Trees of the Mind

Jodi Kasten

Jodi Kasten
Location
Jacksonville, Florida, USA
Birthday
October 27
Bio
Professional Mommy, Professional Food Writer at EatJax.com, Freelance Writer, Non-committal Paranormal Investigator, Folklorist, All Around Nice Girl

Jodi Kasten's Links

Salon.com
Editor’s Pick
SEPTEMBER 9, 2009 9:22AM

The Man Gets a Little Health Care (Warning: Graphic Photos)

Rate: 50 Flag

Arrrrggghhhh... Health Care BAD


The Man is accident prone. I’ll admit that “accident prone” is a charitable phrase. From the moment he could crawl he was getting hurt. His mother has told me stories that leave me amazed that he is alive at all. She has actually said to me (with all the love in her heart), "I'm glad he's your problem now."

When he was a little boy he fell out of a tree so violently that he had to get stitches in his tongue and had blood in his urine for a week. He had a car wreck that I cannot believe he survived. He broke the steering wheel with his body and, despite wearing a seatbelt, he broke the windshield with his head when the driver's seat came unbolted from the floor.

All of that was before he met me - the self-appointed Goddess of Safety Awareness. I wouldn’t say I’m paranoid, but I do pride myself on seeing what might happen and preventing at least the most serious of injuries. During the nine years that I have known him, there have been no major incidents. The Kasten Family Motto is “The red stuff stays on the inside.”

Rutilus effercio subsisto in penitus!

Yesterday morning, The Man broke the rule. The alarm went off as it has thousands of times over his thirty-seven years. On this particular morning, as he sprung up to hit the "snooze" button, his legs did not get the telegram from his brain that told them to wake up and move.

The Man's legs went squish.
The Man's head went ::smack!:: 
The nightstand had attacked.

I was suddenly wide awake and hearing screams of agony. The MommyTools© instantly appeared. Wet washcloth, icepack, peroxide, band-aids. When he finally arose from the floor, there was a pool of blood where his head had been. The blood ran down his arm and I got the sinking feeling that this was out of my realm of expertise.

The Man went into the bathroom and contemplated his wound. He said he needed “a small band-aid.” The bleeding stopped after a few minutes and I accessed the situation. The large split ran across the top of his forehead and into his hairline. It was two and a half, maybe even three inches long. The Handy Manny band-aid was not going to do the job. He would have to go to the doctor.

He said he would drive himself. I asked him if he was dizzy or disoriented. In the interest of safety I asked, “What did you have for breakfast yesterday?” He replied, “Blue.” That’s when I knew he’d be okay to drive.

The Man drove to what we call the “doc-in-a-box.” It’s an emergency care clinic with a flat rate that accepts insurance. It’s a good alternative to the emergency room, especially here in Jacksonville where you’re more likely to get shot in the parking lot than get a shot inside the hospital. With our insurance, the whole visit would cost $30. After he was assessed, the doctor told him he needed stitches, but he couldn’t do them because the wound was partially on his face, which would require a specialist. The nurse put a little antiseptic on the cut and sent him on his way. Charge: $30.

The Man came home and called the insurance company. In the meantime, his head had begun to bleed again. He was enough of a gentleman not to get blood on the phone. After a fifteen minute wait, an insurance employee told him that he would have to see either a plastic surgeon (co-pay $30 plus co-insurance - full charge) or go to the emergency room ($75 co-pay plus full cost because while the FAMILY has met the deductible, he has not met his personal deductible). She emailed us the list of plastic surgeons. The (Still-Bleeding) Man made an appointment for 1 p.m. with the closest plastic surgeon. While he was holding, he was treated to several commercials for the various things rich people have injected into their faces.

He came back with 13 lucky stitches. Here's the FrankenMan:

Ouch! 

Even with as much health insurance as one family of six klutzes can purchase, those 13 stitches cost another $40 (it's a specialist, you know). The bill for the "co-insurance" will come when they figure out how much we can be squeezed for. 

Back in January, we took Pudge into the ER for a fever and a rash. The doctor took a brief look at him, told me I was paranoid, charged us $75 then billed us for $400 more.
No meds, no diagnosis, no instructions.
$475 - WITH INSURANCE.

Where did that $475 go? It wasn't taken up in physician time, supplies, medications or treatment. It went to pay for all of the people who come in without insurance who cannot pay. We are ALREADY PAYING FOR EVERYONE ELSE'S HEALTHCARE.

I keep hearing people talking about the government's $600 hammer as an excuse to kill government health care. You're buying the equivalent of a $6000 hammer every single time you use an American hospital. If you don't believe me, ask for an itemized bill. I was charged $42 for a single dose of cough syrup when I was in the hospital having Pudge.

If we sucked it up and paid for a single-payer public health system then the people who are currently uninsured could utilize early detection, vaccines, well-child care, yearly check-ups and screenings which would actually bring DOWN the cost of health care. (Go ahead and call me a socialist, I enjoy it. I am in favor of the social - preferably with coffee and cake.)

The United States already pays more per capita for health care than any country in the world. How can eliminating the insurance companies and placing our care in the hands of the people we CHOOSE to put in elected positions be worse than who-the-hell-knows arbitrarily deciding that it costs $475 to tell a mother that she's stupid? A better question would be, how much did my insurance company pay that hospital on TOP of what I paid them? Your guess is as good as mine - all I get is a statement which says, "Partial payment rendered, insured is responsible for remaining balance."

The government does stupid things all the time. (Amtrak, anyone?) But, right now, even if you are fully insured, you are at the mercy of faceless bureaucrats that you have no power over. I would much rather have a vote in who makes decisions about my health care.

I hear scaremongers saying, "Well, if you don't like this system, you can choose a different insurer!" Really? Last time I checked the majority of insured Americans obtain insurance at least in part through their employer. The majority of those of us still employed can't even get our employer to refill the pretzels in the snack machine, much less change providers for an entire corporation. That's reality.

If The Man's bonked head ends up costing only as much as Pudge's rash, then for just two minor incidents, we will have paid out the equivalent of a mortgage payment for two minor incidents this year, even though we have full health insurance coverage. That's before any routine care, sickness, vaccines or other emergencies. What happens when someone gets seriously ill?

There HAS to be a better way.
I would gladly pay the equivalent of my insurance premiums (and all the silly fees, co-pays, co-insurances and fees for processing the other fees) in taxes to end this madness which drives so many hard-working people into poverty.

We need to come up with something FAST.
The Man has a chainsaw.





Images:
Frank - solarnavigator.net
The Man's Rudickalus head - I did that. Yep.

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Non plaudite. Modo pecuniam jacite.
Well done Ms. Kasten. A much needed reality check for the less informed. It's kind of like playing the lottery, only instead of losing a dollar, you die. Of the thousands of dollars paid in taxes over my thirty five years in the workforce none would have been so well spent as those that should have gone to giving people their health back.
If I had money I'd get my prescriptions refilled, sorry, you'll have to settle for applause. ;)
bob - That's really the issue, isn't it? If we paid in taxes what we pay in bills, what could we get for everyone? I think at least TRYING that would be helpful. We are just as capable as Canada or Great Britain - just not as willing.

AHP - Glad you think $o!
Sorry to hear about The Man's accident but as always, you hit the stitches on the head with this one.
Most excellent.

It really, really bugs me when people complain that they'll have higher taxes with universal health care. But, wouldn't it be worth it to not have the specter of the depeletion of your life savings and bankruptcy hanging over your head?

Christ, I have dental insurance, and I still had to pay over $400 out of pocket to have some cracked fillings replaced last week.
Brilliant stuff Jodi. Love the message of the Telegraph Line - I had never even seen that Schoolhouse Rock video, and I'm a fan of the series! I especially liked your sentence about false choice, and the difficulty of getting your company to change pretzels in the snack machine.
At this point in history, I am damned glad I am living in Germany.
The thought of our U.S. system makes me ill just thinking about it.

Hope the man feels OK, you make a not-so-funny story funny.
At this point in history, I am damned glad I am living in Germany.
The thought of our U.S. system makes me ill just thinking about it.

Hope the man feels OK, you make a not-so-funny story funny.
You tell 'em sister! This was perfect...except the stiches, sorry about those, but atleast they were the inspiration for a brilliant post. I am also the family's appointed Goddess of Safety Awareness. Thanks for coming up with that phrase, it sounds so much better than the other things I've been called.
Res ipsa loquitur!
KOB - Yeah! What you said.

Toochie - The Man is dealing nicely. He's tough. Unfortunately, this little stunt cost him a day of work. I have to wonder what would have happened to someone who didn't have the luxury of being able to sit in a waiting room and bleed all day.

Jeanette - Ugh. Dental insurance is a JOKE. We have it and it has NEVER helped me. Vision insurance is roughly the same rip-off.

annette - That's one of my favorite Schoolhouse Rock songs. Every time someone's body doesn't respond appropriately, it goes off in my head. "There's a telegraph line, you've got yours and I've got miiiiiiine, it's called the nervous sys-TEM!" Hee hee hee.

kitehlips - Whatever happened to the American spirit being all about "We can do anything?" It seems all we excel at right now is tearing each other to pieces. It's shameful.

mamoore - I'd like to say we'll be thanked later, but I know better. Intact children are their own reward.

Ron - Ooh! Well, that just speaks for itself, doesn't it?

P.S. Bob gets the cookie today.
"Don't applaud. Just throw money."
Graphically gruesome - rated!
Nice job. If people keep making sense like this when talking about the public option, perhaps the message will get through the thick noggins... not the bloody noggin, though. Poor bloody noggin... good thing you were on duty as the GofSA!
I must say that the whole American health care debacle has served to make me all the more grateful for our imperfect but accessible and affordable health care system here north of the border.
I'll save the rant about mass-hysteria over perceived socialism for another day... ;-)
Don't hold your breath that Obama will do the right thing. He doesn't have the balls to demand public option which is really a continued mass rape of the populace by the insurance companies. But the center right party (the dems) wants us to believe it is true reform. What happened to Single Payer?

If you want to be a "real socialist," ask your Congressional Representative to sign on to HR 676 (Medicare for All). It has 93 sponsors right now. Single Payer. Real reform. Real Change.

The US doesn't need insurance. It needs health care.
So I was with my very well educated friends and we were trying to come up with the best arguement against single-payer, cause we should know and have a response right? One of my freinds, the one about to move to Germany, pointed out that in France they pay a full quarter of their pay check to social service taxes. "Ohh" we went, "that does seem high."

Interestingly enough, I have this nice neat paycheck that is easily divided in fours. I only take home 3/4 of it. That's cause one quarter, a full quarter goes to pay for my health care, 401K, and SSI. My social service taxes and "taxes."

As far as I can tell. I am paying the exact same amount as people in France. I'm just paying it to private health insurerance companies with a profit motive who still demand more co-pays and co-insurance, and private pension marketers who take management fees off the tops.

This seems to me a vastly inferior product. All the same costs and more, none of the stability.
Um...why exactly couldn't an ER doc have done those stitches? That's gonna scar whether it's done by a plastic surgeon or not.
Steel - EXACTLY!

Love this story and your voice and your message.

Sadly, there are a lot of 'Muricans who think all other 'Muricans (especially them minoritays) are out to steal their nut. It takes a real tragedy to make people this distrustful and spiteful realize they are screwing themselves along with everybody else.

Blows my mind that they would rather line the pockets of the insurers (that they hate as much as the rest of us) than allow a serious discussion on reform.

It also makes me thankful to have explored the world outside this country - that really seems to make a difference. Having been to "socialist" countries, I know they are really not very different from the U.S. at all - they just have free health care, free secondary education and free daycare. So, OK, they are different - and I'm jealous.
Love your writing style Ms. Kasten.
Bravo Jodi. I don't know anyone who is satisfied with their present health insurance. Typically our insurer just sent us a new cards, doubling our co-pays and now requiring a referral to a specialist. That's all we got--the new cards. My present insurer has not paid a penny for my therapist and psychiatrist because they are not in network, a network they deliberately keep small.Lacking dental insurance we spend about five times as much on dentistry as health care.
I don't know if I need any more cookies, how about a nice mango instead? Besides, I took one lousy semester of latin and you are giving me a chance to use it (I admit, I check my work). Maybe I'll start responding in latin to you.
Excellent example of how even having (what sound to me like) very good insurance still doesn't work that well.

You no doubt know this but for those who don't: When I worked at a hospital, I learned why even non-profit hospitals (such as I worked at) have to charge huge prices: precisely for the reason you mention briefly, which is that hospitals MUST treat all uninsured people who show up in their ER due to a law called EMTALA. So they literally have tens of millions of dollars of health care that they have to cover every single year by somehow finding the money elsewhere. Enter the insured or employed.

And since that law went into effect, uninsured people have learned to use ER's for all their health care, from sore throats on up. And an ER is the absolutely most expensive place to get primary care, needless to say, and it clogs up the ER when there are people like your hubby who do need it. So it's inefficient, expensive and unfair all round.

I've heard insured people say their health care is just dandy...until they have to go an ER and wait for hours and pay a huge amount. But they don't have enough info to connect the dots between their experience and the vast uninsured population. Take care of one, you take care of the other.
Blue? for breakfast? have you written a column on that yet?

I agree with Paglia that there will be no savings involved in a gov't option. As she puts it: "The U.S. is gigantic; many of our states are bigger than whole European nations. The bureaucracy required to institute and manage a nationalized health system here would be Byzantine beyond belief and would vampirically absorb whatever savings Obama thinks could be made. And the transition period would be a nightmare of red tape and mammoth screw-ups, which we can ill afford with a faltering economy."
And I like her use of the word vampirically. Rated.
whacking your old man in the head with a hammer just to get a gross photo and a post idea is probably the most genius thing you've ever done! bravo, crab farmer, bravo.

hahahahahahaha! poor man. maybe he needs some tlc from "Beloved Betsy" (whom I for one am sick of hearing about ... rest well, Cronkite) ... ok ... ttyosyw ...
Amen! We all need to understand how serious this is. As I said in my post last week, I lost everything due to insurance company crap, including my husband. Why oh why can't folks see how important the public option is??? The insured "think" they have a safety net, but they are an illness or accident away from loosing everything they value...at the whim of some fools sitting in a cubicle.
Thanks to all the commenters!
The Man is doing much better today, other than the undoubted ribbing he must be taking from his co-workers. Luckily, he has an amazing head of hair, so he'll be able to hide it for the most part. 1_Irritating_Mother - It was a pick ax. I have some class.

I agree that Obama needs to stop being a chicken and plow in there with fully "socialized" medicine. It's the right thing to do and I'm disappointed that he is backing down.

However, I think that while Obama sets the tone and can spur legislation, it is our Democratic party I am the most angry with. We are pissing away our majority and kissing too much ass. We voted them in there for a reason. The majority of the people in this country are sick of torture, wars, health care gouging and general bullshit.

Our elected liberal officials need to get to it!

I disagree completely with Paglia. We're going to let people continue to die and go bankrupt because it's too HARD???
With all due respect - I wave the bullshit flag.

What if we had given up because women's suffrage, racial equality, universal primary education, government subsidized loans for college, medicare, medicaid and oh, yeah... every single government program paid for by taxing the public and redistributing money to things that make the country better - was just too HARD?

No.
We are being played by the health insurance lobby.
They don't want to lose their cash cow.
Period.
I also have another message for anyone who thinks that their "stupid inefficient government" can't handle anything. Try giving up little things like, roads, coroners, police, libraries, state colleges, electricity, the fire department, MEDICARE, air traffic control, food safety, schools, television, radio, cell phone service and everything else that your tax dollars pay to regulate, produce or provide.

Are there problems with those things? Hell yes. But over 300 million people enjoy the hell out of them every single day.
Cut the crap.
Talk about being played and sold out by the Democratic Party. The bill released by Senator Baucus today was authored by a former VP of Wellpoint. Check out EmptyWheel. The document properties gave it away.
I determined a long time ago that the most dangerous time of day is getting out of bed.

I applaud the Man, though - anyone who can remember having blue for breakfast is good in my book. I think I had a bagel. If pressed, I might be able to posit what kind it was.

Pollex sursum.
Brilliant, Jodi! Sorry that the man had to sustain an injury in order to be your muse though. By the way, can we steal your family motto, “The red stuff stays on the inside”? It would save us all a great deal of time spent passing out.
Are you sure you want people throwing money in the direction of the man? Sounds like an accident waiting to happen if you ask me

When I lived in Washington, we had McMedicines and I loved them - cheap, easy to use, fair pricing. Where I live now, no such thing. A neighbor took his wife to the hospital because she was feeling very ill. After they waited for 3 hours, the Doctor saw her, decided she ate too many tomatoes, gave her some malox and sent them home. The cost was nearly $6000, which the neighbor thought was ridiculous, but didn't really care because his insurance would pay for all of it.
This healthcare crap got me thinking - lets do some math.
i know how you hate math, but i'll try to keep it simple.
i have pretty good insurance. Medical, Vision, Dental, Life - all offered through my employer. It is Mandatory that i carry health insurance, according to my employer. If i don't select one of their plans, or show them proof that i have alternate coverage, they pick a coverage plan for me.
i have a wife (the Missus) and a couple of Spawn varying in ages.
i pay $113.27 out of every check for my family insurance. CoPays = $30/$40/$75 for office / specialist / emergency room visits. Prescription meds cost $30 (or more depending on the drug)
This is the low end insurance with the $1500/person (medical) deductable. There are separate deductibles for Vision and Dental. The other plan has a $500/person deductable, but cost approximately twice as much with no additional service benefits.

The Missus sees her 'personal doctor' once per year. There is at least one prescription there.
The Spawn have their annual checkups, shots, rotate the tires (4 office visits).
i don't have an annual checkup because i'm healthy and i never get sick and i will never die.

This is about the MINIMUM healthcare interaction we would have in a year.

Now the math - what i pay in healthcare:
$133.27*26 paychecks / year =$3465.02
Missus's Dr visit = $40
Prescription for Missus = $30
Spawn Office visit = $30 * 4 = $120
Grand Total - - - $3655.02
That's before anyone gets sick, or needs a prescription, or has an accident like The Man.

just thinking....
Gothique, I've seen some stats on what the health care costs are per person in various countries annually. I think in the US it comes out to close to $7k while in countries like Canada, Britain etc it's closer to $3 to $4k, and they have better care.
and I agree with whoever said getting out of bed is the most dangerous thing we do. I once was staying at a nice but cheap BnB with very thin walls in England and had to leave very very early to get a train so set my travel alarm. When it went off, it was still quite dark, so when I thrashed around to try to turn it off before it woke people in the other rooms, I ended up crashing my hand into the nightstand and knocking the lamp to the floor and otherwise making a huge racket. I was mortified but uninjured and snuck out quietly....
Have you considered renting out The Man to Underwriters Laboratories for product testing?
Yeah! What you said! Brilliant post JodiKasten, brilliantly written. Hope The Man is on The Mend.
I'm with you all the way , Jodi. I have a story about a chainsaw and a baseball. One day I will share it with you.
Still can't believe that otherwise rational Americans think "socialized" medicine is going to ruin their lives. Jodi, I am also terribly accident prone. I commiserate with the Man.
A very entertaining making of a very important point. At least the Man didn't stitch himself up, like mine did after a woodworking accident during our non-insured period. (Not on the face, thank goodness!) Hope he is feeling better.
I hope this makes it to Professor O's desk because no one writes it as good as you. This was a perfect story to demonstrate the idiocy of our health care system.

Same story here - by the time we finish paying the out of pocket costs with the monthly pay in, it is crazy. And that doesn't cover any wellness crap.

The Man and The Geek must have been separated at birth. The Geek fell out of a tree as a kid and broke his neck. Seriously. And he walks and talks. Amazing.

Hope The Man feels better soon!
Ouch! Maybe I will write that post about my husband nearly losing an ear...
What was I thinking?! Next time, call Dr. Trig!
I honestly believe that most Americans have these stories. The Man's bonked bean isn't any different than a cut finger, sprained ankle or broken arm.

We live in a society where our first reaction to illness or injury is not to go to the doctor, but to try to deal with it on our own because we know in our hearts that we will be taken for all we are worth.

We are constantly told that our health is our responsibility alone. We are blamed for medications that make us fat, chemicals that make us sick and food that is unhealthy. When we develop problems because we have been sold a rotten bill of goods, we are given yet more drugs that line the pockets of corporations.

We are all well aware that the medical profession is not in the business of keeping us healthy. It is in the business of first making money, then fixing the most dire problems and the lowest man on the totem pole is the person who is trying to stay healthy.

Doctors and nurses undoubtedly go into the profession with the best of intentions but the system is broken. The entire system must be changed. The heroes in the medical profession are the ones who are taking that pay cut and serving the populations that are denied care.

There are doctors and nurses who aren't taking big, fat paychecks but are rather going into hurricane ravaged Mississippi and inner city clinics. They are trying to save the world and somehow they are paid less than the guy who picks up the garbage because they aren't playing the game.

Our entire society is standing on its head. The teachers, police, firefighters and truly compassionate caregivers are paid a pittance while we reward greed and conformity to corporate demands - not only in the medical profession, but all the way around.

It may be naive to say that it should change, but nothing different will ever happen if someone isn't brave enough to say it should. The cynical attitude that nothing is ever going to change only perpetuates the problem. Expect better, demand better and it will get better.
Magnify this story a hundred million times and you get a sense of the scope of the crisis. Reform is long overdue.
Re: The Man: Yeowch!

Re: The rest of it: excellent points, my dear, excellent points.
I have no patience whatsoever for ANYONE who insists things are fine as they are. They're not. People paying for the ounce of prevention is better than all of us having to pay for tons of emergency cure.

Klutzes of the world unite! March for health care, but let's make sure everyone has their laces tied before we start!