About Me

Name: Blondie
Location: Redmond, WA
Loading...

Create Your Own Blog Find Other Townhall Blogs

Comments

Blog Roll

 

Breast Cancer Before 50? - Take A Painkiller and Wait to Die

 

“The U.S. Preventive Services Task Force said routine mammograms aren't necessary for women of average cancer risk in their 40s, and that women between 50- and 74-years-old don't need to undergo mammograms more often than every other year. The guidelines, published Monday in the Annals of Internal Medicine, also recommend that physicians abstain from teaching women how to examine their breasts for signs of cancer because of a lack of evidence that it is of any benefit.”

-         Wall Street Journal, Nov. 16, 2009

As many of you know, I would be dead now had I followed this new advice from a government task force. So you can guess that I’m outraged by this finding.

Fortunately, the likelihood that insurance companies will use this finding as an excuse to deny coverage for mammograms to women under 50 is slim. Why? Because the states still control the mandates given to insurance companies, and there is enough competition among insurance companies in many states.

But if the healthcare bills currently winding their way through Congress are signed into law, it’s another story. The federal government will take over all control of mandates and what can and cannot be paid for, whether via a single payer or a co-op system. If a federal task force (made up of unelected officials) makes a determination that women don’t need mammograms until age 50, it’s likely the federal government will mandate the denial of coverage of all mammograms for women under 50. The effect: more 40-49 year old women will die of cancer.

(Question: does the benefit of saving money on these routine screenings and the treatment of these women outweigh the cost of these unnecessary deaths? Fight against these healthcare bills, or you won’t have much say in the answer to this question – it will definitely be above your pay grade.)

This leads to the question of why this task force finding came out now, in the middle of the healthcare debate? Any politician, even un-seasoned, can see that this finding will cause an outcry, so why allow its release?  Yes – I have a guess as to why: it’s a sop to the insurance companies to get them back on-board in support of the healthcare bills being considered. It is a clear demonstration to them that federal government control will lead to lower costs – at least for the big insurance companies who are allowed to survive (for awhile, at least). 

So the healthcare debate has gone from lowering costs through more preventative care, to the denial of one of the most effective preventative care procedures to help the insurance companies so they will support, or at least not fight, ObamaCare. We will be forced to purchase federal-government-mandated policies (one-size-fits-all) that will be much more expensive, yet cover less than what we get today, while paying higher taxes for this “benefit.” Sounds like a great deal to me. Then again, maybe I’m not even supposed to express an opinion, given that this government panel doesn’t believe my life is important enough to be concerned about.

Email ItEmail It | Print ItPrint It | CommentsComments (1) | TrackbacksTrackbacks (0) | Flag as offensiveFlag as Offensive

Bad Markets?

Let's see if I understand this.  The cap and trade bill will create a “market” for carbon in order to get people to create less of it. But I thought markets were inherently evil, causing otherwise good people to become greedy.

Take those evil banks that wouldn’t lend to minorities, closing them out of the housing market. Everyone deserves a good home, so government had to step in with new laws and create the taxpayer-backed Freddie and Fannie, in order to force those greedy bankers to loan money to minorities so they could buy houses. The next thing we knew, those evil speculators tricked a bunch of poor people into purchasing houses they couldn’t afford; and other evil speculators bundled the loans; and the evil Wall Street executives bet American’s retirement money on the bundles, until it all came crashing down on itself. Then the government had to bail out those “too big to fail” on Wall Street and the banks. Now the greedy Wall Street and bank executives are getting paid too much, so the government has to restrict their pay and realign it to lower the risks they take.

Another example is our current healthcare market. We’ve been told the evil insurance companies don’t care about patients and do everything they can to restrict necessary procedures. (Don’t ask me why the healthcare plans include forcing every American – strike that and change it to every resident in America – to purchase health insurance.) Additionally, doctors are cutting off diabetics’ feet and removing children’s tonsils to make a profit. (Maybe we should keep diabetics and children away from these greedy doctors.) The healthcare market is so bad that the government believes it will be able to squeeze out the waste in order to cover more people at a lower cost per person. And we can’t even consider ideas like selling insurance across state lines or allowing individuals the same tax breaks that employers receive for purchasing health insurance. We all know that allowing more market freedom would just cause more greed and evil-doing, which would then require additional government involvement in order to save us all.

Geez - with all of this evidence of market evil, the last thing we need is to create a new market. J

Email ItEmail It | Print ItPrint It | CommentsComments (1) | TrackbacksTrackbacks (0) | Flag as offensiveFlag as Offensive

What Can Obama's Advisors Tell Us About His Policies?

It is said that you can judge a man by the company he keeps, so is it a stretch to judge the intentions of President Obama’s domestic and foreign policies by the people he has appointed to his administration?

Most have already heard about Van Jones, who resigned from his post of Environmental Czar due to his links to communism and the 9/11 conspiracy nuts. And some have heard about Cass Sunstein, the administrator of the Office of Information and Regulatory Affairs, who believes animals should have the same rights as people. But there are so many more Obama advisers with out-of-the-mainstream beliefs that it is becoming extremely difficult to keep up with the revelations.

Over the course of the next few weeks, I will share some thoughts on what these people can tell us about the President’s potential policies. Some of my thoughts may seem whacky, but as we rang in 2009, who would have thought that the government would take over the banks and two automobile companies within a few short months?

1. Lisa P. Jackson and the EPA

On April 17, 2009, the EPA found that six man-made “greenhouse gases are contributing to air pollution that may endanger public health and welfare.”[1] One of the main culprits is carbon dioxide – the very carbon dioxide that each of us exhales with every breath we take throughout our lives.

If our breaths are killing our planet, isn’t it the EPA’s responsibility, as the governmental agency responsible for protecting our environment, to try to decrease the number of breaths exhaled by Americans over our lifetimes? Could this be the logic behind ObamaCare, under which rationing of healthcare by government bureaucrats will be the only way to keep costs from exploding? Perhaps this is also the reason that President Obama has been such a firm abortion-advocate during his entire political career.

In an August 28, 2009 article on the Huffington Post[2], the Obama-appointed EPA Administrator, Lisa P. Jackson, said that poor Americans are significantly more affected by this man-caused air pollution, which she implies is primarily caused by richer Americans. 

If richer Americans are causing most of the greenhouse gases, couldn’t we eliminate greenhouse gases by lowering economic prosperity so there are fewer richer Americans? Could this be the logic behind allowing the economic recession to continue to worsen? Additionally, this completely explains why then-Candidate Obama expressed his desire to “spread the wealth around.”

Check back regularly for more...

Email ItEmail It | Print ItPrint It | CommentsComments (0) | TrackbacksTrackbacks (0) | Flag as offensiveFlag as Offensive

My experience with the U.S. healthcare system

Many of you already know that I am a 1 1/2 year breast cancer survivor, but you probably don't know all the details regarding my experiences with the healthcare system at Overlake Hospital in Bellevue, WA.  It is important for all of us to identify the specific problems in order to find the correct solutions.  So, in order to demonstrate that the problem with our healthcare system is NOT the quality of care, I want to tell you my story, and contrast it with what women experience in the government-run healthcare systems in Canada and the United Kingdom. 
 
My 2006 mammogram did not show any anomolies, yet in summer of 2007, my nipple inverted.  I had my annual mammogram in August, 2007.  It also did not show anything, so the doctor conducted a sonogram within 1/2 hour.  Sure enough, there was a shadow, so we scheduled a biopsy for the following week.  Days after the biopsy, on Sept. 5, the doctor called me to tell me the biopsy showed signs of cancer.  She suggested I call my general practitioner to get a referral to a surgeon.
 
I was able to talk with my GP the same afternoon, and scheduled a meeting with the surgeon he referred me to within a couple of days.  I wasn't comfortable with the surgeon, so I did some internet research and found one regarded as the best breast surgeon in the Northwest - fortunately at the local hospital.  I was able to see him within two days.
 
Bear in mind that prior to surgery, it is difficult, if not impossible, to know the full scope of stage and treatment required.  So my surgeon had his assistant schedule a blood test (same day), CT scan, bone scan, and breast MRI, and meetings with an oncologist for chemotherapy and a radiology oncologist, which all took place within a week.  He said these tests would prove to me that the cancer wasn't anywhere else.  Yet we still had a scare when the CT scan showed an abnormality on my liver, which required a liver MRI, which took place within a couple of days.  Fortunately, it came back negative, so we proceeded with a mastectomy on September 20 - a mere 15 days after my diagnosis, yet it seemed like an eternity since I didn't know my prognosis.
 
A couple of days later, my surgeon called to tell me that there was no nodal involvement, meaning that my cancer was at stage 2A and did not require radiation therapy.  Yet the tumor was the size of a golf-ball, so he recommended that I undergo chemotherapy just to make sure.  Additionally, he scheduled several follow-up appointments and referred me to a physical therapist to regain full function of my arm (which locked up after the mastectomy, which is a very common side effect.)  He also recommended that I wait for three weeks before starting chemotherapy in order to regain my strength after surgery.
 
I started chemotherapy in mid-October and met with my oncologist regularly throughout treatment.  Since treatment was completed, I meet with her twice a year and have a mammogram in September and a breast MRI in March, all of which I can easily schedule within 2 weeks or less.  I have also had a heart test and a dexa scan to use as baselines to test against for potential long-term side effects.  And I am on Arimidex for at least five years, which may be extended to ten years.
 
Yes, I had excellent insurance and was very well cared for.  But let me tell you that this great care is not restricted to only those with great insurance.  A young woman came into my surgeon's office while I was in the waiting room and told the receptionist that she was diagnosed with breast cancer and didn't have insurance.  I asked about her about a month later, and was delighted to hear that my surgeon had treated her pro bono, and the hospital costs had been covered by a charity!  I learned that she was doing well, but of course no one would tell me all of the details due to privacy rights.
 
If we "reform" our entire healthcare system, the quality of service that I received would not be available to anyone - not even with the help of charitible organizations, as can be seen by the wait times experienced in Canada and the UK under their national healthcare systems.
 
According to a blog by Professor Mark J. Perry summarizing a 2007 Canada Fraser Institute report, median wait time for a CT scan is 4.8 weeks and for a MRI is 10.1 weeks.  Typical wait time for surgery was 18.3 weeks.  (See http://mjperry.blogspot.com/2007/10/surgery-wait-times-in-canada-hit-record.html.)  In the UK, the government dictate in 2006 was a maximum 18 week wait time from general practitioner visit to treatment, including all diagnostic tests, according to http://www.privatehealth.co.uk/news/july-2006/mri-and-ct-scans/.  75% of the 15 most common diagnostic tests were carried out within 13 weeks.  Can you imagine waiting for months to determine if your cancer may have spread to other parts of your body?  Talk about mental stress - I would even call it emotional abuse.
 
More specific to breast cancer care, the UK Department of Health is pushing for a one month maximum between GP referral and treatment.  But they offer little information on what this means.  Based on the wait times for diagnostic tests, one can easily assume that patients do not receive all of the tests I received within that one month timeframe.  The data that is provided is not summarized, and has many holes, as you can see at http://www.dh.gov.uk/en/Publicationsandstatistics/Statistics/Performancedataandstatistics/HospitalWaitingTimesandListStatistics/CancerWaitingTimes/index.htm.
 
There is better information on the Canadian system's treatment of breast cancer at http://www.cbcn.ca/documents/pdf/ENG_CBCN_fin_book.pdf.  According to this study, the benchmark for breast screenings is once every 2 years.  (Bear in mind that my tumor grew from undetectable to the size of a golf ball in one year.)  The target for abnormal screen to diagnosis is 7 weeks, while the targets for surgery = 12 weeks, within 3 months for chemotherapy, and 4 weeks for radiation.  Most jurisdictions were able to meet these targets at least 90% of the time.  Yet there is no information on what types of diagnostics are conducted.  So let's see - rather than my experience of less than one month from abnormal screen to surgery, patients in Canada routinely wait 19 weeks (nearly 4 1/2 months).  Based on the fast growth of my tumor, it would not be a stretch to believe that, had I needed to wait an additional 3 1/2 months, the cancer could have spread to my lymph nodes, which would have required me to undergo radiation, as well as the chemotherapy. 
 
Note that a class-action lawsuit by up to 4,000 patients in Quebec that had to wait more than 3 months for breast-cancer chemotherapy was settled out-of-court in July, 2009 for $5.4 million.  (See http://www.ctv.ca/servlet/ArticleNews/story/CTVNews/20090713/mtl_breast_cancer_settlement090713/20090713.)  3 months is outside of the "safe zone," meaning that there are significantly higher chances of reoccurence.  Even if the lawyers don't take a cut (which you know they will), that's only $1350 per patient.  How would you like to be one of these patients, worrying every day that you could get breast cancer again, and knowing that the wait times for treatment may be so long the next time that the cancer may spread to other organs? 
 
As you can see from my experience, our healthcare system is far superior to government-run systems.  So let's leave it intact and focus on the real problems.  What are the real problems? 
 
  1. Too many government mandates on what insurance must cover cause insurance rates to increase and no ability to shop across state lines reduces competition.  This reduces the number of people who can afford insurance for catastrophic occurences.
  2. No portability causes people to be uninsured between jobs.
  3. Patients who are insured often don't know anything about the costs since they receive their insurance through their employers.  This often causes patients to use the healthcare system when they wouldn't had they needed to pay out-of-pocket.  Additionally, uninsured patients often misuse hospital emergency rooms, where they receive free care no matter how minor their illness.
  4. A lack of personal responsibility causes many Americans to believe that someone else will take care of them if they make bad decisions.
  5. Malpractice insurance costs have gone through the roof over the last couple of decades.
Here are my proposed solutions:
  1. Reduce state mandates and allow people to shop for insurance across state lines.  We should be able to purchase insurance for catastrophic care only if we want (which would be much less expensive than current health insurance, which covers everything from accupuncture to alcohol rehab - kind of like expecting good rates on auto insurance that covers gasoline and oil changes).  We should also be able to save tax-free money in a health savings account to use for general care.  These HSA accounts should be able to accumulate over time, and should be able to be inherited upon death just like any other asset.  Also, if each person had to spend their own money on their general care, doctors would be forced to offer competitive rates, just as lasik eye surgeons and plastic surgeons (not to mention veterinarians) do now.  Bottom line - we want more choices!
  2. Insurance should be owned by the individual/family, and not by the employer.  We don't receive auto or home insurance from our employers, and you may notice that auto insurance costs keep going down.  Also, health insurance companies should be able to provide discounts based on factors such as weight, smoking, and alcohol consumption, just as auto insurance companies provide discounts for students with high GPAs and on cars that have alarms.
  3. Tort reform to place caps on what attorneys can receive for lawsuits against doctors in order to reduce the malpractice insurance that excellent doctors have to pay - and pass on to us via higher fees.
  4. Allow people to suffer the consequences of their decisions - and not be saved by the taxpayers.  We, as good Americans, should give to charities to help these people.  But it is not the government's responsibility to save everyone from their bad decisions all the time.

If you have read all the way to here, thank you very much for your attention and consideration.  I hope that you will speak out with me against government-run healthcare in America.  I hope I don't have a reoccurence of cancer, but if I ever do, I pray that I can receive the same quality care that saved my life 1 1/2 years ago.  God bless us all.

 
 
 
 
Tags: healthcare  
Email ItEmail It | Print ItPrint It | CommentsComments (0) | TrackbacksTrackbacks (0) | Flag as offensiveFlag as Offensive
« Previous1Next »