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Single acts of tyranny may be ascribed to the accidental opinion of the day; but a series of oppressions, begun at a distinguished period, and pursued unalterably through every change of ministers (adminstrators) too plainly proves a deliberate, systematic plan of reducing us to slavery. ~Thomas Jefferson
We are in such dire need of reform, but I can't get behind "reform" that allows the bookmaking on Wall St. to continue. This appears to me to be the best possible scenario for the insurance goons. I don't care if we embrace a fully capitalist model - meaning a truly FREE market with HONEST COMMERCE - or go socialist, its all the same in the end, either pay this way or that. Both have their benefits and drawbacks. But this is neither - it's just corporatocracy where my paid participation in the most abysmal medical care in the industrialized world is now mandated. I just can't feel good about this "reform" no matter how hard I try.
I am much more optimistic today than I've been in a long time.
This is a far from perfect bill; I can hardly be thrilled about the way women's reproductive freedoms were such a trivial bargaining chip. But maybe we needed this kick in the butt to organize better for more women candidates and prochoice representatives in general (and I'm already planning on making contributions to Stupak's Democratic challenger Saltonstall, who is prochoice).
BUT. It is a hugely important step down the road to true reform of healthcare. I work with people in the health insurance industry, and let me tell you; they are not celebrating a giveaway, because they know it's just the beginning. There may be short term profits, but they cannot deliver healthcare as cheaply as the government can, and eventually, they fear, everyone else will realize it too and move to cut them out of the middle. No celebrations in the offices of the insurance companies today.
We as a nation are royally screwed. An insurance reform that both congress and the president will be exempt from. It is extremely dangerous to give the government the power to control many aspects of our lives. I will not be surprised if we are limited on how we may birth even further. Amendment 48 of the constitution states that congress may not pass laws that are for themselves and exclude the u.s. citizrns and vice-versa yet they did just that. If you're not outraged, then you're not paying attention
This means that I can leave my government job and go to midwifery school, and know that I will be able to buy insurance as an individual on the exchange for a competitive price, despite the fact that I have a pre-existing condition (asthma). I no longer feel that I have to stay at my job just because of the health insurance.
I live far far away from America. But I have been observing the process. And I'm relieved to get to the next phase of this process.I live in the country that seems to have Europe's most cost-efficient health-care system. Estonia can use only about 5% of GDP to health-care costs. And I'd say, we are not really in a bad system. I could talk hours about that, but that is not the topic. So all these "death panels" and "bureaucrats between me and my doctor" seemed so ... far away from real life. There already is a bureaucrat between you and your doctor, insurance company profit-pushing one. This bill is definitely not perfect, but it can be a good start. Good luck implementing and improving in the future! This news definitely made my day nicer!
I have a few fears. First, homebirth. Many insurance companies and state run medical like ACCCHS (in AZ) won't pay for homebirth. Many women pay out of pocket for their homebirth. Are we still gonna have that option? Second, having not read the bill, I am a little concerned how certain aspects of our health might be managed. I would hate to see procedures denied or forced based on what the insurance co deems necessary. Sadly, I think we just gave our gov and insurance co more power to control our bodies.
I was very distressed to hear that we can no longer get medication from Canada. I still need to confirm what the details are on that, but their site is overloaded today, of course. Right now I'm able to get my thyroid med compounded, but when they run out of the powder I'm absolutely screwed. Canada was my only other option. Lots of mourning in the dessicated thyroid community.
And I guess overall, I'm mostly concerned that they haven't changed enough. This is not reform. It's still the same old for-profit corporations imposing various restrictions, limits, unreachable deductables... only now we're forced to pay into it; we cannot vote with our wallets. This does not even remotely resemble what Obama talked about up until the election. I don't understand why people are not more outraged at this bait-and-switch.
@Michelle, you're asking if we are still going to have the option to pay out of pocket for homebirth? Yes, you can still pay out of pocket for any care you want to. Healthcare providers always will happily accept your cash.