Tea-Parties and Anti-Health Care Activists
August 29th, 2009Dear Demonstrator.
I thought you should have the opportunity to hear my story while you are standing out on the corner shouting buzz words at passersby like “Tyranny” and “Socialism”.
I am a 45-year-old female who started a small media consulting business about 5 years ago, here in Cobb County, Georgia. After leaving a good job at a local TV station in ‘03, I decided to go out on my own. For 3 months I paid for Cobra insurance, which cost me about $180 per month. Then I switched to United Healthcare. My premium was $385. More than I would have liked, but manageable.
Then cancer struck in 2005. After being very healthy all my life I suddenly was thrust into chemotherapy for lymphoma and deteriorating kidney disease. My new insurance company refused to pay. While I was at the sickest point, my doctor’s office called and said they would have to move my treatments to the Red Cross because I had an $80,000 bill, which was unpaid. United had been systematically sending denials of claims to all my medical providers. They claimed later, that they could not find a mailing address for my primary care doctor (at Emory) even though it was provided on my original application and despite spending 4 full months to underwrite and approve my policy 8 months earlier. Northside hospital was now demanding credit card payment for my latest MRI which my oncologist said was urgent.
Luckily for me I had enough strength and sensibility to call an attorney friend of mine and filed a complaint with the State Insurance Commissioner. Through the efforts of both, United reluctantly but suddenly “changed their mind” after a few more weeks and decided to cover my claims. By this time thousands of dollars had built up (all denied) from many different doctors and hospitals. My friends and family had to pitch in to write all of these providers and beg them to refile the claims. (Some of which did, some did not). After the first round of chemo drugs were ineffective, doctors tried a second more successful drug and I went into remission after about a year and a half. I asked the doctor why I was not able to get the second drug earlier and he indicated that it was because “insurance company rules” prohibit administering the second drug until the first one failed. The first drug cost nearly $200,000 The second drug cost roughly a third of that.
Now that I am relatively healthy again, I am still dealing with the credit effects left by bills going unpaid for 6 months and the handful of providers that refused to refile their claims.
In addition to that United Healthcare has raised my premium 5 times in 4 years and is now at $787.60 per month. (From $385)
I cannot go elsewhere for coverage because no insurance company will underwrite my now pre-existing condition. Ultimately the goal of United is to raise my premium so high that I simply have to turn to Medicaid. Unfortunately Medicaid requires that you have no assets at all. So while I sit waiting for a day when I can buy insurance for an affordable price, you stand on the corner waving a sign against me.
Yes, we need a new system of healthcare. In my own case, hundreds of thousands of dollars were wasted. My doctor’s time was wasted arguing with my insurance company.
Let me ask you for a common sense dialogue in this country for everyone’s benefit. We need a non-profit Co-OP that has been suggested as a workable solution. This is not socialism. Medicare may be socialism but I doubt any one of you would now pull your parent out of it because of your moral outrage at socialism. Your signs are benefiting only the big money insurance companies and big pharma. What would happen in your own family if someone was diagnosed with cancer and your insurance refused to pay? Who would you call? Remember, if profit is the motive, good health will not be the result.
The “Gang of Six” is working hard to negotiate a solution, which gets coverage to the millions of American citizens who cannot afford private insurance. People like me who are desperately searching for a breakup of the stranglehold that big insurance has on those of us with pre-existing conditions or hard working Americans like you who have lost jobs or have part time only work. We need your Christian voice.
Healthcare may indeed cost 1 trillion dollars. So did the war in Iraq. It’s time we Americans looked at what’s happening in our own country. The Congressional Budget Office did not take into account the fact that 62% of US Bankruptcies are the result of high medical bills. Many of these people had insurance but their claims were denied by the for-profit insurance companies. You and I pay for these bankruptcies and soon you’ll be paying for mine if we don’t find a workable compromise.
I urge you to support Senate Finance Committee “Gang of Six” and to encourage them in their attempt to control costs and improve access with a Co-OP plan similar to Credit Unions. Call Mike Enzi (WY-R) 202 224-3424 and Charles Grassley (IA-R) 202-224-3744 Ask them if they are taking money from big for-profit insurance companies and demand a legitimate dialogue.
Ask not for whom the bell tolls, it tolls for thee. –John Donne http://answers.yahoo.com/question/index?qid=1006021913000
