which gets you by in this area ( I live in a very small home in a nice area).

Since I was young I've had Epilepsy, MS and a Bi-Polar/Depressive disorder (from the lesions of the other two).  I've been on hundreds of meds and managed OK.  I was very fortunate to run marathons and do long distance triathlons all of the US for the last 18 years.  Many people with MS are in wheelchairs.

Two years ago things changed.  The MS woke up.  Though I am still functional, I am on full disability.  I can still work, but then I would not be eligible for anything, so it is a flawed system.  I am willing, but they will punish me for working.

I quick glance at my bills, which are normal, house 2k, child support 1k, car 250, cc's 300, electric/gas/water, 500, insurance/gas 250/ cable, 150/ house stuff/ 150/ food/ 100/ kids/ who knows, a lot/ etc.  So maybe 4000 to 5000 because I didn't mention my:

Health care related expenses.  I currently take 12 medications and see three specialist.  I've taken hundreds of medications over the last 30 years. I'm 49 years old.

When you are put on disability you have to wait TWO years before you are put on Medicare.

My insurance, which obviously I have to have, costs me at least $1,000 a month between premiums, co-pays on meds, doctor co-pays and anything else.  It's also happens to be very good insurance.

My total income is now $1,945.00 per month.  I am not allowed any more money.  Do the math.

I have lost:

My house, 401K, IRA, defaulted on cc's, ruined perfected credit that I'd built over 25 years, will never be able to help my ex-wife with college, braces, etc., for our children and will have to live with that my whole life, I can no longer pay child support (I am very lucky to have a great ex-wife, who ironically is a doctor) the one good thing from disability is they do send money to my ex for my kids.

I have nothing.  I have not one assist.  I don't even have to file and income tax return anymore. I am a good guy that worked hard my whole life.  I'm not blaming the US but I'm trying illustrate an example of the problems in our system.  I would have lost a lot no matter what because of the break down of my body.  Hey, shit happens and I can live with that.

To put someone on permanent disability and then make them wait two years for health insurance is mind boggling.  You are saying they have a medical disability so they MUST need insurance.  WTF?

We are too rich of a country for this kind of shit.  No, I don't have the answers but there has to be a way to cut up the pie and take care of everyone. 

Trust me, if I could trade my MS, Epilepsy and Bi-Polar/Depression, the 100+ gran mal seizures I've had, my constant pain, leg spasms, difficulty walking at times, past suicidal depression, substance abuse problems, memory and eyesight issues, need to sleep twice a day, the hundreds of side effects of the meds I've suffered, I would gladly do so.

I don't seek or want pity.  Believe it or not, I am at peace for the first time in my life in some ways.  I accept my body is what is and will never get better, and I've accepted my running/tri/swimming days are over.  Over the last two years during the process of losing everything there was a great deal of stress.  Now that it's gone, what can they do?  I get to spend a lot of time with my kids and they think I'm the coolest guy alive, because I am.  My daughter already, out loud (she's 8) claims to be a Democrat, atheist and say's "Fox News Sucks"!  How can you not love that child!  My son is a boy.

I would love your comments on the big picture.  Thanks for listening to my rant/thoughts.  Finally, and most importantly:

I would rather be working, paying to fix the problem, still running, screwing, cutting the lawn, etc., than be part of the problem.

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Thanks for writing this article. I am for the public option, but as a fitness buff myself, I get mad when I see overweight people complaining they are broke and need healthcare. My opinion is if they exercised and ate healthier, they could of prevente d more than half the problems they have now.

Your article brought me back down to Planet Earth and reminded me that even hardworking people need their government to help them out every once and awhile.

by SuzanneMarie45 on 07/05/2009 01:05:31 PM EST

Thanks for your kind words.  The other group I think that needs to be addressed in all of this, somehow, are smokers.

I was a very heavy smoker until I became an obsessive exercise nut so I understand the need/want/desire and I don't judge or condemn smokers.

However, I quit 22 years ago and it was getting to be a pain in the ass to smoke then, and also expensive and now it's crazy.  Also, the health risks were becoming very well documented 22 years ago, and now it's unjustifiable for anyone to continue to smoke.

I know how hard it is to quit and I empathize, but the strain smoking puts on our system is tremendous.  There is NO, none, zero benefit to smoking.  At least smoking weed has an argument to make for it being legal, cigarettes have none.

I know it's a tough one, but just imagine the burden that would be lifted from all of us if we could outlaw cigarettes.  I know, it's not going to happen.  Same goes for booze (that didn't work out well when they tried that).

by Zayla on 07/05/2009 02:45:17 PM EST

[ Parent ]

I disagree with Cenk when it comes to possible penalties/incentives for smokers and obese people WTR insurance. Why shouldn't people who make good choices be rewarded at the very least?

Unfortunately the last time I checked most doctors were only required to take ONE nutrition course. And based on others and my interactions, it doesn't seem like they're up on the latest exercise physiology information either. I think it's a no-brainer to require them to have a better understanding of nutrition and exercise since so many of their patients rely on them for that type of information.

by ihavenobias on 07/05/2009 03:15:30 PM EST

[ Parent ]
After I left the Ad Agency and before my disability I got a technical degree in anatomy, physiology and a certification as a Strength and Conditioning Coach from the NSCA.

I was certified to give an exercise prescription to anyone, a doctor is not.  Doctor's tell (sometimes) their patients they need more exercise, but that's the end of it. 

My plan/marketing, which never got off the ground was to get physicians and therapists (who are FAR more sophisticated with exercise than doctors) to refer patients to qualified trainers.  Good therapists already understand that when a persons insurance no longer covers their rehab, they are not done and will refer them to a good trainer if they trust them and will work with that trainer.  That should be the next step for a rehab patient.

The problems is the qualified part.  Unfortunately the Personal Training industry is still a low rent industry.  You need a license to train a dog in NJ, but not people.  Most trainers get their certificates on-line and don't know shit.  I worked my ass off in school for 8 months in a class and in a gym and got certified by the best in the business but when I walk into a gym I am no better, get no more money than the other trainers.

People who are fit, don't smoke, drink and exercise should benefit from their insurance in some way from that.  I worked my ass off before this and could perform physical feats that 99.5 % or more of the worlds population could , but I did not benefit insurance wise for that lifestyle.

by Zayla on 07/05/2009 05:30:01 PM EST

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Good luck to you zayla, if anyone needs it you do and most likely you deserve it too..We are no longer a rich nation, as our cash has been given away for many years now! Disgusting, self-absorbed politicians have given away our hardearned tax dollars to countries who did not even appreciate it, just to make the scoundrels a name for themselves. As prosperous as we once were, there is NO REASON for anyone here to be homeless or on the street. Thank the politicians and the lawyers who have funneled all money to themselves, the citizenry be damned. Why do you think they want to flood in the illegals? VOTES! But these rascals are so dumb they do not realize if their name is not Gonzales they will not get the vote they are expecting! La Raza has already put out the word mang! Votes are for latinos ONLY! Hey I was in the insurance biz for 15 years, starting in 1968 and you would not believe the reasons people refused to buy health insurance, and it was really cheap then! They used every excuse in the world, and the people obviously could afford it, but refused because they could not drive it or watch it nor even sit on it! Anyway, here we are faced with socialized medicine, which is a complete disaster everywhere(Michael Moore is a cruel liar!), and it is to be run by the same folks who bankrupted social security, medicare and US! DUH! We need to go back and start from scratch. We actually have people who know what to do, I am afraid the Soros' of the world won't let them be heard. Its always so simple,,,follow the money, just like the global warming scam. We need some changes in the law to help people like zayla! NOW!

by bigdave on 07/05/2009 11:23:05 PM EST

[ Parent ]
Good luck to you zayla, if anyone needs it you do and most likely you deserve it too..We are no longer a rich nation, as our cash has been given away for many years now! Disgusting, self-absorbed politicians have given away our hardearned tax dollars to countries who did not even appreciate it, just to make the scoundrels a name for themselves. As prosperous as we once were, there is NO REASON for anyone here to be homeless or on the street. Thank the politicians and the lawyers who have funneled all money to themselves, the citizenry be damned. Why do you think they want to flood in the illegals? VOTES! But these rascals are so dumb they do not realize if their name is not Gonzales they will not get the vote they are expecting! La Raza has already put out the word mang! Votes are for latinos ONLY! Hey I was in the insurance biz for 15 years, starting in 1968 and you would not believe the reasons people refused to buy health insurance, and it was really cheap then! They used every excuse in the world, and the people obviously could afford it, but refused because they could not drive it or watch it nor even sit on it! Anyway, here we are faced with socialized medicine, which is a complete disaster everywhere(Michael Moore is a cruel liar!), and it is to be run by the same folks who bankrupted social security, medicare and US! DUH! We need to go back and start from scratch. We actually have people who know what to do, I am afraid the Soros' of the world won't let them be heard. Its always so simple,,,follow the money, just like the global warming scam. We need some changes in the law to help people like zayla! NOW!

by bigdave on 07/05/2009 11:25:30 PM EST

[ Parent ]

 I have posted before of a young friend of mine that can't work because they would lose the insurance they have that covers the 2500+ a month drugs they have to have to live. Without those drugs 100% chance of death, so he sits around all day because that is all he can do.

 Then there is the older women who needs an emergency surgery days before her husband dies of cancer and gets slapped with a 30k bill because she doesn't get the "good" insurance yet.....

 I fear we will not be far off from a third world country if something doesn't  change soon. Our education is way behind where it should be. Our life expectancy is way behind where it should be. Our companies poison us daily and our government fights for them to be able to keep doing it. It is sad.

 I am among the long term unemployed, 2.5 years now. I worked from the time I was 13 until I became unemployed. When I was young I often had several jobs to cover when I didn't get enough hours at one. From 13 on I paid for everything but food and my bed.

I started to believe that this really was a place where hard work, ethics and intelligence was rewarded.Didn't take long for me to figure out that those traits are not rewarded, if anything punished.

 Hopefully someday soon the Democrats will stand up to the people that make up the 20% dumbshit population we have that never votes for them anyways and get something done. Chances are this wont happen until we vote everyone of them out of office and replace them with someone corporations havn't bought.

 I just try to keep on smiling :)

by mattish on 07/06/2009 12:24:46 AM EST

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