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Tuesday, July 30, 2019

90 Days Until I Can Get Insurance - A Personal Case For Medicare For All


In 2018 Americans spent $3.65 trillion on medical expenses. That’s an increase of 4.4 % over 2017 according to a report by Axios. Also, from the report under private health insurance, spending per person rose 4.5% between 2017 and 2018, even though the same number of people were enrolled. That’s for one year and it is expected to keep going up (In 2016 it was $3.4 trillion)

In contrast, conservative estimates put the cost of Medicare for all at $3.3 trillion per year… or as they like to exclaim $33 trillion over 10 years!

I don’t know, that looks like a savings of $3.5 trillion a year based on their numbers and it covers everyone. That seems like a deal to me, but it won’t to them… because uh’m socialism, and as we all know socialism is bad. Always bad. Even where it works.

You know what’s not working for me though? The current for-profit medical system we live under in the United States of America. It’s not working for me, or for you, or even for most of these blue-collar Trump-loving guys who think it’s working for them.
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Some of the most common complaints I hear about socialized medicine are that the Government will decide what test can be done, what doctors you can go to and what treatments you can receive. All these things are already controlled by the big insurance companies. They outright decide when and what tests they pay for, they make you pay extra for a doctor out of network and god forbid you want a medication that isn’t on their approved list. Somehow this doesn’t occur to them. Somehow, they think they would be giving up their perceived freedoms by having a government take the place of big insurance.

I have always believed we would be better off with a system that covered everyone all the time. I believed this from a distance though. I had an employer who gave us the best insurance and healthcare possible. I could see a doctor free of charge for the littlest boo boo you could imagine and it was awesome. Unlike many of my colleagues, I felt like everyone should have treatment available like this. This is how you should take care of a society. This is what the greatest country on earth should do for its people. But, as they say, all good things must come to an end and right now my family and I are at the opposite end of the spectrum. No insurance and no options. 
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Let me start with some background until the end of December in 2018 I worked for an employer with what has to be one of the most generous medical benefits packages anywhere in America. They paid 100% of the cost of not just the employee, but of the employee’s entire family. Pretty mind-boggling. It was basically a $21k raise for everyone from the lowest-paid to the highest. It didn’t stop there though; they had their own fully staffed free clinic in the parking lot of the downtown branch. Once again, 100% free to employees and family. Tell me that was not an amazing thing to have access to?

Unfortunately, at the end of 2018 the company decided to sell the division I worked for another company. They would still pay the employee portion of the insurance, but now we were responsible for our family (I have three kids and a wife, I need my insurance) which came out to about $800 a month. The free clinic, gone! It was a huge and unexpected pay cut even though my salary was technically the same, and it didn’t cover as much but hey, at least we still had some insurance. We adjusted.

My wife sees a doctor for chronic pain, I see one for an inherited condition. We both have maintenance prescriptions as do a couple of our kids. It was a hardship but, as you can imagine, we were glad to have any insurance at all.
Then the layoffs came. I was laid off.
Very suddenly we have no insurance.

I’m a CDL driver. I figure in this economy I’ll find a job really quick. For three months I can’t find anything that can even cover my mortgage payment. I have to borrow to make ends meet, so much so that when I get my severance from the old job (which was nice) it is eaten up pretty quickly. We pretty much all have to stop taking our medications. It feels like we are getting close to the end of our rope here and then suddenly I finally get a job.

I accept a freight delivery job that is only about 10k less a year then what I was making. I need a job and I need to keep a roof over my head. So, I accepted the position. I’ll be eligible for their insurance in three months, and this employer gives no sick days. If you miss a day you have to get a doctor note or be written up and forget being paid a cent for that day.

And this brings us to the entire point of this article. The real reason that Medicare for All (or single-payer system, or socialized medicine or whatever you call it) would really benefit everyone. Something is wrong with my left eye. It’s gotten very blurry recently and nothing I have found over the counter has helped. I get no sick days and I can’t afford a doctor even if I had them. I am a CDL driver out on the roads of this country daily. A CDL driver who can’t see out of his left eye. Think about that.
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I'm driving one of these and I can't see in my left eye!
All over this country we let people go to work sick or in dangerous states. Many times they literally have zero options. Go to work sick or don’t get paid. Don’t see a doctor because you can’t afford it. These people are a danger to everyone, not just themselves. 90 days until I can get insurance, and only then if I can afford it.