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Some folks work hard and are poor anyway, not indigent, but, damn close and if any kind of physical anomaly befalls them they quickly become indigent.   Some of these people are alcoholics or drug abusers and some are just unlucky.

A dumptruck driver with a swollen ankle, went to a local free clinic and was given a prescription to get an x-ray and have an orthopedic surgeon look at it at the county hospital ER.  He had no way of getting to the hospital to get this done.  His ankle was swollen, broken or sprained; couldn’t drive his dumptruck, and he had no insurance.  He was that dreaded self-pay that never pays and is therefore turned away in non-emergent situations.  He became a resident of the Salvation Army house.   Orthopedic surgeons don’t fix people who don’t have insurance unless they have a lot of cash up front.  Free clinics can only do so much.

What are the essential requirements of an American life? Food, shelter, clothing, clean water, good health and an education.   Some of us think that access to health care is as essential as access to clean drinking water.  Some do not.

Those who are opposed to the Affordable Care Act which is a big step in providing health care to a wider range of Americans  seem to be concerned about the cost to them personally. “The more money we make the more they take.”   Who are they?

What are they doing with my money after they take it?  Isn’t that what we all piss and moan about?  What is this going to cost me?   A health care system that provides quality services for citizens is an acceptable and essential place for our money to go.  Health care and the health of this planet is more important than killing people in other countries.

The dumptruck driver could get back in his truck after his ankle was fixed and be a productive tax-paying citizen again.  How is that bad for you?

Anyone who has the power to make you believe absurdities has the power to make you commit injustices.

Voltaire

Senate Republicans pledge that their first crack at repealing The Affordable Care Act (ACA) won’t be their last.  Some refer to it as Obama’s Health Care Law or Obamacare.  The ACA is about Freedom.  Some factions are adamantly drilling in the idea that the ACA is taking away our freedom to not have insurance.  They push the idea that the government is trying to control your body and kill your grandma. When our presidents wife suggests we grow our own food and get more exercise she is compared to Stalin.  It is OK for a child to grow up and die in a war to protect our freedom to not have health insurance?  Please read the truth…

Today, employers can begin submitting applications for the Early Retiree Reinsurance Program. Created by the Affordable Care Act, this program provides $5 billion in financial assistance to employers, unions and state and local governments to help them maintain coverage for early retirees age 55 and older who are not yet eligible for Medicare.

For too long insurance company bureaucrats have stood between Americans and their doctors. On Tuesday, President Obama announced new regulations that will crack down on unfair practices by insurers and change the balance of power back in favor of consumers – putting consumers back in charge of their health coverage and care.

Secretary Sebelius marks the three month anniversary of the Affordable Care Act with a live webchat where she will answer your questions.

Today, HHS announced new investments under the Affordable Care Act to support prevention activities and develop the nation’s public health infrastructure which will improve health and enhance health care quality.

To read more facts go to…

Most Americans without insurance don’t have insurance because they can’t afford it not because they don’t want it.  The gentleman who owns the small restaurant had to let his family plan go to keep the business afloat and ignored his chest pains.  The waitress let her private plan go after rates increased due to her kidney stones in order to pay for her condo she paid too much for in 2005.  Most emergency rooms are full of “self-pays”  because self-pays use ER’s as their only source of health care.  Preventative care does not exist for the average self-pay American.
Most restaurants and small businesses can’t afford to offer insurance plans and private plans are expensive, with high deductibles.  There are a those not yet experiencing problems with their health, but they have rent and weddings and cell phone plans to pay for and insurance premiums just don’t fit in to the budget.

The ACA will enhance our freedom — freedom from worry about accidents and sickness, freedom from worrying that if you use your insurance the rates will go up or worse yet you’ll no longer be covered, free from discrimination, free to provide insurance for our adult children, and free preventive care for seniors.

My favorite freedom is the freedom to have your own business because you are no longer forced to work in the corporate world to provide insurance for your family.  Many corporations don’t want us to have that kind of freedom and are backing politicians who convince us to keep things just as they are.

Just be careful what you wish for.

“…The health care law is little different from Social Security. The court unanimously recognized  in 1982 that it would be “difficult, if not impossible” to maintain the financial soundness of a Social Security system from which people could opt out. The same analysis holds here: by restricting certain economic choices of individuals, we ensure the vitality of a regulatory regime clearly within Congress’s power to establish. The justices aren’t likely to be misled by the reasoning that prompted two of the four federal courts that have ruled on this legislation to invalidate it on the theory that Congress is entitled to regulate only economic “activity,” not “inactivity,” like the decision not to purchase insurance. This distinction is illusory. Individuals who don’t purchase insurance they can afford have made a choice to take a free ride on the health care system. They know that if they need emergency-room care that they can’t pay for, the public will pick up the tab. This conscious choice carries serious economic consequences for the national health care market, which makes it a proper subject for federal regulation.

By LAURENCE H. TRIBE

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I feel that an individual whose actions are motivated by the wish to bring others happiness necessarily meets with less misfortune that one who does not. Sickness, old age, mishaps of one sort or another are the same for us all. But the sufferings which undermine our internal peace – anxiety, doubt, disappointment – these are definitely less.

Dalai Lama

“Rich people give poor people jobs. Plain and simple. With out rich people, poor people won’t have jobs. See all the liberals want the government to take away all the rich peoples money, but don’t ever give any of there own.” This is a quote from an apparent Republican to his liberal facebook friend.

When did this happen?  The rich paying for the poor?  Define poor.  Do you think the richest Indian was the one with the fanciest horse?  Or was the bravest Indian the one with the fanciest horse?

I was extremely impressed with a Missouri gentleman that built our kayak from strips of wood.  He explained the procedure and that his boats would withstand some of the wildest rivers in Missouri and Arkansas.  It took about 4 months for it to be completed and now it is a gorgeous lightweight kayak that is durable, usable art .  I suppose some of the glues, and paints may have had Chinese roots or came from a factory owned by a wealthy corporation, but, for the most part our beloved vessel was handmade by an American. He had a home, a car, a workshop, diabetes and a smoking habit.   He made his own way in his own shop living a free American life that many of us might envy.

Insurance would have been impossible for him to obtain if it hadn’t been for medicare.  He qualified for socialized medicine because he lived long enough too.  Prior to that I think he plucked chickens in a factory or something like that so he would be insured. Why is our society set up like this? Because the guys that own the chicken factories don’t want us to be free.  If we are free and don’t need the insurance they provide, we may leave and start an organic chicken farm that would compete with them.  We would be poor, but, we would be free and insured.

“Another word for freedom is nothing left to lose”  I so miss the days when everything I owned fit in my car and I traveled about, working at random restaurants, taking ballet classes and teaching ballet classes.  I never broke a body part or had a kidney stone or appendicitis.  I never thought about healthcare or health insurance.  If I had needed healthcare back in those days I would have been financially screwed.  I guess I was poor, but, I didn’t feel poor, I felt  free.

Life happened.  Husband, kids, and a job that provided health insurance for us all.  There went my freedom.  I don’t think it should have to be that way.  I think we should be able to make things, grow things, be brave and ride a fine horse.  I think we should have the choice to be free and at the same time be responsible.  I don’t think providing healthcare for all is the rich paying for the poor.  I think it is all of us pitching in for all of us.

I was in a conversation with a physician I work with the other night at the hospital.  He described me as “uber liberal” and decided I needed to be reformed and informed.  He started printing up things for me to read from his Fox network.

This Physician is very very afraid of our government running anything.  On the other hand,  if you leave the government out of our lives then you end up with a place — well –  Haiti is a graphic example of a  weak government.  Us worker bees need to be protected.  We are the ones out here in the trenches doing the work.  We don’t mind, we’re happy and have amazing respect for our founding fathers’ plan for checks and balances and equal rights.  They were a bit hypocritical about equal rights, writing and signing the constitution while their slaves tended to their farms, but, their ultimate plan was ingenious.

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The Physician and I are an example of check and balance.  His check is the need to be compensated for all the patients he fights hard to save.  Many of them are self abusers, over-eaters, smokers, alcoholics, prescription drug abusers.  They vary from uninsured, medicaid, Medicare as well as the insured.  Some try to sue him for an anomaly that is most often a result of their own self abuse.  The litigation involved is extremely expensive and is driving up healthcare costs.  Tort reform is his primary concern to improve our health care system.   I definitely get his point and I also am angry at the folks making a living out of being sick.

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My balance is the waitress with a kidney stone, the restaurant owner with chest pain, the guy that builds kayaks by hand with diabetes, the lady with a shop full of locally made art.   To them insurance is a gamble; those without are gambling they won’t need it,  those with individual insurance pay dearly for a catastrophic plan.  How can we remain innovative Americans if we can’t leave Wal-mart to try our hand at Tilapia farming or growing bamboo or opening a breakfast joint.  We aren’t really free as long as we are locked in to a job because we need the insurance?

What angers me is the minds that sit around figuring out ways to make money off of our misfortunes.  There are boardrooms full of people trying to figure out how to pocket some cash.  I call them clipboard carriers.  Administrators are rewarded for making money rather than  for providing amazing results for the health of a community.  I worked with an occupational therapist who was so inspiring to me and others as we watched her bring smiles to the depressed and life to those ready to give up.  She was let go because she didn’t generate enough income for the little rural hospital.  Hospitals are not factories.  They don’t have assembly lines.  Hospitals are full of real people with real problems and sometimes fixing those problems just doesn’t make anyone any money.

Dr. William D. wrote a blog that made me think,  then again maybe they are factories?…

“. . . the life of the pig has moved out of view; when’s the last time you saw a pig in person? Meat comes from the grocery store, where it is cut and packaged to look as little like parts of animals as possible. The disappearance of animals from our lives has opened a space in which there’s no reality check on the sentiment or the brutality. . .”

The same disconnect has occurred in healthcare for the heart. The emotional distance thrust between the hospital-employed primary care physician, the procedure-driven cardiologist, the crammed-into-a-niche electrophysiologist (heart rhythm specialist) or cardiothoracic surgeon whose principal concerns are procedures—with an eye always towards litigation risk—mimics factory farms that now litter the landscape of the Midwest. The hospitals and doctors who deliver the process see us less as human beings and more as the next profit opportunity.

The “factory hospital” has allowed the subjugation of humans into the service of procedural volume, all in the name of fattening revenues. Never mind that people are not (usually) killed outright but subjected to a succession of life-disrupting procedures over many years. But whether livestock in a factory farm or humans in a factory hospital, the net result to the people controlling the process is identical: increased profits.

The system doesn’t grow to meet market demand, but to grow profits. The myth that allows this growth is perpetuated by the participants who stand to gain from that growth.

See hospitals for what they are: businesses. Despite most hospitals retaining “Saint” in their name, there is no longer anything saintly or charitable about these commercial operations. They are every bit as profit-seeking as GE, Enron, or Mobil.

http://www.wellsphere.com/heart-health-article/factory-hospitals/472314

I think most of us really do care about people and their individual health.  We just need to care less about profits.

I read about the folks who are against healthcare reform they seem to belong to the same pile of people who are against cleaning up the environment.  The common denominator seems to be they don’t like the costs of these humanitarian interventions.  Talk about jab my eyes out!  Is it that they figure some people and places are just expendable?  They are poor and uneducated and someone has to clean up our mistakes and make our chemicals.  Look at these pictures from China.  This would seem to exemplify the cost of not caring.

So when you are shopping for a toy for your favorite tot and you notice that it was made in China.  Remember this picture of plastic factory waste going in to what was once a beautiful river.

Next time you buy an Iphone, computer or various other electronics and some jewelry remember this titanium plant.

Without rules a nations people are allowed to suffer.  Without activism the suffering continues.  Our country allows activism and yet some refer to those activists as socialists.  I don’t get it.

Don’t blame this horridness on the people of China.  Just like here there are good people trying to do good things to advocate for the health and happiness of all people.  Not just those who can afford good health and happiness.  Please see the entire article and all the photos at

http://www.chinahush.com/2009/10/21/amazing-pictures-pollution-in-china/

Tim Gummer says:

If it wasn’t already obvious, then it is surely clear here that our Stuff is made in a Mordor of this very earth, by a people in slavery. In a globalized world, our complicity in their deaths and suffering is no less than those who stood by in the towns of Auschwitz and Buchenwald. These workers’ horrors may be marginally less, but unlike the deathcamps’ neighbours, we cannot pretend we have not seen.

After a free labor day meal, the polystyrene containers that filled the garbage cans were painful to see.  Their usefulness lasted for 1/2 hour and their time in the landfill (polystyrene isn’t recycled) will last for hundreds and perhaps thousands of years.

Did you know styrofoam AKA polystyrene, AKA plastic #6 is manufactured using benzene, from coal; styrene, from petroleum; and ethylene, a “blowing agent”.  The main manufacturing route to styrene is the direct catalytic dehydrogenation of ethylbenzene: If you understand that and want more detail go to…
http://www.epa.gov/ttn/atw/hlthef/styrene.html

Long-term exposure to styrene in humans results in effects on the central nervous system (CNS), such as headache, fatigue, weakness, and depression, CNS dysfunction, hearing loss, and peripheral neuropathy. This only happens after long term exposure, so if you live long enough you’ll be a deaf, unbalanced, dummyhead with tremors and restless leg syndrome. Know anyone like that?

You might think to yourself…  “Somethings gotta kill me, I’m not gonna worry about monomers of styrene”.  Try thinking of this.  It takes 500 years for the chemical components of polystyrene to dissolve and it’s foreverness accounts for 25% of landfill waste.

While polystyrene is recyclable, most recycling programs don’t.  Burning polystyrene releases all the stuff it is made of into the air;  including dioxin, and carbon monoxide. Dioxins are highly toxic and can cause reproductive and developmental problems, damage the immune system, interfere with hormones and also cause cancer. Prevention or reduction of human exposure is best done via source-directed measures, i.e. strict control of industrial processes to reduce formation of dioxins as much as possible. That is from WHO, as in the World Health Organization. http://www.who.int/mediacentre/factsheets/fs225/en/

There are some positive things we can do with the Styrofoam/polystyrene that already exists.  If you mix it with cement and make building blocks out of it, the result is strong enough to withstand earthquakes.  If the building burns we’re screwed so make sure there is a good sprinkler system installed.

A concern was espressed that if California does away with all polystyrene containers for food use — jobs will be lost.  Those plants that are currently making polystyrene containers for food consumption are in China.  Hong Kong has a study of the impacts of polystyrene. http://www.way-to-go.org/doc/PolystyreneFactSheets.pdf

The legislature (Of Hawaii) finds that it is in the interest of protecting the public health and safety to prohibit the use of polystyrene food containers by restaurants and take-out food operations. http://www.capitol.hawaii.gov/session2008/Bills/SB2629_.htm

The market is bursting with alternatives including polylactic acid (PLA), which is generated using corn instead of petroleum. Many of these substitutes can be commercially composted after use.

Another great product I read about is Angela Morris’ Woolcool… http://business.timesonline.co.uk/tol/business/industry_sectors/natural_resources/article5949979.ece

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A very smart lady named Margarita Calafell is using enzymes to make a super product to replace polystyrene.  Hope she can make it waterproof so we can use if for take out. http://www.engineersedge.com/technology_news/posts/794.html

Hopefully polystyrene will go away as will asbestos.

It has been about a month since I originally posted Hospitals are not factories.  I wanted to add a post I read from The Weekly Updates.

…we have all of the NEGATIVE effects of “socialized” health care without actually having equal health care for all. Arguments against socialized health care, include the people not wanting the few to pay for the masses. But that is exactly what’s happening here.

I work 2 jobs, pay my taxes, barely make enough to keep a roof over my head and food on the plates of my family, do not get such luxuries. An ER visit typically runs me $2,000+, which I must pay or else what’s left of credit will disappear. I cannot afford health care, and with the economy today, my employers do not offer me any benefits as they won’t let me work full-time. This HAS to change.

http://www.theweeklyupdates.com/our-life/orange-county-medical-service-flawed/

This is an example of a hardworking American taxpayer who is having to go without, due to the current healthcare system.  Not to repeat myself, but, it isn’t a system.  It is a big pile of crap and when you stir up crap you realize how much it stinks.

Now — Let me share with you this exchange I had recently with a young man I know.  He is usually witty and makes funky videos so I sent him Barack Obama’s video challenge.  His response and that of his friend throws off the hope for change.  These boys are in college, so, don’t think they are uneducated knobs.

Also, Whenever you try to talk reasonably about healthcare reform it is easy to find the opposition–>they are the ones  pounding their fists on the table or resorting to foulness.

WHE

Yes please expand the government so I can lose even more freedom.

September 27 at 3:17am

NHA

hmm. while those celebrity judges are busy smelling their own asses and picking their favorite sob story maybe i should make an advertisement full of the real people who want universal health care… not the ones hand picked by the people selling this bullshit to us.

Me

If you are attending a university or college then you are involved in government funded education. What freedom is healthcare reform going to take from you?

September 28 at 12:16pm

WHE

Great idea, let’s make a video of a bunch of people who are really lazy and don’t want to have to work hard for their healthcare.  My parents and I were taxed to support this school, if taxes would have been lowered I’m sure I could have afforded to go to a better university.

September 29 at 3:18pm

Me

not everyone who gets sick is lazy.

September 29 at 3:58pm

NHA

Im simply saying that personally I’ve noticed that people in favor of universal health care are largely behind it for personal gain when they could be acting in the best interest of our country. I don’t think that all sick people are lazy. But i do believe that many illnesses (not all) are a result of the behavior one engages in. smoking causes lung cancer. Failure to wear a seat belt can cause an injury. Drinking to excess and walking down stairs may lead to broken bones. These are reasons why some people need insurance in the first place and I don’t think that our society as a whole should be forced to pay for the mistakes of a few. It doesn’t seem progressive to me. More like a ball and chain.

September 29 at 9:18pm

Me

I know a good man, self employed, no insurance, who drinks plenty of water and lives a good life providing for his family he had a massive stroke. I know a boy, who worked hard. who lived a good life and got knocked off his motorcycle on a freeway on the way home from work –>brain injury. I know a waitress, single, works three jobs, got a kidney stone requiring surgery –>debilitated her finances. All of us can have anything happen at anytime. It is the brothers keeper thing — not personal gain

September 29 at 9:33pm

WHE

Everyone get’s sick, but I don’t care if they die or not, (What?!) have you ever tried anal sex? (What?! again) Because people who smoke, eat fast foods, have buttsecks, and live otherwise dangerous lifestyles are going to benefit from this plan more than me. All I know is that socialized medicine bankrupts every country or state that enacts it.  (our country is so financially stable with our current healthcare eh?)

September 29 at 11:14pm

Me

Ok I’ll go away now

September 30 at 7:57am

NHA

It’s good to discuss these things when we’re all on the same page.

September 30 at 7:54pm

Just an example of the oppositions mind.  I wasn’t sure how to contest any further. By the way, How do you get in to college without knowing how to spell buttsex?  And, what page are they on?

http://www.blackcommentator.com/cartoons.html

Here is a good page to go to

http://factsaboutreform.org/myth.html