Conversation | 04/28/2008 7:52 am

Joan and Liz: The Health of Individual Americans Is Completely Subject to the Pharmaceutical and Insurance Companies

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JOAN: I was wondering if Whoopi had anything to say about health insurance, in this country.

WHOOPI: Well, you know, I will never understand why everybody in this country doesn’t have it. I don’t understand what happened to the health stations that I grew up with.

JOAN: What’s a health station?

WHOOPI: A health station … they were situated all through the city. And you had a health card, which you took in there; it was where you got all of your inoculations and vaccinations.

LIZ: Was this in New York or San Francisco?

WHOOPI: No, this was here. And it’s still there; the building is still there on Ninth Avenue and 27th Street. And if you needed your dentist stuff done, you had dental work done — you got it all done there. And, really, it was very inexpensive for my mom, you know, as a single parent. I just don’t understand why, when we’re paying — and I have to marry the two together — if we’re paying 50 percent of my income and you’re paying 50 percent of your income, and Oprah’s paying 50 percent of her income, and Bill Gates is paying 50 percent of his income, how come —

LIZ: Well, all of that money’s going to Iraq, I guess.

WHOOPI: It’s not like I’m going to get any of that money back. You know, people get money back on their taxes. You know, in 25 years I’ve never gotten a penny back. So I don’t understand why — if you’re getting 50 percent of all these people making this dough — why it’s impossible for us to toss some of that dough towards a health plan. I mean, we bail out banks that set up certain situations that are cheesy and really bad, but we bail them out. We bail out everybody …

JOAN: Exactly.

LESLEY: I was remembering a story that I did, gosh, more than ten years ago, about a family on the west coast. Their son was a hemophiliac who got AIDS from a transfusion. This was before they really understood where AIDS came from. So they had these stunning bills for the medications that the son needed. And even though the father was earning a decent salary, they couldn’t keep up with the medical costs. In order to take care of their son – this family had other kids – they had to get divorced because the father earned too much money to go on Medicaid. They were happily married. They were raising kids. They needed the father in the household. But they had to get divorced, because the health care benefits had run out, and the only way to take care of their son was if they went on Medicaid. So this family was broken apart. It was a story that stayed with me. It weighs on my heart all these years later.

JOAN: It’s medieval.

LESLEY: It’s evil and it’s … did you say medieval or evil?

JOAN: I said medieval. But evil is just as good.

LESLEY: This story is something you could hear about in any place in the country.

JOAN: I have a friend who just came in from Paris, a guy who’s 48 years old who had a brain tumor last year. He spent three months in the hospital. It cost him nothing. With his work medical insurance, it cost him nothing, just the way the French thing is set up. It cost him nothing at all. I have friends here in America — an actor and his producer wife. The actor has brain cancer. The producer told me the other day that if he hadn’t been in SAG it would have cost them $800,000.

WHOOPI: Oh, my God. Yeah.

LIZ: Well, can I just inject one little practical note here? Nobody has a better health plan than Hillary Clinton. Hers is superior, I think, to Barack Obama’s. This is one thing that’s in her favor. But, once she became the president, could she really ever get that through the Congress? I mean, as long as we’re so evenly divided between liberals and conservatives, we’re never going to get any of these things through. And my friend, Pete Peterson, the great sage of Medicare, social security and health care, he just feels that all of these entitlement programs — the government is now in no position to put any of them into effect. You know, we haven’t even paid for the Iraq war yet. Isn’t it trillions of dollars, like three trillion?

JOAN: Yes.

You are a ...wOw's Views on the News: Can Clinton, Obama or McCain Get Us Out of This $9.1 Trillion Hole?

106 Reader Comments (so far…)

Mamacita G.

When someone dies because a business major at an insurance company would not approve a medication prescribed by a licensed physician, then I believe that business major’s full legal name should be written on the patient’s death certificate under “Cause of death.” I’m not kidding.

By Mamacita G. on 04/28/2008 12:04 am
Dr. Mark Klein

Mamacita—You should be kidding! No doubt there are occaisional tragedies but without health insurance review and oversight the system would collapse financially.

There’s no silver bullet solution to the health insurance issue. Anyone who says otherwise is either living in the clouds or is singing the political equivalent of “76 Trombones” in River City.

The trick is to stay alive until qualifying for medicare. That mans assiduous self care by doing things like weight control, not smoking, etc. A lot of people kvetching about how they can’t afford health insurance spend their discretionary income with too much shopping, gambling and fun seeking.

By Dr. Mark Klein on 04/28/2008 8:57 am
Frannie Em

Dr. Klein, excuse me- I agree with you, too many people throw away too much income on toys, and fun seeking, but I pay $1200 per mos. for health insurance I could almost get “catastrophic” medical coverage for less and save the money for well care medical expenses. They keep raising my cost and increasing my deductible. Many of my doctors opted out of their plan because they weren’t making enough, so, as a cancer survivor if something happened and I wanted to use the doctors I trusted, I’d have to pay 30% after my deductible. Then they decide some procedures are not necessary and won’t pay those. So, If something came up that would cost $10,000 I would have to pay my deductible first and then 30%. I would end up paying $5500 - on top of the $14,000 per year for insurance, for $10,000 worth of medical costs. They increase my rates every 6 mos by $50-$75 buckaroos. I have a precondition, so it is difficult to change.

Whoopi - I think the health card you talking about was something akin to medicaid. My birth mother was single raising 8 children in the 50’s and we had the same thing, except it was called Medical. Then we were fortunate when my uncle moved here from New Jersey - his wife was my mom’s sister - but he was a doctor. That helped quite a bit.

Okay, there have been various programs on lately, explaining other countries universal health care, Japan, Taiwan, and a few more. Many of the systems had controlled costs for procedures. Doctors owned smaller hospitals, and they were paid a certain amount each month, but the actual cost of the hospitals were far greater than what those governments paid. The owners of some of the hospitals were hurting and didn’t know how long they could continue. The medical costs were more than the govt’s had allotted. So if that happens here, they will just raise our taxes again.

The populations in those countries ranged from 30-60 million. Ours is 300 million people and counting, how do we translate a system to that size?

By Frannie Em on 04/28/2008 12:10 pm
Allison Allen

There has to be a balance between taking ownership of one’s own health, and putting a system in place that isn’t overpowered by any one self-interest group. I’ve been on many sides of this equation, and the influence of the insurance companies and pharmaceutical companies is insidious. The insurance companies have an incentive to get people to take care of themselves but the pharmas make lots of money from medications to manage chronic health conditions caused by over eating, nor exercise, etc etc. They aren’t shy about throwing their money around in ways that influence those responsible for policy making.

It’s very complicated and we’re either going to have find a solution or wait until it breaks us financially. In the meantime, if you’re self-employed as I am, although healthy I live in fear that something will happen that causes my insurance company to cancel me or raise my premiums to unbearable levels.

By Allison Allen on 05/05/2008 2:16 pm
brad berger

Liz, Leslie, Whoopi and all you other famous women with forums open to you please take the advice of Dr. Healy and get this message in the media so that children and teenagers won’t need their parents health insurance for STD’s. C’mon famous ladies don’t you have a heart and care about this problem and children? I’ve been trying for 10 years and haved failed - you folks are famous. Don’t women care about young girls? When did the women’s movement abandon their young sisters? Please, please, please - this is very serious.
Quoting Dr. Bernadine Healy from an article she wrote in U.S. News & World Report February 19, 2008 : “There’s an argument out there that oral sex is not sex….To some young people , oral sex preserves virginity – technically speaking – and allows for what is perceived as risk-free sexual intimacy. From a medical perspective, however, this is sex – and generally, as practiced, it’s unsafe. People seem clueless that sexually transmitted diseases such as herpes, gonorrhea, chlamydia, and human papillomavirus [and also syphilis] can take hold in parts of the oral cavity during sex with infected partners and that the oral contact can infect the genitals, too….Granted, the major risk for STDs comes with vaginal sex, but the relative ease and growing frequency of oral sex among those engaging in casual “hookups” is a virtual epidemic in the making. Providing our young people with graphic medical information and stern parental and medical guidance is long overdue. ” This information has not been provided to young people and should be provided immediately.

By brad berger on 05/01/2008 8:05 pm
brad berger

Ladies of the media please remember this is prom and year end school dance season and most boys expect more than a simple kiss goodnight. In this hook up culture having only oral sex means you are still a virgin. Also please remember that when Bill Clinton had his affair oral sex was in the news all day and night and constantly in the media. Heck the media was having one big party. Now is when it should be discussed and not ignored. Lesley sorry I spelled your name incorrectly.

By brad berger on 05/01/2008 8:26 pm
the CHEROKEE rose

liz, oh, yes you have…HILLARY is the ONLY person i would even CONSIDER voting for, and, did in the texas primary…mccain (i cannot believe a vietnam vet/pow is such a warmonger)no way, obama is too politically unseasoned to go into the arena of world politics…we are lucky…my husband is eligible for tricare as a result of his 20 years of service in the army..unfortunately, its one of the FEW bennies we have left from the military..no more ‘free’ health/dental care. my husband just had gall bladder surgery that would have hit us for 52000.00…all we paid was 50.00, and his meds are costing us 3/4 dollars…someone HAS to help americans that arent as lucky as we are…sometimes i really wonder if poor americans who cant afford medical care are just supposed to die???

By the CHEROKEE rose on 04/28/2008 12:23 am
the CHEROKEE rose

p.s…by the way, tricare is NOT free, but the amount of money we pay for it well outweighed the 52000.00 bill we would have been looking at without it…yikes!! would have set us back for years….

By the CHEROKEE rose on 04/28/2008 12:26 am
Mugsy Peabody

I think the things you’ve said about the healthcare system could be easily transferred to many other systems we are dealing with. We pay a great deal of money for schools, for instance, and our children are not only not learning much of anything, they’re killing each other (no, I’m not exaggerating). Our infrastructure — bridges collapsing, anyone. And the public transportation systems? Seriously? Justice system? Telecommunications? We seem to have lost the very methodology of creating, maintaining, and delivering virtually ALL of our most vital systems. Everything is outrageously expensive, and if we need it, well, good luck with that And if we need to talk to someone we get a telephone tree.

By Mugsy Peabody on 04/28/2008 1:27 am
Frannie Em

You’re right, so why would we want the government to handle our medicine? Look what they did with Terry Schiavo, and then of course the biggest domestic blunder so far of the 21st century - Katrina relief - during and after.

By Frannie Em on 04/28/2008 12:23 pm
Alessan O

What’s Terry Schiavo got to do with healthcare. She was in coma, her parents had a decision
to make, kept her alive longer or take out the feeding tube and let her die naturally. The family chose to take the case to the Supreme Court, really silly. The parents didn’t have to get
the government involved that was their decision not the government.

By Alessan O on 04/28/2008 11:59 pm
Carol L.

U.S. Health Care Gets Boost From Charity
“60 Minutes”: Remote Area Medical Finds It’s Needed In America To Plug Health Insurance Gap http://www.cbsnews.com/stories/2008/02/28/60minutes/main3889496.shtml
This story will stay with me forever. People drove over 200 miles to get to this clinic. So many people showed up, the clinic could not service all of them. When people have to decide if they should use their salary to pay for food and shelter or a doctor’s visit, it tells us something is so wrong with this country.
Until then, we need to support more charities like RAM.

By Carol L. on 04/28/2008 1:30 am
Maggi D

As one of the unwashed masses I have to explain what we ‘uninsured’ do. I haven’t been to a doctor in over seven years. Last weekend I had to go to the emergency room because I could not stand up. They thought I was having a mini-stroke and ordered a cscan and a MRI. Turns out I had such a sever sinus infection that every cavity in my head was full and putting pressure on my inner ears. Had I had insurance I would have gone to the doctor two months ago when I started to feel like I was drowning in my own body fluids. The cost probably would have been a couple of hundred dollars for the visit and tests and fifty for the meds. Because I waited until I could not function I probably cost the taxpayers a few thousand dollars and feel like a leech. It is a non-profit hospital and they wrote it off as a hardship case but you all know that you are paying for it. After I lost my business I found out what everyone meant when they said alot of us are just a paycheck away from being homeless.

By Maggi D on 04/28/2008 1:35 am
Maggi D

This wasn’t meant to be a sob story and I almost wished that I could have deleted it after I pushed Submit. I have always been able to take care of myself and am close to being back on track. I just never thought I would be in this position - hard work, honesty, and good ol’ American know-how just doesn’t work the way it use to.

By Maggi D on 04/28/2008 1:41 am
Mugsy Peabody

Maggi D, no no no no no no!!!! One of the ways that people are oppressed is that they are convinced that they are responsible for their own oppression. If you had a sinus infection for two months and didn’t die, that just shows that you are made of stern stuff. If we have $3 trillion to kill people in Iraq, we have the money to buy you a few antibiotics. Have you thought about how much you’ve paid in taxes over the years? Please don’t waste even 2 seconds dis-ing yourself. If you get hit by a tidal wave, there’s no need to blame yourself because you aren’t a fish. Please please, devote yourself to getting well.

By Mugsy Peabody on 04/28/2008 2:15 am