Today I am playing with a little box drum.
I made a short video about my taking a tambourine and box-tapeing the metal jangly parts, I now have a nice hand drum which I kind of like more than when it was a tambourine.
Kaiser Family Foundation chart shows who has insurance in the United States, and how it is obtained.
Health Coverage Guide goes into ways that having insurance saves individuals versus those without insurance.
The wikipedia entry lists a variety of facts from different angles about the uninsured.
Florida, Georgia, Texas, New Mexico, Nevada and California are listed as states with larger numbers of uninsured. Possibly this could be because of high populations of undocumented workers, or other assumptions based on census data, or other causes.
An explanation of a base cost of a procedure (appendectomy) across sectors of the population (indigent vs uninsured vs insured).
This article looks at the higher probability of uninsured to have less favorable outcomes due to lack of routine following for treatment and medical care.
This considers the types of insurance versus the outcomes. At the time of the writing, Fee For Service insurance was better than care obtained through a Health Maintenance Organization type of plan. But those with HMOs tended to have better outcomes than those on Public Assistance health care plans, and those people tended to do better than the uninsured.
People without insurance are more likely to forgo preventative care, avoid seeking care, continue with bad habits, continue engaging in self-destructive behaviors without admonishment from physicians.
This site has many hyperlinks to many studies which probably support the case for expanding insurance coverage.
There are probably many more reasons to consider getting insurance if one does not have it, but when times are tough, and money is scarce, finding extra to afford insurance premiums (payments for future promised benefits) might be difficult for the unemployed or underemployed or working poor.
Most people probably do not want to be diagnosed as diabetic. Yet, many people probably experience issues with blood sugars.
Money is important. It is reflective of and useful in how we determine worth and value in our society. Values are assigned to things like gallons of milk, to pounds of coffee, to gasoline, to computers, to houses, real-estate, or rent. Also people generally choose to accept being paid for their time performing jobs, with various pricing schedules and rewards promised in retirement. Many people won’t make it to full retirement working for one company, but some will.
Perhaps these central ideas were taken into account by President Obama and his many advisers when he was trying to put together the comprehensive package called the Patient Protection and Affordable Care Act. I think a much better job could have been attempted to communicate these ideas to many of the people in the country. I’ve recently gone looking for articles about the health insurance situation, and the studies done seem to indicate that people with health insurance do better.
The uninsured tend not to benefit from regular check-ups, and following by healthcare professionals. Diabetes is a serious condition caused by sugars in the bloodstream when the pancreas cannot keep up with the production of insulin, or something similar and causes spikes and crashes in blood sugar levels. Some people with Diabetes go blind, or loose limbs due to poor circulation.
The Patient Protection and Affordable Care Act isn’t very comprehensive, since it just attempts to lower the cost structure of insurance by expanding the numbers of insured individuals. It is a starting point. Hopefully, the insurance companies will be able to survive with the new regulations, and prohibition of denying coverage for pre-existing conditions. I am pretty sure that the businesses will be able to continue.
We are not moving toward universal coverage, at this time. We are hoping that private companies can provide reasonable coverage for more people in society. Having people select from insurance plans is daunting when there are choices at work. I suppose that it can be even more complicated when dealing with larger numbers of insurance companies.
Part of the difficulty behind wanting to have the younger people enroll is that they want to be able to make comparisons via web enabled smart phones.and who knows how much information is actually conveyable through that format.
Having insurance companies come to our place of work to respond to questions was nice, but with other smaller employers, it is probable that it is more confusing. Being able to talk to other co-workers is also important, but I’m not sure how much of the conversation goes on around financial matters.
Marty Salo, Yahoo Contributor Network
(yet another contribution declined for publication)
(This time, something about the lack of authority for me to be writing about such matters)
I get that healthcare is expensive. In and of itself, the process probably isn’t that expensive, but when one considers all of the other ancillary services (hospitals, hospitalizations, diagnostic tests, cleaning, and salaries and monies that go to fund the people involved). Consider that many hospitals are run as for profit institutions. Equipment to perform fancy scans is generally quite expensive. Supplies less so, but the people associated with making sure that organization runs is where the real expense lies.
Adding complexities to the mix, looking at the needs of supporting a level one trauma center, and perhaps the situation becomes murkier. I am not positive of all of what is required for a level one trauma center, other than they have to be able to deal with the most complex and time sensitive situations. A neurosurgery suite, with requisite skilled staff, Cardiac, Pulmonary and other medical specialties. I am not positive how much of a case load is required to keep each of these teams at their peak efficiency, but I’ve seen editorials in the paper about how some other hospitals in smaller nearby counties are seeking accreditation as level one trauma centers. Supposedly some people worry about the dilution of talent, and the ability of these smaller facilities to handle the complex cases.
I guess ultimately, it comes down to a matter of dollars and cents. Insurance companies require documantation of needs for certain procedures, so that necessitates tests to get the documentation to establish the need for the thing to be done. Certainly, if the need was not there, and the thing was done, then that would create the possibility for fraud in healthcare. Most people are probably not fraudulent, most people probably find it distressing that people try to rip other people off.
Compliance is another big area around the business of healthcare where people need to develop skills, and be documented. Documentation is also important. If it isn’t documented, how can insurance companies pay for sevices which might or might not have been performed. Thus, the importance of documenting that things were done.
I commiserated with a co-worker in the hallway, generally about the dental insurance agreeing to pay for some of the crowns, but not for others, and his response was “and they will say that they are not practicing medicine.” By trying to deny payment for procedures which they view as not needed, they arguably are trying to influence practices.