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Re: Not really Kick CountsFrom: fran wilson (530rose@msn.com)Tue Dec 20 10:17:13 2005
I know several women right now with abnormal paps that can't get a colpo because they don't have money. Routine preventative care is not covered in the ER. Until it is too late. They may be able to afford my sliding scale pap smears but, unless they are really savvy, they have a hard time qualifying for intermediate care. And many folks don't have adequate health care for their diabetes, etc, because they are undocumented. And dental care - don't even get me started on that! Even with my good insurance, I plan to go to Mexico for some bridgework. McDonalds workers and 20 somethings without kids living just above the poverty line just put up with or self medicate for alot of symptoms before they get bad enough to go to the ER. And by then, the problem has grown to expensive and disabling. It is not because they are watching TV, it is because they went to the ER once and ended up with a bill for a couple thousand dollars, that went to collections because they could not pay, that has now caused them the grief of not being able to get a decent apartment, a car, and sometimes even a job. Many of our service workers in this country - that keep the prices down and the unpleasant tasks done - have no access to primary care. And many of us with insurance (the more well off) OR with medicaid or medicare keep voting against a national health care plan because we might have to pay more taxes. Well, let me clue you, those ER visits, bad debts, and disability payments for what could have been found and treated during preventative care are what will end up costing us more money in the long run. You are kidding yourselves if you think everyone can get health care in the US just by going to the ER, and expecting the ER to be someones primary care is saving a penny in preventative care in order to spend a dollar in treatment and disability. A country that purports to be one of the most advanced in the world (and tries to tell the world how to run their business) ought to be ashamed! Think of those people as your families join around the holiday tree - or whatever is your prefernce - and enjoy expensive gifts and bountiful food. The missions and, in many cases, the bridge underpasses are full of disenfranchised people who not only have no health care they also have no food or shelter. Warm Solstice Greetings! Fran Wilson, CNM
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