Health Care As the New Terrorist to Fear

by: David Sirota

Mon May 12, 2008 at 20:39


Join the book club for David Sirota's upcoming book, The Uprising, due out on 5/27.

Thanks to America's health care system, today was a very stressful day for me. My story is so typical as to be boring - which is a really sad commentary.

This morning, while thumbing through some routine paperwork, my wife discovered that I have no health insurance. Without going into the details, we missed a bi-annual deadline for payment - a deadline that the company buried in fine print, and one that the company didn't even bother to tell us was approaching, or even missed after the fact. They just ended my coverage, with not so much as a letter or a phone call.

David Sirota :: Health Care As the New Terrorist to Fear
Fortunately for us, we discovered the situation before a 60-day continuity-of-coverage window closes, and I got temporary insurance. Of course, for bureaucratic reasons that I don't understand, I'm not allowed to re-enroll in the same plan I thought I was on. I have to wait to do that. Put another way, the health care company that had been gouging me, and then tossed me away without so much as a peep, is perfectly fine leaving me without coverage - even if I'm willing to pay for it.

My initial reaction this morning was raw panic. Until the situation was resolved, I felt like I was going to periodically break down and cry because I felt so completely helpless. But now that the initial shock has passed, I can say I'm lucky in all of this.

I am a sole proprietor so I get gouged on health care, but my wife and I have worked hard to save diligently to pay for coverage through her graduate school (and to those who have flippantly claimed that because I'm a columnist and writer I make a whole ton of money, I will only say that the term "struggling writer" didn't come out of thin air - I ain't complainin' but I also ain't swimming in money). We have the resources, and thankfully, we caught this problem in time. But for every one of me who discovered the problem and had the resources to rectify it, there are probably 10 or 20 who either never figure out the problem until it's too late, can't pay to rectify the situation - or both. Just as frightening is how tiny an error you can make to watch your entire health care safety net be ripped away from you and your family.

Had I, say, been in a car accident in that time period that I didn't know I was cut off from coverage, I would have been bankrupted, and possibly not been able to pay for medical care that I needed to stay alive. That's not an exaggeration. Had I needed any kind of serious medical care in that time period, its very possible it would have cost me my entire life savings - and the reason would be that we innocently missed a bureaucratic deadline that a company didn't even bother to warn us about - or warn us that we had missed.

In a world of unending email and junk mail - a world where the average person is flooded with paperwork - this is an unacceptably small margin of error, especially considering what is at stake. I mean, we're not talking about losing a gym membership or a magazine subscription or your cable television for missing a deadline - we're talking about losing access to life and death medical coverage. And yet, the margin of error that could lose you your coverage is less than the margin of error that a gym or a magazine or a cable company will grant you for their services.

This situation is emblematic of a health care system that is both immoral and broken. Throwing people off their health insurance with no warning because they accidentally misread fine print is sick and wrong - and should be criminal like it is, say, with housing. In many localities, landlords have to give you at least some warning before evicting you for a missed payment. But unbelievably, that's not the way it is with health care.

The behavior is perfectly legal thanks to government policies that allow health insurance companies to do whatever they want, to whomever they want. And the behavior has created a whole new culture of fear. We now not only have to be afraid of Al Qaeda and hurricanes and evildoers, but also of the health insurance companies that we are customers of - and executives from these companies still have the nerve to go before Congress and publicly wonder why so many people hate their guts.

That this fear is now becoming an anger-based political uprising shouldn't be surprising. A population forced to live under this kind of terror - and that's what it is - is one that will start fighting back when the survival instinct kicks in. And by the looks of the polls on health care, the survival instinct has most definitely kicked in. Better late than never.


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Afraid of Big Business (0.00 / 0)
We have always been (or always should have been) afraid of big business in virtually all its forms. You are right to point out the medical insurance industry as the most troublesome offender because of the potential 'life or death' consequences. But let's not forget that many industries that are now regulated were once just a free as insurance industries, and the consequences were just as dire. Any industry that pollutes, contributes to the food supply, or produces potentially dangerous consumer goods (cars, cribs, electronics) have rightly been regulated to the point that our fears are far less urgent.

But unlike these other industries, which have largely proven they can function to our benefit in a capitalist economy, the health insurance industry stands as a monumental failure of the free market. Regulation is great, but I wish Americans could open their eyes and realize that mandated health insurance would be best handled by state governments. Not only is competition sometimes ineffective - in this case it is also unethical.  

"Don't hate the media, become the media" -Jello Biafra


Amazing that vulnerability is so close, so dangerous, (4.00 / 1)
so unnecessary.
Its just money, they will let you suffer for money. That is pretty well the definition of evil to me. That system, where the health insurance money harvesting machine stands between you and health, between you and bankruptcy - between you and life saving care.

I imagine a gorilla with her baby in her arms, and someone stopping her from getting water for it.

Suffering for money. How is this different from torturing people for money?

Except one is illegal.

Thats something we can do, make it illegal.

Change
"We must break up the banks and never again let them get so big that they distort our politics and take down the economy.


Rough week for Openleft authors (0.00 / 0)
On the rare occasion I find a fellow Canadian mouthing off like a Republican about the need to end our UHC and let the market solve all our problems, I explicitly bring up the peace-of-mind aspect of UHC.  There is no price tag I can attach to the lack of worry I have over health coverage.



I've read stories about how Candians... (0.00 / 0)
and other westerners from countries with universal health care are afraid to travel to the U.S. even for a day without buying a temporary policy for fear something might happen and they might lose everything they own.

That can't be good for tourism. It would probably be financially efficient to offer legal tourist automatically free health insurance just to encourage tourism.

End this war. Stop John McCain. Cindy McCain is filthy rich.


[ Parent ]
grain of truth (0.00 / 0)
But this is more or less so for any country Canadians might visit.  Unless I knew specifically that country's health care would treat non-citizens for free, I'd make sure I had insurance travelling.  Canada doesn't treat non-citizens for free, though how exactly the billing and so forth works I'm not totally sure.

A friend of mine had trouble because his dad died while visiting him in Canada, but since his dad had no status, my friend was billed for the medical services involved in his father's death.  He settled for a much smaller amount than they wanted to charge him but it was still low 5 figures.

That all said, a bunch of reciprocal treaties by UHC countries to treat each other's visiting citizens would be pretty cool.  


[ Parent ]
Honestly I'm not sure this was a case total maliciousness... (0.00 / 0)
Had they really wanted to screw you they would have certainly told you that your payment was overdue thereby to collect it. If they aren't getting paid their premiums, they have no incentive to screw you at all. Normally what they do is harrass their customers and make them overpay their premiums THEN when the sickness comes around they find some way to weasel out of it.

I've never heard of a rampant problem with Insurance companies intentionally not collecting their premiums. Except maybe in a case where they knew a person was ill and therefore costing them money.

End this war. Stop John McCain. Cindy McCain is filthy rich.


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