Posts Tagged ‘lack of healthcare’

Medicare

March 24, 2010

I have been really upset the past couple days.  On the heels of healthcare reform, I get a letter that I must find a new doctor.  Now, if you know anyone on Medicare who has to find a doctor, you know that is not an easy thing today.  Medicare reimbursement to doctors and other providers is so abysmal, a lot of doctors no longer see new patients.   If I find a doctor at all, the next issue will be finding a specialist if I ever need one.  This is just the beginning.  The other problem is the $500 billion in Medicare cuts at a time when the number of patients is rising.  The architect of how to do the $500 billion in cuts is the same British man who invented the National Health Service agency called “N.I.C.E.”  This is the board who decides how many “quality years” (QALY) you have left, and whether you will receive medical care.   This is the board who advocates no treatment at all for the sickest, and is the direct cause of thousands in England being put to death by dehydration while in a morphine induced coma (so their families can’t quite figure out what happened).   Looking at all this, and being without a physician, I realize I am “of an age”, and it scares me.  If I get sick, I may have to do my duty and die.  Actually, it will likely be decided for me.

After stewing for hours over what is happening to the old and the sick under Medicare (and likely to quickly get worse under “Obamacare” due to the consultations with N.I.C.E. by the Obama administration,) I had a change of thought.  I’m not going to put my hope for life or health in the government.  So many in our nation look to the government instead of God.  So many count on the government to come through for them for their income, house, disaster relief, healthcare, etc., etc.  But the government does a very bad job of being god.  However, the good news is:  God is still on the throne.  Unlike my doctor, God doesn’t leave the area.  He doesn’t take vacations, he doesn’t retire, and in fact, he never sleeps.  He doesn’t miss a thing.  Furthermore, I belong to God.  It is He who protects my health and well being.  As long as He has something for me to do on this earth, I’ll be alive to do it.  I won’t live one day less that He has planned for me, no matter what the government thinks.  When He comes for me, it will be on His timetable, and if He chooses to let the government be the instrument of my demise, well, we all go by some means.  It will still be God’s will, God’s plan, and God’s time to come for me.

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Healthcare Reform

March 23, 2010

All who are cheering our new healthcare reform ought to be studying the National Health Service in England.  In particular they ought to be looking at one of the many bureaucractic offices set up to run the Health Service “fairly”.   N.I.C.E. is the acronym for National Institute for Health and Clinical Excellence.  In reality it is set up to determine such things as how many quality years a person has left.  QALY (Quality Adjusted Life Years) puts you in your proper place in the rationing queue.  If you are an older person, or if you have a condition which someone from N.I.C.E. determines as causing your quality of life to be less, your QALY score is lower, and you either wait longer for care, or you don’t get it at all.  N.I.C.E. also determines such things as whether the NHS should offer certain treatments to anyone at all.  If a treatment helps some people, but not enough people, it is taken off the schedule completely and no one gets it.  Its not cost effective to use it for just a few.  So now everyone’s worth is determined by their QALY score and the cost effectiveness of treating them.  In fact the Brits call N.I.C.E.  by other names such as “National Institute of Cost Effectiveness” and “Nazi Institute for Commoner Extermination”.  The two men most instrumental in setting up N.I.C.E., Sir Michael Rawlings and Simon Stevens are both working with the U.S. government to determine the most efficient ways to run Medicare.  Sir Michael Rawlings has had video conferences with our health bureaucrats, and Simon Stevens is now living in the U.S. and advising Medicare.  In the Healthcare Reform package which just passed congress is a plan to save $500 billion from Medicare over 10 years.  This is supposed to help finance the reform. Mr. Stevens, one of the architects of N.I.C.E., is architect of that part of healthcare reform.  Nancy Pelosi hailed Healthcare Reform as being a historical landmark like Medicare.  Medicare looks like it will soon be a plan senior citizens will wish they could escape.  Although the quote was frequently thrown at us that Europe has better health statistics than we do, England does not.  England’s cancer survival rates trail ours by 10-20%, and so do their cardiovascular survival rates. That is despite Britain having had universal healthcare for 60 years.  As my own father used to say, “Everything costs something.”  Nothing is free.  If we want to give free health insurance to people who by choice do not work full time, and have the taxpayers cover it, something else has to give.  I just can’t champion Medicare when I paid into it for 40 years of my working life and now can’t find a doctor who will see Medicare patients because of its abysmal reimbursement to doctors.  Our new healthcare reform model is mirroring the British model, which has been a complete failure.  Wake up America, and keep your sense of urgency until November when we have another chance to elect a new congress and do healthcare reform right.