OB-GYN-L Messages for December, 2005: Re: Not really Kick Counts

Re: Not really Kick Counts

From: Anna Meenan, MD

annam@uic.edu

Tue Dec 20 20:56:30 2005

Then again, I see an awful lot of folks who find a couple hundred bucks (or more) to spend on cigarettes every month, even though they claim to only have $1200 a month in income.

-- Anna Meenan, MD

At Tue, 20 Dec 2005, Jamie wrote: > >That's a little different from the family of 5 trying to make it on >$1500/month deciding they need groceries instead of that $200/month >health coverage. Some employers choose coverage that is so expensive >the employees have a difficult time paying their part of the premium. > >At Tue, 20 Dec 2005, ainsron wrote: >> >>Like you said, you get what you pay for. The parents of a friend of my >>youngest son were in a snow mobile accident and had to be hospitalized for a >>couple of weeks and had a couple of surgeries. They were lamenting that >>because of their medical expenses, they might have to sell one of their >>homes. This is a professional couple with good income who opted not to >>purchase health insurance and are not eligible for any governmental >>assistance. I told my son I didn't have much sympathy for their plight, >>anyone who can afford two homes can certainly afford health insurance. I >>certainly don't have two homes or snow mobiles to play with, but I've never >>felt I could afford not to have health insurance for myself or my employees. >>If you play Russian Roulette, occasionally you come up with the load in the >>chamber. >> >>Ronald E. Ainsworth, MD, FACOG >> >>-----Original Message----- >>From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Richard >>Chudacoff, MD >>Sent: Tuesday, December 20, 2005 10:37 AM >>To: Multiple recipients of list OB-GYN-L >>Subject: Re: Not really Kick Counts >> >>They are not denied healthcare, just can't afford to pay for it. There is a >>difference. >> >>As far as being one of the most advanced countries, we are. However, we are >>totally devoid of sympathy or empathy (at least on the national level.) >> >>Now is medical care a right or a privilege? If the former, then get a >>national healthcare system. If the latter, well, then you get what you pay >>for, or not as the case may be. But, everyone has a choice. They could move >>to Canada, and then the colposcopy would be paid for, through their high tax >>dollars. >> >>I hate the whining that comes with not being able to afford healthcare. >>These are the same people who drop into the ER, get great care, get lives >>saved, get babies delivered, and then expect me and my colleagues to eat the >>cost. Hey, it is my job, not my charity. I work to support my family. >> >>So, don't like it, change the system, or change to another country. Pro-bono >>went out the door when the CEO of United Healthcare took home $140 >>million/yr >> >>Richard Chudacoff, MD, FACOG >> >> _____ >> >>From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of fran >>wilson >>Sent: Tuesday, December 20, 2005 11:19 AM >>To: Multiple recipients of list OB-GYN-L >>Subject: Re: Not really Kick Counts >> >>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 >> >> _____ >> >>From: doctorjoe@aol.com >>Reply-To: ob-gyn-l@obgyn.net >>To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net> >>Subject: Re: Not really Kick Counts >>Date: Tue, 20 Dec 2005 10:22:25 -0600 >> >>Only anecdotes I know of are because the patient ELECTED to abstain from >>medical care. Other things are more important, like staying at home and >>watching TV, etc. >> >>Joe P. >> >>-----Original Message----- >>From: Andrew Folley <agfolley@hotmail.com> >>To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net> >>Sent: Tue, 20 Dec 2005 10:16:17 -0600 >>Subject: Re: Not really Kick Counts >> >>Does anyone know of any women in the US who has not recieved health care or >>does not have health care access available to her because of racial, age or >>financial reasons? >> >>>From: Dr Eberhard Lisse <el@lisse.NA> >>>Reply-To: ob-gyn-l@obgyn.net >>>To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net> >>>Subject: Re: Not really Kick Counts >>>Date: Tue, 20 Dec 2005 09:16:08 -0600 >>> >>>Zach, >>> >>>when you reach my age, you'll realize that I enjoy my posts :-)-O >>> >>>I was not posting to the US medical community but to one clueless >>>individual, though I do stand by the failures of society. >>> >>>In ! some countries the laws mandate health care for all, if only by the >>>year 2010, 2020, 2030... >>> >>>The reason why this is not the case is because lions do not eat hyenas, >>>hyenas share the spoils of lions' kills, thogh perhaps the lions don't >>>like it :-)-O >>> >>>Same to you. >>> >>>el >>> >>>Zachariah Newton wrote: >>> > Eberhard- >>> > >>> > You paint with a broader brush than Jackson Pollock, who threw paint >>> > from cans against a palette. >>> > >>> > In the US, the medical community does have some handle on the >>> > lowest-common-denominator style of the NHS, deplorable as it might be in >> >>> > operation. >>> > >>> > The laws in the U.S. mandate that accessibility to the health care >>> > system b! e open to all, regardless of ability to pay, via the emergency >> >>> > room door of access. >>> > >>> > Your energy might be better spent by giving us pictures of the lion >>> > catching a hyena, which is not the case with your prior message. >>> > >>> > In true joy, sincerely, Merry Christmas to you and your loving family. >>> > >>> > Zach > >-- >JFields, RN, BSN >

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