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#then figure out health insurance with that because thank you American healthcare system
silvermizuki · 6 months
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I wanna learn so much but have no time >:(
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sharpenote · 1 year
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so. back in march, i received a big ol packet in the mail from my insurance (this is state insurance, too, not private) saying i needed to renew, that i might not be automatically renewed as i have been for the past however many years i’ve had this insurance. i said cool, okay, they have a URL to do this online, i’ll do that. go to the link, website completely nonfunctional. i try again the next day in case it was just receiving a lot of traffic that day from people like me and was having issues because of that. website still completely nonfunctional - at this point i feel comfortable assuming this was its default state, since that tends to be the norm as far as government websites tend go. i say okay, they also have a phone number to call - i’ll do that, since there are presumably fewer steps that can go wrong in that process as opposed to mailing it in (mail could get lost, correspondence could take way too long to hear back from them if i accidentally submitted wrong info, etc). i spoke to a very nice woman on the phone who told me “oh, your insurance has already been automatically renewed, you don’t have to do anything.” i say yay! what a huge load off my chest! this experience has been very stressful for me since my insurance has automatically renewed every year prior to this and i wasn’t sure of the process. thank you so much for checking that for me, ma’am!
SMASH CUT TO TODAY, WHEN I AM AWOKEN BY AN EMAIL NOTIFICATION FROM MY PSYCHIATRIST’S OFFICE THAT IS INFORMING ME THAT MY APPOINTMENT FOR TODAY - THAT I NEED TO REFILL MY MEDICATION THAT I ONLY HAVE A WEEK LEFT OF - HAS BEEN CANCELLED, BECAUSE MY INSURANCE HAS INFORMED THEM THAT I AM NO LONGER COVERED. i say hey, what the fuck! didn’t we take care of this three months ago? so i call the number on my insurance card and ask them, hey, what the fuck? Does this mean my doctor just isn’t in network anymore and is just no longer covered (which has happened multiple times in the past), or do i just straight up have no insurance now? and they tell me “uhhhh it looks like your account has been closed” so i say, hm! well that’s strange! i was told by someone that my insurance had automatically been renewed already! can you please connect me to someone who can figure out what is going on? and so they connect me to someone who can figure out what is going on, and what is going on is that i never renewed my health insurance so i no longer have health insurance, and that there is no way they can fix this other than me manually renewing it now - which i tried to do back in march!!!!! in!!! march!!!!!!!! - and i might not hear if that even worked at all for up to 30 days. and if you recall, i only have a week left of this medication i need very badly - maybe two, if i cut the pills in half so at least i’m not going off of a very high dosage completely cold turkey
this is all to say the american healthcare system is a fucking joke and if i ever find out the name of the woman who fucked me over i am going to hunt her for sport
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robertreich · 3 years
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7 Ways 2020 Exposed America
If America learns nothing else from these dark times, here are 7 lessons it should take away from 2020:
1. Workers keep America going, not billionaires.
American workers have been forced to put their lives on the line to provide essential services even as their employers failed to provide them with adequate protective gear, hazard pay, or notice of when COVID had infected their workplaces. Meanwhile, America’s 651 billionaires – whose net worth has grown by over $1 trillion since the start of the pandemic -- retreated to their mansions, yachts and estates.
Amazon CEO Jeff Bezos sheltered in his 165,000-acre West Texas ranch while Amazon’s warehouse workers toiled in close proximity to each other, often without adequate masks, gloves, or sanitizers. The company offered but then soon scrapped a $2 an hour hazard pay increase for warehouse workers, even as Bezos’ wealth jumped by a staggering $70 billion since March, putting his estimated net worth at roughly $186 billion as the year came to an end. 2. Systemic racism is literally killing Black and Latino Americans.
Black and Latino Americans account for almost 40 percent of coronavirus deaths so far, despite comprising less than a quarter of the population. As they’ve borne the brunt of this pandemic, they’ve been forced to fight for their humanity in another regard — taking to the streets across the country to protest decades of unjust police killings of their community members, only to be met with more police violence.
Among Native American communities, the coronavirus figures are even more horrifying. The Navajo Nation has had a higher per-capita infection rate than any state but can’t adequately care for the sick, thanks to years of federal underfunding and neglect of its healthcare system.
Decades of segregated housing, pollution, lack of access to medical care, and poverty have left communities of color vulnerable to the worst of this virus, and the worst of America.
3. If we can afford to bail out corporations and Wall Street, we sure as hell can afford to help people.
Senate Majority Leader Mitch McConnell continues to insist we can’t “afford” $2,000 COVID survival checks for Americans. But the latest coronavirus relief legislation doled out over $220 billion to powerful business interests that could instead have been used to help struggling working families.
Another way of looking at it: The total cost of providing those $2,000 checks ($465 billion) is less than half the amount America’s 651 billionaires added to their wealth during the pandemic ($1 trillion).
4. Health care must be made a right in America.
Even before the pandemic, an estimated 28 million Americans lacked health insurance. After it struck, an additional 15 million lost employer-provided coverage because they lost their jobs. Without insurance, a hospital stay to treat COVID-19 cost as much as $73,000. Remember this the next time you hear pundits saying Medicare for All is too radical.
5. Our social safety nets are woefully broken.
No other advanced nation was as unprepared for the pandemic as was the United States. Our unemployment insurance system is over 80 years old, designed for a different America. We’re one of the few countries in the world that doesn’t provide all workers some form of paid sick leave.
Other industrialized nations kept their unemployment rates low by guaranteeing paychecks during the pandemic. But Americans who filed for unemployment benefits often got nothing or received them weeks or months late. Under new legislation they get just $300 a week of extra benefits to tide them over.
6. The Electoral College must be abolished
Biden won 7 million more popular votes than Trump. But Biden’s margin in Arizona, Georgia, and Wisconsin totaled just 45,000. Had Trump won these three states instead, he would have gained 37 more electoral votes, tying Biden in the electoral college. Under the Constitution, this would have pushed the election to the House of Representatives, with each state delegation getting just one vote. Even though Democrats have a majority in the House, more state delegations have Republican majorities. Trump would have been reelected.
The gap between the popular and electoral college vote continues to widen. The Electoral College is an increasingly dangerous anachronism.
7. Government matters.
For decades, conservatives have told us that government is the problem and that we should let the free market run its course. Rubbish. If nothing else, 2020 has shown that the unfettered free market won’t save us. After 40 years of Reaganism, it’s never been clearer: Government is in fact necessary to protect the public.  
It’s tragic that it took a pandemic, near-record unemployment, millions of people taking to the streets, and a near-calamitous election for many to grasp how broken, racist, and backwards our system really is. Biggest lesson of all: It must be fixed.   
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successfullyadhd · 4 years
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im 31, and after over a decade of trying to figure out what is wrong with me, my therapist and I are finally thinking it’s ADHD. i’ve had a gut feeling about it for a while and every ADHD post is relatable. now the problem is finding an place that does adult assessments and is affordable (no insurance). do you have any tips on going through the assessment as an adult? and if i can’t afford it, and can’t get medication. how do i ever become the productive focused person i want to be? thanks.
Sorry in advance for the long post... I put the most relevant bits in bold for a TL;DR version.
 I know getting diagnosed as an adult can seem daunting, but you shouldn’t worry too much. While ADHD was once viewed as something that only affected children, it is now widely recognized as a lifelong disorder and you shouldn’t have to fear being dismissed because you weren’t diagnosed early in life. It’s extremely helpful that you have been seeing a therapist, and they also think you have ADHD. Ask them to send over their notes when you do go to the doctor.
As for how to get diagnosed - I’ll start by saying I hate the way American healthcare is set up, as medication and healthcare in general are expensive. I have to move frequently for me and my husband’s jobs (we both work in hospitality, and as the saying goes, “You have to move out to move up!”). Because most (all?) ADHD medications are a Schedule II drug (highly regulated but still legal), I have to get rediagnosed in every new state. I always bring my past history, but most doctors want to complete testing as they are monitored for prescribing stimulants and can lose their license if found to be providing this medication without ample documentation. (All of this to say - I have been through the procedure many times as an adult.) Depending on the state, some doctors also require bloodwork and an EKG to ensure you are healthy enough to receive the medication (although some will accept past test results if done recently enough.) Also depending on the state and doctor, they may have additional requirements. In Florida, my doctor wanted a multitude of tests, and asked for a sleep study to ensure the medication wasn’t causing poor sleep. In California, as part of the Kaiser HMO system, I was required to do periodic drug tests to ensure I wasn’t also using street drugs, and to check that the Adderall was in my system (as a test that I was using it as prescribed, and not selling it). Some states are much easier – Utah, Alabama and West Virginia all were able to diagnose me in one appointment and prescribed the medication same day. Last, a General Practitioner won’t typically prescribe it and will direct you to a psychiatrist. Even if you did have insurance, most don’t cover psychiatrists or if they do, it comes with a different deductible (because obviously mental health isn’t part of regular health (heavy sarcasm)). After diagnosing, you have to meet with the doctor once a month to get the prescription refilled – due to the Schedule II status, they can’t have it on an auto-refill like other medications and they need to ensure you aren’t abusing it or having negative side effects. (although the one good thing to come out of COVID is that it normalized tele-health appointments, since an in-person meeting with a doctor once a month can be difficult to schedule). Even though I have health insurance, I typically pay out of pocket $120 a month for my visit with the doctor, and after insurance and a coupon I pay $73 for two medications (Adderall & Vyvanse). I’m fortunate now to be able to afford that expense – at the times in my life where I couldn’t, I would request a 30 day supply of the more affordable pills and only take medication on days where I couldn’t function without it (such as doing large amounts of paperwork) and try to use learned behavior techniques the rest of the time, to stretch out my resources.
As far as what goes into the actual diagnosis – doctors most commonly use a questionnaire about your daily life to assess you. Here is a link to commonly-used questionnaires: https://www.additudemag.com/adhd-assessments-and-tests/.
I know I just made it seem very daunting to get diagnosed and on a medication, but I want to be honest with you about what the process looks like, and again, depending on where you live it can be done in one session. Now that is out of the way, let me give you some information that is more helpful:
If you can, skip asking a regular GP for a referral and make an appointment directly with a psychiatrist. This will save you the extra cost of the doctor’s appointment, just to be told someone else will help. Many places have low cost mental health centers and ADHD falls into that realm, so I would check out what is available in your city. Before making an appointment, confirm the following:
-          Do they diagnose ADHD?
-          Do they prescribe medication? (Therapists don’t prescribe, only psychiatrists, and some will not prescribe ADHD medication at all so it’s important to be clear that it is your intention to receive medication if diagnosed)
-          What tests do they require for diagnosing, and prescribing medication? (Some places may have more or less requirements, and it can even vary within a city or state. This way you will know if it’s something you can afford at the time.)
Talk with the doctor about your specific situation, and what medications are affordable without insurance. Adderall, for example, is past the 10 year exclusive patent and now has a generic version available. It comes in quick release and slow release, depending on your needs. You can also talk to the doctor about a prescription to both quick and slow release, so you take the correct medicine based on your needs for that day (marathon work day? Slow release that extends over the entire day. Afternoon project – quick release that lasts for four hours). Vyvanse is great but doesn’t have a generic version and is insanely expensive without insurance (to the tune of $350+). Use the GoodRX app to find deals on medication without insurance (Adderall is about $15 for a month supply with this app). There are a ton of drug options so look up the pricing during the doctor’s visit, so you can confirm that you can afford what they prescribe. Also keep in mind that getting a prescription filled is the same cost whether you get 1 pill or 30 (a fact I learned the hard way when getting a 10 pill prescription filled once.)
 If you read all that and thought, Thanks but no thanks, here are some other options:
-          My psychiatrist in Florida recommended that I take Rhodiola Rosea supplements in addition to medication, as it has clinically proven positive effects on ADHD symptom control. I found it on Amazon. Omega-3 fatty acid supplements are also proven effective.
-          If you’re interested in this sort of thing, here is a super comprehensive study of various dietary supplements and behavior modifications that work or don’t work for ADHD: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4968082/
-          Practicing meditation is a great way to relax your body (increased stress, while helpful for short-term tasks, can make ADHD symptoms worse long term) and train your mind to hold onto singular, important thoughts (people’s names, why you walked into the kitchen, etc). I use the Waking Up app and love it – there are also many free options in the App Store and on YouTube.
-          Regular exercise is another great way to manage ADHD symptoms, as it gives your body a natural serotonin and dopamine boost, two important chemicals your body has trouble producing and absorbing naturally.
-          Caffeine is a great, easily accessible stimulant that has a focusing and calming effect on ADHD individuals. My doctor actually asked my parents to give me coffee each morning before school when I was a child, before we moved onto prescriptions.
-          Often, there are other factors that go along with ADHD, such as anxiety and/or depression. Getting this under control can go a long way in managing ADHD as well. I’m not sure if you have any issues with those, but it can be helpful to treat both if you do. The medication Wellbutrin is used to treat depression and also has mild stimulants, which would be helpful for both conditions. It isn’t a Schedule II drug, so you can probably ask your doctor for a 3 or 6 month prescription.
-          There are a ton more mind hacks and learned behavioral mechanisms you can try – read some of my other posts for suggestions.
Of course, I have to give the legal disclaimer – all of this is based on my personal experience, I’m not licensed in the medical field in any way and only a doctor can give you proper advice for your body and situation, and what medications will be most helpful. 😊
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rawcbwzx-blog · 5 years
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berniesrevolution · 6 years
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JACOBIN MAGAZINE
Two weeks ago, the libertarian Mercatus Center released a report estimating the cost of Bernie Sanders’s Medicare-for-All proposal. Like most think tank products, the author and communications team behind the Koch-funded Mercatus report carefully cultivated a certain kind of media coverage in pursuit of their political agenda. In this case, the political goal was to undermine Medicare for All by getting journalists to write that it was impossibly expensive.
The Strategy
You can tell that this was their goal by looking at how the Mercatus paper was written, and specifically how its abstract was written. The first sentence contains the claim that many journalists put as their headline and lede: Medicare for All will “increase federal budget commitments by approximately $32.6 trillion” between 2022 and 2031. The rest of the abstract, and indeed the rest of the text of the paper, omits the more important fact that their estimate states that overall health expenditures would fall by $2 trillion over that period.
The abstract then says “doubling all currently projected federal individual and corporate income tax collections would be insufficient to finance the added federal costs of the plan.” This claim makes it seem like the author is saying we would have to more than double federal taxes, but this is only because the author curiously excluded payroll taxes from the sentence, despite the fact that payroll taxes are the second-largest federal revenue source and the fact that payroll taxes are the main proposed mechanism for raising the funds.
The abstract closes with the claim that “healthcare providers operating under Medicare for All will be reimbursed at rates more than 40 percent lower than those currently paid by private health insurance.” This is designed to trick journalists into thinking that Medicare for All would cut provider payments by 40 percent overall. Indeed, this phrasing did successfully trick the Washington Post’s Glenn Kessler, who wrote as much in his piece and later had to issue a correction. The abstract fails to mention that, although provider payment rates for the privately insured will go down, provider payment rates for the uninsured and those on Medicaid will go up.
Success Slips Away
This careful bit of framing and deception by Mercatus initially worked out as planned. They got the Associated Press to write a story with the lede “Sen. Bernie Sanders’ ‘Medicare for all’ plan would boost government health spending by $32.6 trillion over 10 years.” Because of the way the AP wire service works, that means the story showed up on just about every news website in the country: ABC News, Bloomberg, Washington Post, and so on.
But this initial success slipped away from Mercatus because folks like myself quickly noticed that, buried in the report’s tables, the author had actually found that Sanders’s plan would save $2 trillion.
That’s right: the same estimate with the scary $32.6 trillion figure they were promoting to all the journalists in the country also said that the US could insure 30 million more Americans, virtually eliminate out-of-pocket expenses, and cover dental, vision, and hearing care for everyone — all while spending $2 trillion less over the next ten years. After this was pointed out, the coverage of the report changed dramatically, and Bernie Sanders put out a video thanking the Koch brothers for their positive study.
Needless to say, Mercatus was not thrilled that its attempt to torpedo Medicare for All had become one of the leading talking points in its favor, and so it badly wanted a do-over. The preferred theater for their do-over was gullible and biased fact-checkers who they successfully coached into declaring that Bernie Sanders is lying using their inane truth-o-meter and Pinocchio-based measures.
What the Report Says
To understand why the fact-checkers’ various declarations are themselves wrong or deceptive, it is necessary first to briefly slog through the actual Mercatus report to explain how it works and what its important findings really were.
In the report, Charles Blahous initially starts with health expenditure projections produced by the Center for Medicare and Medicaid Services (CMS). Those projections say that, under our current system, Americans as a whole will spend $59.653 trillion on health care between 2022 and 2031. From there, Blahous adds the estimated cost of insuring the uninsured, virtually eliminating out-of-pocket expenses, and providing dental, vision, and hearing care to everyone. Then he subtracts the savings from lower administrative costs, lower drug prices, and lower payment rates for healthcare providers. After those additions and subtractions, the number drops to $57.599 trillion, which means there is a savings of $2.054 trillion.
Blahous then proceeds to observe that, although Medicare for All saves $2 trillion overall, it also shifts nearly the entire healthcare bill to the federal government, meaning that federal expenditures will necessarily go up. Under the current system, the federal government is expected to contribute $21.927 trillion of the $59.653 trillion in total healthcare spending. Under M4A, the federal government takes on almost all of the spending currently done by private insurers and state Medicaid programs, meaning that federal expenditures go up to $54.571 trillion of the (now lower) $57.599 trillion of total health spending. Thus, total federal spending increases by $32.644 trillion ($54.571 – $21.927).
There are two important things to note about this report for our purposes here. The first is that the claim “Medicare for All will cost $32.6 trillion” and the claim “Medicare for All will save $2 trillion” are two ways of describing the exact same estimate. The former claim refers to how much more Mercatus says the federal government will spend. The latter claim refers to how much less they say America as a whole will spend. If the $32.6 trillion cost figure Mercatus promoted to the entire world is correct, then the $2 trillion savings figure is also correct.
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What is a good cheap online insurance?
I have Allstate at the moment but I want to swith to something that is way cheaper but that is still good coverage any ideas? thanks. is there aperson i can go to that will help me find the cheapest insurance based on my information?
""Which car insurance companies are the cheapest in New York State( queens, new york) in particular?""
I just bought a new car and am hoping to get car insurance and register it. I am curious what the cheapest companies are. I just got a quote from Esurance.com, and am curious if there are other cheaper companies. I am 22 and have a bachelors degree and a job. I want to insure a mazda protege hatchback. Please let me know what your experiences have been.""
First car + First insurance policy tips?
Alright Y!A? :) Right, so I'm 17 and I'll probably be doing my driving test pretty soon because I'm far into lessons and I've passed my theory test already. (UK - Northern Ireland, Belfast) I'm just wondering what tips you guys out there have maybe from first hand experience or what your friends, siblings or general family have done etc. I'm getting around 3200 in the June when I turned 18 because of a car crash I was in when I was like 9 so I'm hoping to get a car + a year's insurance for around 2500 at the maximum. (Hopefully) I'll probably get a car of a maximum price of about 1000 because in reality I don't need anything fancier than that, the max engine size I'd consider would probably be 1.2 and I'd want my insurance to be such that I can use the car for work such as delivering pizzas or chineses etc. so I have more options trying to find a job atm. I'm just wondering what tips you people have? Could I realistically get insurance for 1500 (Max) or under on a 1000 (Max) car with a 1.2 (Max) Litre engine? I might have to borrow money off my parents and pay them back when I'm 18 if I pass a good few months before my birthday. I'm not coming here telling you to tell me where to get cheap car insurance, I hate questions like that lol cheap car insurance doesn't exist for 17 year olds because we're all boy racers Bla-bla-bla, it's head melting! I just want to use my car to drive to college (5 minute drive), possibly work in depending on if I get a job at this bar or not and drive to peoples' houses if I need to and other general driving. I'm not just going to drive it for the craic at 3am down the motorway doing 100mph, I couldn't be bothered with all that. All I want is tips to get it as cheap as humanly possible like what I should do about named drivers, voluntary excess and anything else that might drive down the price. When it comes to it I'll ring round every insurance company available to insure people in Northern Ireland and haggle them all quoting them against each other and hope for the best. Please don't tell me specific insurance companies to go for unless you know that they definitely include NI, a lot of them exclude us. P.S. I'm a sensible guy, I'm paying for it all by myself (as far as I'm aware) so spare me the irresponsible, kid, joy rider, inexperienced, spoilt comments that so often creep up in these areas. Thanks! :)""
94 firebird formula v8 insurance rate?
I'm turning 16 and I am getting the 94 firebird out of the garage. how much do you think it will cost for insurance for me? and how much do you think it would cost under an adult insurance rate?
PLEASE ANSWER!!!!!!!! discounts on insurance?
SO IM 18 YEARS OLD, I HAVE MY LICENSE... AND I WANT TO GET A CAR SOON. PREFERBALY AN 2006 ACURA RSX COUPE (i know coupes are alot more expensive...) but i was wondering if i can get ...show more""
Car insurance - car pay out?
Recently my friend had an accident. His car is an import and the insurance company want to write it off and as they cannot get hold of replacement parts. Does he have the right to refuse their offer for pay out as the car is worth more than they are giving him. As its an import, and a sports car, he knows he can get more for it on auto trader and eBay. Or can he settle the claim with them by asking them to pay for the repair if he can sort out a garage who is willing to fix his car for less than the insurance company had suggested.""
Why does car insurance rates increase if you have a lapse in coverage?
For example, lets say I have car insurance and pay it on a timely matter and then all of a sudden I move to city where there is a lot of public transportation and my car breaks down. So, instead of worrying about my car I utilize the bus system as I cannot afford to have my car fixed, in turn I cancel my car insurance. Hypothetically lets say a couple months down the road I have a change of heart and am able to afford the repairs for my car. So now my car is up and running etc etc. Why is it that now when I sign up for insurance again my rates will be higher. My situation is that I have a vehicle but it is a lot older and it is broken down right now. It is going to be a few months before I can get it fixed. So, I thought of canceling my insurance bc I was wondering why should I pay insurance for something I am not driving. I, then, told my agent that once i got it fixed i would add the insurance back, he then told me what the consequences of my actions would be. Why do my rates go higher just bc I get rid of the insurance? It's not like I am doing anything illegal. I would not be driving the car bc it is broke down.""
Do you have to be on someone's insurance to drive a car?
In the state of Florida, if your name isn't on a policy, can you still drive a car? I know that some insurance companies offer uninsured driver insurance, in case someone without insurance hits you. But, do you need to be paying monthly on a policy if you don't have a car of your own?""
Where can I find affordable family health insurance?
Looking to find several health company quotes.
How much should a person pay for car insurance in uk?
How much should a person pay for car insurance in uk?
Cheapest car to insure for a 21year old?
hey let me firstly tell you all my situation.....im 21 years old, a new driver only having just got my licence looking to buy and insure my first car. i wanted to buy a 1999 peugeot 206 1.1 which costs 700 but the insurance is almost 3000 which i just cant afford? can anyone think of any other half decent cars that arnt too expensive and also cheap to insure? they must be really safe cars though as i have a young child. im in full time employment, live in a safe neighbourhood, the car would be parked in a locked carpark overnight and im only really looking for third party insurance. please help!!!!!""
Average cost of sr22 insurance?
What is the average cost of sr22 insurance?
ninja quotes insurance
ninja quotes insurance
How much do you pay for full coverage car insurance?
i'm 19 and going to buy a car soon but i'm trying to get a ball park figure on how much i can expect to pay
How much did your car insurance go up after a speeding ticket?
I got a ticket a few months ago, and I got one today. Both were oddly enough 21 mph over the limit. I have not noticed a rate increase yet, and I was wondering what others have gone through.""
What is the approximate cost of insurance for a lamborghini gallardo lp550-2 spyder?
What is the approximate cost of insurance for a lamborghini gallardo lp550-2 spyder?
Car insurance question?
Originally I registered my car insurance with my previous address. Now I've moved to a new place, do I require to update the address? What happen if I don't update the address and continuously using my previous address as registered?""
Help in family health insurance in Indiana?
I have a family of 4, My wife and I make about $20,000 a year. Right now, we have to pay $350 a month for health insurance. We already applied for HIP insurance, but it've been 2 years, and they have no positive answers for us. I feel $350 a month is too expensive for us right now, this insurance only pay for us when we have to pay over $10000 at a hospital. For example, if we have to pay $14000 for health, we pay $10000 and they pay $4000 ; anything under $10000, they won't pay. Please help us with our situation, Are there any other options out there. Thank you very much""
How much Do you pay for Car insurance every month?
and what car insurance you have?
What is the Cheapest Insurance?
Hi. My dad has been having AAA as his insurance for $82, compared to our other family members insurance, that is pretty over priced. Isn't the insurance price supposed to go down if you didn't violate anything over the year? And also, i am 16, and have my license, i basically have my dad's old car so he needs to get me into his insurance. What is the best insurance for me and him together? I know Im a minor and the insurance is going to go up but what is the cheapest insurance or best insurance for both of us? My dad wants to switch if ever we find a good deal?""
Does anyone know the best car insurance to buy from with just the minimum required?
i am so sick of car insurance companies taking advantage of people with these super high prices just because the dumb law says you have to have insurance.
How much has your health insurance gone up since the affordable health care act was passed?
I just got notice mine went up by 33.5% last week. Why is my insurance getting less affordable instead of more affordable?
How do you find out if a driver has insurance or not?
My car got hit and the driver took off. I have their name, address, and vin number but they did not provide an insurance company name either because they don't have it or there's a possibility that it was not provided at the time. Who can find this out for me, the police said they can't and my insurance company said they don't think they can either....""
Can I buy Motorcycle Insurance for 3 months?
Is it possible for Geico to do that?
How much will be my car insurance? (I'm serious)?
Guys please take this question seriously and don't even try to answer unless u r going to answer thoroughly I'm 18 and will be 19 in october And I'm getting driver license in a month My parents are not citizen and they don't live in US But I'm citizen and go to high school I heard that my car insurance is extremely expensive since my parents don't live in US But I really NEED to drive my own car ( Not i want to, i NEED it!) I'm aware that the insurance fee depends on companies ***So what I want is approximation or similar examples or similar cases (My GPA is over 4.0 so probably there will be discount... *** if there is, i need every info for discount) And only my mom got her license when she stayed here for few month last year She needs to renew it and she is registered to my uncle's car (I live with my uncle) ***Does this affect my fee? I'm working in city recreation department How can I go work if i don't have car? Now...I ride bike for 4miles to go there... Please help me""
I am looking to get a new car. I am currently on moms insurance - please read below?
I am 26 and purchasing my first new car - I am currently on moms insurance. I will be getting my own insurance. Do you need proof the day you purchase of your OWN insurance - or is proof of my moms insurance enough until I get my own? Also, when you purchase a new car - can you drive off the lot the day that you purchase it? Thanks!""
What insurance companies are cheap for young drivers that have 6points due to non insurance?
What insurance companies are cheap for young drivers that have 6points due to non insurance?
What is Private Health Insurance?
My work provides me with insurance that covers medical and some RX. Is this considered Private insurance? Or is Private insurance when you go and purchase the insurance on your own?
How much does insurance cover?
I have blue cross shield insurance I am fourteen how much would I be for Invisalign On my bottom teeth? I got braces on my top years ago The insurance covered all of my tonsilectomy we paid nothing out of pocket.
Is insurance affordable under the Affordable Care Act?
Is insurance affordable under the Affordable Care Act?
Auto Insurance Quote too high?
I got an insurance quote from Amica Insurance. I've never had any ticketes or anything and they want $ 180 per month. With Farmers it is $360 every 6 months. Why the big difference? I heard Amica is supposed to be cheaper? Thanks
Teen insurance and info two questions in one?
Hi, i am having a tough time with auto insurance qoutes and prices, so i could use some help. Question 1. ok, i am 15, will be 16 in May, if that helps, i have a 1994 Dodge full size van of my own (title was signed to me) and i am getting ready to tag it. i also live in Kansas. ok, i have $500 dollars saved up and have a job that i work 2 days a week and i make about $200 a week. now, i would like to buy my own insurance if possible. is it possible? Question 2. if i can not buy my insurance, can i put the insurance in my mom's name only, and then title it in mine? but one way or the other I HAVE to title it, the title is written out to me on the back in ink, so...................... thanks to any answers or if you know any good cheap insurance companies thanks""
What are typical limits on a full coverage auto insurance policy.?
I was recently in a mans vehicle when he wrecked, I was pretty seriously injured, and now have a lot of medical bills, and surgery bills. I know that he has a full coverage policy with Geico, because they have contacted me, and told me that. The only thing that they will not tell me is his personal limits. I have found out though that He has a history of accidents, and DUI'S. I do not know if that has any affect on his limits or not. I am just concerened about my bills getting paid, and my reimbursement for my lost time, and pain and suffering.""
""Im 17 how much would insurance be for an an Infinity QX56 2013? Its fully loaded and costs $80,470.?
I want one so bad!
Is insurance must for Two Wheelers?
I have a four years old Honda Unicorn. Till now I have insurance for my bike. Now if I do not renew the insurance, what are expected problems ? Legally am I bound to have some insurance ?""
Does anyone recommend a cheap company for my first car insurance policy?
I only have a 1.2 punto so I'm just looking for a nice cheap quote - if such thing exsists?
Self Employed Health Insurance?
My father just quit his old job, he couldn't work there anymore (Too long commute and we lost a parent, so he had to stay closer home for the family) So now he is self employed. We are trying to find insurance that will cover him, 4 children, vision (we all wear glasses) + dental. Does anyone have any suggestions? (We live in PA)""
Do 'normal' car insurance companies insure exotic cars as well?
I've gone to multiple popular car insurance agencies websites and tried to get a quote for a Lamborghini, but in the drop down menu there is never an option for it. I'm beginning to wonder if they even do insure these kinds of cars?""
ninja quotes insurance
ninja quotes insurance
How can I get medical insurance if I have a history of pancreatitis?
I've never had medical insurance b/c I've never had a reason too. Never had any major sickness before now, never a broken bone and never sprained anything. My pancreas suddenly became inflamed. It wasn't caused by drinking, I hate the stuff! I believe it was caused by smoking. I've had a few episodes of pancreatitis and was hospitalized once in which it cost an arm and a leg. Should have went to the hospital this last time, but I was so scared of the extra costs. Your pancreas is a major organ. You can't live without it. Am I going to just have to grin and bare it and leave a debt to my family when I die?! I tried applying for the discount but I wasn't eligible b/c I don't have a job. I haven't had one in 4 years. What are you to do. No insurance company will accept me due to the medical problems. I'm scared of what I'll be charged, but even more scared of the pancreas killing me.""
Car insurance?
I heard that you will pay less for auto insurance if you have your license and a clean record even when you nor our family memeber have a car. IS that ture? I mean like you didnt buy a car or insurance when you first get ur license.
Will I be able to buy car insurance?Thanks?
Im 19 and I was on my dads Metropolitan insurance company. I had 2004 Honda Civic but my dad had the car title in his name. I crashed my car and I was at fault so now we're waiting for the case to settle. My dad wants to wait for the case to settle before I buy another car. The case might take another year or more before its settled. I would like to buy my own insurance and my own car. How will the insurance work out or whats the cheapest insurance? Thanks
Is it illegal if someone else pays for my health insurance?
I lost my job last month, and I need to know if there would anything illegal or wrong if say a relative paid for my health insurance until I get a new job? The insurance is through this new Affordable Care Act program.""
""My car insurance was voided in the past, and now I can't get a quote anywhere, can anyone help?!?""
When I started learning to drive at 17, I decided to buy my self a cheap car so that I'd be able to get more experience behind the wheel, pass my test quicker and have a car as soon as I passed my test. I was insured on my provisional license with an insurance company which specialised in learner drivers. However, I ended up getting 3 points on my license the week before I passed my test, in what I still think were pretty unfair circumstances. My house doesn't have a drive or a garage and so I had to park my car on the road in front of my house, or on a street round the corner when there were no spaces. As it was my first car I was really excited, and without understanding that I could get in trouble for it, I used to sometimes sit in my car and listen to music with my friends. The week before I passed my test we were sat chatting when a police car came down the road and pulled up behind us. Someone had broken into some allotments nearby and they were questioning us as to if we had seen anything. They searched my car- for tools that could suggest we had done it I presume, and when they found nothing they ran my license and obviously realised I only had a provisional license. I still at this point didn't realise I had done anything wrong, I wasn't driving the car, simply sat in it so I didn't realise I had committed an offence. The police informed me that because the engine was running, I could have been driving or about to drive and on that basis they convicted me for driving without a license. I only got 3 points and a 60 fine due to the fact I wasn't actually driving and at the time I accepted that with relief, I was terrified I'd get a ban or lose my license or get a massively unaffordable fine. I could have appealed but that would have meant going to court and I was only 17 and that terrified me. I declared the points to my insurance company straght away, but due to the nature of the offence my insurance was invalidated and void. I've only just now realised how serious having insurance voided in the past is. I'm supposed to be moving a 5 hours away in a few months for a job, and I have plenty of money saved for car insurance and a car, as without a car, the move is completely unrealistic. Without a car I won't be able to get to work as the hours are unsocial and my job isn't very well connected with public transport at all and so relying on public transport or taxis is simply not an option. I found a car, went to get an insurance quote, and found out that getting insurance is practically impossible when you've had insurance voided in the past. The points don't seem to be a problem, when I tell companies about my points but not about my insurance voided in the past they happily give me a quote. They're expensive, but affordable and it's what I was expecting. However, as soon as I tell them that my insurance was voided in the past they refuse to even give me a quote. I'm completely out of options and I don't know what to do. I need a car, but I can't get insurance as much as I try. I know I was in the wrong, but it seems like the voided insurance is more of a punishment than the points are and surely that isn't right? And the voided insurance will stay with me for the rest of my life, so does that mean that driving will never be an option for me? I'm sorry for the essay, I just really don't know what to do! If anyone's been in a similar situation with voided insurance or know of a company that would insure me then please let me know! Just anything that would help, let me know! Thank you so much in advance and sorry again for the babbling!""
Car Insurance?
anybody know what the Uk cheapest car insurance for somebody with 15 years no claims discount car engine size 2.8cc?
""If we are getting affordable heath insurance, why can't my employer afford it?""
If we are getting affordable heath insurance, why can't my employer afford it?""
How much is small business insurance?
Hi I am doing a project for school and I was wondering how much insurance is for a small business. It will be a temporary food vendor. I am looking at owner, liability, product liability, and auto insurance. I just need an estimate if you could help. Thanks!""
Can my insurance tell what the ticket was for?
So, I live in CA and i have AAA insurance. My daughter got a speeding ticket and i know it will raise my insurance. and i know they can tell that thre is a ticket on certain person's name but can they tell what the ticket was for???""
Any ideas on how to get cheaper car insurance?
Any ideas on how to get cheaper car insurance?
Will my car insurance rate increase if my car is stolen and never recovered?
I also have GAP insurance.
How does insurance either supplied by an employer or by the government drive UP the price of health care?
How does insurance either supplied by an employer or by the government drive UP the price of health care?
Motorcycle Insurance?
I am currently trying to get a motorcycle license and I'm wondering if there's any insurance company that would insure me. I'm 18, in California and I don't have a drivers license yet. I have passed the written test for a drivers license but haven't been able to schedule a behind the wheel test yet because my family's lack of cars (mom/dad uses them to get to work until ~8). So while I'm waiting for that to happen then I'm might as well try to get a motorcycle permit because we have my dad's old (but not so old) one. But question is, is there an insurance company that would insure somebody like me? Price isn't too much of an issue because I have a job with no added financial duties so to say.""
Can small business owners & the self-employed get quality yet affordable health & dental insurance...?
if so, how?""
Auto Insurance average for me?
I've had my temps for about 8mos now, and I'm going Togo to driving school for my license. I'm 17 years old. How much do you think average coverage should be?""
What is the most affordable health insurance in NYC?
My friend doesn't have health insurance and is planning on putting his new baby (born around Oct.) on his policy with him. He's Latin American and has his permanent residence card, but is not yet a citizen. Anyone know of any affordable plans for him to look into in the Manhattan area?""
Are there any health insurance programs like healthy families?
I know healthy families are for children and teenagers but are there any other medical low cost program for kids in their early 20's. There is medical but what if they don't qualify for medi-cal, and if the parents don't make enough money and kids don't have any job because our economy is whacked. How we suppose to take kids to the doctor when they're sick? Please help, any helpful information would be greatly appreciated. God bless!""
How can i get cheap insurance?
I'am going to be 17 soon and i going to buy a car so i was wondering what car should i buy or what shoul i do to get cheap insurance, because at the moment it's cost about 3.500 and that just too expensive... help please""
If my son is on my parents insurance does that mean they claim him on his taxes?
Okay my son is now 1 year old. He is on my parents insurance, we live with them, and my parents pretty much support him.(pay for all expenses).. Now my sons father wants to put him on his taxes. I know he just wants to get money to get him a new car. he also says he will get me a car too. but idk about that. When i told him i think my parents already claimed him, he started yelling its his son, and told me to give him his security card(he has a really bad temper and gets angry to where i get scared) so i did.. but now i need to sign a paper..and i dont want too.. Here is my thing i told him that he is automatically on my parents taxes, because he is on there insurance, so that would mean i would have to take aiden off of their insurance(Which means he wouldnt be on any insurance)he started yelling how stupid i am and just to sign paper, my question is is it true that because my parents have him on their insurance, he is on their taxes. What should i do? Thanks for anyhelp. Sorry long question. Please no rude answers""
Cheap auto insurance for mid-california...?
i had a accident in december last year and a speeding ticket doing 90 in a 55 last year.. 2 different occasions. i am buying a 2002 jeep grand cherokee laredo and wheni went to geico they said my quote was like $406 a month.. thats crazy. progressive was $199 a month.. but it still seems outrageous... cant i find it cheaper than this? please help..... im 23 female who has had my license for 7 years since i was 16, never had it revoked or anything.. how do i get my rates to go down?""
For my car insurance I have full coverage. Have a $500 deductible to fix a broken window. Is that normal?
A rock hit my window while I was driving and i have a $500 deductible to fix it. I wanted to see was that really high or normal? I have full coverage. I just want to see how this insurance compares to others. $500 deductible just seemed a bit high. Thanks!
Question about car insurance. Will give 10 points. thank you!?
Well i have a basic hometown insurance, and they charge me 415bucks, im 16 years old and male. We own a Chevy Venture, 2000 toyota camry, and 1989 toyota camry, i don't own any, so how can i be still getting charged? I thought only the owner will get charged, i can drive under my dads insurance.? My dad owns the toyota camry, 89. Sister owns the 00 camry., dad owns van.""
Should I drop collision from my auto insurance this renewal?
I have a ten year old Honda Civic, just over 40,000 miles, has a crack in the driver's side rear bumper that I ignore. I have an excellent driving record, no points, am the only driver, am at that age where I'm not young enough or old enough to be considered a threat, but I live in a high rate state and money is more than tight and they just shot my house insurance through the roof, even though I never put in a claim, because, get this, there is a chance that someday we may have a hurricane! Am I being pennywise and pound foolish, or am I paying for something that won't pay off even if I need it? Thank you!""
How much do you think i'll be paying for car insurance?
I'm 16 from Massachusetts, and i'm going to be getting my license next month! I have saved enough money and i'm going to be buying a volkswagen beetle from the year 2000. how much do you think i'll be spending a month on car insurance? i took drivers ed so that could help.""
Good car insurance??
I will be 16 in a few months and am hoping to get a Mustang two doors. soo it might be a little higher insurance..Is there an insurance company thats better than another?
ninja quotes insurance
ninja quotes insurance
https://www.linkedin.com/pulse/can-you-drive-learners-permit-without-insurance-anthony-lopez/"
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Employee Benefits: 5/1/08
Do you know of any that can be used as rat deterrent that are safe for felines? 15 Things to know before a steroid cycle! Or you can make it fun by checking out what activities are going on in your community. No can do. After a month, I'm allowed to ask them to cancel the order which will take an additional 28 days. Colorado companies like Leever’s Supermarkets, New Belgium Brewery, and Namaste Solar are great examples of how companies of all sizes can adopt this practice. Victims of online scams are often too embarrassed to come forward. Aside from sending money, victims may be handing over their debit card or credit card details to thieves. Water would stop flowing out of your faucets and sanitary sewer systems would cease to function. Anticipation ran high as the clock ticked closer to midnight on Water Street in St. John’s. The contamination of the water has made those who live on rural areas to drink more soda pop which contribute to increase diabetes and obesity rates. You’ll be prompted to download an app with the promise of being able to see who has viewed your profile. On the off chance that any of the symptoms quits fooling around, or in the event that you see any reactions not recorded in this flyer, if it’s not too much trouble tell your specialist or drug specialist. The idea is that many drug databases contain too many false positive interaction rules, so adoption is slowed by alert fatigue. Prescription drug addiction is becoming a major problem in America. Problem was it wasn’t his place, and the other people living there were very unsanitary. The Republicans appointed people to the FDA who had contempt for science and used ideology to approve or disapprove drugs. But if the redirecting ads are eliminated, canadian online pharmacies then such lesser known brands would have no way of attracting people who are looking for treatments. They are at Albuoy's Point, Par-la-Ville Park, the cruise ship passenger terminals and on Victoria Street behind City Hall. Increasingly, carve-outs are being used to better manage a wide variety of medical conditions such as pregnancy, asthma, and diabetes. Networks must be well-dispersed geographically and include the necessary medical disciplines to be able to deliver services at all levels of care. Other critics say that simply cutting services isn’t enough, and that the real solution is figuring out a way to reinvent the postal service to meet the needs of our wired world. Bermuda's main ferry service centre for all public transportation information. As I point out to them, it's their health, not mine. Thanks to diabetes for giving us the reason to do all these exercises to be physically fit. Attempts to rein in the cost of medical care in the 1970s seemed to have little effect. Too often, politicians talk about health care as if it begins and ends when you get sick or need to visit a doctor. We’ve all of us seen the doctor and have even had a few procedures done. Of the remaining employees, few were in traditional plans. Expand coverage for gym and health-club memberships in insurance plans. In most cases, the coverage purchased under the carve-out plan is some form of permanent life insurance protection that provides paid-up coverage at retirement. The employer then gives any premium savings to each "carved-out" employee in the form of a bonus, which is fully deductible to the employer as long as the employee's overall compensation is reasonable. Paragraph 1904.7(b)(2) requires the employer to record an injury or illness that results in death by entering a check mark on the OSHA 300 Log in the space for fatal cases. I wouldn’t particularly recommend ordering from Organabus, as I didn’t feel anything from their vape product and didn’t have any results with anything else on their site. I have lived here 7 years, and this is the first. First and last month’s rent are typically required to secure the rental property. Policy provisions are helpful in such situations. This article is provided for information, entertainment and convenience only - it does not constitute endorsements of any situations or medical tactics or advice. Other sites do 'sell' supplier lists, but they are rarely updated, and often full of scammers because there was no background check done on the supplier. Two daily flights from Miami to Port of Spain are available on American Airlines. The current products are marketed through multiple-employer trusts, with the trust being the policyholder. They are not afraid of anything! In 2015 and 2016 alone, smash-and-grab gun store robberies resulted in nearly 400 guns being stolen in Colorado. Corporations filing their taxes in Colorado shouldn’t be able to hold their earnings in off-shore tax havens. The employee is required to pay a specified initial premium, from which a charge is subtracted for one month's mortality. I haven'KENALOG had a consult with a full glass of KENALOG than ever now. Now I’m thinking of adding cotton balls laced with peppermint oil or citronella all around the fountain. 5. The only way to benefit from exercise is to do it every day. Disease management holds considerable potential in addressing the high costs associated with chronic healthcare conditions, however the evolution of these programs require national standards for measuring clinical performance as well as the willing participation of both patient and provider. According to the United States Environmental Protection agency, 2.5 gallons is pumped through the average shower head every minute it is used.
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Why Do Republicans Oppose The Affordable Care Act
New Post has been published on https://www.patriotsnet.com/why-do-republicans-oppose-the-affordable-care-act/
Why Do Republicans Oppose The Affordable Care Act
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Changes Required By The Affordable Care Act In 2014
Will Republicans be able to dismantle the Affordable Care Act?
Health insurance exchanges scheduled to open for 2014 enrollment begin writing policies that go into effect January 1, 2014.
People buying insurance on their own get subsidies to help them pay their monthly insurance premiums. Premiums are allocated on a sliding scale, as determined by income. Any individual earning over 400% of the poverty level does not qualify for subsidies.
When health insurance exchanges are operational, small business tax credits are up to 50% of premiums.
Insurance companies are required to provide health insurance to any adult aged 19 to 64 who applies for coverage.
To prevent people from waiting until they get sick to buy health insurance, the ACA requires all Americans to buy health insurance or pay a fine. The fine starts at $95 for an individual in 2014 and goes up each year until 2016, when the fine is $695 or 2.5% of a persons annual income, whichever is greater.
Pre-Existing Condition Insurance Plans , established in 2010 are scheduled to expire on January 1, 2014 once all major ACA reforms go into effect.
Rep Pete Stauber Of Minnesota
The freshman flipped a longtime Democratic seat;in northeast Minnesota that Trump had carried by 16 points in 2016. Its a largely white, working-class district, where Trumps populist appeal resonated. The former Duluth police officer ran a campaign ad last year about his son Issac, who has Down syndrome, and he talked about the importance of insurance companies covering pre-existing conditions. Democrats are not targeting this seat in 2020. Inside Elections rates the race Likely Republican.
Even Conservatives Call Aca Case ‘absurd’
This is just one of many absurdities that have caused even conservative legal experts like Jonathan Adler,;who backed previous challenges to the ACA, to call this case absurd. But the absurdity is the point.
The point has always been to deny Americans the health insurance that was secured for them when the ACA was signed into law. And Republicans have been remarkably successful at this.
How Dems can beat Trump on health:;Focus on high costs and economic security
Thanks to a 2012 Supreme Court ruling that made Medicaid expansion optional instead of required, 14 states have turned it down. This;has;left an estimated 2.5 Americans without coverage that these states pay for anyway.
As Medicaid expansion has proved popular even in red states, Republicans have adopted another poison pill in the form of bureaucratic requirements to prove that recipients are working. These burdens could leave up to;800,000 additional Americans uninsured, which would match the covered by Medicaid and the Children’s Health;Insurance Program;in 2018 alone.;
Also Check: When Did Republicans And Democrats Switch Platforms
What Did Trump Say About Obamacare
President Trump has been actively trying to repeal the healthcare law since he campaigned for the 2016 presidential election.
The Trump administration asked the Supreme Court to revoke Obamacare because it’s been an “unlawful failure.”
A brief filed in June asked the court to strike down the Affordable Care Act, arguing it became invalid after Congress axed parts of it.
Speaker Nancy Pelosi said: “President Trump and the Republicans campaign to rip away the protections and benefits of the Affordable Care Act in the middle of the coronavirus crisis is an act of unfathomable cruelty.
“If President Trump gets his way, 130 million Americans with pre-existing conditions will lose the ACAs lifesaving protections and 23 million Americans will lose their health coverage entirely.
“There is no legal justification and no moral excuse for the Trump Administrations disastrous efforts to take away Americans health care.”
Republicans also argue that some people are better off without Obamacare due to the fact that it does not cover those who need it most.
According to the provisions, people who earn just slightly too much to qualify for federal premium subsidies, particularly early retirees and people in their 50s and early 60s who are self-employed are not covered.
Trump endorsed a replacement to Obamacare in 2017 but fell short of passing the Republican-controlled Congress.
Democrats Must Try Harder To Cover People
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The November elections, when Democrats won the House by the largest popular-vote margin in the history of American midterms, marked the first time Republicans paid a real cost for their efforts to suffocate the ACA.;And while Democrats are united in defense of the law, theyve never been as ruthless in the pursuit of covering Americans as Republicans are in their lust to uninsure them.
Michigans new governor, Gretchen Whitmer, has a chance to save about;70,000 people from the useless work requirements signed into law by her Republican predecessor.;Yet she hasnt acted. And the three states with the largest populations that could benefit from Medicaid expansion are also three of the nations key or emerging swing states Texas, Florida and Georgia.
A Harvard study of the Massachusetts law that served as the model for the ACA;found one life saved for each 830 people gaining insurance. This;means if Republicans in Congress had finished off the law they’ve;spent a decade vowing to kill, they would have put thousands of lives at risk.
But thats the genius of the GOPs focus on the courts. With an appointment that lasts a lifetime, you dont have to worry about the consequences of leaving 20 million uninsured. And if it works for the ACA, watch out. Medicare, Medicaid, Social Security and any program conservatives have long reviled but lacked the audacity to repeal could be next.
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Republican View On Healthcare
Republicans take pretty much the opposite view of Democrats. Traditionally dedicated to the notion that less government is better government, and the free market makes adjustments on its own without regulation, the party has fought every reform the Democrats have enacted. Much of this comes down to their traditional diametrically opposed notions of what is best for Americans. Citing freedom of choice and the sacrosanct doctor-patient relationship, predicting huge losses to the economy in general, arguing that the ACA doesnt work despite years of evidence to the contrary, the GOP would rather scrap it and go with the status quo as it stood before the ACA was passed. Their key phrase is Why should healthy people pay more to cover sick and poor people?
Looking to make a difference? Consider signing one of these sponsored petitions:*Rantt Media may receive compensation from the partners we feature on our site. However, this in no way affects our news coverage, analysis, or political 101’s.
Whats Dividing Republicans And Democrats On Healthcare Reform
Since the Affordable Care Act became law in 2010, Republicans have been determined to destroy it while Democrats insist its the countrys best chance at reforming healthcare to make it affordable and accessible. Both parties want reform, but the approach has been fundamentally different and for good reason. There are basic, core reasons why conservatives and liberals cant get on the same page when it comes to healthcare reform.;Lets take a moment to dig into the details and figure out what is exactly keeping Republicans and Democrats from being able to find a middle ground on healthcare reform, so far.
Democrats want the federal government to legislate and administer healthcare while Republicans want private industry to helm the healthcare system with as minimal input from the federal government as possible.
Of course, there are always exceptions within each party because people arent one-dimensional. Moderates on both sides, for instance, would seek compromise wherever possible. But in general, these core ideological differences make healthcare reform particularly challenging, especially when one party holds more power. In 2010, Democrats passed the ACA without a single rightwing vote.
Also Check: Do Any House Republicans Support Impeachment
House Republicans Vote To Sue Obama
Republicans in Washington insist they arent planning to impeach President Obama any time soonbut did just get one step closer to suing him.
Just before lawmakers go home for the five-week August recess, the Republican-controlled House of Representatives voted Wednesday evening to authorize Speaker John Boehner, R-Ohio, to file a lawsuit on behalf of the House of Representatives against the president for delaying implementation of the Affordable Care Act.
The vote was 225-201, with every Democrat voting against the lawsuit as well as five conservative Republicans who felt the suit didnt go far enough and preferred impeachment.
The lawsuit itself is expected to fail once it reaches the inside of a courtroom, but the politics of the impending lawsuit raged Wednesday and will continue to in the months leading up to the November midterm elections.
The partisan battle andand the talking pointsover the lawsuit was on full display during the debate on the House floor before the vote. Democrats variously called the lawsuit a political stunt, a gimmick, and a sorry spectacle of legislative malpractice intended to appease the conservative base of the Republican Party before the midterm elections in November.
Groups Opposing The American Health Care Act
The American Health Care Act: A Republican Response to The Affordable Care Act
Over 50 organizations oppose the proposed healthcare plan that will make Americans will pay more for less.;The list includes nurses, doctors, hospitals, teachers, churches, and more. You can see a few here:;
AARP: AARP opposes this legislation, as introduced, that would weaken Medicare, leaving the door open to a voucher program that shifts costs and risks to seniors.
Before people even reach retirement age, big insurance companies could be allowed to charge them an age tax that adds up to thousands of dollars more per year. Older Americans need affordable health care services and prescriptions. This plan goes in the opposite direction, increasing insurance premiums for older Americans and not doing anything to lower drug costs.
On top of the hefty premium increase for consumers, big drug companies and other special interests get a sweetheart deal.
Finally, Medicaid cuts could impact people of all ages and put at risk the health and safety of 17.4 million children and adults with disabilities and seniors by eliminating much-needed services that allow individuals to live independently in their homes and communities. Although no one believes the current health care system is perfect, this harmful legislation would make health care less secure and less affordable.
AARP stands ready to work with both parties on legislation that puts Americans first, not the special interests.
That just wont do.
That is, above all, why physicians must be involved in this debate.
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When Did Obamacare Start
The timeline of key events leading up to the passage of the Obamacare law began in 2009. Here is a list of those events, along with key provisions that went into place after the law was enacted.
Speaker of the House Nancy Pelosi and a group of Democrats from the House of Representatives reveal their plan for overhauling the health-care system. Its called H.R. 3962, the Affordable Health Care for America Act.
;Massachusetts Senator Ted Kennedy, a leading supporter of health-care reform, dies and puts the Senate Democrats 60-seat supermajority required to pass a piece of legislation at risk.
;Democrat Paul Kirk is appointed interim senator from Massachusetts, which temporarily restores the Democrats filibuster-proof 60th vote.
;In the House of Representatives, 219 Democrats and one Republican vote for the Affordable Health Care for America Act, and 39 Democrats and 176 Republicans vote against it.
In the Senate, 60 Democrats vote for the Senates version of the bill, called Americas Healthy Future Act, whose lead author is senator Max Baucus of California. Thirty-nine Republicans vote against the bill, and one Republican senator, Jim Bunning, does not vote.
Who Voted For Affordable Care Act
Question: Who voted for Affordable Care Act?
Answer: The Affordable Care Act was signed into law by President Obama;on March 23, 2010. ;Before becoming the law, there were 219 House of Representatives that voted in favor of the Affordable Care Act. ; Below is a complete list of House of Representatives that voted in favor of Affordable Care Act: ;There was not a single Republican representative that was in favor of the Affordable Care Act.
AR
Read Also: Why Did Republicans Lose The Election
Democrats Republicans And Your Health Insurance
Shereen Lehman, MS, is a healthcare journalist and fact checker.;She has co-authored two books for the popular Dummies Series .
Healthcare reform has been a contentious political topic in the U.S. for many years, and is shaping up to play a major role in the 2020 presidential and congressional elections. What does each party want? Let’s take a look at how the priorities of the Democratic Party and the Republican Party;could impact your health insurance.
Republicans Really Hate Health Care
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Theyve gone beyond cynicism to pathology.
By Paul Krugman
Opinion Columnist
Of all the political issues that divide us, health care is the one with the greatest impact on ordinary Americans lives. If Democrats hadnt managed to pass the Affordable Care Act, around 20 million fewer Americans would have health insurance than currently do. If Republican-controlled states hadnt refused to expand Medicaid and generally done as little as possible to support the act, national progress might have tracked progress in, say, California so another 7 or 8 million people might have coverage.
You obviously know where I stand on this political divide. But Im starting to believe that I misjudged Republican motives.
You see, I thought their behavior was cynical and strategic: They opposed Obamacare because they thought there was political mileage in scaring people about change, and also in denying Obama any successes. Oh, and their donors really hated the taxes on the rich that pay for the ACAs subsidies. And right up through 2016 they could hope to convince voters that they had a secret plan for something much better than Obamacare.
Indeed, all of these things surely played a role in GOP health care strategy. But at this point theyve clearly lost the political argument. In 2017, Republican attempts to repeal Obamacare made it clear to everyone that their party didnt have any better ideas, and never did; everything they proposed would have devastated the lives of millions.
Read Also: What State Has The Most Republicans
Attempts To Change Or Repeal
Read Ballotpedias fact check »
The Affordable Care Act was subject to a number of lawsuits challenging some of its provisions, such as the individual mandate and the requirement to cover contraception. Four of these lawsuits were heard by the United States Supreme Court, resulting in changes to the law and how it was enforced. In addition, since the laws enactment, lawmakers in Congress have introduced and considered legislation to modify or repeal parts or all of the Affordable Care Act. Finally, between 2010 and 2012, voters in eight states considered ballot measures related to the law. This section summarizes the lawsuits, legislation, and state ballot measures that attempted to change, repeal, or impact enforcement of parts of the law.
Read Also: Did Republicans Shut Down The Government
A Conundrum: Majority Of Republican Voters Want To Overturn Aca But Keep Protections For People With Pre
The latest KFF Health Tracking Poll revealed a stark contrast in opinion on two questions about the current challenge to the Affordable Care Act facing the U.S. Supreme Court. Since it was enacted in 2010 by President Obama, the ACA, sometimes known as Obamacare, has been opposed by Republicans and favored by Democrats, but many of the benefits it provides are popular across parties. One of the most popular provisions of the law is that it protects people with pre-existing medical conditions from being denied coverage or having to pay more for coverage. A large majority of voters, across political party identification, say they do not want the Court to overturn the ACAs protections for people with pre-existing conditions, but there are strong partisan differences on attitudes towards overturning the entire ACA. Two-thirds of Republican voters say they do not want the ACAs protections for people with pre-existing conditions to be overturned, while three-quarters of Republican voters say they do want to see the ACA itself overturned.
Figure 1: Majorities Do Not Want Court To Overturn ACAs Pre-Existing Condition Protections, Republicans Want Entire Law Overturned
Figure 2: About Half Of Republican Voters Want To See The Supreme Court Overturn The Entire ACA, Not Protections For Pre-Existing Conditions
Figure 3: Republican Voters Say President Trump Has A Plan To Protect People With Pre-Existing Conditions
Topics
Also Check: What Will Happen If Republicans Win
Changes Required By The Affordable Care Act In 2011
A provision goes into effect to protect patients choice of doctors. Specifics include allowing plan members to pick any participating primary care provider, prohibiting insurers from requiring prior authorization before a woman sees an obstetrician/gynecologist , and ensuring access to emergency care.
Young adults can stay on their parents insurance until age 26, even if they are not full-time students. This extension applies to all new plans.
All new health insurance policies must cover preventive care and pay a portion of all preventive care visits.
A provision goes into effect that eliminates lifetime limits on coverage for members.
Annual limits or maximum payouts by a health insurance company are now restricted by the ACA.
The ACA prohibits rescission when a claim is filed, except in the case of fraud or misrepresentation by the consumer.
Insurance companies must now provide a process for customers to make an appeal if there is a problem with their coverage. ;
NOTE: In January,;2011:;eHealth publishes 11 guides on the top;child-only health insurance coverage;that examined differences in implementation in numerous states.
Obama And Trump Healthcare Policies Compared
Senate Republicans Come Out To Oppose Healthcare Bill
There could not be a more radical divide between administrations than there is between these two. The Obama administration worked against almost insurmountable opposition from the GOP in order to pass the ACA. The Trump Administrations quest is to dismantle everything the Obama Administration has done. They even have court cases pending in order to do so.
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covid19worldnews · 4 years
Text
Proposition 22 Passes, but Uber and Lyft Are Only Delaying the Inevitable
On Tuesday night, Californians voted to pass Proposition 22, a ballot measure supported by app-based gig companies that exempts them from reclassifying their workers as employees.
Companies including Uber, Lyft, Instacart, Postmates, and more, spent big to convince voters to approve the measure. The company-funded Yes on Proposition 22 campaign spent over $200 million (including millions in donations to the California GOP), deployed a record number of lobbyists, and spread waves of misleading political mailers. At the same time, Uber’s and Lyft’s chief executives undertook a media tour featuring threats to exit the state and repeatedly attempted to exempt themselves in California’s courts. The campaign bought  digital, television, radio, and billboard ads, and also sponsored academic research Meanwhile, delivery drivers were forced to use Yes on Proposition 22-branded packaging while the apps themselves told users to vote yes. 
On the other side of the issue was a grassroots campaign run by driver advocacy groups and organized labor, which spent just over $20 million. 
“We’re disappointed in tonight’s outcome, especially because this campaign’s success is based on lies and fear-mongering. Companies shouldn’t be able to buy elections,” Gig Workers Rising, a California-based driver advocacy group said in a press release early Wednesday morning. “But we’re still dedicated to our cause and ready to continue our fight. Gig work is real work, and gigi workers deserve fair and transparent pay, along with proper labor protections.”
As news of the results broke, Uber CEO Dara Khosrowshahi took to Twitter to show his excitement and shared a tweet from early Uber investor Jason Calacanis calling Assemblywoman Lorena S Gonzalez, the author of AB5, a “grifter” who “failed to hand gig workers over to big-money unions”.
After some time, Khosrowshahi reversed the retweet and instead emailed drivers a more subdued message celebrating that the “future of independent work is more secure because so many drivers like you spoke up and made your voice heard—and voters across the state listened.”
This is undoubtedly a victory for capital over labor, and one that will likely allow the unprofitable gig economy to continue limping along at the expense of workers. It does not, however, change the reality that the “gig” business model is doomed in the long-term.
For years, gig companies have misclassified employees as independent contractors—a legal distinction that has allowed unprofitable enterprises to avoid expensive labor costs such as a minimum wage, health insurance, and safe working conditions, among other benefits of employment. Proposition 22 was cooked up to undo Assembly Bill 5 (AB5), a California law that codified an “ABC test” to determine if a worker was independently contracted or employed by a company and which went into effect in January.
After AB5 went into effect, attorneys for some of California’s largest cities, along with the state’s attorney general, then filed suits demanding an end to app-based gig company worker misclassification. Uber and Lyft have waged the main legal battle, but lost the case and every appeal since, making Proposition 22 a make-or-break measure.
“Prop 22 means I get no workers’ compensation, no disability, no sick pay, it would be touch and go for me,” Mekela Edwards, an Oakland-based Uber driver who hasn’t worked since March because COVID-19 poses a high health risk to her. “I have to ask how long my unemployment will last, how long I’ll have before I’m forced to go back out there and work. I don’t want to imagine it, I can’t imagine being forced to choose between my health and making a living.”
Hundreds of thousands of people work for the gig companies behind Proposition 22 and many have been devastated by the COVID-19 recession. Still, this has not stopped the gig companies from threatening to take drastic measures if they’re not allowed to have their way. Over the past few months, Uber and Lyft in particular have threatened to radically downsize where service is offered, fire most of their drivers, radically restructure into a franchise model, or leave the state entirely, if Proposition 22 fails.
California voting Yes on Prop 22—which includes fine print that any changes to it must be passed with a seven-eighths majority in the state’s legislature—is a huge setback for labor. It will trap hundreds of thousands of workers under a permanent misclassification scheme that rewards a racist business model that disproportionately hurts Black and brown workers. Despite all this, Proposition 22 is not the final say on this matter in the U.S. or internationally.
AB5 clones are being considered in New York and New Jersey, while Massachusetts’ Attorney General has already sued Uber and Lyft to reclassify drivers in the state. Despite objections from Uber’s and Lyft’s impressive lobbying operations, the PRO Act—which would grant gig workers the right to collectively bargain, as part of a massive overhaul of labor law—has passed in the House.
“This is really a story about the kind of cities we are building,” Katie Wells, a researcher at Georgetown University told Motherboard. “The kind of cities—the kind of world we’ve built—it has allowed these entities to come in and build up a workforce through an extractive and predatory system. Regulators have to keep that in mind.”
Outside of the U.S., the global 2019 strike on the day of Uber’s public offering has been followed by successive waves. Over the summer, thousands of delivery workers organized militant strikes and protests in Brazil, Mexico, Chile, Argentina, and Ecuador targeting Uber Eats and other exploitative food delivery apps. These have been joined by even more strikes and protests in Nigeria, France, and India. At the same time, Uber is losing legal challenges in France, Britain, Canada, Italy, where high courts have either outright ruled Uber drivers are employees or have opened the door to lawsuits reclassifying them as such.
Governments across the world are also beginning to push Uber to pay billions in taxes that it has evaded over the past decade. In Britain, Uber will have to pay £1.5 billion ($1.9 billion) in unpaid value-added taxes it avoided by exploiting a legal loophole. In the U.S., Uber has dodged billions in taxes and wage claims through misclassification: in New Jersey it owes over $650 million in taxes, while in California drivers have filed $1.3 billion in wage claims against Uber and Lyft.
Since Uber’s only hope for survival lies in misclassifying workers and labor law, though, it won’t give up the billions to be made both domestically and globally (even if at a loss) without a fight. 
“There’s a lesson here for workers of all sectors, beyond classification: companies are willing to spend massive amounts of money to take away their rights,” said Jerome Gage, a Lyft driver and organizer with Mobile Workers Alliance. “It’s incredibly important for workers to organize to protect themselves, to protect upward mobility, a minimum wage, sick leave, healthcare—to roll back a century of basic protections that try and keep Americans out of poverty.”
Proposition 22’s victory, however, can’t obscure the fact that these companies are doomed. Even with a wage guarantee that effectively pays $5.64 an hour, the companies are no closer to sustainably achieving profitability than they were yesterday. Overcrowded markets for ride-hailing and food delivery, along with vicious price wars and poor unit economics meant there was never any real hope of achieving a monopoly, erecting barriers to market entry, and raising prices to levels that, for many of these companies, would yield their first ever profits. 
There’s good news for investors, however, who will finally begin to see returns on investments that have long been underwater thanks to massively inflated valuations that have tumbled in public markets. Indeed, share prices for Uber and Lyft soared in premarket trading on Wednesday morning. 
For workers, though, things will be bad. It is hard to imagine how hundreds of thousands of workers earning wages just under half of the minimum wage will be able to feed themselves, maintain housing, afford medical care, or otherwise make ends meet, especially under the boot of a pandemic and with no hope of government aid until next year.
Localities, cities, states, and countries will have to begin cooperating if they’re to have any hope of weathering the storm. They’ll need to start being aggressive, experimenting with ways they can outright take over the platforms or prohibit companies from providing the service to begin with—all while figuring out ways to expand mass transit so that not only they’re not only meeting the needs of people who need transportation, both those who worked for app-based ride-hail companies previously.
For the sake of maintaining an illusion that they’ll one day be profitable, gig companies have waged war in California at great expense to their workers, the public, and employees in other industries whose employers may grow emboldened this moment. The fight is far from over, and there is hope for labor in the continuing coordination of driver advocates, regulators, and legislators around the world, but it will get messy as likely to harken a period of unprecedented social unrest among increasingly immiserated gig workers.
“Beyond California, we need to strike early and strike quickly to ensure swift defeat to this idea that you can change the basic nature of employment and deny benefits to your employees,” Gage told Motherboard. “I ask people not involved to try and understand the labor movement in your area. Reach out to unions and ask how you can help volunteers…Get involved with and spread the world—[money] can buy misinformation and it can deceive, but it can’t beat the solidarity between two workers or between human beings.”
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robertreich · 4 years
Video
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7 Ways 2020 Has Exposed America
If we learn nothing else from these dark times, here are 7 lessons we should take away from 2020: 1. Workers keep America going, not billionaires. American workers are forced to put their lives on the line to provide essential services, even as their employers fail to provide them with adequate protective gear. Meanwhile, America’s billionaires have retreated to their mansions, yachts and estates.
Amazon CEO Jeff Bezos returned to his 165,000-acre West Texas ranch while Amazon’s warehouse workers toil in close proximity to each other, often without masks, gloves, or  sanitizer. The company has already scrapped the measly $2 an hour hazard pay increase it gave warehouse workers, even as Bezos’ wealth has jumped by a staggering $23.6 billion since the start of the pandemic. 2. Systemic racism is literally killing black and brown Americans. African Americans account for 42 percent of coronavirus deaths so far, despite representing only 21 percent of the population. As they bear the brunt of this pandemic, African Americans are forced to fight for their humanity in another regard — taking to the streets across the country to protest decades of unjust police killings of their community members, only to be met with more police violence. 
And among Native American communities, the coronavirus figures are even more horrifying. The Navajo Nation has a higher per-capita infection rate than any state but can’t adequately care for the sick, thanks to years of federal underfunding and neglect of its healthcare system. 
Decades of segregated housing, pollution, lack of access to medical care, and poverty have left communities of color vulnerable to the worst of this virus, and the worst of America.
3. If we can afford to bail out corporations and Wall Street, we sure as hell can afford to invest in the American people. I’m sick and tired of hearing we can’t afford Medicare for All, or a Green New Deal or eliminating student debt -- in the same breath that Congress hands out billions to big banks, corporations, and the wealthy. 
At the insistence of Senate Republicans and the Trump administration, coronavirus relief legislation has doled out at least $243 million to big corporations, including $72 million to oil and gas companies and $25 million to the airline industry. Millionaires have received $82 billion in tax cuts. The GOP couldn’t care less about “fiscal responsibility” even during a national crisis. It’s a question of priorities, not what we can afford. 4. Governors and mayors are running the country, not Trump. While Trump spews lies and attacks the media, local and state leaders have had no choice but to step up and tackle the pandemic on their own. They have struck deals with foreign nations to obtain tests and medical equipment, and developed inter-state pacts to coordinate purchases and regional guidelines for when and how to reopen. 
The Trump administration hasn’t just sat on the sidelines and left it up to the states — it’s actively thrown obstacles in their way. Trump and his lackeys have refused to help states secure ventilators, ordered FEMA to seize states’ shipments of personal protective equipment, threatened to sue states that maintain lockdown orders, and even suggested holding states hostage to federal aid until they end sanctuary cities. Meanwhile, Trump says he plans to send our precious supply of ventilators to his dear friend, Vladimir Putin. Funny how that works. 5. Health care must be made a right in America. In the wealthiest country on earth, it is a moral outrage that Americans can’t even receive the care they need during a pandemic. 
Even before this crisis struck, an estimated 27 million Americans didn’t have health insurance. And according to a recent report, an additional 43 million could soon lose employer-provided coverage because they’ve lost their job. Without insurance, a hospital stay to treat COVID-19 could cost as much as $73,000. Remember this the next time you hear pundits saying Medicare for All is too radical.
6. Our social safety nets are woefully broken. No other advanced nation was as unprepared for the pandemic as was the United States. We don’t provide universal health care. We’re one of the few countries in the world that doesn’t provide all workers some form of paid sick leave. 
Other industrialized nations kept their unemployment rates low by guaranteeing paychecks during the pandemic. Here, as of mid-May, 36.5 million Americans have filed for unemployment and received just a one-time $1,200 check to hold them over. And this number is probably underestimated -- unemployment offices have been so overwhelmed that many claims can’t even be filed. 7. Government matters. For decades, conservatives have told us that government is the problem and that we should let the free market run its course. Rubbish. The coronavirus pandemic has shown, yet again, that the unfettered free market won’t save us. After 40 years of Reaganism, it's never been clearer: Government is in fact necessary to protect the public. It’s tragic that it took record unemployment, graphic videos of Black Americans being murdered, and millions of people taking to the streets for many of us to grasp how broken, backwards, and racist our system really is. 
We cannot cling to the idea of “going back to normal” because “normal” is what got us here. We can no longer accept piecemeal reforms of our broken systems. We need to reimagine a political and economic system that values humanity and builds prosperity for every American. Let’s get to work.
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shirlleycoyle · 4 years
Text
Proposition 22 Passes, But Uber and Lyft Are Only Delaying the Inevitable
On Tuesday night, Californians voted to pass Proposition 22, a ballot measure supported by app-based gig companies that exempts them from reclassifying their workers as employees.
Companies including Uber, Lyft, Instacart, Postmates, and more, spent big to convince voters to approve the measure. The company-funded Yes on Proposition 22 campaign spent over $200 million (including millions in donations to the California GOP), deployed a record number of lobbyists, and spread waves of misleading political mailers. At the same time, Uber’s and Lyft’s chief executives undertook a media tour featuring threats to exit the state and repeatedly attempted to exempt themselves in California’s courts. The campaign bought  digital, television, radio, and billboard ads, and also sponsored academic research Meanwhile, delivery drivers were forced to use Yes on Proposition 22-branded packaging while the apps themselves told users to vote yes. 
On the other side of the issue was a grassroots campaign run by driver advocacy groups and organized labor, which spent just over $20 million. 
“We're disappointed in tonight's outcome, especially because this campaign's success is based on lies and fear-mongering. Companies shouldn't be able to buy elections,” Gig Workers Rising, a California-based driver advocacy group said in a press release early Wednesday morning. “But we're still dedicated to our cause and ready to continue our fight. Gig work is real work, and gigi workers deserve fair and transparent pay, along with proper labor protections.”
As news of the results broke, Uber CEO Dara Khosrowshahi took to Twitter to show his excitement and shared a tweet from early Uber investor Jason Calacanis calling Assemblywoman Lorena S Gonzalez, the author of AB5, a "grifter" who "failed to hand gig workers over to big-money unions".
After some time, Khosrowshahi reversed the retweet and instead emailed drivers a more subdued message celebrating that the "future of independent work is more secure because so many drivers like you spoke up and made your voice heard—and voters across the state listened."
This is undoubtedly a victory for capital over labor, and one that will likely allow the unprofitable gig economy to continue limping along at the expense of workers. It does not, however, change the reality that the “gig” business model is doomed in the long-term.
For years, gig companies have misclassified employees as independent contractors—a legal distinction that has allowed unprofitable enterprises to avoid expensive labor costs such as a minimum wage, health insurance, and safe working conditions, among other benefits of employment. Proposition 22 was cooked up to undo Assembly Bill 5 (AB5), a California law that codified an "ABC test" to determine if a worker was independently contracted or employed by a company and which went into effect in January.
After AB5 went into effect, attorneys for some of California’s largest cities, along with the state’s attorney general, then filed suits demanding an end to app-based gig company worker misclassification. Uber and Lyft have waged the main legal battle, but lost the case and every appeal since, making Proposition 22 a make-or-break measure.
"Prop 22 means I get no workers' compensation, no disability, no sick pay, it would be touch and go for me," Mekela Edwards, an Oakland-based Uber driver who hasn't worked since March because COVID-19 poses a high health risk to her. "I have to ask how long my unemployment will last, how long I'll have before I'm forced to go back out there and work. I don't want to imagine it, I can't imagine being forced to choose between my health and making a living."
Hundreds of thousands of people work for the gig companies behind Proposition 22 and many have been devastated by the COVID-19 recession. Still, this has not stopped the gig companies from threatening to take drastic measures if they’re not allowed to have their way. Over the past few months, Uber and Lyft in particular have threatened to radically downsize where service is offered, fire most of their drivers, radically restructure into a franchise model, or leave the state entirely, if Proposition 22 fails.
California voting Yes on Prop 22—which includes fine print that any changes to it must be passed with a seven-eighths majority in the state’s legislature—is a huge setback for labor. It will trap hundreds of thousands of workers under a permanent misclassification scheme that rewards a racist business model that disproportionately hurts Black and brown workers. Despite all this, Proposition 22 is not the final say on this matter in the U.S. or internationally.
AB5 clones are being considered in New York and New Jersey, while Massachusetts’ Attorney General has already sued Uber and Lyft to reclassify drivers in the state. Despite objections from Uber’s and Lyft’s impressive lobbying operations, the PRO Act—which would grant gig workers the right to collectively bargain, as part of a massive overhaul of labor law—has passed in the House.
“This is really a story about the kind of cities we are building,” Katie Wells, a researcher at Georgetown University told Motherboard. “The kind of cities—the kind of world we've built—it has allowed these entities to come in and build up a workforce through an extractive and predatory system. Regulators have to keep that in mind.”
Outside of the U.S., the global 2019 strike on the day of Uber’s public offering has been followed by successive waves. Over the summer, thousands of delivery workers organized militant strikes and protests in Brazil, Mexico, Chile, Argentina, and Ecuador targeting Uber Eats and other exploitative food delivery apps. These have been joined by even more strikes and protests in Nigeria, France, and India. At the same time, Uber is losing legal challenges in France, Britain, Canada, Italy, where high courts have either outright ruled Uber drivers are employees or have opened the door to lawsuits reclassifying them as such.
Governments across the world are also beginning to push Uber to pay billions in taxes that it has evaded over the past decade. In Britain, Uber will have to pay £1.5 billion ($1.9 billion) in unpaid value-added taxes it avoided by exploiting a legal loophole. In the U.S., Uber has dodged billions in taxes and wage claims through misclassification: in New Jersey it owes over $650 million in taxes, while in California drivers have filed $1.3 billion in wage claims against Uber and Lyft.
Since Uber’s only hope for survival lies in misclassifying workers and labor law, though, it won’t give up the billions to be made both domestically and globally (even if at a loss) without a fight. 
"There's a lesson here for workers of all sectors, beyond classification: companies are willing to spend massive amounts of money to take away their rights," said Jerome Gage, a Lyft driver and organizer with Mobile Workers Alliance. "It's incredibly important for workers to organize to protect themselves, to protect upward mobility, a minimum wage, sick leave, healthcare—to roll back a century of basic protections that try and keep Americans out of poverty."
Proposition 22’s victory, however, can’t obscure the fact that these companies are doomed. Even with a wage guarantee that effectively pays $5.64 an hour, the companies are no closer to sustainably achieving profitability than they were yesterday. Overcrowded markets for ride-hailing and food delivery, along with vicious price wars and poor unit economics meant there was never any real hope of achieving a monopoly, erecting barriers to market entry, and raising prices to levels that, for many of these companies, would yield their first ever profits. 
There’s good news for investors, however, who will finally begin to see returns on investments that have long been underwater thanks to massively inflated valuations that have tumbled in public markets. Indeed, share prices for Uber and Lyft soared in premarket trading on Wednesday morning. 
For workers, though, things will be bad. It is hard to imagine how hundreds of thousands of workers earning wages just under half of the minimum wage will be able to feed themselves, maintain housing, afford medical care, or otherwise make ends meet, especially under the boot of a pandemic and with no hope of government aid until next year.
Localities, cities, states, and countries will have to begin cooperating if they’re to have any hope of weathering the storm. They’ll need to start being aggressive, experimenting with ways they can outright take over the platforms or prohibit companies from providing the service to begin with—all while figuring out ways to expand mass transit so that not only they’re not only meeting the needs of people who need transportation, both those who worked for app-based ride-hail companies previously.
For the sake of maintaining an illusion that they’ll one day be profitable, gig companies have waged war in California at great expense to their workers, the public, and employees in other industries whose employers may grow emboldened this moment. The fight is far from over, and there is hope for labor in the continuing coordination of driver advocates, regulators, and legislators around the world, but it will get messy as likely to harken a period of unprecedented social unrest among increasingly immiserated gig workers.
"Beyond California, we need to strike early and strike quickly to ensure swift defeat to this idea that you can change the basic nature of employment and deny benefits to your employees,” Gage told Motherboard. “I ask people not involved to try and understand the labor movement in your area. Reach out to unions and ask how you can help volunteers…Get involved with and spread the world—[money] can buy misinformation and it can deceive, but it can't beat the solidarity between two workers or between human beings.”
Proposition 22 Passes, But Uber and Lyft Are Only Delaying the Inevitable syndicated from https://triviaqaweb.wordpress.com/feed/
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queennicoleinboots · 4 years
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Chapter 10 of Completely Out of Sync: Too Many Frustrations of the New Millennium – Not Found in Statham, GA (Joebear POV)
“GET INSIDE!” Blondie Black screamed from inside the house.
Ruby Black, Baby Black, and I ran toward the house as fast as we could to get out of the waterfall that descended from the sky. We could barely see in front of us as the rain water hit the hot ground below us. Gotta love this insane humidity. Mist choked the air.
Baby Black farted again as she ran ahead of me.
“Thank you for farting,” I said as I waved my paw in front of my face to avoid smelling it. “Again.”
Ruby Black started coughing behind me. She and I started laughing before we became trapped in the fart cloud. We were truly soaked before we finally entered the house. The wooden floor was becoming soaked. Baby Black, Ruby Black, and I shook the water out of our fur.
I guess I was stuck there until it was safe to call AAA to jump the battery in that piece of shit Nissan Versa. The worst part was AAA always took forever, and they are going to have a hell of a time finding me on this property. If it weren’t storming like mass hell outside, AAA would have a possible chance of finding me. But, I would rather be safe with these four dogs than to try to escape Statham, GA in this kind of weather. This kind of weather has literally blanketed this area all day, but it was horrible now. I swear that Hurricane Fuck Off was outside banging at the windows of this cottage. There was no way I was going to get my fur muddy by being out in that shit. There was no way Baby and Ruby Black were going to stay out in that weather. There was no way that BearBear and Blondie Black were even going to be able to stay on the ground if they went out there. Those two would be blown away by the wind. So, we were stuck in the cottage being battered by a hellstorm.
I took this moment to call my wife. I missed her.
“BAAAAAEEEEWHUHHHHHHHH!!!!!” she sang to greet me.  
“BaeBae!” I shouted out of excitement.
The dogs barked and howled to greet Xara.
“Oh hello, Blondie!” she shouted. “How are you doing?”
Blondie Black got on my phone and started blurting shit out. “Xara! Oh my God the craziest shit has been happening here! Goofy-looking dumbasses with typical lab coats were here at the house. One of them even looked like a clown posed as a doctor. How the fuck did this guy get this job? It seems that the Veterans Administration would hire anyone who can wipe his ass and not leave a skidmark in his underwear.”
We all fucking burst out laughing. Blondie Black definitely didn’t pull any punches. Ruby Black was rolling on the floor and literally laughing.
“Yeah, that’s typical of the Veterans Administration. Is your family okay?” she asked.
“Uhhhh yeah… about that. They were abducted-” Blondie Black started to say before BearBear Black cut her off by tackling her.
“ARRESTED! THEY WERE ARRESTED BY THE POLICE COMING STRAIGHT FROM THE UNDERGROUND!” BearBear Black shouted at my wife.
“WE GOT IT BAD BECAUSE WE’RE BROWN!” Ruby Black shouted.
Xara couldn’t help but crack up. “Arrested? For what?!” she asked.
“They were arrested for nudity,” I explained to her.
“Really? On their own property?” she asked with a bit of a laugh.
“Yes, it seems she had been indecently exposing herself again... on her own property,” I explained to her as I was actually confused by the logic. “The police really have gone overboard. It’s unreal. There is no privacy anywhere. You don’t own your own property. The banks still charge property taxes every year. The cops run wild on 'your' property. It’s all bullshit. I’ll be honest. I don’t even fully understand what’s going on.”
“Yeah, that’s ridiculous. Are they in prison?! And what happened to Lorraine Black’s phones?!” she asked as she sounded like she was getting irate.
“The Veterans Administration pulled rank and had the phones shut off,” I answered plainly. Baby Black barked in the background to affirm my statement.
“UGH! Fuck the VA! They strip every veteran of his rights!” she shouted.
“There are female veterans out there, ya know!” Blondie Black boldly corrected her.
‘Who the fuck cares?’ I thought.
“Okay. They strip every veteran of his or HER rights,” Xara said. “And don’t get me started on how shitty the healthcare system in the United, or should I say Divided States of America is. For the military nonetheless? Geez. No wonder I deal with sick dumbasses all day. These people don’t give a fuck about Veterans.”
Blondie Black howled to affirm her statement. “Yes, and they have clown doctors! Come on! This bullshit is medieval. I wish we would just evolve already. It’s 2020, and this is the best medical care available in the United States: clown doctors, pills that make us sicker instead of better, and bullshit vitamins that barely cover our essential nutritional needs. I don’t buy that. These people WANT US TO BE SICK AND DUMB!” she shouted with a series of barks.
BearBear Black, Ruby Black, and Baby Black barked like hell in agreement. I agreed with them, too, so I did what any bear would do if he strongly agreed with something: growl like King Bear. I growled so loudly that the cottage shook. I even started laughing hysterically as the cottage shook. I couldn’t breathe, and I couldn’t handle this world no more.
“Holy Shit!” BearBear Black said as her fur stood on edge as she stared at me with bewildered dark blue eyes.
Xara laughed maniacally. “Not to mention that most doctors are foreign because Americans apparently don’t know shit about the medical field at all. Think about it. When you go to college, most people that major in medicine are fucking foreign. Especially Indian, Spanish, or Asian. In fact, the Indian, Spanish, and I daresay the Chinese language has infiltrated its way into the vernacular here in America. English WAS supposed to be the official language in this country, but nope. Americans are too big of pussies to stick up for their own bullshit language, so they allow every Tom, Dick, and Harry to morph our language into something that not even Einstein can figure out! I wish the United States was united, but it's really not. The states all seem to be doing their own thing when it comes to handling COVID-19. We as a people are politically and religiously divided. The States of America just seem to have a smorgasbord of people who have nothing in common other than the fact that they live in North America. Some aren't even citizens. So yeah, we are more divided," she shouted over the phone. Uh oh. My wife was going on another rant again.
“The doctors don’t give a damn about your health. It’s all about the money,” I said flatly. “The Rothschilds and the Rockafellers have monopolized the insurance companies, and the insurance companies govern the way healthcare is done in this country. It’s an absolute fucking joke!”
The Black dogs all barked and howled in agreement to what I was saying. BearBear Black even farted as she jumped up and down and barked. That dog was pissed off and nothing to fuck with.
“It really is. It’s crazy. Even with home health care, you can work as hard as you can for four fucking years, but if you have a bad month, the coordinators don’t give a fuck. It’s all about money. It’s all about numbers. They don’t give a damn about the employees or the customers. Their mission statement is a fucking lie. By the way, one of their mission points is face-to-face conversations with everyone, but with COVID-19, that’s completely out the window. In other news, thank God I have my own cleaning company. Home health care agencies are absolute total bullshit at this point. And who the fuck wants anyone in their home anyway right now?” she ranted in a shaky voice. She was so pissed that she was starting to malfunction.
“Well, I wasn’t trying to upset you, baby,” I said to try to calm her down. I didn’t like seeing her upset.
The Black dogs were just going to town with the barking and howling. Baby Black got pissed and kicked a table leg. I was getting a headache from all of the noises.
This was one of those moments where I wished I had a juicy steak to share with these dogs. They were probably hungry. I got up to find them something to eat while Xara was just bitching about the status quo, Peter Wallace Parker (who can be a real fucking asshole sometimes), and how she had no coffee. She was hungry, too. She forgot her lunch AGAIN. I wanted to beat her ass for that, but this was not the time to tell her that. There were five angry bitches in my presence, and I wasn’t sure how I was going to survive.
“I’m fucking hungry!” Baby Black screamed.
“I’m fucking hungry, too. Come to think of it!” Blondie Black said as she was moving in and out of my legs.
“Stop! Lay down!” I screamed at Blondie Black. I was looking for dog food and finally found it in the last kitchen cabinet to the right. The balls of my feet were killing me. Probably from stress.
To tell you the truth, I was hungry, too, but not as hungry as these dogs. BearBear and Blondie Black were literally diving into the bag of food the minute I pulled it out of the cabinet.
“Goddammit! I’m trying to feed you!” I shouted as I scooped out the dog food with my bear hands and threw it at the bitches.
Baby and Ruby Black were eating like crazy. Meanwhile, my wife was still yammering on about something.
“Oh! I forgot my lunch goddammit!” Xara said loudly as she slapped herself on the forehead.
‘Are you serious?’ I thought. ‘Wow, my wife is braindead sometimes!’
“Order a pizza tonight,” I said. “I have no idea when the fuck I’m getting out of here. This storm actually has me locked in here with four hungry female dogs. And I’m hungry!”
“THERE’S HONEY IN THE CABINET SOMEWHERE!” Blondie Black yelled in between her munching in the bag.
“Thank you, Blondie,” I said as I ransacked the cabinets to find the honey. Once I did, I bit into the honey bottle and started eating the honey. Fuck table manners. Only pretentious people use those!
“You are strong, Joebear Campinelli!” Ruby Black said as she laughed a little bit.
Good Lord, this dog was horny. I took a deep breath and tried to resist the power of Ruby Black.
Meanwhile, I heard Peter Wallace Parker scream a blood-curdling scream on the other side of my wife’s phone. I cringed and asked, “Is everything okay, my love?”
“No, baby. Peter is having yet another meltdown. I need to tend to him,” she said.
“Okay, baby. Be careful,” I said. “Love you.”
“LOVE YOU, BOO!!!!” she shouted.
I hung up the phone and decided it was time to give Ruby Black the rub of her life. She was a dog, and dogs deserve to be petted. In fact, I planned to pet ALL of these bitches before the night was out.
“Okay, all done!” Blondie Black exclaimed as she rushed under me and started pawing at my knees.
I lifted Blondie Black and started petting her and kissing her cheeks. She was such a baby. She was whining and making grunts as I was scratching her back.
Ruby Black then came over and started pawing at my knees.
I put Blondie Black down and then kneeled down to pet both of those dogs. They both lied on their backs as I played with them and pet them.
BearBear and Baby Black were still eating while Blondie and Ruby Black were getting tons of affection from my bear paws.
There was a knock at the door. All four dogs rushed to the door and started barking their heads off.
I blinked and thought to myself, ‘What the fresh hell is going on here?’
“Fuck off!” BearBear Black shouted through the door.
“I could if I would, but I have been ordered to be here,” the man at the door said. “I need to speak to the head of household.”
“He’s not here,” Blondie Black said.
“Understood. Who is next in command?” the man at the door asked.
“I am!” BearBear Black shouted. “State your business!”
“Oh bullshit, BearBear! I am next in command,” Baby Black said as she pushed the door open to reveal herself. Her light blue eyes pierced through the clown in the white coat at the door. Her ears were pinned down as she was ready to fuck this guy up.
The other three dogs were baring their teeth at him as they almost pounced on that poor son of a bitch.
“What the fresh hell is going on here?” the clown man asked as he blinked.
Baby Black pounced on him and knocked him on his back against the wooden porch.
“Holy shit. I might faint!” the clown said as he stared fearfully into Baby Black’s blue eyes of death.
“We have the same question for you,” BearBear Black said as she scurried toward his face and started barking.
“I WAS SENT HERE TO DO A CENSUS FOR THE VETERANS ADMINISTRATION! PLEASE DON’T HURT ME!” the clown screamed as tears were going down his eyes.
“Fuck you,” BearBear Black shouted as she barked at him.
“The Veterans Administration is the same reason that I am the head of household AS A DOG!” Baby Black said in a low voice as she growled at him. Her teeth were sharp, and she was nothing to fuck with.
“Yes. What the fresh hell is going on here?” Blondie Black asked as she scurried over to the clown’s face. “How do you not know what’s going on?”
“Honestly, no one tells me anything. I have to come to the houses and confirm everything,” the clown said as he started crying.
“There, there,” Blondie Black said as she nuzzled up against him. “I can imagine that your job is very stressful.”
“It is… it is…,” the clown said as he literally started bawling. “All I wanted to do was provide city data for veterans who want to retire. They worked hard when they were in service. The least we could do is give them data to figure out the best place to live after going through the horrors of war…”
“Well, this place isn’t it,” BearBear Black said as she barked. “This place is a fucking hell hole. DOES ANYONE HAVE ANY TECHNOLOGY ON?!”
I waved my cell phone stupidly at BearBear Black. “You want me to turn this off, correct?” I asked.
“YEAHHHHHHHHHH,” BearBear Black said. “Why the fuck would you have that thing on anyway when the Veterans Administration is here?!”
“Excuse me, Princess,” I said as I turned my cell phone off. “I was in the middle of eating this ice cream.”
“WHO IS THAT MAN?!” the clown asked.
“None of your business!” Ruby Black shouted as she circled around his head. “He does not live here! He is visiting! IS VISITING NOW ILLEGAL BECAUSE OF COVID-19?! DO EVEN DOGS AND BEARS HAVE TO WEAR MASKS NOW?!”
The other three dogs barked in his face.
“I’m sorry. I’m just trying to gather data. Are there any humans here?” he asked.
BearBear Black shook her ass and just stared at him like he was a retard. “What kind of a retarded question is that?”
“A retarded question that all Veterans Administration census workers unfortunately have to ask. May I access a pen please? Are those allowed in this non-technological house?” the clown asked as he rolled his eyes. I could tell he was over these four dogs getting in his space.
Baby Black got off of him and sat down in front of him.
The clown sat up and reached his pen and pad.
“TURN OFF YOUR GODDAMN CELLPHONE OR WHATEVER TECHNOLOGICAL DEVICE YOU HAVE!” BearBear Black screamed at him as she was in his face and barking at him.
“All right. All right. Damn you’re insistent, dog woman,” the clown said as he turned his many technological devices off to appease this fucked-up dog.
“Thank you. Now you can start writing,” BearBear Black said.
Baby Black barked a strong bark as she still stared him down with her icy blue eyes.
“Is all of that barking really necessary?” the clown asked as he was writing down some answers to questions that he unfortunately already knew.
“Is that a question on your census?” BearBear Black asked.
“Son of a bitch, I actually have to look,” the clown said as he flipped through this book of questions to find it. A few minutes later, he actually found the damn question. “Actually, yes. It’s on the side questionnaire that’s in Section C for if the poor son of a bitch veteran has a dog.”
“Let me clarify that Diamond Black, Tim Black’s mother, was actually not a bitch at all. She was the sweetest and most intelligent woman of all time,” Blondie Black corrected. “Is that question still on your census?”
The clown scrolled down a couple pages before he looked at Blondie Black straight in the face and said, “Yes. It would have been horrible if you had mistaken Tim Black's mother for his father, ya know. We would have had to go through this process all over again.”
“Thar would have been a real bitch. In that case, we will be more than happy to answer your question. It is always necessary for a dog to bark. It is a form of communication, a way of life, a way of being. Without a bark, who is a dog?” Blondie Black stated.
“That’s beautiful. I wish I had room to put that,” the clown said.
“Do you have a ‘notes’ section?” Blondie Black asked.
“Jesus Christ this is going to take forever,” Ruby Black said as she laid down and sighed.
BearBear Black sat near the clown and looked at the answers he was writing on the questionnaire.
“I do,” the clown said as he went to the very last page and wrote down Blondie Black’s quote about barking. “What is your name, great dog?”
“Blondie Black!” she answered as she puffed out her small blonde chest in pride.
“You are appropriately named,” the clown said as he quoted Blondie Black. “Now to get back to the task at hand, I have to ask this retarded question again, and I expect a retarded answer. Do any humans live at this residence?”
BearBear Black growled at him. “No,” she said.
He wrote down the answer with wide eyes. “Are the people of the house deceased?”
“HOW THE FUCK SHOULD WE KNOW?! YOU WOULD KNOW MORE THAN WE WOULD?!” BearBear Black shouted at him.
Coyotes howled into the evening.
“Do the coyotes live here?” the clown asked.
“Yes, but they literally just moved in. We know nothing about them,” Baby Black answered.
The clown looked frantically through the questionnaire for about five minutes.
Ruby Black sighed and looked into the yard where her dog pen used to be. It was in shambles all over the yard. The storm fucked it up.
“Well, as long as anyone doesn’t live inside the house, I don’t have to question them. Thank God. I wasn’t in the mood to be eaten by coyotes,” the clown said.
“Neither are we. Can we get on with it!?” Baby Black asked.
“Yes ma’am,” the clown said. He then started asking a bunch of questions. The dogs answered them as honestly as they thought they could without the flood gates of hell opening upon their life.
I was literally eating the bag of chips after eating all of the chips before they finally finished answering the questions three hours later. It was dark outside. My wife was worried about me, I’m sure.
The clown then thanked the dogs and disappeared into the night. Apparently, everyone disappears in Statham, GA.
“You can turn your technology back on,” BearBear Black said as she approached me. She walked like a wind-up toy from the 80s.
“Thank you,” I said to BearBear Black as I turned my cell phone on. As soon as the screen loaded, I called my wife again.
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Dear Speaker Ryan and the GOP, Here's a picture of me waiting to learn the details of your planned cuts to Preexisting conditions protection & Disability, while I was getting my 6hr immunotherapy/chemo infusion today. 
When I got home, I wrote you a letter: 
(via Chronically-Something.com) - 
Dear @SpeakerRyan and the @GOP,
Here’s a picture of me waiting to learn the details of how the #AHCA would impact my healthcare via #preexistingconditions & #Disability, taken while I get my 6hr immunotherapy/chemo infusion. Treatment for my progressing, incurable, neurodegenerative, autoimmune disease.
Just so you know, without the #ACA I wouldn’t have healthcare coverage at all and, after a grueling 6 years of trying every medication available for Multiple Sclerosis, and having them fail, I wouldn’t have access to the immunotherapy concoction that has allowed me to remain mobility and keep my eyesight from failing regularly.
When I was diagnosed with multiple sclerosis, I had no healthcare coverage in the US. I was studying overseas and came home for a friend’s wedding. Then I went blind in one eye. I tried to ignore the symptoms for a week, hoping they might go away, knowing I had no healthcare coverage and couldn’t afford an ER visit. A week later, it got worse, and I spent 7 days in the hospital. 7 days that would start a stream an insane number of tests, seizures, falling, and more. I could barely find a doctor that would see me, and all of this was paid out of pocket. The bills were insane, in the thousands within a month or so. This process took everything I had, literally and figuratively.  It was only thanks to SSI disability assistance that I was able to find a place to live and feed myself.
Yes, SSI disability not SSDI.  It turns out, the time I spent working for the state, and a state-funded agency that didn’t pay into social security, meant I was just 2 quarters short of the required amount of work to receive full disability coverage. Those 5 years of work didn’t count, and there was nothing I could do about it despite being 15 when I got my first job. I was more than broke. I was in debt. Trying to be a good citizen, I paid my bills with everything I had, including student loans I had intended to use to finish my degree. It was thanks to the incredible kindness of my friends - one of whom allowed me to live on her floor for over a year - that I wasn’t homeless. All this while learning that I now had a diagnosed, therefore preexisting, neurodegenerative disease. Lucky for me, the #ACA took effect, and thanks to it, while having nothing at all to my name, I was able to get healthcare. Finally, after almost a year of accruing medical debt.
The reality of my situation, and the unpredictable nature of Multiple Sclerosis and its impact on my ability to function well enough for any regular job, means that I must remain below the poverty level in order to remain on healthcare and have a roof over my head, something that you seem to believe is a luxurious life I’m living on the tax payer’s dime. Every month I hope I am able to make ends meet, maintain my independence, and have to remind myself that I am a worthy member of society and I deserve treatment for my condition.
I haven’t even mentioned the reality of learning that my brain was eating itself alive. That I would slowly get sicker and sicker, likely end up immobile, and a million other things that come with life with Multiple Sclerosis (and the co-morbid autoimmune diseases I hadn’t yet realized I had). The reality of my condition was enough to bear. The treatments, side effects, and ever-increasing failure of my body was enough trauma to induce its own medical PTSD, but again I continued on thanks to determination, desperation, and the kindness of the people around me. I haven’t talked about the half-written dissertation that held all the passion of years of work that would be my career, how I would change lives, and that will never be finished now. All of this is an aside to this conversation, but gives a bit of context through which you can view what I’m telling you.
When the #ACA passed I had visions of future policy discussions, dialogues about improving the system, maybe even seeing disabled Americans of all backgrounds, socioeconomic statuses, racial/ethnic backgrounds as deserving of QUALITY of life, not just those humans you’ve ‘given the privilege to continue to live’. I had such incomprehensible thoughts about being seen as someone who has a contribution to make regardless of my health, that the United States is a place where you are supported when you’re struggling, and thought maybe we can do that in a way that helps people flourish. Ridiculous, right?  I can hear you laughing.
You and your party have proven those thoughts to be nothing more than laughable, a pipe dream. Beyond that, you’ve decided it’s time to revoke that ‘privilege to live’ you bestowed upon me. That fear you use as a tool was so successful this election- that fear you instilled in so many. Fear of the other, the struggling, the afraid; fear of those whose lives have hit rock bottom or lives that could be beautiful but require a long-term helping hand. With that fear fostered, hate and blame given the biggest of platforms, you have decided now might be time to take back that privilege to live. Yep, you might wanna revoke that ‘hand out’ because anyone of us ‘could be’ choosing a life of poverty, stealing from the hard-working Americans …that we aren’t… because we need help. You embrace this, I suppose you always have, and use it in your daily dialogue discussing which of us truly deserve the help we need to simply survive and what, in your opinion, isn’t really essential to our existence.
So today, as has been the case for the last 6 months, I sat and watched my life discussed as something we may just have to sacrifice so wealthy people can be wealthier and you can have a win for your party and the president. Congrats, it has dominated the news cycle in such a way that every mention of the #AHCA leaves me on the verge of a panic attack. That probably sounds silly to you. Probably because nothing you just read is new information or particularly meaningful to you and your goals. My story doesn’t evoke empathy beyond that momentary trained reaction to someone’s sad story.
No, my story doesn’t remind you that this is the story of a huge number of Americans that you represent, or of human beings in need of support. It doesn’t even help you connect your policy goals to the fact that this is something that could happen to anyone, to someone you love, or even to you. The truth is, you are fully aware of all the things I have discussed here. You’ve heard stories like mine, you know people like me. The truth is that you understand what your tax cuts and health care plans mean to someone like me. You repeat these party lines about maintaining accessibility despite cuts, caring about pre-existing conditions by claiming we will always have ‘access’ since insurance companies won’t be allowed to refuse us outright. You repeat this over and over, completely aware of the difference between availability and accessibility. I can’t honestly believe that you do not understand the difference. I cannot believe that you’d assume the homeless man standing by the door to a restaurant you are walking into has access to dining there, simply because he can walk through the door. You are intelligent men.
All of this leads me to conclude that you must truly lack empathy for a good portion of your fellow Americans. It seems reasonable to assume that you care more about your reputation and political power than the lives of others. At the very least, it is incredibly easy for you to forget we exist. You won’t see the blood on your hands if you accomplish even half of your goals, and THAT is the scariest part of all of this.
So enjoy this picture. I am back home now and will be spending the night on the bathroom floor. Be aware, at least one of the moments I find myself retching in the toilet tonight will be at the thought of such incredibly thoughtless, heartless, men and women, celebrating the idea that they may be able to “rid the American taxpayers of the burden” of me and people like me.
Sincerely,
NFN- A Chronically Ill, Disabled, Latina who Votes
P.s. Please feel free to prove me wrong on all points. I’m an open minded person and always willing to rethink my opinions, maybe you are too.
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omgktlouchheim · 7 years
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Word Vomit Wednesday - Traveling While Healing
CW: Sexual Assault
 A little over a year ago I realized I needed to change my life. I had been living and bumbling around New York City for nearly a decade and was finally receiving some great career opportunities and a sense that my life was coming together. This “sense,” of course, was something I was just trying desperately to convince myself of. The fact is, I was constantly getting sick and was consistently in a huge amount of pain. Which wasn’t new to me. I’ve been in physical pain since I was, at least, eleven or twelve years old and just coped with it because it was my “normal.”
Jump back to June 2016. I’ve been to an allergist, ENT, had a CT scan of my sinuses, given so much blood to labs for testing I might as well have been at a blood drive, and I’m sitting in my PCP’s office as she’s going over results. I know exactly what those results say before she opens her mouth. I’ve been in this scenario over and over and over again in the course of my 29 years on this earth. The verdict: I’m healthy. Or, as the lab results put it, “unremarkable.” Oof. (My whole body is one giant flaming knot and the medical establishment has to then go ahead and bruise my ego too? That’s low). Given that all the labs came back fine but I was still in so much pain and had so little energy, my doctor diagnosed me with fibromyalgia.
What is fibromyalgia, you ask? In a nutshell: no one f*cking knows. Is it an autoimmune disease? Maybe. Are there genetic components that would make a person more likely to develop it? Perhaps…? What are the best ways to treat it?? *Shrug*. Essentially, it’s a diagnosis that doctors of the western persuasion give to people who they just don’t really know what to do with and don’t really have the growth mindset to figure out. *Side note: fibromyalgia has been strongly linked to trauma, which does make sense in my particular case, and I will come back to this later. So, one of the ways in which I began to make changes to my life in order to heal was making more time to travel.
It started off small, taking the Amtrak to visit friends in Vermont in August, heading out West to visit family in Washington, California, and Arizona in September, hopping on a quick flight to Montreal for my birthday in November. It felt so good to get away. I was all of a sudden having new experiences while also spending time with people I care about. Every time I left it felt like the “refresh” button was being pushed on my life. I began to feel like I was living my life instead of watching it pass me by and I began to be excited about the future even though I was still hazy about what it looked like. One thing that I knew for certain was that I needed to put myself first in ways that I had never been able to before (i.e. not feeling bad about having needs and getting them met). Which, let’s be honest, can be truly terrifying in and of itself.  On top of that, I still needed to contend with many American medical institutions. If you don’t know anything about the healthcare system in America, here’s the Cliffs Notes synopsis: It’s a shit show and everyone is screwed except for super wealthy people. Fun!
I literally didn’t go to the doctor, any doctor, for years because it can be such a nightmare and it overwhelmed me to the point of defeat. I didn’t see the point in fighting if I was never going to get the help I needed so I continued to ignore all the messages my body gave me because that’s what I knew how to do. The difference between late-twenties Katie and early-twenties and child Katie though, is that late-twenties Katie knows that she is worth fighting for and deserves better. She deserves better treatment, she deserves respect, she deserves getting what she needs come hell or high water. I (thank you third person, your services are no longer needed) am only one person and, chronic illness or not, need help and shouldn’t be shamed or ignored for asking for it.
Here’s what I know about traveling with chronic conditions. When traveling, medical issues don’t just go on vacation from you. And it’s imperative that you have a doctor you trust to communicate with you if something happens while you’re away. This was not the case for me. On the aforementioned trip in September, I was just coming out of severe withdrawal from a drug my doctor (who is no longer my doctor) had put me on to treat the fibro, which my insurance (which is no longer my insurance) decided to, out of the blue, no longer cover. Not even the amount to wean me off (it was some serious shit). It was one of the most frightening experiences of my life. So frightening that I was afraid to go to sleep in case I died. Not a trip that I was planning or am planning to take any time soon. By the time I got to Washington most of my withdrawal symptoms had gone. Except on the second day there. My right leg seized up and I was unable to walk for the rest of my stay in Seattle with my brother and his wife. Oh and I was in an excruciating amount of pain. So, what did I do? I called my doctor. For three. Straight. Days. I left so many messages that one time I got a recorded voice saying that the health clinic’s mailbox was full.
Thank goddess I was with family and that they didn’t mind pushing me around in a wheelchair or switching around plans so I would be in the least amount of discomfort before heading to California. Thankfully, by that time the pain had let up and of course that’s when my doctor #nolongermydoctor decided to call, chastise me for not going to an ER (FYI: unless I am bleeding out of all of my orifices I refuse to enter those rings of hell and that’s a whole other article in itself), and ultimately offer nothing useful in trying to help me in case it happened again. This should have been my first big tip-off that I needed to find another doctor. Instead, I convinced myself it was a fluke until she and her office pulled similar shit with me right before I was leaving on a two-month trip that would take me from New York to Hawaii, New Zealand, Australia, back across the United States to The Bahamas, then finally back to New York. Once again, thank goddess for my uncle who is a retired doctor and was able to call in my medications for me the night before I was leaving and with a half an hour before the pharmacy closed.
For people who have chronic illnesses, or any illness that requires medication and who plan to travel, one thing to find out about from your insurance company is a “vacation waiver.” Because I was traveling extensively for the first time and out of the country, I needed to have extra refills of my prescriptions so I didn’t run out and burst into flames (*not necessarily a side-effect of stopping medications early, but you never know). I was surprised and relieved that my insurance actually offered a waiver specifically for that purpose. So make sure to give your company a call and find out what the waiver is, how long it’s effective for and how many times a year you’re able to access it. This was probably one of the only times where my insurance was actually helpful.
So, what have we learned so far? Living with chronic illness means needing to be on top of every medical issue to make sure that it helps you live your life rather than keep you stuck and in pain. It is no easy task. Some medical professionals will not help you. On the flip side, vacation waivers! Besides keeping in order all of the things meant to keep a person with chronic illness functioning, there is still needing to deal with symptoms. Chronic illness is exactly what it sounds like. Chronic, consistent, every moment of every day. Some days are better than others. People can also be happy and chronically ill at the same time. Around the time that I was diagnosed with fibromyalgia I was also diagnosed with PTSD (told ya I’d get back to trauma!). It is very common for people who have been diagnosed with fibro to also have a history of and are survivors of trauma including sexual assault/abuse, which is the case for me.  It’s kind of a chicken and egg conundrum which is also why treating fibromyalgia is so difficult. Not only do scientific and medical institutions know very little about our nervous systems, they also can’t treat the things that can trigger us.
I could be anywhere in the world and if my brain senses anything resembling my traumatic experiences, my nervous system goes haywire and I’m stuck in our very primal fight, flight, or freeze mode. And it did happen. Here are examples of the most extreme experiences from my New Zealand/Australia trip. One time was walking around in Melbourne with my mom. I felt so overwhelmed from the moment we got there and once that feeling set in it did not go away. Even eating didn’t help. My body felt like it was on fire, I had no patience for anything, I didn’t feel safe, I just needed to get back to my room and my stuff as soon as possible. The other time we were heading to Dunedin, New Zealand. The night before we got there, I woke up super early in the morning because I started having flashbacks of my assault. I don’t know what triggered them, it just sucked and it took me forever to get back to sleep. When I woke up to get ready for the day I realized I couldn’t move. My hips felt like they were locked and it was extremely painful to do a few things. Things like: lie down, sit, modify my position to get from lying down to sitting, standing, and any movement in general.
Being a person with chronic illness who also wants to function in society and explore the world is really hard. You can’t leave your disease in your desk at work to take care of when you get back. You can’t leave your symptoms with the cat-sitter. You can’t even put your baggage in your baggage to whip out just in case you have a day where you’re not doing anything. It’s just going to be your travel companion no matter what, and it will pop up when it gets the message to. The way society is set up does not make it easy for those of us living with chronic illnesses and even the most well-intentioned people don’t understand or know what we really need. That also doesn't mean that you're going to ruin any travel experience because you have particular needs that you need to put first. At this point, my healing journey is tied into all of the other journeys I’ve taken and will continue to take. Right now my takeaway is learning to accept myself no matter where I am and what I’m feeling. And have better doctors because ain’t nobody got time for that bullshit.
Katie Louchheim is a wide-eyed wanderer who takes a lot of pics of where she goes and is not opposed to a shameless plug! Follow @ktjlouch on Instagram for awesome travel pics, blurbs about living with chronic illness and more.
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schraubd · 7 years
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My Healthcare Story
The House of Representatives, in a razor-thin 217-213 vote, has voted to repeal and replace Obamacare with the AHCA. The crucial amendment to get conservatives onboard was to allow states to eviscerate the protections for patients with pre-existing conditions. I've mentioned before on this blog that I've suffered from kidney stones. Right now I'm in the process of doing some tests to figure out my risk factors and what, if anything, I should change in my diet or lifestyle to make them less likely (since, as Rep. Mo Brooks (R-AL) was so quick to remind us, any health problems I have are evidence of nothing more than my own degraded character). That's how it should be: when I'm sick, the focus should be on getting me better. My health care should be a conversation between me and my doctor. My investment advisor shouldn't need to play a role. But the advent of the GOP vote has, of course, made me worry about whether kidney stones qualify as a "preexisting condition." After all, I'm not going to stay at Berkeley forever. So what would happen to me if I need to switch insurance or -- worse yet -- lose it altogether? Kidney stones aren't the most expensive condition one can have, but they're not nothing either. Since they onset completely unexpectedly, they can send you to the emergency room at the drop of a hat. And they sometimes require surgery to remove (as mine did -- more on that below). My best guess is that it's unlikely that I'd be denied coverage altogether because of my past history, but it's possible that a new plan would exclude coverage for any future stone-related problems. Which sucks, because kidney stones are scary enough without having to worry about how to pay to treat them. One argument one occasionally hears about foisting more costs onto sick patients is that it gives us additional "skin in the game" that inspires us to make better and more cost-effective choices. So I figured I'd offer a story on that front, because I don't think that makes any sense at all. As I said, I recently had surgery to remove my kidney stone. But I almost didn't. Kidney stones are strange in that they can lie dormant for awhile -- lulling you into a false sense of security -- before roaring back to life and causing agonizing pain. This is particularly nettlesome because, especially with a smaller stone, it's possible to pass them without realizing it. So if you go through several months with no pain, is it because the stone has passed or is it just playing possum? My stone was about 4 millimeters, which is on the small side. My urologist told me that a 4 mm stone will pass on its own about 70% of the time. I had been having attacks of pain about once every 1.5 - 2 months since the fall, and it did not seem to be passing on its own. So after the latest bout of pain in January, we scheduled me for surgery in March -- with the caveat that if it passed before then, we'd cancel the surgery. The weeks pass, and I'm feeling fine. I didn't notice it pass. But again, I knew sometimes they pass without you noticing. Certain elements of how the stone had been progressing in prior bouts of pain made it plausible that the last bout really was the last bout. We did an X-Ray to see if we could pinpoint the stone inside me, but it was inconclusive. My urologist pointed to a vague spot and said maybe that's the stone ... but maybe it's nothing. X-Rays aren't actually all that good at picking up kidney stones. And unfortunately, there wasn't any safe way to know for sure if the stone was still inside me other than simply doing the surgery. As we approached the day of the surgery, I asked my doctor if he thought we should go through with it. It was not implausible that the stone had already passed, after all. Moreover, I'd never had real surgery before, and was a bit nervous. The procedure entailed full anesthesia, followed by threading a scope up my urethra, into my ureter, and blasting apart the stone with lasers. They'd leave a stent inside me to handle residual bleeding, and that would be removed in about a week. Objectively, it's not so bad -- but you can imagine "having a tube stuck up my dick" isn't exactly on my bucket list, either. And how silly would I feel if I had the surgery and it turned out there was no stone at all! The doctor listened to me. And he said that it was, indeed, possible that the stone had already passed. We could simply wait another couple of months and see what develops. The problem with that was (a) he still thought it was more likely than not that the stone had not, in fact, passed and (b) there's no guarantee that if I had another attack, they'd be able to schedule me for surgery promptly. Ultimately, his recommendation was to go through with the surgery as planned. So I did. And when I woke up, I was told that yes, the stone was inside me, and they had successfully removed it. Moreover, he told me that the stone would have never passed on its own. My ureter was significantly enflamed and swollen around where the stone had nestled; it had gotten so narrow that it was physically impossible for the stone to go any further (I gather things were so tight in there that it had also made it no easy thing for the surgeon to even reach the stone with his laser. Good job, surgeon!). All of this is run-up to the following: My kidney stone surgery cost me, with insurance, a little less than $1,000. That's not chump change. But without surgery, it would have cost closer to $10,000. That's more than a third of the annual salary of your average Berkeley grad student. Had I been paying that money out of pocket, I almost certainly would have ignored my doctor's advice and delayed the surgery. Which, as we now know, would have been the wrong decision. How wrong? I'm not sure -- I thankfully do not now need to know exactly how dangerous a badly enflamed, swollen, and rapidly narrowing ureter might have been. In short, the only thing having (more) "skin in the game" would have done for me is caused me to have made the wrong medical decision. Because I'm not a doctor. I have no medical expertise. I'm not in a position to make smarter medical decisions just because I have to pay more for them. The most likely result of my having to pay a ton of money for medical expenses is me making bad medical choices. Thankfully, because I had insurance I made my choice for the right reasons -- the sound, professional advice of my specialist doctor who actually knows how kidneys work. And thank goodness for that. In any event, now I've had kidney stones and kidney stone surgery, which means I may well be in "pre-existing condition" land (albeit far less so than, say, a cancer survivor). Which means that in the GOP world, it's quite plausible that if I leave Berkeley (which I no doubt will) and have to change insurers, I may no longer be covered for at least this particular medical problem. If my kidney stones come back, I won't be able to concentrate on, say, getting emergency pain relief or whether I need another surgery. My friend Josh Blackman says there is a "contradiction" around the discourse re: pre-existing conditions: nobody wants to exclude them, until people learn that including them increases costs. Which, Blackman says, of course they do -- there's no such thing as a free lunch. I'd note that there's an ambiguity here: requiring coverage of pre-existing conditions doesn't necessarily increase costs so much as it redistributes them -- at least in a system where one can't opt-out of the medical system altogether (and here I'm talking less about a mandate and more about guaranteed access to emergency care. Unless we switch to a system whereby uninsured people are left to die in the streets, we're still "paying" for their healthcare). Persons who are relatively healthy pay a little more so that persons who are very sick pay a lot less, but the overall cost doesn't change (a simplification, of course, but it will do). As it happens, even with this particular pre-existing condition I don't know whether I-as-an-individual am a net gainer or loser in the protect-preexisting-conditions world (other than kidney stones, I'm a relatively young and healthy man). But either way, I'm absolutely willing to pay my share so that I and others like me -- or not so like me -- can have the healthcare that they need. It strikes me as beyond petty for me to resent the possibility that others might "use" the benefits of health insurance more than I do. I should be so lucky! The best thing that could happen to me is for me to never again have reason to access the benefits of my health insurance other than routine checkups and peace of mind. But if I happen not to be so lucky, then I'll be grateful that I'll get the care that I need to survive and thrive. There are many, many people for whom the AHCA will impact far more severely than me -- from cancer survivors to persons needing organ donations.to victims of sexual assault. These people will see their lives made much worse if the AHCA passes. But there are a lot more Americans for whom the AHCA "only" will make our lives a little worse. A little scarier. A little more insecure. A little more unknown. A little less protected. I had hoped we could beat the AHCA in the House. But House Republicans were determined to pass a bill they didn't fully understand, whose provisions  had not been scored by the CBO, and from whose dictates they exempted themselves. We have 18 months to make them pay for their hubris. via The Debate Link http://ift.tt/2qFGnQf
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