Health Insurance : Every Patient’s Advocate

Peter Jennings, Healthcare Reform, Asking the Tough Questions

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As more and more questions are being asked about how we Americans can possibly continue to pay for our healthcare, a documentary has surfaced that will help us citizens better understand why the American Healthcare System is on the ropes, and ready to implode.

A new website called Snagfilms is now offering documentaries, independent films, and other less available motion pictures for any and all to learn from or be entertained by. Among them is this report which Peter Jennings was just finishing when he was diagnosed with lung cancer, just months before he died.  In fact, while he handled the interviews for the program, someone else had to do the narration because Jennings, ironically, was too sick to do so.

This report addresses healthcare costs, responsibilities, and who is really paying for all those 47 million people who don’t have private insurance.  It will open your eyes, frustrate you, and give you good reasons to begin getting involved in the conversation.

This American dysfunction WILL implode.  Make no mistake about that.  Watch this report to learn some of the reasons why.


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What Tim Russert Has Taught Us About Healthcare and a Healthy Life

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Tim RussertLike so many of you, my heart breaks at the loss of Tim Russert. On so many levels, we felt a kinship to him. Anyone who has tried to understand American politics or politicians during the past 20 years has gotten to know Tim Russert, as if he were the trusted friend and neighbor who could help us “get” it.

Our world is now less because we don’t have Tim. And It occurs to me that there are some final lessons we can learn about healthcare from him. Just as he helped us understand politics, he can help us better understand healthcare and a healthy life — as follows:

It turns out that Tim was quite watchful over his heart disease. He had been diagnosed, and was under a doctor’s care. He took his meds, he watched his diet, he exercised, and he got his regular check ups. He was a vigilant patient. Our lesson: being a vigilant patient, doing our best to prevent problems, following all the rules for good health, doesn’t mean life won’t still be too short.

We’ve learned that no matter how many studies exist, no matter what tests can be run, no matter what drugs are available, no matter how well we manage our diets and exercise, there are aspects of a body’s function that just can’t be controlled. Our lesson: Medical science still has a very long way to go.

We’ve learned that good quality medical care doesn’t always translate to a longer healthier life. Yes, I think that over a population of people, better care equals a longer life — BUT — Tim had the best care available in this country, and he died way too young, in his prime. Perhaps without that good care, he would have died even younger? We’ll never know… Our lesson: having good medical care is a plus, but it’s only one tool in determining longevity.

We’ve learned that even the best medical care can’t make up for 1) bad genes or 2) bad choices or 3) extreme stress — any or all. What we don’t know is whether Tim was a smoker when he was younger, or whether he survived on hamburgers and greasy pizza before he turned 55. We don’t know if there was heart disease in his family. We can assume his life was quite stressful. Our lesson: we can’t expect medical miracles to overcome bad genes, heavy stress or bad choices.

Tim taught us that we just never know when our final moment will be — and we need to be prepared. His family was the most important part of his life. He left this world making sure they knew exactly how much he loved them — his dad, his wife and his son. Our lesson: At any moment in life, be sure those you love know just how much you love them. It’s important for your own health, and their health and well-being, too.

Tim had very strong spiritual beliefs, and surrounded himself with spiritual people. In the difficult times, believing in a higher being can be very comforting. His family will find some comfort in the coming years based on that faith, too. Our lesson: Life can be enhanced, health can be supported, and comfort can be found through spiritual beliefs.

Finally, we’ve learned from Tim that one’s legacy is about character and a zestful approach to life. We have to believe that in that instant the heart attack struck, when his life passed before him, he knew it was all good, and he would not have changed one moment of who he was, who he loved, what he had accomplished, and the experiences he had enjoyed. Our lesson: live life to its fullest, with spirit, grace, and zest.

My prayers are with his family — His dad Big Russ, his wife Maureen, his son Luke, and his co-workers at NBC. We were all lucky to have him while we did. And we can all thank him for these final lessons about living a quality — and healthy — life.

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An ER Nightmare: Hit to the Psyche and the Wallet

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Star Lawrence is a fellow health and medical blogger, commenting almost daily on the state of American healthcare, and her experiences. She’s often funny, and she’s always to the point. One of those “I have to laugh so I won’t cry” types of commentary.

Star sent me a post to share with you, and it has been added to my Guest Posting section. Entitled A Stroke of True Genius, you’ll learn about her latest emergency room adventure, and the nightmare it has created to both her ability to make choices about her healthcare, and her wallet.

It was quite a different experience from my emergency room adventure of 14 months ago, which I shared with you afterwards.

But the bottom line to both posts is the same: being empowered isn’t optional. Our lives, and our life savings, depend on it.

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Hospitals, Never Events and Your Bill

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Last week was National Patient Safety Awareness Week. Seems like the press just caught up this week. From MSN and NBC, to Reuters, and hundreds of news outlets that are more regional or local in nature…. this week patient safety is the bulk of what I see in the headlines.

Most of us patients don’t give safety much thought. Afterall, the whole idea of seeking medical care is to improve our health and well being; not to make it worse. Sadly, for almost 100,000 Americans each year, patienting isn’t safe at all — it’s deadly.

The National Quality Forum, a combination government and not-for-profit agency, listed what it called “never events.” Included are drug errors, surgical errors, even criminal acts on the part of healthcare providers — or not prevented by healthcare providers.

Not listed, but just as deadly, are hospital acquired infections like MRSA.

What comes as a surprise to most is that even if a hospital or doctor has created an unsafe environment for you and you are harmed — you will get the bill for it! Say you acquire an infection while hospitalized. Not only do you have to stay in the hospital for several extra days or weeks, but you get the bill for it, too! Seriously — you get to pay for the additional insult, even though it was someone else’s fault.

That is now changing. Last year legislation was passed which allowed Medicare to proclaim that beginning in October of this year, Medicare will no longer pay for a list of eight medical mistakes; from MRSA acquisition to surgical errors to bedsores.

Now private insurers are saying they want to do the same, and their voices are getting louder.

The problem is, of course, that someone will have to pay the bill. A portion of the Medicare policy means that hospitals can’t bill the patients who suffer the errors — the hope being that instead, they will clean up their acts and stop commiting them.

But as I just said — someone will have to pay the bill. Will those of us not Medicare-insured end up paying the bill? Will those charges get hidden somewhere else? Will that 50 cent box of tissues we get billed for begin to cost us $5?

No specific answers for you today — just a caveat to stand back and watch out and be vigilant. There will be much more about this in the next several months. When coupled with the presidential elections only a month after the new policy goes into effect — well — it’s going to make for an interesting Fall.

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