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A Friend Stopped By | 10/15/2009 5:00 am

Fools Rush In, by E.D. Hill

How to fix the health-care crisis in baby steps …
By E.D. Hill

Editor’s Note: Emmy Award-winning journalist E.D. Hill is a nationally known TV and radio host and author. She spent the past ten years hosting several daily programs on Fox News Channel and was Bill O’Reilly’s sidekick on The Radio Factor, heard on 400 stations. She currently hosts "Good Day" with E.D. Hill on americaswebradio.com Tuesdays and Thursdays 8 - 9 AM EST. E.D. and her husband have eight children and pets too numerous to mention. She splits time between their ranch in Texas and the East Coast. You can contact E.D. at hillfriends.com.

Have you ever had a friend who you thought was tried and true until, one day, with a sweet smile and earnest eyes, she asks you to become the chairperson of some gala? She will, she solemnly promises you, help in every way. Please, be a doll and help her out. It’ll be easy! I had a friend like that. She’d just been through the wringer with a scum-sucking, philandering, dweeb of a now-ex-husband and I wanted to help. "OK," I said, as the word "sucker" began to appear on my forehead like Harry Potter’s scar.

The general complaining we heard from people about their health care 18 months ago was much like general complaints about our own mothers.

I’ve been naïve about a lot of things in my life. I had no preparation for what was I was about to undertake. I’ve always had an aversion to what I consider wasteful spending at events that purportedly have the purpose of raising as much money as possible to fund a worthy project. I decided the entire event from top to bottom needed to be done differently than the way they’d done it the past 25 years. I devised what I thought was a brilliant, inexpensive plan. The outcry was deafening. People liked things the way they’d always been. Sure, they thought it was a good idea to try to cut costs — to an extent — but they didn’t want the whole thing upturned in one swoosh. Which leads me to our federal government. Odd jump, I know, but stay with me.

Everyone is wringing their hands about how to change the entire health-care system. Eleven million to 15 million people (according to most high and low estimates) are chronically uninsured. They need help. So why can’t the government focus on those who are the most in need? In the 1991 comedy "What About Bob?" Bill Murray portrays Bob Wiley, a multiphobic man who stalks his psychiatrist, Dr. Leo Marvin, after Marvin gives him a copy of his new book, Baby Steps, and leaves on vacation. Murray uses the "baby step method" — baby steps to get on the bus, baby steps down the aisle, baby steps … —  to get to Marvin’s vacation home in New Hampshire. I like baby steps. They’re safe and small. They give children practice at a very important task. After mastering baby steps they are ready to walk, even run. So why can’t the government take baby steps?

The government likes things BIG. Medicare is a government-funded and -run social insurance program. (Former President Harry Truman was the first beneficiary. Why is it politicians always jump to the front of the line?) Its own 2008 report assumes funds will be gone by 2019. Medicaid, the state-run program for low-income residents, faces funding problems and relies on money from the federal government. Both programs are part of U.S. Social Security, which, by dollar amount, is the largest government program in the world and the costliest item in the federal budget. State governments need help funding burgeoning unemployment programs. I will not argue that these programs are unnecessary; however, they rarely help correct existing problems and are inefficient.

122 Reader Comments (so far…) Sign In or Register to comment

Scarlett Ohara Mitchell
This was extremely timely as I have just been asked to "chair" an extremely large charity event in my community. I was "assured" that I would have a great deal of help from all of the co chairs. I have been given some time to think about it and NOW I will really think about it before saying YES. Oh, and I agree with your thoughts on the health care subject. No, I don’t want another "mom", just one that will walk in baby steps. Sounds like a plan to me.
By Scarlett Ohara Mitchell on 10/15/2009 7:18 am
Amy Stewart Hale

I just want a fair system, or allow us to pay our doctors and the hospitals directly. …to me, why should I pay a middle man, when I get better service when I pay directly.

Do not fine us when you know we can’t afford the cost of a premium that will not actually cover any of the costs of our heath care.

Be real.

Amy, PennDragon Studios

simpletownUSA.com

By Amy Stewart Hale on 10/15/2009 7:57 am
Dab-a- do
Amy, if you pay your doctor and/or hospital directly, without a middle man, you will be paying 50% (approximately) more than would be paid by the insurance company. The insurance company and the physician and hospital have a contractural agreement for reimbursement at a specific charge depending on the coding for the service/procedure. That is why people without insurance can’t survive in the health care system….they are charged the going rate and without any bargaining power as an insurance company has, the amount required is prohibitive. I’m sorry if I’m not explaining this to you clearly, but it is a complicated process that the average consumer does not know about.
By Dab-a- do on 10/17/2009 7:21 pm
Amy Stewart Hale

Actually, Dab-a-do…you are wrong by my experience.

My doctor’s fee is $12,000…he has decided to charge me 50% of that fee, and so has my hospital…and We are paying both of them their negotiated fees.

For me to have insurance coverage is more expensive in my long run.

…remember, dab-a-do…I was deemed uninsurable by same group of doctors that ruined my credit.

and tried to steal my life from me.

Human Rights are vitally important to our world at this time in history…for our world to survive into a future…and I believe in the future of this Universe…and our World.

Thank you for challenging me,

It was enlightening.

Amy, PennDragon Studios

PennDragonStudios.com

 

 

By Amy Stewart Hale on 10/17/2009 7:42 pm
Dab-a- do

Amy, I was not trying to challenge you. Just to give you the benefit of my work experience of 20 years with an insurance company. I know doctors and hospitals all around my state. Most will donate services for indigent patients. But they can’t and won’t donate to all who need help. As far as negotiating with patients the majority of doctors and hospitals will not do that. Can you imagine if they negotiated with every non-insured patient for services?

I am a nurse and know that I could probably get a cosmetic surgeon to work with me on the charge for a cosmetic procedure but, believe me, the hospital services and anesthesiology professional would not give me any relief.

Also, for any hospital treatment and procedure you will find that there will, in most cases, be charges from independent contractors to the hospital for labs reporting, pathology, anesthesia, and other charges too long to list. Trying to negotiate charges with each of these suppliers would not  be feasible.

  After going back and reading your response I think I missed your point. Did you already owe the charges to the physician and the hospital and not pay? Maybe the doctor and hospital decided that 1/2 of a pie was better than no pie at all.

Sincerely,

Dab

By Dab-a- do on 10/18/2009 1:04 pm
Amy Stewart Hale

Dear Dab,

again, you’re wrong…having had surgery with no insurance previously…I do negotiate with all of my health service providers.

Amy, PennDragon Studios

simpletownUSA.com

By Amy Stewart Hale on 10/18/2009 1:27 pm
Dab-a- do

I only ask a question, how does that make me wrong?

Ms. Amy from simpletown,

Have a CVA or need heart surgery or brain surgery and need to be on a vent for weeks, or a terrible accident and rack up hundred’s of thousand’s of dollars in medical expenses and tell me about negotiating with health care providers.

 

By Dab-a- do on 10/18/2009 2:49 pm
Amy Stewart Hale

I had heart surgery Ms. Dab…the fact I had heart surgery made me uninsurable.

However, I had already been deemed uninsurable by two things prior.

The first is that I have arthritis in 80% of my joints throughout my body, because as a muralist, I labored for my art, and in doing so, I also supported my son as a widow for nine years until my husband Russell L. Hale II came into my world and brought me the true love of family. 

The second being that because I had heart surgery at the age of 32, And my blood family’s history is filled with heart related death…I was put in a rare situation given that I have been legitimately self-employed for nearly 20 years with my company PennDragon Studios.

My company is a small one, because when I have to support another family, I take that reality very seriously. I have not had an income that would allow me to do that on what I was paid and how I was treated by my clients in the state of GA.

However steps forward are still and always recognised by the people of my world. …and when deliberate roadblocks limit an artist who is recognised by her peers…they will trace circles back to why. It’s what they do.

And my true clients, collectors, and friends know how dedicated to my work and my family I am.

I’m not saying that every step I’ve taken as I’ve walked my path was hard or not, the key is that they all count.

Because my focus is and always was to support my family with my work. And that is what I have done, and worked to do…

When you visit my sites, I believe you see that reality.

simpletownUSA.com is provenance because it’s published and it is time stamped and my work is legitimately mine, I have a right to set my prices…and my goal is to support as much as I can, because I know that art inspires art. …and in that you find love, truth, harmony, peace of mind and that all comes from focus and dedication. It is the path I have chosen to walk. And that is my Right.

Not all of my pieces will be used for print or publishing…making those pieces more valuable. Some pieces can become licenced animation backgrounds…also another very real income stream…giving my original design value.

I am relevant, and the World knows that.

Amy, PennDragon Studios

PennDragonStudios.com

By Amy Stewart Hale on 10/18/2009 3:29 pm
Lila Kuh

On health care reform, we need to first identify where the enormous costs come from and rein those in.  Once that is done, many more people and employers should be able to afford decent health plans. 

Next step is to force the insurance companies to be more transparent and forthcoming so patients know what to expect.  No more plans where, for instance, they pay for a hospital room but - surprise - not your surgery or meds!   And no dropping patients who get sick.  You don’t pay for insurance to dump you when you need it most.  If any other business collected premiums year after year and then refused to provide services when needed, it would be called a "SCAM."  And sick patients are not where the biggest costs come from, anyway.

By Lila Kuh on 10/15/2009 8:12 am
Amy Stewart Hale

…My feelings precisely

…the best plan I’ve found after 10 years of exploring medical insurance options to cover just myself, not including any members of my family, will cost my family $3,800 monthly as a premium to a company who exempts all of my actual medical needs…so I would be paying $3,800 for nothing.

I’d rather pay my doctors directly…it’s more realistic to me, since I have to anyway.

What actual good is insurance for me?

Amy, PennDragon Studios

simpletownUSA.com

By Amy Stewart Hale on 10/18/2009 8:24 am
jim clark
Baby steps may have beeen a good idea 20 or 35 years ago, but in todays world Ms Hill ignors many real facts and distorts other numbers.  Health insurance companies given anti-trust exemptions have no motive to restrain profits or cover sick people in small and individual health plans.  Baby steps guarantee the continued profits before health and life policy endorsed and promoted by President Nixon’s HMOs of the 70s.  Baby steps will not do here.  It is time to do together what we cannot do alone. 
By jim clark on 10/15/2009 8:18 am
alice ruth

"It is time to do together what we cannot do alone." Well said, Jim. Your response to Ms. Hill’s article is right on. I emailed my Congressman, yesterday. He is opposed to the Health Care reform bills coming out of committee, saying that it’s "too much government involvement, and there are better ways to inact needed health care reform". My question to him was, if you believe that reform is needed, why, in eight years, didn’t you propose a bill to address the problem? 

What good are "baby steps" if you don’t stand up and take the first one?

By alice ruth on 10/15/2009 9:07 am
Smarterthan That

Good to hear your voice E.D.,

Prepare yourself, for there are many here that love the government for the sake of this government. Profits are not a bad thing, but illegals and government waste driving our citizens into a government controlled health care plan is.

You are correct, things need to be taken one step at a time and handled, not just thrown into a huge ball of money with Americans forced into compliance.

That "yes we can" BS is just a manipulation of the poor, in order to line the pockets of a very few. Illusions are by their nature sweet.

Thank you for your contribution, I was on the verge of never logging on to wow again.

By Smarterthan That on 10/16/2009 10:34 am
jim clark
I have been a republican and a democrat, a conservative and a progressive liberal.  I have met many conseratives with money.  Few if any were truely conservative and most all were out to get the profitable legislative edge.  Most all liberals I have met spend there time trying to get back to even or striving for legislative fairness.  Profit is not a bad thing, but obscene profits made on the misfortunes of others is imoral.  To use misleading information to scare people is equally bad. 
By jim clark on 10/16/2009 12:08 pm
Smarterthan That

Sounds to me as if you have not met many "truely conservatives" at all there Jim. What can be described as "legislative fairness" is just the first step to taking our rights away under the guise of legislating fairness. That can not be done. It is a ruse to use the masses to give only a few power; the government.

The obscene profits are being made, spent and misused by the govenement. So while so many are mislead into believing that private enterprise is bad, the government is spending the hell out of our money, building their own corprorate shells to hide and manipulate world money.

"to us misleading information to scare people is equally bad". Yes Jim, so is burping at the table, what does that have to do with anything? This administration has done nothing but pressure this nation and its citizens under crisis after manipulated crisis, to mislead us by fear into spending money and giving away our individual power.

That is what they need to get the power, the money from us. It is a plan and they will do whatever it takes to scare us enough to give them the control.

This is not about party affiliations. This is about fighting for the very existance of America. Soros wants us and our economy as part of a world governance. So while we fight over who is the nicer guys…..they are enslaving us to their government and their investments for world governance. They are making and count on making more money than has ever been imagined.

While we vote ourselves into slavery attempting to float government programs that won’t work, they will have control of that money. We are merely children that are manipulated into behaving while the promise of Sants Claus is dangled before us. Oh, there will be presents under the tree alright.

But there is no Santa Claus.

By Smarterthan That on 10/16/2009 1:30 pm