What Medicare for all REALLY means

If this isn’t a hot topic, then I don’t know what is and I’m pretty sure I’ll ruffle some feathers! But, let me start by saying that I want all of my Democratic friends who are for this to read and understand carefully everything that I am about to say.  I’m 36 years old and I have spent 33 of that inside doctors offices, hospitals, emergency rooms, urgent care facilities, specialists offices, and more.  Healthcare and health insurance are two different things but they go hand in hand in making sure we get the care we need and deserve.  In this country you can walk into an emergency room and get care with or without health insurance no matter who you are.  If you have been told you can’t, then you have been told a big fat lie!  There has been several times over the course of that 33 years that I have lost or did not have my health insurance.  As someone with a life threatening illness that’s a big deal.  But I was never denied care, and the bills I racked up were eventually taken care of through special programs or retro actively paid once I got it back. 

I will be the first to admit the system is broken.  But it is not broken for the reasons you think.  First, as someone with a chronic illness the fact that I have to even fight with the government for help and lazy ass people who work the system don’t.  If you don’t think that is the case then you haven’t spent as much time in social services as I have.  The fact that I get punished by the government for doing the right thing is flat out fucked up! I lost my Medicaid for getting married.  Something that most with my chronic illness don’t get to do or even plan.  So because I want as much of a normal life as possible, they punish me because my husband barely makes over the limit.  And I have to work part time in order to qualify for the EID Medicaid program and there is an income limit on that between the two of us.  I still haven’t gotten it back.  It’s a continuous fight while racking up the 20% Medicare doesn’t cover.  We’ll touch more on that later.  When it got to the point that I needed to go on disability or die (something I had serious issues with) and it took 2 years of fighting, a lawyer and a federal judge to tell the government I WAS disabled, is a problem.  My first two denial letters actually said because I could move my hands, arms and legs that I can work!  Nevermind that I couldn’t breathe, it didn’t matter to the government. That is just a few examples among many.  It’s broken because of the sections the government runs not because the government doens’t run it! Let me say that louder for those in the back.  IT’S BROKEN BECAUSE OF WHAT THE GOVERNMENT TOUCHES, NOT BECAUSE THE GOVERNMENT DOENS’T RUN IT!! Everything that I have issues with in the healthcare system is because the government sticks their grimey fingers in it and have no idea what they are doing.  It’s my goal to get down to capital hill and help start REAL CHANGE to these programs.  Change that doesn’t punish someone like me or the elderly.  My grandparents cannot get extra help with food or anything because their Medicare check is over the limit, but a refugee families limit is 5x as much!!! What sense does that make!!!!??? It doesn’t and that is the problem.  

I will say that everyone has a right to healthcare, and you already have that basic human right if you are in the United States, legal or not.  Health insurance is not a basic human right.  I probably just pissed you off with that didn’t I? Let me explain.  Health insurance is a “good” as part of the pursuit in the journey to life, liberty and happiness, just like housing, food, a job and more.  A right is not something that is given to you and it is not something the government can take away, although they try.  So basically no one owes any normal person a job, food, housing or health insurance.  It’s up to us to seek and acquire it.  There are exceptions for the sick, elderly and disabled of course. I believe it is our job as humans and the governments job to help those in need if DONE RIGHT! I refer back to the system being broken.  

So, Medicare for all sounds great right?  Sure it does, unless you truly know the consequences of socialized or government run healthcare.  Obamacare is my first example! What a shitshow, it was designed to fail from the beginning.  Premiums, co-pays, deductibles have all gone UP and they have changed some things they used to cover since the government forced their lovely program down our throats.  You might say, well you’re on disability how do you know?  Well, first some specialty medications I am on now require a hell of a fight to cover or they don’t cover it al all anymore since Obamacare.  Also my husband has had health insurance and I pay attention to the cost of EVERYTHING! As someone with a chronic illness I have always paid attention to those details.  Do you want to know what my out of pocket expenses would be with no health insurance, well over $100,000 a month! That’s just medicine and supplies.  Not including doctors, hospitals or wherever else I need to go.  Trump couldn’t even afford that! Anyway since insurance companies are running under Obamacare now, annual deductibles have soared, costs coming out of Davids check every week for insurance have gone up, co-pays are through the roof and copay for meds have skyrocketed.  Oh, did I mention you get fined for not having insurance!! What the fuck is that??? And a lot of people dropped their coverage including small businesses because the fine was cheaper.  The government sticking their nose across ALL healthcare has hurt more people than it has helped.  Thank god Trump at least got rid of the fine.  

Do you want to know why they have gone up?  The simple most direct answer is no competition.  The free market in health insurance has always drove premiums, deductibles down because they know someone else can offer better coverage for less.  The free market in any situation has always drove costs down.  Now there is no free market, so costs have gone up because they have to cover more people and it’s not a CHOICE anymore.  This is one of the reasons Medicare for all will be horrible.  Imagine if you will the costs of everything now and not even everyone is covered, add millions more people to that. Do you know how they pay for that?  They raise taxes on everyone.  Nothing is free, NOTHING!  Higher taxes means lots of negative impact on families, the economy, jobs and more.  Costs go up for everything, small business suffers.  I can tell you right now Medicare for all will bankrupt this country!

What else will happen?  Oh you thought higher taxes was it? Oh no no no…..that is just the beginning.  Medicare only covers roughly 80% of costs.  And they don’t even cover everything! There is an entire list of necessary procedures, basic care, medications, supplies and more that they refuse to cover!  I know, I’ve been dealing with them since 2006.  And just because they are gonna give it to all doesn’t mean they will make the coverage better, in fact the exact opposite will happen.  My teeth look like I have smoked crack for 30 years because of side effects my medicine causes and they refuse to help me.  I am even considered a special case and they won’t, neither will Medicaid.  Why, because they don’t feel it’s necessary to cover those basic needs.  Do you know you can die from infected teeth! Yeah, they don’t care not one bit.  That is just one example that is an ongoing fight for coverage.  So, who pays for the other 20%?  Medicaid?? Ha ha ha, they will bankrupt Medicaid so fast if they even tried that.  Nope, you are responsible!  How do you rack up a shit ton more bills? By having to pay for 20% of things you never had to pay for before.  Sounds fun right?  If you think hospitals and doctors are gonna deal with not getting that 20% you are out of your mind.

They are the other factor in this equation. Probably the most important factor.  You may think healthcare is shit in this country, and I will admit it’s not perfect.    But it is far superior to anyone else in the world especially those with socialized medicine or government run healthcare.  Let me explain what will happen if Medicare for All takes over.  Lets start with the basics.  What does private insurance pay your doctors and hospitals versus Medicare or Medicaid?  Don’t know?  Medicare pays them only 80% IF that and Medicaid pays less.  Private insurance pays 100 – 145% of a policy holders medical costs.  Hospitals, especially rely on this funding to help them operate on a daily basis.  This allows you right now to walk in and get the care you are receiving right now and expecting.  It’s that not able to deny you thing we talked about earlier.  Now switch on Medicare for All.  They lose an exceptional amount of funding to operate and the trickle down effects from that are astronomical.  Doctors quit because they are not getting paid enough or at all, hospitals can end up closing and more.  Lines become longer, wait time is through the roof, life lost because of that wait time or refusal of care because they just can’t hold anyone else!  Let’s say you need an operation because you tore your ACL.  Your surgery gets scheduled or done rather quickly now right?  Now imagine waiting 6 months to more than 2 years.  Someone dies because they need a heart operation and they have to wait.  This is already happening in other countries that have the same kind of programs.  Your quality of life is shot to shit!  Think about that long and hard, let that sink in.  And that is just for basic normal every day care.  Now add in the chronically ill like me.  Imagine what happens to us when we can’t get into an ER during a dire emergency, we are sick and can’t get into the doctors on normal time.  You wait 10x longer for transplants and die waiting.  People already die waiting on transplants, just amplify that by a lot if this takes hold.  The chronically ill, sick and disabled become obsolete.  Let’s talk life saving medication! This one is a big deal.  Every country around the world has CF patients waiting for the life saving medications we have in this country.  You want to know why they don’t have them?  GOVERNMENT FUNDED HEALTHCARE REFUSES TO PAY FOR IT!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!  I run a support group for Cystic Fibrosis patients, their families and more.  I talk to many people around the world on a daily basis.  There are constant posts in my group bitching about what they don’t have, about needing medication desperately.  I get private messages on Facebook and Instagram from people in the UK, Moscow, Chile, Australia, and more begging me to mail them Symdeko, Cayston, Tobramycin, Enzymes because they cannot get it.  Do you know what will happen to OUR coverage if the government starts paying for everyone.  It stops covering life saving medications.  Let me guess you are gonna throw drug costs into this right?  Yeah, drug costs are a problem but not just for us, for everyone and that is another thing that needs worked on.  But even if costs go down, the cost for covering drugs for 350 million plus are still going to be astronomical and it won’t matter if it was $1,000 or $300,000.  The government is still going to start refusing to pay for it.  They already do it now, just imagine when they have to do it for all.  

Take it from someone that has been the government system since I was 3.  This is a bad idea and it is going to be the nail in the coffin, not just for people like me but for everyone is this country, our world renowned hospitals, doctors and more.  I speak from first hand experience in dealing with government funded programs that are already broken, that they refuse to fix in the correct manner or all together.  If they can’t get those right they sure as fuck are not going to get this right, by a long shot.  So I ask you again, to think long and hard about supporting anyone who wants this or in fact ANY VERSION of this they are spewing out!  Any version of this is a bad.  Think about the elderly, the sick, the chronically ill, the disabled in your family.  Think about yourself, what if something happens to you?  Do you want to wait or get turned away from healthcare, because you will.