Showing posts with label health. Show all posts
Showing posts with label health. Show all posts

2009-07-22

health care insurers obviously desperate

For those who have been following the machinations of the USAmerican health care "industry" to stave off public health care reforms, and who may have heard some horror stories about how poorly served Canadians are by our public health care system, you might be interested in reading this article, with associated links & comments:

http://www.cbc.ca/canada/story/2009/07/21/shona-homes-health-care.html

I'm sure some of you have seen this (conservative funded) spot, which forecasts dire consequences if the USA were to introduce "Canadian style" publicly administered health care. The woman in this story claims to have solid evidence of how horrible our system is, & how much better the current USAmerican system is.

While I'll be the first to agree that our system isn't perfect, at least we don't have a bunch of corporate bottom line feeders running (ruining?) our health care system. Although we need to keep a close eye on our current neoCon federal administration, so that we won't have them in future. Most of us are hoping that the arguments against public health care (which I remember from when I was growing up) have been concluded, in favour of the public, and health care. That element of our social safety net is still in place. True, improvements could be made. That's true of any system, isn't it?

There is some 2-tier medicine here already. For example, dentistry, unless it requires hospitalization, is a private-care system. Some of us are fortunate to have access to inexpensive dental insurance (note here that the dental plan insurers sure act a lot like HMOs when it comes to in-office dental surgery, giving us due warning of what that system would be like if implemented for medical as well).

Most of us carry supplementary medical insurance, but that's to give us a higher level of hospitalization (semi-private or private room) plus cover about 80% of our prescription costs & appliances such as glasses & hearing aids. And since we have a lot of generic pharmaceuticals (most made by the original pharma group but packaged by the generics, so of equivalent quality) we aren't being gouged for drug costs either. I'd like to point out here that supplementary medical plans neither cost a fortune nor are based on denial of service without a lengthy fight. The term "pre-existing condition" is essentially unknown here. We find it ludicrous that the very fact of becoming sick may lead to you being denied reimbursement by your insurer, and can't comprehend why there hasn't been an effective grass-roots rebellion in the USA against such corporate thievery.

I'm personally irked by some of the restrictions on legitimate therapies under our system, like the classification of joint replacement as an "elective" procedure (obviously the plan's administrators have never suffered extreme joint pain), but the fact is that the surgery wait times are usually not extreme for non-life-threatening illnesses. However, I'm quite willing to believe that there are others in greater need than myself. We do need more & better hospital facilities. But at least we're all triaged under the same system when it comes to hospital care.

The woman in the story is by no means unique. Just as in the USA, those who have or can find the money to get their treament faster may choose to do so, but generally speaking they do so off-shore, because Canada's sytem isn't governed so much by the almighty dollar as it is by need. True, mistakes do happen, and lives are lost unnecessarily. However, not as frequently as in a system where so many are denied even basic care because of inability to pay.

Perhaps we don't have all the latest & greatest bells & whistles when it comes to surgeries or therapies, either. However, you're unlikely to undergo either an experimental or inappropriate treatment here just because you can pay for it. Can the same be said in the USA?

If the USAmerican HMO system is so great, why do we pay more than twice as much for travel medical insurance when visiting the USA than when I go anywhere else in the world? And why does nobody I know feel comfortable going across the Canada-USA border for as much as 5 minutes without such insurance?

I'm sure nobody would be surprised to learn that the woman in the story was handsomely reimbursed by her interviewers...say, to the tune of USD 100K? Plus a bit for her trouble, of course, & to salve her conscience, if she has one.

2009-06-03

contemplating mortality

I recently attended a memorial for a close friend's father. He lived a full life of nearly 90 years, and will be much missed. Alert until his final hours, he chose when to die during a period of rapidly deteriorating health, by declining further treatment. As a fellow atheist, he also chose to have no funeral (donating his body to science) and requested a gathering of friends & family to exchange stories about his life.

What struck me most about this event was the genuine feeling demonstrated by the more than 70 in attendance. I have been to many (always too many) funerals, with the usual visitation of the carefully embalmed body preceding, and some form of religious ceremony followed by interrment. All too few have shown any sign of true grief among any but the immediate family. This was a spontaneous outpouring of love and grief for a good man, by all assembled. There was much laughter (he was a great character) and a few tears. Emotions ran high - I have tears in my eyes again as I write this.

Death is a fact of life. There is not a shred of evidence that there is anything following cessation of brain activity. Once you're gone, you're gone. The only known afterlife is the continuity of memory among your family & friends. For some, their works also continue, in the larger population's memory.

I don't find this a particularly distressing thought. Then again, I've not attempted to find the quasi-immortality many do through their children, and I have no expectation that the impact of my life works will continue for long, either. Many people appear to find the finality of death it so terrible that they must delude themselves, customarily via a variety of religious beliefs, that there is some continuity of their intelligence or spirit beyond death. Even the words used - "passed on", "passed over", &c - imply continuation into another as yet unidentified existence. People in general appear to be desperate to achieve some kind of immortal state, preferrably a good one.

Most religions use the carrot & stick model of behaviour modification to cajole or threaten adherents with some form of heaven & hell (you rarely see one without the other). Since neither has any concrete evidence of its existence outside our hyperactive imaginations, there seems little point to prolonging this way of thinking. The only justification appears to be for indoctrination and mind control of the majority by a collection of self-serving oligarchies. Religious altruism is a very thin veneer on this fundamental state.

It's so much more important for us to live well, day by day, in as much harmony with our fellows and surroundings as possible, than to spend those days in preparation & expectation of something beyond. We need to make our heaven here, or it will surely become a hell. All that's required is for us to use our brains for what they're good at - observing, evaluating, deciding...for ourselves, not according to the dictates of religio-political oligarchs. And the fear of death should be the least of our worries in doing so.

Death is shocking, harsh, and final. There is no good way to prepare for this. Loved family members and friends who die are mourned, rightly, for they are never coming back. They can also be remembered & celebrated, and I find this the most comforting form of continuity possible.

2009-05-14

good intentions meet gardening season

All my good intentions about blogging more often collided with my equally good intentions to do more gardening now that I'm retired. While good intentions are most often found paving the road to hell, this time the garden path won out & blogging came a distant second.

There have been plenty of ridiculous news items for me to rant about lately, not least of which are various local & national politicians in court for -- wait for it -- lying to the public about *gasp* misuse of public funds & power...but, I digress. This post is not a rant, but a rave. About spring, of all things.

Our climate, such as it is, flipped the winter-to-summer switch a couple of weeks ago, and there are at least 20 different shades of green on bushes & trees outside my window alone. It's a whole rainbow driving around town, with all the tulip beds in full bloom and everything from magnolias to crabapples blossoming in a mad dash. I'm not kidding when I call it flipping a switch, either. Spring in Ottawa is so short that you might miss it if you blinked. The early bulbs & flowering trees don't last long at all.

We've planted a lot of the Victory garden, too. That's V for vegetable, mainly, with a few herbs and some flowers to add a bit of colour. It's a very nice thing to be able to get some of your veggies out of your own yard. So far this year we've put in sugar snap peas, onion sets, salad greens, coriander, basil and parsley. All things that can be grown from seed starting fairly early in the season. I've got some plants inside that won't go out until early June, though, because we can count on the odd hard frost overnight until at least the end of May. Starting seedlings indoors is a good way to get a jump on spring, and makes late winter a lot less depressing.

Our property is on clay soil, and our front yard used to turn to hard-pan every year, until we xeriscaped it in local shrubs & trees. Now, the only maintenance it needs is pruning & mulching. Just our little bit for the environment.

Blogging is just going to have to wait for a rainy day.