Death to insurance companies


sorabji.com: The Stalking Post: Death to insurance companies
By patrick on Tuesday, June 23, 2009 - 01:18 pm:

    You know there's a lot of dialog right now about health insurance. I fear Obama is going to cave on his national plan to compete with corporate insurance monsters.

    Up until now, with the exception of the ridiculously high cost to cover myself and my daughter I have been mostly untouched by the criminal acts of health insurance companies.

    I've mentioned that we are trying to make bacon. Until now, the woman has had a barebones basic health plan that does not cover maternity. $115 a month, with a 5k deductible. Pointless right? Unless you loose a limb or something. No no, really, we like paying over a $100 a month for really next to no coverage, seeing as how we pay full price visits and scripts.

    Ok, so investigating the move to my plan at the office it was brought to our attention that she may not be covered under HIPAA.

    "under a law known as HIPAA, the Health Insurance Portability and Accountability Act of 1996, health insurers cannot consider pregnancy a preexisting condition. So, unlike illnesses such as diabetes, they can't deny you coverage when you go from one job to another and switch health plans.

    BUTTTTTTTTT

    Second, HIPAA applies only to group health plans. So if you have individual insurance and are pregnant, then buy group health insurance, you again could be subject to a preexisting condition waiting period. Likewise, if you move from one individual health plan to another individual health plan, you might not get pregnancy coverage at all. You might have to sit out a waiting period, or if you are offered insurance that covers your pregnancy, you might find it's very expensive."

    So if she got pregnant today, she couldnt buy a rider on her existing plan. She's not eligable for medicate because she has more than 3k in her checking account. Ironically infertility treatments are covered.

    I've got a lot of anger today. And its all exclusively directed at health insurance companies. How can they get away with this shit? Do they not seem like the most powerful organizations on earth right now? Even banks had too get on their knees to a degree in the last 6 months.





By droopy on Tuesday, June 23, 2009 - 03:56 pm:

    i've hated the bastards since i was 19. but can the soulless actually die?


By platypus on Tuesday, June 23, 2009 - 05:07 pm:

    I think that between the "centrist" Democrats and do-nothing Obama, we are not going to see any health care reforms. Best case scenario is that it never gets off the ground, at this point, because the worst case is some fucked up chimera of a program which will be called "socialized" by the right before failing miserably and and then being trotted out as an example of how "socialized" medicine doesn't work every time someone actually tries to fix the health care system.

    The insurance companies have a vested interest in maintaining the status quo and they are way too powerful with their hands in waaaaaay too many pockets. No way this government can overthrow them; the British needed a fucking World War to get a nationalized single-payer program and that was long before the insurance industry had become the behemoth that it is today.

    "Health care" in this country is such a fucking joke. I'm uninsured right now (and have been for a long time) and I am paying in cash through the nose for medical treatment under a false name so that if I am ever in a position to buy insurance again, my pre-existing condition can't be counted against me. That, my friends, is fucked.


By Wisper on Wednesday, June 24, 2009 - 01:41 am:

    "She's not eligible for medicate because she has more than 3k in her checking account."

    ...would it be possible to make the +3k go away?


By on Wednesday, June 24, 2009 - 01:45 am:

    yeah....


By patrick on Wednesday, June 24, 2009 - 11:32 am:

    maybe.

    we are planning a trip to costa rica


By J on Wednesday, June 24, 2009 - 11:45 am:

    I,m going to Costa Rica too,in August:)Pura Vida.


By platypus on Wednesday, June 24, 2009 - 01:42 pm:

    Could always put the plus 3k in the Bank of the Mattress, especially since interest rates are so crappy right now that there's really no reason to keep money in the bank anyhow.


By droopy on Wednesday, June 24, 2009 - 02:07 pm:

    i use an old scottish deed box - 2k. back in the late 90s, i was paying off an operation in installments - everything medicare wouldn't cover. it took me a couple of years. sometimes i couldn't make rent, but i wrote a bad check anyway and my bank would cover it because i had a good record. but the second i started to have a little too much money they were on me like flies on shit. not that i have much money to begin with, but i always try to be "poor on paper".


By patrick on Wednesday, June 24, 2009 - 03:49 pm:

    the funds are in a 401k....apprently its a problem. i have to do more research.

    Janny, no shit. We are renting a house in the state of Puntarenas, in town called Bahia Herradura. We leave on Aug 9th, the day after the world surfing championship


By platypus on Wednesday, June 24, 2009 - 04:20 pm:

    Oh, yeah, 401ks can be a real bitch.

    I find it fascinating that the government health care options for po' folk are usually so restrictive that most po' folk can't actually access them because they're "too rich." The system actually has deliberate disincentives for upward mobility; better to be unemployed and pregnant than to be trying to build a career.


By J on Wednesday, June 24, 2009 - 04:34 pm:

    I shit you not.I'm leaving Aug.11th and staying till the 22nd.I'm staying in San Jose the first night then going to San Carlos, Alajuela for two nights,then to La Fortuna for three nights then back to San Carlos,Alajuela for four nights then back to San Jose the last night.I've been to Puntarenas before.I'll send you some links that might be useful,I'll have a car maybe we can drive down and see ya.You are going to love it.I've been there twice before,did all the tourist stuff and this time I picked where we're staying mostly because of the weather.Are you going to have a car?


By Dr Pepper on Wednesday, June 24, 2009 - 11:06 pm:

    Platypus, there is a old saying, "When the poor get poorer, the rich get richer". this is happening now, because at my work, we are facing some daunting task and it makes my job harder, the more we work harder, the supervisor's job are getting more lazier.


By Dr Pepper on Wednesday, June 24, 2009 - 11:10 pm:

    I understand that some of you have a "issue" with the insurance company, if you are being covered by H.M.O., then it is a limited benefits. However, I used to work for my old job in which our health insurance was covered by a private insurance company. The best benefit I ever had.


By jaq on Wednesday, June 24, 2009 - 11:46 pm:

    what is insurance?





By droopy on Thursday, June 25, 2009 - 12:34 am:

    franz kafka worked for an insurance company.


By Stinkerbell on Thursday, June 25, 2009 - 02:46 am:

    bananas and blow,rainy season and all.


By patrick on Thursday, June 25, 2009 - 09:03 am:

    when eva was born, we were on kaiser hmo.

    it cost us virtually NOTHING to have her. it was weird. the prenatal care visits were free. and well.....we never ever got a bill for the hospital stay. i have no idea if thats a clerical matter or not.

    however, now, being on a PPO, its going to cost at least 1k, on top of the $20 for office visits.



    you know what is most outrageous about the US healthcare system? everyone sits up in washington and in the state congress' and shouts "but what about the children, we must protect our children!"

    yet, if this country really gave a rats ass about its children, there'd be seatbelts in school buses. there'd be free, quality prenatal and early childhood medical care.

    its a load of horse shit.

    when obama came out the other day firing off on his national plan and the insurance companies were all like "no way...you can't do it, the sky will fall the sky will fall" it all sounded like the ramblings of the witch as she looked up and so the house on its way down.

    i am reasonably hopeful that obama will be able to shake up the cage much more than any other president in history when it comes to the behometh healthcare industry.


    good news. we found a caveat in NC law that prevents a provider from denying coverage to a pregnant woman for pre-existing condition, so it looks like were good.


    a lot lot more to come (cough!) , on this front.


By semillama on Thursday, June 25, 2009 - 09:55 pm:

    At least 1K? Dude, Kazu's epidural alone was $1k.

    If your lady isn't already planning on trying to be as unmedicated as possible, think hard about it. Not only was it better for Kazu and the Lad in terms of not being all drugged up, but you don't pay for what you don't use, right?

    Kazu could tell you better than I.


By kazu on Thursday, June 25, 2009 - 11:35 pm:

    The epidural would have been completely covered if it had been part of the hospital bill, but it was a separate company. Either way, we had to pay the deductible. Before that, the epidural was 3K.

    However, I have to say that cost is not a good reason alone to avoid pain relief in labor. I mean, do YOU want to be the one to tell the laboring woman, "Remember honey, we're trying to save money."

    LABOR PARTNER FAIL


By patrick on Friday, June 26, 2009 - 10:17 am:

    with eva our birth plan was to not take an epidural and go with basic pain relief. however it got too bad, she wasnt dilating and we made the, well, she under duress, made the decision to have it.

    but you know....we havent had any discussions about birth plans moving forward because you know.....*cough* its not official *ack* we're having a baby.





By kazu on Friday, June 26, 2009 - 10:36 am:

    I didn't really think the pain was that bad. I mean, it was intense, but if I hadn't been seeing white from all the shakes and exhaustion I think I would have made it.

    I just wanted a nap. I felt better after that and then I was bored and missed being in labor.


By patrick on Friday, June 26, 2009 - 11:43 am:

    the drama of getting an epidural during the intense contractions was well....dramatic. the anesthesiologist was this abrupt asian fella who had awful bedside manner. getting her to be still while he tapped her spine during massive contractions was.....well, i ejected one nurses assistant out of the room for starters.


    after it kicked in.....it was hilarious...i was watching the meter seeing the spikes from contractions but as opposed to the screams, she was rattling things to get at the grocery store when we got home.


By kazu on Friday, June 26, 2009 - 12:49 pm:

    Nice.

    I believe that someone wondered "why" I was getting an epidural and someone called me "stoic." I read the consent form over and over before I finally agreed.

    I didn't scream. I literally couldn't vocalize anything more than a low groan. I also kept time by banging on whatever was close by (e.g. the table, Andy's leg) and sitting still was easy as that was all I was able to do. I sent Andy out of the room and had my doula (they would only let one other person stay).


    I had the most amazing midwife and nurses though.