Showing posts with label Obamacare. Show all posts
Showing posts with label Obamacare. Show all posts

Friday, January 20, 2017

A Change in Direction – Inauguration 2017

Obama-Trump

And so the 2016 Presidential Election have finally came to an end. Donald J. Trump was elected by the Electoral College, beating Hillary Clinton despite her having more popular votes. Unfortunately for Clinton the president is selected by the Electoral College, not the overall popular vote.

Today I watched the inauguration for most of the day. I had to laugh a bit at all the people saying not to watch it, or coming up with ideas such as leaving their television sets on because it would “drive Trump crazy” over low ratings. Ignoring the fact that they efforts wouldn’t have had any bearing on the ratings,

I have news for them. Trump couldn’t care less. He was the one with his hand on the Bible. It he who took the Oath of Office. It is he who will be sleeping in the White House tonight.

People are already comparing photos of today’s crowds with those of Barack Obama’s first inauguration, using that as some kind of indication that  nobody was there.

It makes no sense to compare the two. First off, the weather was terrible compared to way back in 2009. But, beyond that, you cannot compare the inauguration of the first African-American president with today’s event.

The 2009 crowd, estimated to be around 1.8 million people was the single largest event crowd ever in assembled in the United States. But, let’s be honest. How many of those people were there because he was the first African-American president? I don’t say that to be mean or racist. It’s on honest question. Heck, if I lived on the East Coast I might’ve even made the effort to be there.

Don’t get me wrong. I was not a Trump supporter. But, I look at all these efforts to somehow diminish the situation, or even somehow reverse it, and shake my head. He will be the president of the United States for at least the next four years, unless he resigns or is impeached and removal from office. 

Let him have his day today. Tomorrow will be a new day, and the first day of the 2020 Presidential Election campaign.

So what did I take from today’s speech and festivities?

When Trump was inside the Capital he ha a glazed look on his face. The same look that he had back in November when it first hit him that he’d won the election. That night he seemed rather magnanimous in his victory speech, and more subdued. I was wondering whether he would repeat that today. Turned out to be not so.

The speech was less of an inauguration speech, and more of a campaign speech with some of the words tweaked for the occasion. I said that to myself just a few minutes in. None of the political commentators said the same thing until legendary Washington Post reporter Bob Woodward did a few hours later, which was reassuring.

The president usually uses the speech as an opportunity for reconciliation throughout the country. Not so with this speech.

Trump painted a rather gloomy picture of the current state of the American country, and went on to pledge to eradicate ISIS from the face of the Earth.

I’m hoping that I am wrong. But, after hearing that statement I’m going to predict there will be “boots on the ground” within Syria and western Iraq by the end of 2017. Those of you who voted for the man and have children of prime drafting age should be saying your prayers now because efforts to reestablish the draft cannot be far behind.

Trump has made known some of the goals during his first 100 days in office.

Obamacare, in its current form, will be going away. But, the question is what will be left? The Republican controlled government is ready to repeal Obamacare with nothing to immediately replace it. But, there are undercurrents that this might not happen immediately. In fact, the first executive order signed was to “ease the burden” of Obamacare. What that exactly meant is unclear, and nobody is talking tonight.

The item with the biggest impact on our nation for the long term is filling the vacancy in the U.S. Supreme Court created by the death of Anton Scalia.

As of last fall Trump had a list of twelve candidates he considered to be his short list. Hopefully, he has had unofficial conversations with those people so that the list is whittled down to two or three names, and we can move forward.

Mind you I’m not suggesting there should be a rubber stamp of whomever he places into nomination. But, I’m hoping the opposition can be mature enough to have their hearings, and then vote.

Tonight Trump took a few moments to rail on the press. I had hoped the rhetoric was going to slow down. But, it hasn’t. I can’t even blame it on a few too many celebratory glasses of champagne since Trump does not drink alcohol.

My prayers for the next few days is that protests will be peaceful. You have an absolute right to protest. But, you do not have the right to willfully take a baseball bat or ball pin hammer to a store front. If you do not want to police breaking up a protest then police yourself. It is the anarchists amongst you who are forcing them to react.

Wednesday, May 14, 2014

I am Cyborg

EyeShield

cy·borg [sahy-bawrg] noun
a person whose physiological functioning is aided by or dependent upon a mechanical or electronic device.

Origin: 1960–65; cyb(ernetic) org(anism)

* * *

For a long long time I've had bad vision. I had always chalked it up to simply being my eyes, which had an horrendous amount of astigmatism.

About 14 years ago, I looked into the option of LASIK vision correction, and while I was apparently a candidate at the time, the doctor refused to preform it because, in his words, I would not be "20/20 happy." (I supplied him with a laundry list of questions about the procedure, and that must've scared him off).

In retrospect, that was a blessing in disguise because a few years later I heard a dreaded "C" word…cataract.

By definition, a cataract is the condition where the lens of your eye starts to turn cloudy, thereby blurring your vision. In extremely circumstances it can go completely opaque, effectively rendering a person blind in that eye.

While I wasn't completely blind, my vision was pretty bad. Uncorrected, it was something like 20/500+, and even with my coke bottle glasses it had devolved to a point where it could someday become a hindrance to driving.

As I haven't had vision care for a long time, surgery was out of the question. Out of pocket could be upwards of $7000, or more, per eye.

However, thanks to Obamacare, I was able to finally get my eyes taken care of. I cannot stress enough that had the president not pushed for his changes in health care, I would not have been able to do this.

(And on a side note, I find the earlier comments by opponents that there would be less choice in health care ludicrous as I see more and more advertisements on TV for health care options I've never heard of until recently.)

* * *

I arrived at my appointment mid-morning last Friday. People asked me whether I was nervous? (How could I NOT be?!?). I said, "No." But, the truth came out when they took my blood pressure as it was all over the place. Not enough to abort the surgery. But, enough to make me take pause.

After copious amounts of eye drops, including some type of "cane" drug to numb the eye, as well as a mild sedative, it was time to wheel me into the operating room.

I was bummed that it wasn't equipped with a recording system, as my grandmother's surgery center had been. But, then I would be "the main event" so it didn't really matter.

The overhead light was all a blur. But, it kept moving all over the place and  so I eventually asked, "Have you started yet?"

Turns out he was already several minutes into the operation already when I asked.

Basically, they make a couple of small incisions in the surface of the eye and then use an ultrasonic wave to liquefy the natural lens of the eye. It's then sucked out and debris cleaned up, before the artificial lens is inserted; unfurling similarly to the solar wings on the International Space Station.

After a bit of tweaking to get the lens properly placed, they covered the eye with a shield (what you see in the photo above), and wheeled me back to the recovery room.

All told, I think I was in the operating room for 20-25 minutes. In fact, I was easily on my way home under two hours from when I first got there. Probably closer to 90 minutes!!

I had my first follow-up appointment the next morning and was shocked! I nearly aced the eye chart; missing only one letter on the 20/20 line. Granted, it wasn't crystal clear. But, it was pretty discernable.

Now, at today's second follow-up appointment, I basically slammed the 20/15 line with no problems, and my astigmatism is completely gone! Plus, I got the great comment that I healed a lot quicker than the doctor expected (which accounts for the ultra-high distance vision).

Perhaps the only downer is that I have to wait until June 13th to get my right eye fixed, and so watching TV and using the computer can be a chore at times.

I can either use my old glasses, which render my new eye a total blur, or I can use a cheap pair of reading glasses, which then totally blur out the right eye due to its astigmatism.

It's kind of strange to think that I will have a small piece of plastic in my eye for the rest of my life. But, in this day and age, where it's commonplace for people to get knees and hips replaced, why should my eye lenses be any different?

Plus, I now have the advantage that these lenses are better than the best sunglasses when it comes to blocking out harmful UV light.

About the only negative thing I will come away with is they are not multi-focal, like the natural human eye so I will be doomed to reading glasses for the rest of my life. But, that's certainly better than not being able to see.

Wednesday, July 11, 2012

Your Government at Work II (DC version)

AlGreenObamacare
Rep. Al Green (R-TX) compares the Obamacare Act with the alternative being offered by opponents (in his right hand) during Congressional debate.  - CSPN

* * *

Over the past couple of days I've had the opportunity to watch the House of Representatives in action, courtesy of CSPN, the cable network which televises the United States Congress, as well as other governmental and historical programming. If you have cable, but have never availed yourself of this source, you really need to. And I hope that high school political science classes use this tool that's available to them. It's one thing to crack open a dusty text book, but another thing to watch them in action.

However, perhaps I should have said "House of Representatives in INACTION" in the previous paragraph. It's not a well kept secret that we have one of the most gridlocked federal government ever, but the last two days makes me shudder. It seems the word compromise is a four letter word as of late.

To be fair, both sides of the aisle seem to have issues, though the more conservative side seems to have an extra hard edge to grind. What they seem to forget is that while extra sharp steel may cut quickly, it also gets ground down a whole lot faster and needs more maintenance.

I'm sure by now you've figured out I was watching the debate and voting on HR 6079, a bill to repeal the Patient Protection and Affordable Care Act and health care-related provisions in the Health Care and Education Reconciliation Act 2010. (Though it's usually used as a derogatory term, I'm going to refer to it as Obamacare for the rest of this blog out of expediency).

Obamacare was passed in March 2010, after nearly two years of discussion in the House and Senate. Almost immediately, efforts were brought forth by Tea Party members Rep. Steve King (R-IA), Rep. Michelle Bachman (R-MN) and Sen. Jim DeMint (R-SC) for repeal. None of those bills made it out of committee.

You would think that after dying in committee they might get the message. NOPE! That was during the 111th Congress. During the current 112th Congress, there have been THIRTY-ONE bills introduced for repeal, including the one voted on today. What was not introduced was a reform alternative at the same time.

And there were several Republican Congressmen who were only too happy to exclaim that if they did nothing other than repeal Obamacare, they'd be very satisfied. If my Congressman said he'd be happy with only accomplishing one thing during his two year term, I'd be looking for someone else to vote for.

I think the most perfect illustration of this was from Rep. Al Green (D-TX) who compared a five inch thick copy of Obamacare with an invisible copy of the proposed alternative.

While today's House vote was for repeal, it was a hollow victory because it will never pass muster in the U.S. Senate, nor is President Obama likely to sign it, should it actually reach his desk.

Both sides of the aisle say that healthcare reform is necessary. Obamacare was passed, and has been ruled Constitutional by the United States Supreme Court. People are certainly within their rights to try and repeal it. However, a more rational effort would be to propose alternatives to parts of the Act, rather than simply going back to the status quo; and doing it over and over and over when it's obvious their efforts will not succeed.

What is fascinating is there ARE common traits between Obamacare and Massachusetts healthcare, which was passed under Mitt Romney. I'm not going to say they're carbon copies, but there are things that both sides of the aisle can agree on, if they can get past the partisan bickering.

Massachusetts has a penalty if you don't buy insurance. So does Obamacare. Massachusetts requires companies with 11 or more full-time employees to provide insurance. That requirement doesn't kick in until 50 full-time employees with Obamacare. Both plans prohibit denying coverage due to pre-existing conditions. Both plans prohibit insurance companies from arbitrarily canceling coverage.

The biggest issue that needs to be worked on is exactly how to pay for it. This is not as easy to answer as comparing a state insurance program vs. a federal one.

Obamacare is basically being paid with new taxes. The sooner proponents admit that, the sooner they can move on to other discussions. Some of the taxes are minimal at best, and won't be noticed. Some are definitely going to hit people more the closer we get to 2018. This is where discussion would be helpful, rather than just sticking their heads in the sand, hoping it will go away.

On the surface Obamacare opponents exclaim they can't be made to buy health insurance. That was my initial reaction. But, then I have to ask how the states can require drivers to buy automobile insurance? You will certainly face a penalty if you're caught driving without it!!

Opponents say people won't be able to keep their current insurance. That's not true. The only way they don't have that option, is if their employer decides to cancel their employee's coverage.

* * *

One of the more egregious things mentioned today were stories of children that had life threatening illnesses before they were born, or immediately after, and had to get treatment just to survive birth. After receiving that treatment they were told they were uninsurable due to pre-existing conditions. How rational is that?

While I'm not personally familiar with those cases I can speak from personal experience.

Many years ago, I was covered by a national HMO under my parent's plan. After graduation, I was able to enroll in the same HMO through my first job after graduating college.

Like millions of other Americans I was diagnosed with high blood pressure, and was prescribed medication. Unfortunately, after the company went bankrupt I was laid off. I chose to use COBRA to continue my plan, and paid out of pocket.  When I first started paying it was $187/MTh. Over the next four years, there was a steady increase EVERY year until it was $488/MTh, which I couldn't afford so let it lapse.

What's somewhat ironic is my HMO claimed to be a non-profit, yet every year they finished in the black financially, and every year they constantly built new facilities around the Bay Area to the point of being one of the area's larger real estate owners.

As bad as that price increase looks on paper, it wasn't the most incredible part of the whole thing. My new employer happened to offer the exact same HMO for their coverage. I filled out the paperwork to apply. However, I was denied due to a pre-existing condition. They denied me for being treated for high blood pressure.

It would have been interesting to have had a blood pressure cuff on when I heard the reason. I explained to the person on the phone how ridiculous that was since it was their HMO which had diagnosed my situation and had prescribed the medication. There was silence and then a bit of telling me that's the way it was.

After multiple phone calls to multiple departments and mangers they finally woke up and gave me health care. I shouldn't have had to jump through all those hoops and loops to get care; and under Obamacare I wouldn't have.

* * *

It's a shame we have came to a point where we're basically required to get government regulated health insurance. Unfortunately, the emphasis on profit vs. society and legalistic treatment of individuals has driven us to it.