Showing posts with label politics. Show all posts
Showing posts with label politics. Show all posts

Monday, June 6, 2011

Health Insurance

Can I just vent about health insurance for a few minutes?  Of course I can, it's my blog.

I received a bill today for my co-pay for the surgery I had a month ago.  I was expecting this bill, so that's annoying, but the way life goes.  I was also expecting the hospital to be attempting to bill my insurance some ludicrous amount and then accepting it when my insurance offered three cents in return.  But nonetheless it is shocking to see the actual numbers.  For the whole surgery shabang they charged my insurance $11,329.  On the day of my surgery the hospital billed $600 for two iterations of a blood type test (do they really do the same test twice?).  My insurance paid $2,730 total.  Furthermore, in the past 60 days (i.e. including pre-op blood work and screening and such) doctors have billed my insurance over $30,000.  And you know what they've paid?  Just over $5k. 

Now, of course, I am glad that I did not have to pay anyone $5k, let alone $30k.  Compared to these numbers my copay is insignificant.  I am thankful that I have health insurance, and I know that many people are not so fortunate.  But is this bizarre system really the same system that health care reform opponents are so determined to fight to the death to defend?  Are these numbers based on anything?  If I didn't have insurance would they actually be billing me these ludicrous amounts, and I would therefore be paying several times more than insured patients?  Or are these numbers just pure fiction and some uninsured discount would appear? 

I know that health care costs money.  I know that it is a major issue that some people don't understand that it is an expensive commodity.  I'm sure that the medication I received and the cost of the operating room and the services of the surgeon and the anesthesiologist and all of those things genuinely cost a lot of money.  But why is the price for them something that is determined by a complicated closed doors political negotiation between my insurance company and some Medicare government employees and the hospitals and probably the CEO of  Exxon Mobil? 

These questions are rhetorical, although I'm sure some of you reading know more of the answers than I do.  I'm not well enough informed to have a strong opinion on the health reform that passed or most of the alternative proposals that were made or may be made in the future.  But I think the current system is ridiculous and I have no idea why health care reform opponents suddenly became so enamored with their current health insurance companies, because personally I'm convinced that mine is out to get me.  (They already got my gallbladder!) 

Thursday, March 17, 2011

It's Different

After we booked our honeymoon tickets the other day, I tweeted something about needing to get a new passport. Someone tweeted back about the fact that she'd been married several years and hadn't bothered to get a new passport.

And my first thought was simply, "It's different."

She's married to a man, so even though they don't have the same last names in their passports (she did choose to take his name, but the same rules apply to the many women in hetero marriages who don't change their names when they get married), their marriage is likely to be recognized wherever they go. If they approach the immigration officer at the airport together and say they're married, that person is unlikely to declare that they're not a family and must go through immigration separately. And if some tragedy were to befall them, either in the U.S. or in another country, and one of them were to need medical attention, the hospital staff would likely take their word for it when they say they're married.

It's different.

In contrast, it's only in the past few months that the U.S. government declared that patients have the right to decide who has visitation rights, even if that person is a same-sex partner. That directive grew out of a Florida case in which a woman and her children were denied visitation rights to their wife/mother as she was dying, despite the partner having a health care power of attorney. And outside the U.S. the situation can be even scarier. We love traveling, and we're not about to abandon our desire to see the world just because we're a same-sex couple.

But it's different.

So not only will we both update our passports to contain our new shared last name, but we will travel with a certified copy of our marriage certificate. And we will travel with originals of our healthcare proxy and power of attorney documents. And I'm already working on scanning electronic copies of these documents, along with our wills, so that we could access them online anytime if needed. Yes, we have wills. We've been married 4 months, we have no substantial assets, and we don't have children yet, but we have wills. Our families are very supportive and would no doubt follow our wishes to the best of their abilities, but depending on where we are, our marriage has different levels of recognition. (The drive home from MA to NJ is always fun: now we're married, now we're not, now we're married, now we're sorta-married, now we're maybe civil-unioned?) I'm generally a pretty risk-averse person anyway, but on these matters, I'm taking as few risks as possible. So yes, we'll be spending that $220 to update our two passports as one more marker of the legitimacy of our relationship.

I don't mean to sound bitter; I don't begrudge the privileges of anyone who's in a hetero marriage. I just wish those privileges could be shared by all of us.

I wish it wasn't different.

So all of these thoughts were running through my head yesterday, when I got a bit of a reality check. I was about to leave work when my director asked if I knew of resources for someone claiming asylum. I didn't have much, but after hearing the story behind the question, I spent a good hour Googling my heart out for resources. Without giving out too much identifying information, she was asking on behalf of someone who had recently come out to his/her parents and been met with a very hostile reaction. This individual comes from a country where homosexuality is illegal and potentially punishable by death, and after successfully re-entering the U.S. following this traumatic coming out experience, this person is now trying to figure out how to apply for asylum in the U.S.

That's different. In a way that makes my passport concerns seem rather insignificant.

I did find several resources to pass on to that individual, but I'd also like to share one with all of you. Immigration Equality is an organization that is working to change immigration laws as they impact LGBT people and also help LGBT people who are struggling with the immigration system now. They do advocacy, they provide information, and they provide legal assistance for people who couldn't otherwise afford it. So I'd urge you to take a few minutes to at least read about their work, read the stories of people they've worked with, and get involved if you feel so inspired.

Help make it different.

Tuesday, March 8, 2011

100 Years of Solidarity

Happy International Women's Day! This year marks the 100th anniversary of the holiday. I spent my day at work handing out roses, chocolates, and information about events happening in the NYC area in honor of the day. Despite washing my hands half a dozen times since I got home, my hands still smell like roses. But today gave me a chance to talk to lots of women about their experiences. I talked to young American women, who had either never heard of the holiday or were super-excited that our handout included information about their upcoming V-Day event. And I talked to young women from other countries, who were excited to see an American celebration of a holiday they know from home. And I talked to older American women, many of whom self-identified as second-wave feminists, who told me about their experiences fighting for women's rights. It was a good day, and an educational day, but also a long, exhausting day, so I'm left with few eloquent words for you about the significance of this holiday. But I'd invite you to stop by One Cat Per Person, one of my favorite blogs, and read some of the really thoughtful posts submitted for "In Her Own Words: In Celebration of International Women's Day 2011".

And then go find an important woman in your life, and tell her that you love and appreciate her.

And while I really don't want to entirely politicize the day, I was reminded by several women today of the hard-fought rights that Congress is threatening right now. If you support women's access to basic healthcare, as well as a woman's right to make decisions about her own body, please take 30 seconds to tell your Senators.

Friday, February 18, 2011

This is What Democracy Looks Like

I know most of you don't live in Wisconsin, but the political conversation happening in WI right now could have a huge impact across the country and across politics for the foreseeable future. Honestly, the best summation of this situation that I've seen anywhere is this clip from Rachel Maddow:



But for those of you who don't have the patience for a 14-minute video, here's my brief summary of what's going on. Yes, I have a bias. I lived in Wisconsin for the first 22 years of my life. I graduated from the University of Wisconsin-Madison. And I am an unabashed liberal. I also no longer live in Wisconsin, so I can't give you any first person-insight into what's happening right now, though I am certainly hearing a lot from family and friends who've been at the capitol these past few days.

In his first six weeks as governor, Scott Walker created an extra $140 million in new spending, largely going to corporations and the wealthy.

To be clear, at the time that he took office, Wisconsin was anticipated to have a budget SURPLUS at the end of this year, but he created new expenditures without balancing them.

He then turned around and declared that the state of Wisconsin is broke, and the only way to fix it is for public employees to foot the bill. His proposed emergency budget bill would include all public union employees in the state being forced to pay 5.8% of their salary toward a pension plan (note: unlike a 401(k), employees wouldn't have the option to contribute less) and to more than double the amount that they currently pay toward health insurance. For someone earning $40,000/year, this amounts to an 8.4% paycut.

After making this proposal, he declared that because the state is broke, there is no room for negotiation on this, or any other aspect of his bill. And because Republicans hold a majority in both houses of the state legislature, he seemed sure that passage of this bill would be swift (allowing only 3 days for debate) and easy. In announcing this proposal, he also declared that the National Guard would be on standby to deal with any unrest. I thought this was the Midwest, not the Middle East?

Okay, 8.4% is a big paycut. Huge. But the unions might even be willing to accept that, were it not for the rest of his proposal. You see, the rest of the proposal would demolish every right that unions have fought for over the past century. Under his plan, unions would lose ALL of their collective bargaining rights, with the exception of base salary. Issues of benefits, working conditions, overtime, etc. would no longer be on the table. And raises beyond the consumer price index would require a referendum, and we can all imagine how that's going to go. And none of this impacts the current budget. This is union-busting, pure and simple. Scott Walker is trying to make real a Republican wet dream to wipe out the major organizational base of their opponent.

Oh, but I lied up above. I said it would impact all public employees, but that's not true. You see, state troopers, police officers, and firefighters would be exempt from these changes. Why, because they're more important than teachers, nurses, prison guards, and other state employees? No, because the Milwaukee firefighters and police unions, along with the troopers' union, were the only unions in WI to support Walker in the gubernatorial election. Yes, it's just that blatant.

Needless to say, unions are irate. Over the past week, tens of thousands of people have been gathering at the capitol each day to protest and to make their voices heard during committee hearings. But the Republicans have continued to claim that there is no room for negotiation and therefore have largely refused to negotiate the terms of this bill. So yesterday, the Senate Democrats made a bold move: they left the state.

The Wisconsin State Senate has 33 seats, of which 19 are currently held by Republicans and 14 are held by Democrats. Senate rules require that a quorum of at least 20 Senators be present in order for a vote to occur. Republicans had repeatedly refused to negotiate the bill, knowing that they had the votes in the bag. So the Democrates left. And they didn't just leave the capitol, or the city--they left the state and are now beyond the reach of the State Troopers, who were otherwise being sent out to find them. The Democrats' hope is that by delaying the vote, Republicans will have to come back with a better bill; meanwhile, more people will get a chance to have their voices heard.

Was this move smart? I don't know. It's certainly not going to win any friends from moderates, and it's giving the right all sorts of ammunition. But I'm not sure the Dems had much choice--this seemed to be the only way they could have any say at all in this debate. And I will say this--it was brave. This was not a move for the squeamish. There was no room for waffling. It was all or nothing--one Senator caving to pressure means the vote can go on. This is solidarity. For realz.

And lest you think that only the Democrats are pulling unusual and perhaps less-than-honorable tactics, the State Assembly was scheduled to convene at 5:00 tonight to discuss the bill. But Assembly Republicans started the meeting early and began a voice vote before Democrats could reach the floor. This meant that the bill could no longer be changed and no new amendments could be introduced. After much, much argument, the Republicans finally relented and reversed the decision. They'll reconvene on Tuesday.

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If you made it through all of that, congratulations. But here's what I couldn't find a way to say in all of that synopsis: I AM ANGRY. So, so angry about all of this. And frustrated. And distraught. This is my home. This bill affects family members, friends, and the communities in which I grew up and went to college. If this passes, it will have a huge lasting impact on the state of Wisconsin. And that is my immediate concern. This is my home. These are my people. And I really, really wish that I could be in Madison right now, raising my voice with thousands of other people who care deeply about the future of the state.

Wisconsin has a long, proud progressive heritage that goes beyond the Republican/Democrat divide. But the current government took its victory as a mandate to implement whatever changes they wanted. And they thought we wouldn't fight back. But we are proud, and we are scrappy. Those of you on the coasts may disdain Wisconsin as part of "flyover territory," but I betcha don't know that we have one of the best educational systems in the country, we were the first state to allow public workers to unionize, and we were the first state to outlaw discrimination against gays. And I don't know what the end result is going to be in all of this, but I do know this: Wisconsin progressives are a powerful force, and even if you knock us down, we will get back up over, and over, and over again. This fight is far from over. Bring it, Tea Party.

Oh, and by the way, to all of the WI legislators in favor of this bill: please go visit all your K-12 teachers and thank them for helping you get the education to get to this point in your career. And then explain to them why you want to cut their pay and steal their voice. But don't be surprised if you don't get a warm and fuzzy welcome.

Tuesday, October 20, 2009

Old MacDonald had a standardized test

I read an interesting article in the New York Times today: A Moo-Moo Here, and Better Test Scores Later. It's a really interesting (and relatively short) article, so definitely check it out if you have a couple minutes to spare. But if you're too busy, here's my one sentence summary: A school in Harlem takes their kindergarten class to the Queens County Farm Museum (it's a working historical farm, not a museum of farm stuff) to teach them about farms so that they'll do better on standardized tests later in elementary school.

For anyone who wasn't raised in an urban setting (which I think includes the vast majority of people who read this blog), the kids' reactions are a little surprising (for example, 5-year-olds who didn't know that eggs come from chickens). But the whole article kinda makes me go "Huh?", not to mention "....huh."

For starters, it's astounding to me that these kids have no idea where their food comes from. But then I think about the environment that they live in and the fact that it's not so easy to make a connection between a Chicken McNugget and the bird it was named after. And these kids are just starting school, which means that most of their education up to this point was left to their parents, who were probably less inclined than their more affluent, white, suburban/rural counterparts to read books at home that included farms or farm animals.

But it's also astounding to me that the reason for this field trip was not to introduce kids to an important aspect of life or expose them to a new environment; the point was to help them do better on the standardized tests that they'll take in a few years. What does this say about the state of our education system? Why does everything have to be about the test? Why can't we focus on educating kids for life instead of prepping them for individual tests?

From a test prep standpoint, I can see why the teachers think it's important for kids to see a farm in person; most children in elementary school can't think abstractly enough to gloss over the units in a math problem (sheep, cornstalks, etc.) and just find the answer. But the fact that there are so many of these questions on a statewide test, in a state where half of the students are raised in an urban environment, makes me question those who wrote the test. There are certainly some serious class/geographical/race issues to be explored there.

I'm glad that these kids got to spend some time on a farm and learn about farm animals, but I'm saddened that this trip had to be justified as test prep. A current look at urban health issues shows that these same kids who don't understand where food comes from are also more likely to spend their lives eating junk food. Maybe a trip to the farm to learn about sheep and cows and chickens will plant a seed that will make them think more later? Or maybe the fact that I'm currently reading The Omnivore's Dilemma is making me overly optimistic on this point? Hard to say.

Monday, September 28, 2009

Current American Politics - Something Old or Something New?

What is wrong with our country?

This is a question that I find myself asking every day. Seriously, a substantial portion of this country seems to have gone off the deep end. Case in point: someone created a Facebook poll asking if President Obama should be killed. Fortunately it was removed quickly and its creator is being investigated, but what on earth would possess you to think that was okay?

Similarly, until a few weeks ago, I had never heard of Glenn Beck. But apparently he's the patron saint of the angry, scared right wing. Now, I understand that there are plenty of people who disagree with me on healthcare reform, climate change, education reform, immigration reform, etc. And many of those people have well-reasoned, thoughtful arguments to make their case; clearly many of these people are far more intelligent and knowledgeable than I am. But the chorus of crazies who have a knee-jerk negative reaction to anything proposed by Obama (or who even dispute the fact that the man was born in the U.S.) seem to be growing louder and stronger. I just don't understand the extra-special breed of crazy that seems to be involved here though. I read an article in Time this week that, among other things, tried to place current sentiment in the greater picture of paranoid movements throughout American history:
We tell ourselves a tale in America, and you can read it in Latin on the back of a buck: E pluribus unum. Many people from many lands, made one in a patriotic forge. And there's truth in that story — it conjures powerful pictures in the theater of our national mind. But it can also be misleading. Lots of Americans can't stand one another, don't trust each other and are willing — even eager — to believe the worst about one another. This story is as old as the gun used by Vice President Aaron Burr to kill his political rival Alexander Hamilton. And it's as new as the $1 million–plus in fresh campaign contributions heaped on Republican Representative Joe Wilson of South Carolina after he hollered "You lie!" at the President during a joint session of Congress. Anger and suspicion ebb and flow through our history, from the anti-Catholic musings of the 19th century Know-Nothing Party to the truthers and birthers of today.

We're in a flood stage, and who's to blame? The answer is like the estimates of the size of the crowd in Washington: Whom do you trust? Either the corrupt, communist-loving traitors on the left are causing this, or it's the racist, greedy warmongers on the right, or maybe the dishonest, incompetent, conniving media, which refuse to tell the truth about whomever you personally happen to despise.

But I still feel like what's happening now is extreme, even for crazy American politics. Is it the economy? Racism? The ease of communication over the internet? Or am I overreacting and this is really just a continuation of paranoid populist movements throughout American history?