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Hahaha!- sorry- just as I got done reading your e-mail, a " Late-breaking

news from the ADA " re: health care reform popped up in my inbox- literally

laughed out loud in my office- that was classic.

Hang in there!

>

>

> Because I value one particular practice group within the ADA, I am still a

> member. I tell you what, it is getting more and more difficult to put things

> in perspective.

> We all have deferring opinions about healthcare reform. However the

> pressure to support legislation - no matter your opinion is getting

> increasingly more difficult to ignore. If I get more " Late-breaking news

> from the ADA " subject line emails inly to open to see it is about healthcare

> reform I am going to be pushed over the edge.

> I am an independent voter, I do not align myself with any political party.

> I am so frustrated that our own professional organization continously trends

> more towards one political party than the other. I am so very close of

> washing my hands of my very own professional organization and quite frankly

> I am finding this rather shocking. Never thought I would be where I am my

> feelings about the ADA.

> I know, I am just venting. However I am quite frustrated.

> Carol

> (sent via Blackberry)

> " You'll never do a whole lot unless you're brave enough to try. " ~ Dolly

> Parton

>

>

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Hahaha!- sorry- just as I got done reading your e-mail, a " Late-breaking

news from the ADA " re: health care reform popped up in my inbox- literally

laughed out loud in my office- that was classic.

Hang in there!

>

>

> Because I value one particular practice group within the ADA, I am still a

> member. I tell you what, it is getting more and more difficult to put things

> in perspective.

> We all have deferring opinions about healthcare reform. However the

> pressure to support legislation - no matter your opinion is getting

> increasingly more difficult to ignore. If I get more " Late-breaking news

> from the ADA " subject line emails inly to open to see it is about healthcare

> reform I am going to be pushed over the edge.

> I am an independent voter, I do not align myself with any political party.

> I am so frustrated that our own professional organization continously trends

> more towards one political party than the other. I am so very close of

> washing my hands of my very own professional organization and quite frankly

> I am finding this rather shocking. Never thought I would be where I am my

> feelings about the ADA.

> I know, I am just venting. However I am quite frustrated.

> Carol

> (sent via Blackberry)

> " You'll never do a whole lot unless you're brave enough to try. " ~ Dolly

> Parton

>

>

Link to comment
Share on other sites

Hahaha!- sorry- just as I got done reading your e-mail, a " Late-breaking

news from the ADA " re: health care reform popped up in my inbox- literally

laughed out loud in my office- that was classic.

Hang in there!

>

>

> Because I value one particular practice group within the ADA, I am still a

> member. I tell you what, it is getting more and more difficult to put things

> in perspective.

> We all have deferring opinions about healthcare reform. However the

> pressure to support legislation - no matter your opinion is getting

> increasingly more difficult to ignore. If I get more " Late-breaking news

> from the ADA " subject line emails inly to open to see it is about healthcare

> reform I am going to be pushed over the edge.

> I am an independent voter, I do not align myself with any political party.

> I am so frustrated that our own professional organization continously trends

> more towards one political party than the other. I am so very close of

> washing my hands of my very own professional organization and quite frankly

> I am finding this rather shocking. Never thought I would be where I am my

> feelings about the ADA.

> I know, I am just venting. However I am quite frustrated.

> Carol

> (sent via Blackberry)

> " You'll never do a whole lot unless you're brave enough to try. " ~ Dolly

> Parton

>

>

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Share on other sites

I thought the same, Carol. I just delete bc I am so totally against the reform

as it is written. I wonder who the hell is going to pay for this! Digna

Grrrr

Because I value one particular practice group within the ADA, I am still a

member. I tell you what, it is getting more and more difficult to put things in

perspective.

We all have deferring opinions about healthcare reform. However the pressure

to support legislation - no matter your opinion is getting increasingly more

difficult to ignore. If I get more " Late-breaking news from the ADA " subject

line emails inly to open to see it is about healthcare reform I am going to be

pushed over the edge.

I am an independent voter, I do not align myself with any political party. I

am so frustrated that our own professional organization continously trends more

towards one political party than the other. I am so very close of washing my

hands of my very own professional organization and quite frankly I am finding

this rather shocking. Never thought I would be where I am my feelings about the

ADA.

I know, I am just venting. However I am quite frustrated.

Carol

(sent via Blackberry)

" You'll never do a whole lot unless you're brave enough to try. " ~ Dolly

Parton

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Share on other sites

you and I are going to pay for it. they are saying that we'll be taxed for it

starting next year and benefits will kick in only on 2014... after

re-election......

Merav Levi, RD, MS, CDNhttp://www.linkedin.com/in/meravlevi

To: rd-usa

From: dignacassens@...

Date: Wed, 30 Dec 2009 16:18:08 -0800

Subject: Re: Grrrr

I thought the same, Carol. I just delete bc I am so totally against the

reform as it is written. I wonder who the hell is going to pay for this! Digna

Grrrr

Because I value one particular practice group within the ADA, I am still a

member. I tell you what, it is getting more and more difficult to put things in

perspective.

We all have deferring opinions about healthcare reform. However the pressure

to support legislation - no matter your opinion is getting increasingly more

difficult to ignore. If I get more " Late-breaking news from the ADA " subject

line emails inly to open to see it is about healthcare reform I am going to be

pushed over the edge.

I am an independent voter, I do not align myself with any political party. I

am so frustrated that our own professional organization continously trends more

towards one political party than the other. I am so very close of washing my

hands of my very own professional organization and quite frankly I am finding

this rather shocking. Never thought I would be where I am my feelings about the

ADA.

I know, I am just venting. However I am quite frustrated.

Carol

(sent via Blackberry)

" You'll never do a whole lot unless you're brave enough to try. " ~ Dolly

Parton

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Share on other sites

The whole reform thing reaks of socialism! It figures which political party is

pushing this!

(sent via Blackberry)

" You'll never do a whole lot unless you're brave enough to try. " ~ Dolly Parton

Re: Grrrr

I thought the same, Carol. I just delete bc I am so totally against the

reform as it is written. I wonder who the hell is going to pay for this! Digna

Grrrr

Because I value one particular practice group within the ADA, I am still a

member. I tell you what, it is getting more and more difficult to put things in

perspective.

We all have deferring opinions about healthcare reform. However the pressure

to support legislation - no matter your opinion is getting increasingly more

difficult to ignore. If I get more " Late-breaking news from the ADA " subject

line emails inly to open to see it is about healthcare reform I am going to be

pushed over the edge.

I am an independent voter, I do not align myself with any political party. I

am so frustrated that our own professional organization continously trends more

towards one political party than the other. I am so very close of washing my

hands of my very own professional organization and quite frankly I am finding

this rather shocking. Never thought I would be where I am my feelings about the

ADA.

I know, I am just venting. However I am quite frustrated.

Carol

(sent via Blackberry)

" You'll never do a whole lot unless you're brave enough to try. " ~ Dolly

Parton

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Share on other sites

The social-democratic party....hahaha (although not so funny)

Merav Levi, RD, MS, CDNhttp://www.linkedin.com/in/meravlevi

To: rd-usa

From: carolscasey@...

Date: Thu, 31 Dec 2009 02:47:45 +0000

Subject: Re: Grrrr

The whole reform thing reaks of socialism! It figures which political

party is pushing this!

(sent via Blackberry)

" You'll never do a whole lot unless you're brave enough to try. " ~ Dolly Parton

Re: Grrrr

I thought the same, Carol. I just delete bc I am so totally against the

reform as it is written. I wonder who the hell is going to pay for this! Digna

Grrrr

Because I value one particular practice group within the ADA, I am still a

member. I tell you what, it is getting more and more difficult to put things in

perspective.

We all have deferring opinions about healthcare reform. However the pressure

to support legislation - no matter your opinion is getting increasingly more

difficult to ignore. If I get more " Late-breaking news from the ADA " subject

line emails inly to open to see it is about healthcare reform I am going to be

pushed over the edge.

I am an independent voter, I do not align myself with any political party. I

am so frustrated that our own professional organization continously trends more

towards one political party than the other. I am so very close of washing my

hands of my very own professional organization and quite frankly I am finding

this rather shocking. Never thought I would be where I am my feelings about the

ADA.

I know, I am just venting. However I am quite frustrated.

Carol

(sent via Blackberry)

" You'll never do a whole lot unless you're brave enough to try. " ~ Dolly

Parton

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Share on other sites

RE-ELECT Who?

Jackie Chase RD

Dillingham AK

>

> you and I are going to pay for it. they are saying that we'll be

> taxed for it starting next year and benefits will kick in only on

> 2014... after re-election......

>

> Merav Levi, RD, MS, CDNhttp://www.linkedin.com/in/meravlevi

>

>

>

> To: rd-usa

> From: dignacassens@...

> Date: Wed, 30 Dec 2009 16:18:08 -0800

> Subject: Re: Grrrr

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

> I thought the same, Carol. I just delete bc I am so totally

> against the reform as it is written. I wonder who the hell is going

> to pay for this! Digna

>

>

>

> Grrrr

>

>

>

> Because I value one particular practice group within the ADA, I am

> still a member. I tell you what, it is getting more and more

> difficult to put things in perspective.

>

> We all have deferring opinions about healthcare reform. However the

> pressure to support legislation - no matter your opinion is getting

> increasingly more difficult to ignore. If I get more " Late-breaking

> news from the ADA " subject line emails inly to open to see it is

> about healthcare reform I am going to be pushed over the edge.

>

> I am an independent voter, I do not align myself with any political

> party. I am so frustrated that our own professional organization

> continously trends more towards one political party than the other.

> I am so very close of washing my hands of my very own professional

> organization and quite frankly I am finding this rather shocking.

> Never thought I would be where I am my feelings about the ADA.

>

> I know, I am just venting. However I am quite frustrated.

>

> Carol

>

> (sent via Blackberry)

>

> " You'll never do a whole lot unless you're brave enough to try. " ~

> Dolly Parton

>

>

>

>

Link to comment
Share on other sites

Exactly.

Grrrr

>

>

>

> Because I value one particular practice group within the ADA, I am still a

> member. I tell you what, it is getting more and more difficult to put

> things in perspective.

>

> We all have deferring opinions about healthcare reform. However the

> pressure to support legislation - no matter your opinion is getting

> increasingly more difficult to ignore. If I get more " Late-breaking news

> from the ADA " subject line emails inly to open to see it is about

> healthcare reform I am going to be pushed over the edge.

>

> I am an independent voter, I do not align myself with any political

> party. I am so frustrated that our own professional organization

> continously trends more towards one political party than the other. I am

> so very close of washing my hands of my very own professional organization

> and quite frankly I am finding this rather shocking. Never thought I would

> be where I am my feelings about the ADA.

>

> I know, I am just venting. However I am quite frustrated.

>

> Carol

>

> (sent via Blackberry)

>

> " You'll never do a whole lot unless you're brave enough to try. " ~ Dolly

> Parton

>

>

>

>

Link to comment
Share on other sites

OK, so what did we expect? Elect socialists, we end up with socialism. Simple

equation.

Digna

Grrrr

Because I value one particular practice group within the ADA, I am still a

member. I tell you what, it is getting more and more difficult to put things in

perspective.

We all have deferring opinions about healthcare reform. However the pressure

to support legislation - no matter your opinion is getting increasingly more

difficult to ignore. If I get more " Late-breaking news from the ADA " subject

line emails inly to open to see it is about healthcare reform I am going to be

pushed over the edge.

I am an independent voter, I do not align myself with any political party. I

am so frustrated that our own professional organization continously trends more

towards one political party than the other. I am so very close of washing my

hands of my very own professional organization and quite frankly I am finding

this rather shocking. Never thought I would be where I am my feelings about the

ADA.

I know, I am just venting. However I am quite frustrated.

Carol

(sent via Blackberry)

" You'll never do a whole lot unless you're brave enough to try. " ~ Dolly

Parton

Link to comment
Share on other sites

That's quite a Freudian slip. RE-elect???? Not just elect? Maybe from now on

it's just nominations?

Grrrr

>

>

>

> Because I value one particular practice group within the ADA, I am

> still a member. I tell you what, it is getting more and more

> difficult to put things in perspective.

>

> We all have deferring opinions about healthcare reform. However the

> pressure to support legislation - no matter your opinion is getting

> increasingly more difficult to ignore. If I get more " Late-breaking

> news from the ADA " subject line emails inly to open to see it is

> about healthcare reform I am going to be pushed over the edge.

>

> I am an independent voter, I do not align myself with any political

> party. I am so frustrated that our own professional organization

> continously trends more towards one political party than the other.

> I am so very close of washing my hands of my very own professional

> organization and quite frankly I am finding this rather shocking.

> Never thought I would be where I am my feelings about the ADA.

>

> I know, I am just venting. However I am quite frustrated.

>

> Carol

>

> (sent via Blackberry)

>

> " You'll never do a whole lot unless you're brave enough to try. " ~

> Dolly Parton

>

>

>

>

Link to comment
Share on other sites

I'd like to clarify a couple statements. ADA is not " pushing " a

particular platform. What our professional organization would like is

for the RD to be included in whatever the reform package looks like.

I'm sure we'd all like to be recognized as competent health care

providers regardless of who is paying.

As for who is paying, I'd venture to guess, it will be the same as

previously; all of us. At this point there is some talk about raising

taxes, but only for the very highest income levels, and (although I am

not entirely sure on this one), some of the business taxes for large

employers. Remember that we should believe half of what we see and

none of what we " hear " , particularly when it comes to emotional issues

such as this one. Please try to vet what you " hear " through a reliable

source.

Here is my own personal wish for health reform; that no one in the

United States has to go to bed worrying about how to pay for

medication, a Dr's visit, or their next RD appointment. That we all

have access to healthcare that is of the highest quality, regardless

of our financial and employment situation. And finally, that no one

faces financial ruin simply because they had the misfortune to lose

their job and/or get sick.

Best wishes for a happy and healthy new year,

pam

Pam Charney, PhD, RD

Affiliate Associate Professor

Pharmacy

MS Student

Clinical Informatics and Patient Centered Technology

School of Nursing

University of Washington

Seattle, WA

pcharney@...

http://www.linkedin.com/in/pamcharney

> Exactly.

>

> Grrrr

> >

> >

> >

> > Because I value one particular practice group within the ADA, I am

> still a

> > member. I tell you what, it is getting more and more difficult to

> put

> > things in perspective.

> >

> > We all have deferring opinions about healthcare reform. However the

> > pressure to support legislation - no matter your opinion is getting

> > increasingly more difficult to ignore. If I get more " Late-

> breaking news

> > from the ADA " subject line emails inly to open to see it is about

> > healthcare reform I am going to be pushed over the edge.

> >

> > I am an independent voter, I do not align myself with any political

> > party. I am so frustrated that our own professional organization

> > continously trends more towards one political party than the

> other. I am

> > so very close of washing my hands of my very own professional

> organization

> > and quite frankly I am finding this rather shocking. Never thought

> I would

> > be where I am my feelings about the ADA.

> >

> > I know, I am just venting. However I am quite frustrated.

> >

> > Carol

> >

> > (sent via Blackberry)

> >

> > " You'll never do a whole lot unless you're brave enough to try. " ~

> Dolly

> > Parton

> >

> >

> >

> >

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Thanks, Pam for your words. I have followed this debate as many of us and

your final paragraph was a reminder for me where it started.

I am proud of living in Minnesota for many reasons. One reason however

has not been learning that the United Health Care CEO headquartered here made

$100 million in one year and has stock options over $1.2 billion. Knowing

that we support capitalism here, I understand the free market and am fine

with the principles. I also realize I could been in a situation that Pam

described and a public option might be answer. Having an " option " in the

free market seems like it supports our principles. It seems like it would

similar to having the choice of a private or public college. The choice is

mine and of course, my pocketbook.

The best to all in 2010!

Pat Raimondi

In a message dated 12/30/2009 10:52:59 P.M. Central Standard Time,

pcharney@... writes:

I'd like to clarify a couple statements. ADA is not " pushing " a

particular platform. What our professional organization would like is

for the RD to be included in whatever the reform package looks like.

I'm sure we'd all like to be recognized as competent health care

providers regardless of who is paying.

As for who is paying, I'd venture to guess, it will be the same as

previously; all of us. At this point there is some talk about raising

taxes, but only for the very highest income levels, and (although I am

not entirely sure on this one), some of the business taxes for large

employers. Remember that we should believe half of what we see and

none of what we " hear " , particularly when it comes to emotional issues

such as this one. Please try to vet what you " hear " through a reliable

source.

Here is my own personal wish for health reform; that no one in the

United States has to go to bed worrying about how to pay for

medication, a Dr's visit, or their next RD appointment. That we all

have access to healthcare that is of the highest quality, regardless

of our financial and employment situation. And finally, that no one

faces financial ruin simply because they had the misfortune to lose

their job and/or get sick.

Best wishes for a happy and healthy new year,

pam

Pam Charney, PhD, RD

Affiliate Associate Professor

Pharmacy

MS Student

Clinical Informatics and Patient Centered Technology

School of Nursing

University of Washington

Seattle, WA

pcharney@...

http://www.linkedin.com/in/pamcharney

> Exactly.

>

> Grrrr

> >

> >

> >

> > Because I value one particular practice group within the ADA, I am

> still a

> > member. I tell you what, it is getting more and more difficult to

> put

> > things in perspective.

> >

> > We all have deferring opinions about healthcare reform. However the

> > pressure to support legislation - no matter your opinion is getting

> > increasingly more difficult to ignore. If I get more " Late-

> breaking news

> > from the ADA " subject line emails inly to open to see it is about

> > healthcare reform I am going to be pushed over the edge.

> >

> > I am an independent voter, I do not align myself with any political

> > party. I am so frustrated that our own professional organization

> > continously trends more towards one political party than the

> other. I am

> > so very close of washing my hands of my very own professional

> organization

> > and quite frankly I am finding this rather shocking. Never thought

> I would

> > be where I am my feelings about the ADA.

> >

> > I know, I am just venting. However I am quite frustrated.

> >

> > Carol

> >

> > (sent via Blackberry)

> >

> > " You'll never do a whole lot unless you're brave enough to try. " ~

> Dolly

> > Parton

> >

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Share on other sites

Dear Pam,

When you say believe 1/2 of what you see and none of what you hear - is a great

notion but also delivers a message that no one has the right information but

you. At least this is a hidden message that I get. Maybe it’s me.

Let me tell you a thing or two about nationalized/socialized health care, if you

look at countries that have it (Canada, UK, Russia, and Israel -where I am

from):

1. Access is granted to all - great, and I am all for it.

2. every little blood test, every x-ray (unless in ER), MRI or CT scan needs

approval before they could be performed and to get approved takes sometimes 2-3

weeks, sometimes 2-3 months. I agree that some doctors are over-testing, but it

due to defensive medicine, they all want to make sure they cover all bases and

beyond so they are protected from future law suites. This is something we have

to blame our society, at least in part, b/c ppl are coming to hospitals with a

mind set of " where and what could I sue you for " . I don't want anyone but my

doctor to make a decision about my health care and now Mr. Obama is stepping in

and I don't like it.

3. Quality of care is reduced. Why? Because the good doctors don't want to

participate in the Gov programs b/c they are getting hard time ordering tests

and they will be the ones being held liable if a pt dies while waiting for

approval. They don't like the bureaucracy that comes with it and therefore not

only choose to be out of it but they can afford it b/c the rich pts will come

anyhow.

My father had to wait 3-4 months for a simple cataract Sx. Not a life

threatening, but a quality of life, simple, ambulatory procedure, as we all

know.

My aunt had to pay 1500 IS (Israeli Shekels, about $375) to get an appointment

for a cardiac procedure in 2 weeks. She was able to get it in 2 wks because she

had a supplemental insurance, private insurance, on top of the Gov one. If she

didn't have the means to pay for it ($375 is not cheep) - she would have gotten

an appointment 3 month later. And I am talking about a cardiac procedure. I

don't know the name of the procedure in English, since they gave me the term in

Hebrew, and it is a life threatening condition. Basically, she as an

un-controlled A. fib and the only options, after medications didn't help, are

this procedure or a pacemaker.

I have colleagues and other co-workers, some of them are MDs, who came to the US

from the previously USSR - they are all very much against the Gov health plan.

They all say the same - level of care is less, lines are longer and everything

needs approval prior to providing care.

and again, the better doctors prefer or may prefer not take the Gov insurance

and if they do - they will give priority to paying/private pts. When ppl are

able and paying out of pocket, they expect, and rightfully so, a better and

quicker service.

So it will create a 2-class health care.

My problem is that by forcing all of us to use the Gov health plan, those of us

who are lucky to be not only employed, but also fully covered with good

insurance, may be forced to either pay taxes on our health coverage (depends how

much is it, but with the inflation and recession - many already living pay-check

to pay check so any increase in taxes means reduced net-income), or our

employers will stop providing us with health coverage , after all - why should

they if the Gov gives something else for free (free to the employer), they

wouldn't care that is not as good.

I am all for covering the uninsured, but why does it have to be on my expense,

why do I have to potentially lose my current coverage for the sake of someone

who doesn't, why my level of care should be deteriorated in order to improve

someone else's. That's socialism and I did not vote for it.

What we needed is a plan that allows the uninsured to be covered by Gov health

plan, but to say that this plan is offered ONLY to those who are unemployed and

not provided health coverage. This way - you may still need some tax increase

to cover that bill, but it will be less then covering all of us. And once you

get employed - you should have coverage by your employer. Businesses should get

tax credit or refund for providing health care. This way you get two things:

1. Employers will have to provide a better health coverage then the " basic " Gov

plan which will lead to #2: ppl would want to work because they will know they

will be having access to better health care/coverage. Unlike now - many ppl are

discouraged to seek work bc the pay is so low, so " why bother " and depends on

the state you are, you get financial aid from the Gov and health care to some

level (or go to the ER for every little UTI). BUt if we all get the same

coverage, and some ppl in have the mentality to be unemployed bc sitting at home

and collecting benefits is better in their mind, from working, maybe, just

maybe, a knowledge that you can get a better health coverage when employed,

might encourage them to take a job, for less pay, but more benefits.

HAPPY NEW YEAR everybody.

Merav Levi, RD, MS, CDN

http://www.linkedin.com/in/meravlevi

> To: rd-usa

> From: pcharney@...

> Date: Wed, 30 Dec 2009 20:52:54 -0800

> Subject: Re: Grrrr

>

> I'd like to clarify a couple statements. ADA is not " pushing " a

> particular platform. What our professional organization would like is

> for the RD to be included in whatever the reform package looks like.

> I'm sure we'd all like to be recognized as competent health care

> providers regardless of who is paying.

>

> As for who is paying, I'd venture to guess, it will be the same as

> previously; all of us. At this point there is some talk about raising

> taxes, but only for the very highest income levels, and (although I am

> not entirely sure on this one), some of the business taxes for large

> employers. Remember that we should believe half of what we see and

> none of what we " hear " , particularly when it comes to emotional issues

> such as this one. Please try to vet what you " hear " through a reliable

> source.

>

> Here is my own personal wish for health reform; that no one in the

> United States has to go to bed worrying about how to pay for

> medication, a Dr's visit, or their next RD appointment. That we all

> have access to healthcare that is of the highest quality, regardless

> of our financial and employment situation. And finally, that no one

> faces financial ruin simply because they had the misfortune to lose

> their job and/or get sick.

>

> Best wishes for a happy and healthy new year,

>

> pam

>

> Pam Charney, PhD, RD

> Affiliate Associate Professor

> Pharmacy

>

> MS Student

> Clinical Informatics and Patient Centered Technology

> School of Nursing

>

> University of Washington

> Seattle, WA

> pcharney@...

> http://www.linkedin.com/in/pamcharney

>

>

>

>

>

> > Exactly.

> >

> > Grrrr

> > >

> > >

> > >

> > > Because I value one particular practice group within the ADA, I am

> > still a

> > > member. I tell you what, it is getting more and more difficult to

> > put

> > > things in perspective.

> > >

> > > We all have deferring opinions about healthcare reform. However the

> > > pressure to support legislation - no matter your opinion is getting

> > > increasingly more difficult to ignore. If I get more " Late-

> > breaking news

> > > from the ADA " subject line emails inly to open to see it is about

> > > healthcare reform I am going to be pushed over the edge.

> > >

> > > I am an independent voter, I do not align myself with any political

> > > party. I am so frustrated that our own professional organization

> > > continously trends more towards one political party than the

> > other. I am

> > > so very close of washing my hands of my very own professional

> > organization

> > > and quite frankly I am finding this rather shocking. Never thought

> > I would

> > > be where I am my feelings about the ADA.

> > >

> > > I know, I am just venting. However I am quite frustrated.

> > >

> > > Carol

> > >

> > > (sent via Blackberry)

> > >

> > > " You'll never do a whole lot unless you're brave enough to try. " ~

> > Dolly

> > > Parton

> > >

> > >

> > >

> > >

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Share on other sites

well.... you are right, my mistake. I should have wrote " after 2012 election " ,

but like every president, Obama is hoping to be re-elected, so that's why I

wrote " re- " .

Merav Levi, RD, MS, CDN

http://www.linkedin.com/in/meravlevi

To: rd-usa

From: jackiechase66@...

Date: Wed, 30 Dec 2009 18:12:56 -0900

Subject: Re: Grrrr

RE-ELECT Who?

Jackie Chase RD

Dillingham AK

>

> you and I are going to pay for it. they are saying that we'll be

> taxed for it starting next year and benefits will kick in only on

> 2014... after re-election......

>

> Merav Levi, RD, MS, CDNhttp://www.linkedin.com/in/meravlevi

>

>

>

> To: rd-usa

> From: dignacassens@...

> Date: Wed, 30 Dec 2009 16:18:08 -0800

> Subject: Re: Grrrr

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

> I thought the same, Carol. I just delete bc I am so totally

> against the reform as it is written. I wonder who the hell is going

> to pay for this! Digna

>

>

>

> Grrrr

>

>

>

> Because I value one particular practice group within the ADA, I am

> still a member. I tell you what, it is getting more and more

> difficult to put things in perspective.

>

> We all have deferring opinions about healthcare reform. However the

> pressure to support legislation - no matter your opinion is getting

> increasingly more difficult to ignore. If I get more " Late-breaking

> news from the ADA " subject line emails inly to open to see it is

> about healthcare reform I am going to be pushed over the edge.

>

> I am an independent voter, I do not align myself with any political

> party. I am so frustrated that our own professional organization

> continously trends more towards one political party than the other.

> I am so very close of washing my hands of my very own professional

> organization and quite frankly I am finding this rather shocking.

> Never thought I would be where I am my feelings about the ADA.

>

> I know, I am just venting. However I am quite frustrated.

>

> Carol

>

> (sent via Blackberry)

>

> " You'll never do a whole lot unless you're brave enough to try. " ~

> Dolly Parton

>

>

>

>

Link to comment
Share on other sites

Merav,

I've spent the past year studying health care in various areas of the

world, so am familiar with the issues you discuss. This discussion is

far beyond the forum we have here. Suffice it to say that health care

is rationed in the US now, although it's the elephant in the room

here, probably because that rationing is economic. You can get a liver

transplant tomorrow if you like, as long as you pay in cash.

Otherwise, you cannot even be evaluated by a transplant team unless

there is sufficient evidence of ability to pay. Many who think they

have health insurance for catastrophic illness are shocked to find out

that their insurer will not pay for life-saving therapies.

Additionally, it is not uncommon for individuals in the US who need

subspecialty care to have to wait. I know folks who wait up to 4

months for endocrinologist visits, 3 months for ENT, etc. And these

are folks who HAVE insurance through their employer.

Your statement that quality of care is reduced in nations that have

public options for healthcare is flat out wrong. The US is not even in

the top 10 when it comes to health care outcomes. About half of the

folks with diabetes in this country do not receive care meeting

standards set by the ADiabA. There are many, many other areas where we

fall short.

Also, it is patently wrong that President Obama is " stepping in " to

make decisions regarding your health care. Are you comfortable now

with your insurer making those decisions instead? Because those

decisions made by the insurers are purely for economic reasons, and

not with the goal to provide care for everyone. Rather, as Pat

pointed out, the economics now are to benefit the share holders of the

insurer.

It's been said that no one is for major health reform until they

experience the horrific reality of a bill for health care that exceeds

their ability to pay. Again, my wish is for no one to experience this.

As human beings, we should all have access to health care.

Regards,

pam

Pam Charney

pcharney@...

>

> Dear Pam,

>

>

>

> When you say believe 1/2 of what you see and none of what you hear -

> is a great notion but also delivers a message that no one has the

> right information but you. At least this is a hidden message that I

> get. Maybe it’s me.

>

>

>

> Let me tell you a thing or two about nationalized/socialized health

> care, if you look at countries that have it (Canada, UK, Russia, and

> Israel -where I am from):

>

> 1. Access is granted to all - great, and I am all for it.

>

> 2. every little blood test, every x-ray (unless in ER), MRI or CT

> scan needs approval before they could be performed and to get

> approved takes sometimes 2-3 weeks, sometimes 2-3 months. I agree

> that some doctors are over-testing, but it due to defensive

> medicine, they all want to make sure they cover all bases and beyond

> so they are protected from future law suites. This is something we

> have to blame our society, at least in part, b/c ppl are coming to

> hospitals with a mind set of " where and what could I sue you for " .

> I don't want anyone but my doctor to make a decision about my health

> care and now Mr. Obama is stepping in and I don't like it.

>

> 3. Quality of care is reduced. Why? Because the good doctors don't

> want to participate in the Gov programs b/c they are getting hard

> time ordering tests and they will be the ones being held liable if a

> pt dies while waiting for approval. They don't like the bureaucracy

> that comes with it and therefore not only choose to be out of it but

> they can afford it b/c the rich pts will come anyhow.

>

>

>

> My father had to wait 3-4 months for a simple cataract Sx. Not a

> life threatening, but a quality of life, simple, ambulatory

> procedure, as we all know.

>

> My aunt had to pay 1500 IS (Israeli Shekels, about $375) to get an

> appointment for a cardiac procedure in 2 weeks. She was able to get

> it in 2 wks because she had a supplemental insurance, private

> insurance, on top of the Gov one. If she didn't have the means to

> pay for it ($375 is not cheep) - she would have gotten an

> appointment 3 month later. And I am talking about a cardiac

> procedure. I don't know the name of the procedure in English, since

> they gave me the term in Hebrew, and it is a life threatening

> condition. Basically, she as an un-controlled A. fib and the only

> options, after medications didn't help, are this procedure or a

> pacemaker.

>

> I have colleagues and other co-workers, some of them are MDs, who

> came to the US from the previously USSR - they are all very much

> against the Gov health plan. They all say the same - level of care

> is less, lines are longer and everything needs approval prior to

> providing care.

>

> and again, the better doctors prefer or may prefer not take the Gov

> insurance and if they do - they will give priority to paying/

> private pts. When ppl are able and paying out of pocket, they

> expect, and rightfully so, a better and quicker service.

>

> So it will create a 2-class health care.

>

> My problem is that by forcing all of us to use the Gov health plan,

> those of us who are lucky to be not only employed, but also fully

> covered with good insurance, may be forced to either pay taxes on

> our health coverage (depends how much is it, but with the inflation

> and recession - many already living pay-check to pay check so any

> increase in taxes means reduced net-income), or our employers will

> stop providing us with health coverage , after all - why should they

> if the Gov gives something else for free (free to the employer),

> they wouldn't care that is not as good.

>

> I am all for covering the uninsured, but why does it have to be on

> my expense, why do I have to potentially lose my current coverage

> for the sake of someone who doesn't, why my level of care should be

> deteriorated in order to improve someone else's. That's socialism

> and I did not vote for it.

>

> What we needed is a plan that allows the uninsured to be covered by

> Gov health plan, but to say that this plan is offered ONLY to those

> who are unemployed and not provided health coverage. This way - you

> may still need some tax increase to cover that bill, but it will be

> less then covering all of us. And once you get employed - you should

> have coverage by your employer. Businesses should get tax credit or

> refund for providing health care. This way you get two things:

>

> 1. Employers will have to provide a better health coverage then the

> " basic " Gov plan which will lead to #2: ppl would want to work

> because they will know they will be having access to better health

> care/coverage. Unlike now - many ppl are discouraged to seek work bc

> the pay is so low, so " why bother " and depends on the state you are,

> you get financial aid from the Gov and health care to some level (or

> go to the ER for every little UTI). BUt if we all get the same

> coverage, and some ppl in have the mentality to be unemployed bc

> sitting at home and collecting benefits is better in their mind,

> from working, maybe, just maybe, a knowledge that you can get a

> better health coverage when employed, might encourage them to take a

> job, for less pay, but more benefits.

>

>

> HAPPY NEW YEAR everybody.

>

>

> Merav Levi, RD, MS, CDN

>

> http://www.linkedin.com/in/meravlevi

>

>

>

>

>> To: rd-usa

>> From: pcharney@...

>> Date: Wed, 30 Dec 2009 20:52:54 -0800

>> Subject: Re: Grrrr

>>

>> I'd like to clarify a couple statements. ADA is not " pushing " a

>> particular platform. What our professional organization would like is

>> for the RD to be included in whatever the reform package looks like.

>> I'm sure we'd all like to be recognized as competent health care

>> providers regardless of who is paying.

>>

>> As for who is paying, I'd venture to guess, it will be the same as

>> previously; all of us. At this point there is some talk about raising

>> taxes, but only for the very highest income levels, and (although I

>> am

>> not entirely sure on this one), some of the business taxes for large

>> employers. Remember that we should believe half of what we see and

>> none of what we " hear " , particularly when it comes to emotional

>> issues

>> such as this one. Please try to vet what you " hear " through a

>> reliable

>> source.

>>

>> Here is my own personal wish for health reform; that no one in the

>> United States has to go to bed worrying about how to pay for

>> medication, a Dr's visit, or their next RD appointment. That we all

>> have access to healthcare that is of the highest quality, regardless

>> of our financial and employment situation. And finally, that no one

>> faces financial ruin simply because they had the misfortune to lose

>> their job and/or get sick.

>>

>> Best wishes for a happy and healthy new year,

>>

>> pam

>>

>> Pam Charney, PhD, RD

>> Affiliate Associate Professor

>> Pharmacy

>>

>> MS Student

>> Clinical Informatics and Patient Centered Technology

>> School of Nursing

>>

>> University of Washington

>> Seattle, WA

>> pcharney@...

>> http://www.linkedin.com/in/pamcharney

>>

>>

>>

>>

>>

>>> Exactly.

>>>

>>> Grrrr

>>>>

>>>>

>>>>

>>>> Because I value one particular practice group within the ADA, I am

>>> still a

>>>> member. I tell you what, it is getting more and more difficult to

>>> put

>>>> things in perspective.

>>>>

>>>> We all have deferring opinions about healthcare reform. However the

>>>> pressure to support legislation - no matter your opinion is getting

>>>> increasingly more difficult to ignore. If I get more " Late-

>>> breaking news

>>>> from the ADA " subject line emails inly to open to see it is about

>>>> healthcare reform I am going to be pushed over the edge.

>>>>

>>>> I am an independent voter, I do not align myself with any political

>>>> party. I am so frustrated that our own professional organization

>>>> continously trends more towards one political party than the

>>> other. I am

>>>> so very close of washing my hands of my very own professional

>>> organization

>>>> and quite frankly I am finding this rather shocking. Never thought

>>> I would

>>>> be where I am my feelings about the ADA.

>>>>

>>>> I know, I am just venting. However I am quite frustrated.

>>>>

>>>> Carol

>>>>

>>>> (sent via Blackberry)

>>>>

>>>> " You'll never do a whole lot unless you're brave enough to try. " ~

>>> Dolly

>>>> Parton

>>>>

>>>>

>>>>

>>>>

Link to comment
Share on other sites

Hi All: A question regarding " Health Care Reform " . Does it bother anyone

that the powers that be in Washington who have come up with this monstrosity

of a bill are exempt from it??? If this is such a grand solution, why are

they not the first to sign up? Let's put all government employees from the

President on down on this program and see how it works for say 5 years.

Establish a civilian board to make the decisions regarding care. And why is

this thing so laden with pork, earmarks and downright bribery to get it

passed?? Is anyone incensed that our tax dollars are going to such nonsense

as the Nebraska Medicaid exemption and the bribing of the Louisiana senator

to get her to agree? The pork alone in this bill could pay to insure the

uninsured LEGAL Americans. And what gives this bunch the right to steal the

money of hardworking Americans thru increased taxes?? I live in Minnesota

in the middle of Mayo country and we have one of the best health care models

out there. Why not build on that rather than tear down the entire system?

It should tell everyone a great deal that Tort reform is not included in any

way in this legislation. That alone could make a huge difference in health

care. And why do states mandate what insurance companies must cover. In

Minnesota such things as mammograms must be covered. Why? If I would

rather pay for my own or choose not to have one - why do I still have to pay

for this in my premium. Consider young women who do not need them at 20?

Also where is our outrage that prevention and incentivizing positive

behavior is totally ignored? I suggest everyone google Safeway and Mr.

Burd's health care plan for that organization. He initiated a

program for his company that gives the employees the responsibility for the

health care and rewards shopping around, not using the ER for

non-emergencies and incentives for improving health and wellness. Do you

realize that the government currently restricts the monetary reward an

organization can give an employee for positive lifestyle changes? Why you

ask - because it discriminates against those who choose not to be

responsible for their health and make improvements in the lifestyle choices.

How absurd is that? At any rate Safeway in the 5 year period from 2004-2009

has held their healthcare costs FLAT while the rest of the industry has

increased almost 40%. Mr. Burd addressed congress to encourage the

development of similar programs to help contain costs. It obviously fell on

totally deaf ears. The government does not want real reform just total

control.

Also, why not control the fraud now?? If it can not be done under the

current programs, how will it ever be done after a massive expansion? The

cost of the additional bureaucracies would also cover the uninsured.

Sorry for the rant but I feel that healthcare in the US while not perfect is

far superior to elsewhere. There is no reason to destroy the entire system

when some common sense solutions would go a long way to addressing the

problems.

Healthy Regards: Kathy

Kathy C. Fielding, RD, LD

Registered/Licensed Dietitian Nutritionist

Natural Health Concepts

Preventive Health Strategies & Wellness,

Complementary & Alternative Medicine

Bios Life Slim

Lose Body Fat & Inches Naturally!

Lower Cholesterol Naturally!

www.myunicity.net/kayceefielding

www.bioslifeslim.com/kayceefielding

_____

From: rd-usa [mailto:rd-usa ] On Behalf Of

Pam Charney

Sent: Thursday, December 31, 2009 10:47 AM

To: rd-usa

Subject: Re: Grrrr

Merav,

I've spent the past year studying health care in various areas of the

world, so am familiar with the issues you discuss. This discussion is

far beyond the forum we have here. Suffice it to say that health care

is rationed in the US now, although it's the elephant in the room

here, probably because that rationing is economic. You can get a liver

transplant tomorrow if you like, as long as you pay in cash.

Otherwise, you cannot even be evaluated by a transplant team unless

there is sufficient evidence of ability to pay. Many who think they

have health insurance for catastrophic illness are shocked to find out

that their insurer will not pay for life-saving therapies.

Additionally, it is not uncommon for individuals in the US who need

subspecialty care to have to wait. I know folks who wait up to 4

months for endocrinologist visits, 3 months for ENT, etc. And these

are folks who HAVE insurance through their employer.

Your statement that quality of care is reduced in nations that have

public options for healthcare is flat out wrong. The US is not even in

the top 10 when it comes to health care outcomes. About half of the

folks with diabetes in this country do not receive care meeting

standards set by the ADiabA. There are many, many other areas where we

fall short.

Also, it is patently wrong that President Obama is " stepping in " to

make decisions regarding your health care. Are you comfortable now

with your insurer making those decisions instead? Because those

decisions made by the insurers are purely for economic reasons, and

not with the goal to provide care for everyone. Rather, as Pat

pointed out, the economics now are to benefit the share holders of the

insurer.

It's been said that no one is for major health reform until they

experience the horrific reality of a bill for health care that exceeds

their ability to pay. Again, my wish is for no one to experience this.

As human beings, we should all have access to health care.

Regards,

pam

Pam Charney

pcharneymac (DOT) <mailto:pcharney%40mac.com> com

>

> Dear Pam,

>

>

>

> When you say believe 1/2 of what you see and none of what you hear -

> is a great notion but also delivers a message that no one has the

> right information but you. At least this is a hidden message that I

> get. Maybe it's me.

>

>

>

> Let me tell you a thing or two about nationalized/socialized health

> care, if you look at countries that have it (Canada, UK, Russia, and

> Israel -where I am from):

>

> 1. Access is granted to all - great, and I am all for it.

>

> 2. every little blood test, every x-ray (unless in ER), MRI or CT

> scan needs approval before they could be performed and to get

> approved takes sometimes 2-3 weeks, sometimes 2-3 months. I agree

> that some doctors are over-testing, but it due to defensive

> medicine, they all want to make sure they cover all bases and beyond

> so they are protected from future law suites. This is something we

> have to blame our society, at least in part, b/c ppl are coming to

> hospitals with a mind set of " where and what could I sue you for " .

> I don't want anyone but my doctor to make a decision about my health

> care and now Mr. Obama is stepping in and I don't like it.

>

> 3. Quality of care is reduced. Why? Because the good doctors don't

> want to participate in the Gov programs b/c they are getting hard

> time ordering tests and they will be the ones being held liable if a

> pt dies while waiting for approval. They don't like the bureaucracy

> that comes with it and therefore not only choose to be out of it but

> they can afford it b/c the rich pts will come anyhow.

>

>

>

> My father had to wait 3-4 months for a simple cataract Sx. Not a

> life threatening, but a quality of life, simple, ambulatory

> procedure, as we all know.

>

> My aunt had to pay 1500 IS (Israeli Shekels, about $375) to get an

> appointment for a cardiac procedure in 2 weeks. She was able to get

> it in 2 wks because she had a supplemental insurance, private

> insurance, on top of the Gov one. If she didn't have the means to

> pay for it ($375 is not cheep) - she would have gotten an

> appointment 3 month later. And I am talking about a cardiac

> procedure. I don't know the name of the procedure in English, since

> they gave me the term in Hebrew, and it is a life threatening

> condition. Basically, she as an un-controlled A. fib and the only

> options, after medications didn't help, are this procedure or a

> pacemaker.

>

> I have colleagues and other co-workers, some of them are MDs, who

> came to the US from the previously USSR - they are all very much

> against the Gov health plan. They all say the same - level of care

> is less, lines are longer and everything needs approval prior to

> providing care.

>

> and again, the better doctors prefer or may prefer not take the Gov

> insurance and if they do - they will give priority to paying/

> private pts. When ppl are able and paying out of pocket, they

> expect, and rightfully so, a better and quicker service.

>

> So it will create a 2-class health care.

>

> My problem is that by forcing all of us to use the Gov health plan,

> those of us who are lucky to be not only employed, but also fully

> covered with good insurance, may be forced to either pay taxes on

> our health coverage (depends how much is it, but with the inflation

> and recession - many already living pay-check to pay check so any

> increase in taxes means reduced net-income), or our employers will

> stop providing us with health coverage , after all - why should they

> if the Gov gives something else for free (free to the employer),

> they wouldn't care that is not as good.

>

> I am all for covering the uninsured, but why does it have to be on

> my expense, why do I have to potentially lose my current coverage

> for the sake of someone who doesn't, why my level of care should be

> deteriorated in order to improve someone else's. That's socialism

> and I did not vote for it.

>

> What we needed is a plan that allows the uninsured to be covered by

> Gov health plan, but to say that this plan is offered ONLY to those

> who are unemployed and not provided health coverage. This way - you

> may still need some tax increase to cover that bill, but it will be

> less then covering all of us. And once you get employed - you should

> have coverage by your employer. Businesses should get tax credit or

> refund for providing health care. This way you get two things:

>

> 1. Employers will have to provide a better health coverage then the

> " basic " Gov plan which will lead to #2: ppl would want to work

> because they will know they will be having access to better health

> care/coverage. Unlike now - many ppl are discouraged to seek work bc

> the pay is so low, so " why bother " and depends on the state you are,

> you get financial aid from the Gov and health care to some level (or

> go to the ER for every little UTI). BUt if we all get the same

> coverage, and some ppl in have the mentality to be unemployed bc

> sitting at home and collecting benefits is better in their mind,

> from working, maybe, just maybe, a knowledge that you can get a

> better health coverage when employed, might encourage them to take a

> job, for less pay, but more benefits.

>

>

> HAPPY NEW YEAR everybody.

>

>

> Merav Levi, RD, MS, CDN

>

> http://www.linkedin <http://www.linkedin.com/in/meravlevi>

..com/in/meravlevi

>

>

>

>

>> To: rd-usayahoogroups (DOT) <mailto:rd-usa%40yahoogroups.com> com

>> From: pcharneymac (DOT) <mailto:pcharney%40mac.com> com

>> Date: Wed, 30 Dec 2009 20:52:54 -0800

>> Subject: Re: Grrrr

>>

>> I'd like to clarify a couple statements. ADA is not " pushing " a

>> particular platform. What our professional organization would like is

>> for the RD to be included in whatever the reform package looks like.

>> I'm sure we'd all like to be recognized as competent health care

>> providers regardless of who is paying.

>>

>> As for who is paying, I'd venture to guess, it will be the same as

>> previously; all of us. At this point there is some talk about raising

>> taxes, but only for the very highest income levels, and (although I

>> am

>> not entirely sure on this one), some of the business taxes for large

>> employers. Remember that we should believe half of what we see and

>> none of what we " hear " , particularly when it comes to emotional

>> issues

>> such as this one. Please try to vet what you " hear " through a

>> reliable

>> source.

>>

>> Here is my own personal wish for health reform; that no one in the

>> United States has to go to bed worrying about how to pay for

>> medication, a Dr's visit, or their next RD appointment. That we all

>> have access to healthcare that is of the highest quality, regardless

>> of our financial and employment situation. And finally, that no one

>> faces financial ruin simply because they had the misfortune to lose

>> their job and/or get sick.

>>

>> Best wishes for a happy and healthy new year,

>>

>> pam

>>

>> Pam Charney, PhD, RD

>> Affiliate Associate Professor

>> Pharmacy

>>

>> MS Student

>> Clinical Informatics and Patient Centered Technology

>> School of Nursing

>>

>> University of Washington

>> Seattle, WA

>> pcharneymac (DOT) <mailto:pcharney%40mac.com> com

>> http://www.linkedin <http://www.linkedin.com/in/pamcharney>

..com/in/pamcharney

>>

>>

>>

>>

>>

>>> Exactly.

>>>

>>> Grrrr

>>>>

>>>>

>>>>

>>>> Because I value one particular practice group within the ADA, I am

>>> still a

>>>> member. I tell you what, it is getting more and more difficult to

>>> put

>>>> things in perspective.

>>>>

>>>> We all have deferring opinions about healthcare reform. However the

>>>> pressure to support legislation - no matter your opinion is getting

>>>> increasingly more difficult to ignore. If I get more " Late-

>>> breaking news

>>>> from the ADA " subject line emails inly to open to see it is about

>>>> healthcare reform I am going to be pushed over the edge.

>>>>

>>>> I am an independent voter, I do not align myself with any political

>>>> party. I am so frustrated that our own professional organization

>>>> continously trends more towards one political party than the

>>> other. I am

>>>> so very close of washing my hands of my very own professional

>>> organization

>>>> and quite frankly I am finding this rather shocking. Never thought

>>> I would

>>>> be where I am my feelings about the ADA.

>>>>

>>>> I know, I am just venting. However I am quite frustrated.

>>>>

>>>> Carol

>>>>

>>>> (sent via Blackberry)

>>>>

>>>> " You'll never do a whole lot unless you're brave enough to try. " ~

>>> Dolly

>>>> Parton

>>>>

>>>>

>>>>

>>>>

Link to comment
Share on other sites

Kathy, you've done the research and have expressed sound, but apparently

unpopular opinions. I am afraid that the whole country has been lulled into

listening to, and believing, socialist rhetoric, and entering a sumbissive state

of denial and/or acceptance. Digna

Grrrr

>>>>

>>>>

>>>>

>>>> Because I value one particular practice group within the ADA, I am

>>> still a

>>>> member. I tell you what, it is getting more and more difficult to

>>> put

>>>> things in perspective.

>>>>

>>>> We all have deferring opinions about healthcare reform. However the

>>>> pressure to support legislation - no matter your opinion is getting

>>>> increasingly more difficult to ignore. If I get more " Late-

>>> breaking news

>>>> from the ADA " subject line emails inly to open to see it is about

>>>> healthcare reform I am going to be pushed over the edge.

>>>>

>>>> I am an independent voter, I do not align myself with any political

>>>> party. I am so frustrated that our own professional organization

>>>> continously trends more towards one political party than the

>>> other. I am

>>>> so very close of washing my hands of my very own professional

>>> organization

>>>> and quite frankly I am finding this rather shocking. Never thought

>>> I would

>>>> be where I am my feelings about the ADA.

>>>>

>>>> I know, I am just venting. However I am quite frustrated.

>>>>

>>>> Carol

>>>>

>>>> (sent via Blackberry)

>>>>

>>>> " You'll never do a whole lot unless you're brave enough to try. " ~

>>> Dolly

>>>> Parton

>>>>

>>>>

>>>>

>>>>

Link to comment
Share on other sites

Government has become a career for these folks.....not the job of the

people. For those that care, we should start getting involved in

government at your local level and run for office. WE ARE ALL

QUALIFIED!!!!

________________________________

From: rd-usa [mailto:rd-usa ] On Behalf

Of Kathy C. Fielding

Sent: Thursday, December 31, 2009 12:33 PM

To: rd-usa

Subject: RE: Grrrr

Hi All: A question regarding " Health Care Reform " . Does it bother anyone

that the powers that be in Washington who have come up with this

monstrosity

of a bill are exempt from it??? If this is such a grand solution, why

are

they not the first to sign up? Let's put all government employees from

the

President on down on this program and see how it works for say 5 years.

Establish a civilian board to make the decisions regarding care. And why

is

this thing so laden with pork, earmarks and downright bribery to get it

passed?? Is anyone incensed that our tax dollars are going to such

nonsense

as the Nebraska Medicaid exemption and the bribing of the Louisiana

senator

to get her to agree? The pork alone in this bill could pay to insure the

uninsured LEGAL Americans. And what gives this bunch the right to steal

the

money of hardworking Americans thru increased taxes?? I live in

Minnesota

in the middle of Mayo country and we have one of the best health care

models

out there. Why not build on that rather than tear down the entire

system?

It should tell everyone a great deal that Tort reform is not included in

any

way in this legislation. That alone could make a huge difference in

health

care. And why do states mandate what insurance companies must cover. In

Minnesota such things as mammograms must be covered. Why? If I would

rather pay for my own or choose not to have one - why do I still have to

pay

for this in my premium. Consider young women who do not need them at 20?

Also where is our outrage that prevention and incentivizing positive

behavior is totally ignored? I suggest everyone google Safeway and Mr.

Burd's health care plan for that organization. He initiated a

program for his company that gives the employees the responsibility for

the

health care and rewards shopping around, not using the ER for

non-emergencies and incentives for improving health and wellness. Do you

realize that the government currently restricts the monetary reward an

organization can give an employee for positive lifestyle changes? Why

you

ask - because it discriminates against those who choose not to be

responsible for their health and make improvements in the lifestyle

choices.

How absurd is that? At any rate Safeway in the 5 year period from

2004-2009

has held their healthcare costs FLAT while the rest of the industry has

increased almost 40%. Mr. Burd addressed congress to encourage

the

development of similar programs to help contain costs. It obviously fell

on

totally deaf ears. The government does not want real reform just total

control.

Also, why not control the fraud now?? If it can not be done under the

current programs, how will it ever be done after a massive expansion?

The

cost of the additional bureaucracies would also cover the uninsured.

Sorry for the rant but I feel that healthcare in the US while not

perfect is

far superior to elsewhere. There is no reason to destroy the entire

system

when some common sense solutions would go a long way to addressing the

problems.

Healthy Regards: Kathy

Kathy C. Fielding, RD, LD

Registered/Licensed Dietitian Nutritionist

Natural Health Concepts

Preventive Health Strategies & Wellness,

Complementary & Alternative Medicine

Bios Life Slim

Lose Body Fat & Inches Naturally!

Lower Cholesterol Naturally!

www.myunicity.net/kayceefielding

www.bioslifeslim.com/kayceefielding

_____

From: rd-usa <mailto:rd-usa%40yahoogroups.com>

[mailto:rd-usa <mailto:rd-usa%40yahoogroups.com> ] On

Behalf Of

Pam Charney

Sent: Thursday, December 31, 2009 10:47 AM

To: rd-usa <mailto:rd-usa%40yahoogroups.com>

Subject: Re: Grrrr

Merav,

I've spent the past year studying health care in various areas of the

world, so am familiar with the issues you discuss. This discussion is

far beyond the forum we have here. Suffice it to say that health care

is rationed in the US now, although it's the elephant in the room

here, probably because that rationing is economic. You can get a liver

transplant tomorrow if you like, as long as you pay in cash.

Otherwise, you cannot even be evaluated by a transplant team unless

there is sufficient evidence of ability to pay. Many who think they

have health insurance for catastrophic illness are shocked to find out

that their insurer will not pay for life-saving therapies.

Additionally, it is not uncommon for individuals in the US who need

subspecialty care to have to wait. I know folks who wait up to 4

months for endocrinologist visits, 3 months for ENT, etc. And these

are folks who HAVE insurance through their employer.

Your statement that quality of care is reduced in nations that have

public options for healthcare is flat out wrong. The US is not even in

the top 10 when it comes to health care outcomes. About half of the

folks with diabetes in this country do not receive care meeting

standards set by the ADiabA. There are many, many other areas where we

fall short.

Also, it is patently wrong that President Obama is " stepping in " to

make decisions regarding your health care. Are you comfortable now

with your insurer making those decisions instead? Because those

decisions made by the insurers are purely for economic reasons, and

not with the goal to provide care for everyone. Rather, as Pat

pointed out, the economics now are to benefit the share holders of the

insurer.

It's been said that no one is for major health reform until they

experience the horrific reality of a bill for health care that exceeds

their ability to pay. Again, my wish is for no one to experience this.

As human beings, we should all have access to health care.

Regards,

pam

Pam Charney

pcharneymac (DOT) <mailto:pcharney%40mac.com> com

>

> Dear Pam,

>

>

>

> When you say believe 1/2 of what you see and none of what you hear -

> is a great notion but also delivers a message that no one has the

> right information but you. At least this is a hidden message that I

> get. Maybe it's me.

>

>

>

> Let me tell you a thing or two about nationalized/socialized health

> care, if you look at countries that have it (Canada, UK, Russia, and

> Israel -where I am from):

>

> 1. Access is granted to all - great, and I am all for it.

>

> 2. every little blood test, every x-ray (unless in ER), MRI or CT

> scan needs approval before they could be performed and to get

> approved takes sometimes 2-3 weeks, sometimes 2-3 months. I agree

> that some doctors are over-testing, but it due to defensive

> medicine, they all want to make sure they cover all bases and beyond

> so they are protected from future law suites. This is something we

> have to blame our society, at least in part, b/c ppl are coming to

> hospitals with a mind set of " where and what could I sue you for " .

> I don't want anyone but my doctor to make a decision about my health

> care and now Mr. Obama is stepping in and I don't like it.

>

> 3. Quality of care is reduced. Why? Because the good doctors don't

> want to participate in the Gov programs b/c they are getting hard

> time ordering tests and they will be the ones being held liable if a

> pt dies while waiting for approval. They don't like the bureaucracy

> that comes with it and therefore not only choose to be out of it but

> they can afford it b/c the rich pts will come anyhow.

>

>

>

> My father had to wait 3-4 months for a simple cataract Sx. Not a

> life threatening, but a quality of life, simple, ambulatory

> procedure, as we all know.

>

> My aunt had to pay 1500 IS (Israeli Shekels, about $375) to get an

> appointment for a cardiac procedure in 2 weeks. She was able to get

> it in 2 wks because she had a supplemental insurance, private

> insurance, on top of the Gov one. If she didn't have the means to

> pay for it ($375 is not cheep) - she would have gotten an

> appointment 3 month later. And I am talking about a cardiac

> procedure. I don't know the name of the procedure in English, since

> they gave me the term in Hebrew, and it is a life threatening

> condition. Basically, she as an un-controlled A. fib and the only

> options, after medications didn't help, are this procedure or a

> pacemaker.

>

> I have colleagues and other co-workers, some of them are MDs, who

> came to the US from the previously USSR - they are all very much

> against the Gov health plan. They all say the same - level of care

> is less, lines are longer and everything needs approval prior to

> providing care.

>

> and again, the better doctors prefer or may prefer not take the Gov

> insurance and if they do - they will give priority to paying/

> private pts. When ppl are able and paying out of pocket, they

> expect, and rightfully so, a better and quicker service.

>

> So it will create a 2-class health care.

>

> My problem is that by forcing all of us to use the Gov health plan,

> those of us who are lucky to be not only employed, but also fully

> covered with good insurance, may be forced to either pay taxes on

> our health coverage (depends how much is it, but with the inflation

> and recession - many already living pay-check to pay check so any

> increase in taxes means reduced net-income), or our employers will

> stop providing us with health coverage , after all - why should they

> if the Gov gives something else for free (free to the employer),

> they wouldn't care that is not as good.

>

> I am all for covering the uninsured, but why does it have to be on

> my expense, why do I have to potentially lose my current coverage

> for the sake of someone who doesn't, why my level of care should be

> deteriorated in order to improve someone else's. That's socialism

> and I did not vote for it.

>

> What we needed is a plan that allows the uninsured to be covered by

> Gov health plan, but to say that this plan is offered ONLY to those

> who are unemployed and not provided health coverage. This way - you

> may still need some tax increase to cover that bill, but it will be

> less then covering all of us. And once you get employed - you should

> have coverage by your employer. Businesses should get tax credit or

> refund for providing health care. This way you get two things:

>

> 1. Employers will have to provide a better health coverage then the

> " basic " Gov plan which will lead to #2: ppl would want to work

> because they will know they will be having access to better health

> care/coverage. Unlike now - many ppl are discouraged to seek work bc

> the pay is so low, so " why bother " and depends on the state you are,

> you get financial aid from the Gov and health care to some level (or

> go to the ER for every little UTI). BUt if we all get the same

> coverage, and some ppl in have the mentality to be unemployed bc

> sitting at home and collecting benefits is better in their mind,

> from working, maybe, just maybe, a knowledge that you can get a

> better health coverage when employed, might encourage them to take a

> job, for less pay, but more benefits.

>

>

> HAPPY NEW YEAR everybody.

>

>

> Merav Levi, RD, MS, CDN

>

> http://www.linkedin <http://www.linkedin.com/in/meravlevi

<http://www.linkedin.com/in/meravlevi> >

..com/in/meravlevi

>

>

>

>

>> To: rd-usayahoogroups (DOT) <mailto:rd-usa%40yahoogroups.com> com

>> From: pcharneymac (DOT) <mailto:pcharney%40mac.com> com

>> Date: Wed, 30 Dec 2009 20:52:54 -0800

>> Subject: Re: Grrrr

>>

>> I'd like to clarify a couple statements. ADA is not " pushing " a

>> particular platform. What our professional organization would like is

>> for the RD to be included in whatever the reform package looks like.

>> I'm sure we'd all like to be recognized as competent health care

>> providers regardless of who is paying.

>>

>> As for who is paying, I'd venture to guess, it will be the same as

>> previously; all of us. At this point there is some talk about raising

>> taxes, but only for the very highest income levels, and (although I

>> am

>> not entirely sure on this one), some of the business taxes for large

>> employers. Remember that we should believe half of what we see and

>> none of what we " hear " , particularly when it comes to emotional

>> issues

>> such as this one. Please try to vet what you " hear " through a

>> reliable

>> source.

>>

>> Here is my own personal wish for health reform; that no one in the

>> United States has to go to bed worrying about how to pay for

>> medication, a Dr's visit, or their next RD appointment. That we all

>> have access to healthcare that is of the highest quality, regardless

>> of our financial and employment situation. And finally, that no one

>> faces financial ruin simply because they had the misfortune to lose

>> their job and/or get sick.

>>

>> Best wishes for a happy and healthy new year,

>>

>> pam

>>

>> Pam Charney, PhD, RD

>> Affiliate Associate Professor

>> Pharmacy

>>

>> MS Student

>> Clinical Informatics and Patient Centered Technology

>> School of Nursing

>>

>> University of Washington

>> Seattle, WA

>> pcharneymac (DOT) <mailto:pcharney%40mac.com> com

>> http://www.linkedin <http://www.linkedin.com/in/pamcharney

<http://www.linkedin.com/in/pamcharney> >

..com/in/pamcharney

>>

>>

>>

>>

>>

>>> Exactly.

>>>

>>> Grrrr

>>>>

>>>>

>>>>

>>>> Because I value one particular practice group within the ADA, I am

>>> still a

>>>> member. I tell you what, it is getting more and more difficult to

>>> put

>>>> things in perspective.

>>>>

>>>> We all have deferring opinions about healthcare reform. However the

>>>> pressure to support legislation - no matter your opinion is getting

>>>> increasingly more difficult to ignore. If I get more " Late-

>>> breaking news

>>>> from the ADA " subject line emails inly to open to see it is about

>>>> healthcare reform I am going to be pushed over the edge.

>>>>

>>>> I am an independent voter, I do not align myself with any political

>>>> party. I am so frustrated that our own professional organization

>>>> continously trends more towards one political party than the

>>> other. I am

>>>> so very close of washing my hands of my very own professional

>>> organization

>>>> and quite frankly I am finding this rather shocking. Never thought

>>> I would

>>>> be where I am my feelings about the ADA.

>>>>

>>>> I know, I am just venting. However I am quite frustrated.

>>>>

>>>> Carol

>>>>

>>>> (sent via Blackberry)

>>>>

>>>> " You'll never do a whole lot unless you're brave enough to try. " ~

>>> Dolly

>>>> Parton

>>>>

>>>>

>>>>

>>>>

Link to comment
Share on other sites

I'll second every word.

Merav Levi, RD, MS, CDN

http://www.linkedin.com/in/meravlevi

To: rd-usa

From: kcfield@...

Date: Thu, 31 Dec 2009 11:32:43 -0600

Subject: RE: Grrrr

Hi All: A question regarding " Health Care Reform " . Does it bother anyone

that the powers that be in Washington who have come up with this monstrosity

of a bill are exempt from it??? If this is such a grand solution, why are

they not the first to sign up? Let's put all government employees from the

President on down on this program and see how it works for say 5 years.

Establish a civilian board to make the decisions regarding care. And why is

this thing so laden with pork, earmarks and downright bribery to get it

passed?? Is anyone incensed that our tax dollars are going to such nonsense

as the Nebraska Medicaid exemption and the bribing of the Louisiana senator

to get her to agree? The pork alone in this bill could pay to insure the

uninsured LEGAL Americans. And what gives this bunch the right to steal the

money of hardworking Americans thru increased taxes?? I live in Minnesota

in the middle of Mayo country and we have one of the best health care models

out there. Why not build on that rather than tear down the entire system?

It should tell everyone a great deal that Tort reform is not included in any

way in this legislation. That alone could make a huge difference in health

care. And why do states mandate what insurance companies must cover. In

Minnesota such things as mammograms must be covered. Why? If I would

rather pay for my own or choose not to have one - why do I still have to pay

for this in my premium. Consider young women who do not need them at 20?

Also where is our outrage that prevention and incentivizing positive

behavior is totally ignored? I suggest everyone google Safeway and Mr.

Burd's health care plan for that organization. He initiated a

program for his company that gives the employees the responsibility for the

health care and rewards shopping around, not using the ER for

non-emergencies and incentives for improving health and wellness. Do you

realize that the government currently restricts the monetary reward an

organization can give an employee for positive lifestyle changes? Why you

ask - because it discriminates against those who choose not to be

responsible for their health and make improvements in the lifestyle choices.

How absurd is that? At any rate Safeway in the 5 year period from 2004-2009

has held their healthcare costs FLAT while the rest of the industry has

increased almost 40%. Mr. Burd addressed congress to encourage the

development of similar programs to help contain costs. It obviously fell on

totally deaf ears. The government does not want real reform just total

control.

Also, why not control the fraud now?? If it can not be done under the

current programs, how will it ever be done after a massive expansion? The

cost of the additional bureaucracies would also cover the uninsured.

Sorry for the rant but I feel that healthcare in the US while not perfect is

far superior to elsewhere. There is no reason to destroy the entire system

when some common sense solutions would go a long way to addressing the

problems.

Healthy Regards: Kathy

Kathy C. Fielding, RD, LD

Registered/Licensed Dietitian Nutritionist

Natural Health Concepts

Preventive Health Strategies & Wellness,

Complementary & Alternative Medicine

Bios Life Slim

Lose Body Fat & Inches Naturally!

Lower Cholesterol Naturally!

www.myunicity.net/kayceefielding

www.bioslifeslim.com/kayceefielding

_____

From: rd-usa [mailto:rd-usa ] On Behalf Of

Pam Charney

Sent: Thursday, December 31, 2009 10:47 AM

To: rd-usa

Subject: Re: Grrrr

Merav,

I've spent the past year studying health care in various areas of the

world, so am familiar with the issues you discuss. This discussion is

far beyond the forum we have here. Suffice it to say that health care

is rationed in the US now, although it's the elephant in the room

here, probably because that rationing is economic. You can get a liver

transplant tomorrow if you like, as long as you pay in cash.

Otherwise, you cannot even be evaluated by a transplant team unless

there is sufficient evidence of ability to pay. Many who think they

have health insurance for catastrophic illness are shocked to find out

that their insurer will not pay for life-saving therapies.

Additionally, it is not uncommon for individuals in the US who need

subspecialty care to have to wait. I know folks who wait up to 4

months for endocrinologist visits, 3 months for ENT, etc. And these

are folks who HAVE insurance through their employer.

Your statement that quality of care is reduced in nations that have

public options for healthcare is flat out wrong. The US is not even in

the top 10 when it comes to health care outcomes. About half of the

folks with diabetes in this country do not receive care meeting

standards set by the ADiabA. There are many, many other areas where we

fall short.

Also, it is patently wrong that President Obama is " stepping in " to

make decisions regarding your health care. Are you comfortable now

with your insurer making those decisions instead? Because those

decisions made by the insurers are purely for economic reasons, and

not with the goal to provide care for everyone. Rather, as Pat

pointed out, the economics now are to benefit the share holders of the

insurer.

It's been said that no one is for major health reform until they

experience the horrific reality of a bill for health care that exceeds

their ability to pay. Again, my wish is for no one to experience this.

As human beings, we should all have access to health care.

Regards,

pam

Pam Charney

pcharneymac (DOT) <mailto:pcharney%40mac.com> com

>

> Dear Pam,

>

>

>

> When you say believe 1/2 of what you see and none of what you hear -

> is a great notion but also delivers a message that no one has the

> right information but you. At least this is a hidden message that I

> get. Maybe it's me.

>

>

>

> Let me tell you a thing or two about nationalized/socialized health

> care, if you look at countries that have it (Canada, UK, Russia, and

> Israel -where I am from):

>

> 1. Access is granted to all - great, and I am all for it.

>

> 2. every little blood test, every x-ray (unless in ER), MRI or CT

> scan needs approval before they could be performed and to get

> approved takes sometimes 2-3 weeks, sometimes 2-3 months. I agree

> that some doctors are over-testing, but it due to defensive

> medicine, they all want to make sure they cover all bases and beyond

> so they are protected from future law suites. This is something we

> have to blame our society, at least in part, b/c ppl are coming to

> hospitals with a mind set of " where and what could I sue you for " .

> I don't want anyone but my doctor to make a decision about my health

> care and now Mr. Obama is stepping in and I don't like it.

>

> 3. Quality of care is reduced. Why? Because the good doctors don't

> want to participate in the Gov programs b/c they are getting hard

> time ordering tests and they will be the ones being held liable if a

> pt dies while waiting for approval. They don't like the bureaucracy

> that comes with it and therefore not only choose to be out of it but

> they can afford it b/c the rich pts will come anyhow.

>

>

>

> My father had to wait 3-4 months for a simple cataract Sx. Not a

> life threatening, but a quality of life, simple, ambulatory

> procedure, as we all know.

>

> My aunt had to pay 1500 IS (Israeli Shekels, about $375) to get an

> appointment for a cardiac procedure in 2 weeks. She was able to get

> it in 2 wks because she had a supplemental insurance, private

> insurance, on top of the Gov one. If she didn't have the means to

> pay for it ($375 is not cheep) - she would have gotten an

> appointment 3 month later. And I am talking about a cardiac

> procedure. I don't know the name of the procedure in English, since

> they gave me the term in Hebrew, and it is a life threatening

> condition. Basically, she as an un-controlled A. fib and the only

> options, after medications didn't help, are this procedure or a

> pacemaker.

>

> I have colleagues and other co-workers, some of them are MDs, who

> came to the US from the previously USSR - they are all very much

> against the Gov health plan. They all say the same - level of care

> is less, lines are longer and everything needs approval prior to

> providing care.

>

> and again, the better doctors prefer or may prefer not take the Gov

> insurance and if they do - they will give priority to paying/

> private pts. When ppl are able and paying out of pocket, they

> expect, and rightfully so, a better and quicker service.

>

> So it will create a 2-class health care.

>

> My problem is that by forcing all of us to use the Gov health plan,

> those of us who are lucky to be not only employed, but also fully

> covered with good insurance, may be forced to either pay taxes on

> our health coverage (depends how much is it, but with the inflation

> and recession - many already living pay-check to pay check so any

> increase in taxes means reduced net-income), or our employers will

> stop providing us with health coverage , after all - why should they

> if the Gov gives something else for free (free to the employer),

> they wouldn't care that is not as good.

>

> I am all for covering the uninsured, but why does it have to be on

> my expense, why do I have to potentially lose my current coverage

> for the sake of someone who doesn't, why my level of care should be

> deteriorated in order to improve someone else's. That's socialism

> and I did not vote for it.

>

> What we needed is a plan that allows the uninsured to be covered by

> Gov health plan, but to say that this plan is offered ONLY to those

> who are unemployed and not provided health coverage. This way - you

> may still need some tax increase to cover that bill, but it will be

> less then covering all of us. And once you get employed - you should

> have coverage by your employer. Businesses should get tax credit or

> refund for providing health care. This way you get two things:

>

> 1. Employers will have to provide a better health coverage then the

> " basic " Gov plan which will lead to #2: ppl would want to work

> because they will know they will be having access to better health

> care/coverage. Unlike now - many ppl are discouraged to seek work bc

> the pay is so low, so " why bother " and depends on the state you are,

> you get financial aid from the Gov and health care to some level (or

> go to the ER for every little UTI). BUt if we all get the same

> coverage, and some ppl in have the mentality to be unemployed bc

> sitting at home and collecting benefits is better in their mind,

> from working, maybe, just maybe, a knowledge that you can get a

> better health coverage when employed, might encourage them to take a

> job, for less pay, but more benefits.

>

>

> HAPPY NEW YEAR everybody.

>

>

> Merav Levi, RD, MS, CDN

>

> http://www.linkedin <http://www.linkedin.com/in/meravlevi>

..com/in/meravlevi

>

>

>

>

>> To: rd-usayahoogroups (DOT) <mailto:rd-usa%40yahoogroups.com> com

>> From: pcharneymac (DOT) <mailto:pcharney%40mac.com> com

>> Date: Wed, 30 Dec 2009 20:52:54 -0800

>> Subject: Re: Grrrr

>>

>> I'd like to clarify a couple statements. ADA is not " pushing " a

>> particular platform. What our professional organization would like is

>> for the RD to be included in whatever the reform package looks like.

>> I'm sure we'd all like to be recognized as competent health care

>> providers regardless of who is paying.

>>

>> As for who is paying, I'd venture to guess, it will be the same as

>> previously; all of us. At this point there is some talk about raising

>> taxes, but only for the very highest income levels, and (although I

>> am

>> not entirely sure on this one), some of the business taxes for large

>> employers. Remember that we should believe half of what we see and

>> none of what we " hear " , particularly when it comes to emotional

>> issues

>> such as this one. Please try to vet what you " hear " through a

>> reliable

>> source.

>>

>> Here is my own personal wish for health reform; that no one in the

>> United States has to go to bed worrying about how to pay for

>> medication, a Dr's visit, or their next RD appointment. That we all

>> have access to healthcare that is of the highest quality, regardless

>> of our financial and employment situation. And finally, that no one

>> faces financial ruin simply because they had the misfortune to lose

>> their job and/or get sick.

>>

>> Best wishes for a happy and healthy new year,

>>

>> pam

>>

>> Pam Charney, PhD, RD

>> Affiliate Associate Professor

>> Pharmacy

>>

>> MS Student

>> Clinical Informatics and Patient Centered Technology

>> School of Nursing

>>

>> University of Washington

>> Seattle, WA

>> pcharneymac (DOT) <mailto:pcharney%40mac.com> com

>> http://www.linkedin <http://www.linkedin.com/in/pamcharney>

..com/in/pamcharney

>>

>>

>>

>>

>>

>>> Exactly.

>>>

>>> Grrrr

>>>>

>>>>

>>>>

>>>> Because I value one particular practice group within the ADA, I am

>>> still a

>>>> member. I tell you what, it is getting more and more difficult to

>>> put

>>>> things in perspective.

>>>>

>>>> We all have deferring opinions about healthcare reform. However the

>>>> pressure to support legislation - no matter your opinion is getting

>>>> increasingly more difficult to ignore. If I get more " Late-

>>> breaking news

>>>> from the ADA " subject line emails inly to open to see it is about

>>>> healthcare reform I am going to be pushed over the edge.

>>>>

>>>> I am an independent voter, I do not align myself with any political

>>>> party. I am so frustrated that our own professional organization

>>>> continously trends more towards one political party than the

>>> other. I am

>>>> so very close of washing my hands of my very own professional

>>> organization

>>>> and quite frankly I am finding this rather shocking. Never thought

>>> I would

>>>> be where I am my feelings about the ADA.

>>>>

>>>> I know, I am just venting. However I am quite frustrated.

>>>>

>>>> Carol

>>>>

>>>> (sent via Blackberry)

>>>>

>>>> " You'll never do a whole lot unless you're brave enough to try. " ~

>>> Dolly

>>>> Parton

>>>>

>>>>

>>>>

>>>>

Link to comment
Share on other sites

this is another trend which grew during the campaign period and thereafter - if

you don't like the current administration's opinion you are a " racist " . (no one

said it here, but in general and especially, I can tell you, during the

presidential campaign in NYS - you could not be a republican and freely express

your mind, in NY, from all places. Recently, a friend defined me as a

libertarian. I am fiscally conservative but socially liberal.)

The democrats, who suppose to be the ones who promote open dialogue, seems to be

open for a dialogue as long as it supports their side. One example is the

absence of reports of the Tea Parties. Only Fox News did/does/will, but they

have been named " tabloids " or " illegitimate network " or something like that. It

seems to me that in DC they are forgetting one very important thing: They were

elected by the and for the people. To the best of my knowledge the majority if

not all poles, by different pole agencies, showed that the majority of voters

are against the health reform. Why they are still pushing for it so hard? Why

forcing it? and as you said, if it is so great - why it would not apply to Gov

officials, with the President and Pelosi should be the first ones.

Merav Levi, RD, MS, CDN

http://www.linkedin.com/in/meravlevi

To: rd-usa

From: dignacassens@...

Date: Thu, 31 Dec 2009 09:41:10 -0800

Subject: Re: Grrrr

Kathy, you've done the research and have expressed sound, but apparently

unpopular opinions. I am afraid that the whole country has been lulled into

listening to, and believing, socialist rhetoric, and entering a sumbissive state

of denial and/or acceptance. Digna

Grrrr

>>>>

>>>>

>>>>

>>>> Because I value one particular practice group within the ADA, I am

>>> still a

>>>> member. I tell you what, it is getting more and more difficult to

>>> put

>>>> things in perspective.

>>>>

>>>> We all have deferring opinions about healthcare reform. However the

>>>> pressure to support legislation - no matter your opinion is getting

>>>> increasingly more difficult to ignore. If I get more " Late-

>>> breaking news

>>>> from the ADA " subject line emails inly to open to see it is about

>>>> healthcare reform I am going to be pushed over the edge.

>>>>

>>>> I am an independent voter, I do not align myself with any political

>>>> party. I am so frustrated that our own professional organization

>>>> continously trends more towards one political party than the

>>> other. I am

>>>> so very close of washing my hands of my very own professional

>>> organization

>>>> and quite frankly I am finding this rather shocking. Never thought

>>> I would

>>>> be where I am my feelings about the ADA.

>>>>

>>>> I know, I am just venting. However I am quite frustrated.

>>>>

>>>> Carol

>>>>

>>>> (sent via Blackberry)

>>>>

>>>> " You'll never do a whole lot unless you're brave enough to try. " ~

>>> Dolly

>>>> Parton

>>>>

>>>>

>>>>

>>>>

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" The democrats, who suppose to be the ones who promote open dialogue, seems to

be open for a dialogue as long as it supports their side "

Are you seriously suggesting only democrats act this way?

Yomari Cruz-DeWeese

Sent from my iPhone

The democrats, who suppose to be the ones who promote open dialogue, seems to be

open for a dialogue as long as it supports their side. One

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I didn't say it, but I would change it to " liberals " , as there are some open

Democrats. Conservatives not they can win on debate of the facts. Liberalism

cannot stand up to debate. Just answering your question, according to my

observations and opinion.

From: rd-usa [mailto:rd-usa ] On Behalf Of Yomari

Cruz-Deweese

Sent: Thursday, December 31, 2009 12:04 PM

To: rd-usa

Subject: Re: Grrrr

" The democrats, who suppose to be the ones who promote open dialogue, seems to

be open for a dialogue as long as it supports their side "

Are you seriously suggesting only democrats act this way?

Yomari Cruz-DeWeese

Sent from my iPhone

On Dec 31, 2009, at 1:54 PM, Merav Levi

<meravls@...<mailto:meravls%40msn.com>> wrote:

The democrats, who suppose to be the ones who promote open dialogue, seems to be

open for a dialogue as long as it supports their side. One

Link to comment
Share on other sites

Let me respond to each of your point:

1. While many of us might not be covered for catasrophic, we will be covered

even less with Gov health care. Those who wait for ENT or Endo for 3-4 months

are likely having an HMO insurance. Even GHI has few options: PPO, HMO and EPO

but at least you have a choice and you choose according to yourt means and

needs. So why I will have to give up my great PPO, which allows me to see an

ortho and get a knee orthoscopy within 2 weeks, just for someone to decide that

I have to have something less.

2. level of care - I can tell you that in Israel, in general, the healthcare is

very good. many doctors here in the US even came and graduated in Israel or did

fellowship there. Talking about liver transplant - Hadasah Ein karem, one of

the best in the Middle East and considered a very respectful med center in

Europe, for that precidure alone. I had the pleasure to work with that surgeoun

while on my first internship back then. I hope I will never need him, for myself

or loved ones, but if I do - I will not hesiste to be taken under his care. BUT,

with all that said - if I would not have a supplemental insurance - I might

have to wait longer to have the ability for his great consult.

When the socialized health care stated/reformed in israel many privet MD-groups

formed to allow better and quicker access, paid by with cash or supplemental

insurance. It is just a fact and it does create 2 classes of health care and

this will happen here once we are all forced for the Gov bill.

3. I am well aware that every healthcare insurer is having a team, usually made

of MDs, or RNs, who decide and approve or disapprove.BUT, according to my PCP,

and per my own experiance - all is doen sufficiently. Before my knee orth - I

got an MRI approval by the health insureance within 24hrs, appointmnet within 72

hrs and Sx 2 weeks later. It is just a question of quantity. When you have

milion memebrs, let say, that you need to check their MDs claims/requests for

tests - it will take a " X " time to do so. When you ahve 10 milion to review - it

will take 10X longer. Pure math. yes, you can say they will employ more, great,

we need more jobs, but again - these jobs are Gov jobs, which could be great but

we are loosing more hold of our capitalist country. No system is perfect, but

why break everything to the ground and re-invent the wheel? Why not correct what

is not good, like the fact that many leagal Americans don't have any health

covergae and therefore go to ER for every little thing.

as far as benefiting the share holders - true and they are the ones who ahve

interst not only in their dividends but also in the contiuum of their company,

so they ahve an interst that the ones insured, you and I, will get the best

service b/c if we are not happy, we could choose another carrier. When it is Gov

run, or controlled, we will not ahve any choice. happy or not with your carrier

or provider - too bad. You are stuck.

4. I said it before and I will say it again. I am all for providing coverage to

all and as Kathy said - to all legal Americans. But why that should mean that

we give up a good coverage by PPO plans that some of us are lucky to be provided

by our employers? Why give up Mayo Clinic system - who are not just one of the

best in the Americas but in the world. Mayo's name goes around the globe. not

for nothig.

That will be very intersting what and how it will affect us, as RDs. Will we be

considred as preventive and non-invasive care and therfore more MNT will be

approved? or Chiroprators/ MDs and RNs will provide nutritional care and charge

for it b/c not all states have licensure (but this is a whole diferent

discussion)? I did not form an oppinion about this one. I am not sure....

Merav Levi, RD, MS, CDN

http://www.linkedin.com/in/meravlevi

To: rd-usa

From: pcharney@...

Date: Thu, 31 Dec 2009 08:46:36 -0800

Subject: Re: Grrrr

Merav,

I've spent the past year studying health care in various areas of the

world, so am familiar with the issues you discuss. This discussion is

far beyond the forum we have here. Suffice it to say that health care

is rationed in the US now, although it's the elephant in the room

here, probably because that rationing is economic. You can get a liver

transplant tomorrow if you like, as long as you pay in cash.

Otherwise, you cannot even be evaluated by a transplant team unless

there is sufficient evidence of ability to pay. Many who think they

have health insurance for catastrophic illness are shocked to find out

that their insurer will not pay for life-saving therapies.

Additionally, it is not uncommon for individuals in the US who need

subspecialty care to have to wait. I know folks who wait up to 4

months for endocrinologist visits, 3 months for ENT, etc. And these

are folks who HAVE insurance through their employer.

Your statement that quality of care is reduced in nations that have

public options for healthcare is flat out wrong. The US is not even in

the top 10 when it comes to health care outcomes. About half of the

folks with diabetes in this country do not receive care meeting

standards set by the ADiabA. There are many, many other areas where we

fall short.

Also, it is patently wrong that President Obama is " stepping in " to

make decisions regarding your health care. Are you comfortable now

with your insurer making those decisions instead? Because those

decisions made by the insurers are purely for economic reasons, and

not with the goal to provide care for everyone. Rather, as Pat

pointed out, the economics now are to benefit the share holders of the

insurer.

It's been said that no one is for major health reform until they

experience the horrific reality of a bill for health care that exceeds

their ability to pay. Again, my wish is for no one to experience this.

As human beings, we should all have access to health care.

Regards,

pam

Pam Charney

pcharney@...

>

> Dear Pam,

>

>

>

> When you say believe 1/2 of what you see and none of what you hear -

> is a great notion but also delivers a message that no one has the

> right information but you. At least this is a hidden message that I

> get. Maybe it’s me.

>

>

>

> Let me tell you a thing or two about nationalized/socialized health

> care, if you look at countries that have it (Canada, UK, Russia, and

> Israel -where I am from):

>

> 1. Access is granted to all - great, and I am all for it.

>

> 2. every little blood test, every x-ray (unless in ER), MRI or CT

> scan needs approval before they could be performed and to get

> approved takes sometimes 2-3 weeks, sometimes 2-3 months. I agree

> that some doctors are over-testing, but it due to defensive

> medicine, they all want to make sure they cover all bases and beyond

> so they are protected from future law suites. This is something we

> have to blame our society, at least in part, b/c ppl are coming to

> hospitals with a mind set of " where and what could I sue you for " .

> I don't want anyone but my doctor to make a decision about my health

> care and now Mr. Obama is stepping in and I don't like it.

>

> 3. Quality of care is reduced. Why? Because the good doctors don't

> want to participate in the Gov programs b/c they are getting hard

> time ordering tests and they will be the ones being held liable if a

> pt dies while waiting for approval. They don't like the bureaucracy

> that comes with it and therefore not only choose to be out of it but

> they can afford it b/c the rich pts will come anyhow.

>

>

>

> My father had to wait 3-4 months for a simple cataract Sx. Not a

> life threatening, but a quality of life, simple, ambulatory

> procedure, as we all know.

>

> My aunt had to pay 1500 IS (Israeli Shekels, about $375) to get an

> appointment for a cardiac procedure in 2 weeks. She was able to get

> it in 2 wks because she had a supplemental insurance, private

> insurance, on top of the Gov one. If she didn't have the means to

> pay for it ($375 is not cheep) - she would have gotten an

> appointment 3 month later. And I am talking about a cardiac

> procedure. I don't know the name of the procedure in English, since

> they gave me the term in Hebrew, and it is a life threatening

> condition. Basically, she as an un-controlled A. fib and the only

> options, after medications didn't help, are this procedure or a

> pacemaker.

>

> I have colleagues and other co-workers, some of them are MDs, who

> came to the US from the previously USSR - they are all very much

> against the Gov health plan. They all say the same - level of care

> is less, lines are longer and everything needs approval prior to

> providing care.

>

> and again, the better doctors prefer or may prefer not take the Gov

> insurance and if they do - they will give priority to paying/

> private pts. When ppl are able and paying out of pocket, they

> expect, and rightfully so, a better and quicker service.

>

> So it will create a 2-class health care.

>

> My problem is that by forcing all of us to use the Gov health plan,

> those of us who are lucky to be not only employed, but also fully

> covered with good insurance, may be forced to either pay taxes on

> our health coverage (depends how much is it, but with the inflation

> and recession - many already living pay-check to pay check so any

> increase in taxes means reduced net-income), or our employers will

> stop providing us with health coverage , after all - why should they

> if the Gov gives something else for free (free to the employer),

> they wouldn't care that is not as good.

>

> I am all for covering the uninsured, but why does it have to be on

> my expense, why do I have to potentially lose my current coverage

> for the sake of someone who doesn't, why my level of care should be

> deteriorated in order to improve someone else's. That's socialism

> and I did not vote for it.

>

> What we needed is a plan that allows the uninsured to be covered by

> Gov health plan, but to say that this plan is offered ONLY to those

> who are unemployed and not provided health coverage. This way - you

> may still need some tax increase to cover that bill, but it will be

> less then covering all of us. And once you get employed - you should

> have coverage by your employer. Businesses should get tax credit or

> refund for providing health care. This way you get two things:

>

> 1. Employers will have to provide a better health coverage then the

> " basic " Gov plan which will lead to #2: ppl would want to work

> because they will know they will be having access to better health

> care/coverage. Unlike now - many ppl are discouraged to seek work bc

> the pay is so low, so " why bother " and depends on the state you are,

> you get financial aid from the Gov and health care to some level (or

> go to the ER for every little UTI). BUt if we all get the same

> coverage, and some ppl in have the mentality to be unemployed bc

> sitting at home and collecting benefits is better in their mind,

> from working, maybe, just maybe, a knowledge that you can get a

> better health coverage when employed, might encourage them to take a

> job, for less pay, but more benefits.

>

>

> HAPPY NEW YEAR everybody.

>

>

> Merav Levi, RD, MS, CDN

>

> http://www.linkedin.com/in/meravlevi

>

>

>

>

>> To: rd-usa

>> From: pcharney@...

>> Date: Wed, 30 Dec 2009 20:52:54 -0800

>> Subject: Re: Grrrr

>>

>> I'd like to clarify a couple statements. ADA is not " pushing " a

>> particular platform. What our professional organization would like is

>> for the RD to be included in whatever the reform package looks like.

>> I'm sure we'd all like to be recognized as competent health care

>> providers regardless of who is paying.

>>

>> As for who is paying, I'd venture to guess, it will be the same as

>> previously; all of us. At this point there is some talk about raising

>> taxes, but only for the very highest income levels, and (although I

>> am

>> not entirely sure on this one), some of the business taxes for large

>> employers. Remember that we should believe half of what we see and

>> none of what we " hear " , particularly when it comes to emotional

>> issues

>> such as this one. Please try to vet what you " hear " through a

>> reliable

>> source.

>>

>> Here is my own personal wish for health reform; that no one in the

>> United States has to go to bed worrying about how to pay for

>> medication, a Dr's visit, or their next RD appointment. That we all

>> have access to healthcare that is of the highest quality, regardless

>> of our financial and employment situation. And finally, that no one

>> faces financial ruin simply because they had the misfortune to lose

>> their job and/or get sick.

>>

>> Best wishes for a happy and healthy new year,

>>

>> pam

>>

>> Pam Charney, PhD, RD

>> Affiliate Associate Professor

>> Pharmacy

>>

>> MS Student

>> Clinical Informatics and Patient Centered Technology

>> School of Nursing

>>

>> University of Washington

>> Seattle, WA

>> pcharney@...

>> http://www.linkedin.com/in/pamcharney

>>

>>

>>

>>

>>

>>> Exactly.

>>>

>>> Grrrr

>>>>

>>>>

>>>>

>>>> Because I value one particular practice group within the ADA, I am

>>> still a

>>>> member. I tell you what, it is getting more and more difficult to

>>> put

>>>> things in perspective.

>>>>

>>>> We all have deferring opinions about healthcare reform. However the

>>>> pressure to support legislation - no matter your opinion is getting

>>>> increasingly more difficult to ignore. If I get more " Late-

>>> breaking news

>>>> from the ADA " subject line emails inly to open to see it is about

>>>> healthcare reform I am going to be pushed over the edge.

>>>>

>>>> I am an independent voter, I do not align myself with any political

>>>> party. I am so frustrated that our own professional organization

>>>> continously trends more towards one political party than the

>>> other. I am

>>>> so very close of washing my hands of my very own professional

>>> organization

>>>> and quite frankly I am finding this rather shocking. Never thought

>>> I would

>>>> be where I am my feelings about the ADA.

>>>>

>>>> I know, I am just venting. However I am quite frustrated.

>>>>

>>>> Carol

>>>>

>>>> (sent via Blackberry)

>>>>

>>>> " You'll never do a whole lot unless you're brave enough to try. " ~

>>> Dolly

>>>> Parton

>>>>

>>>>

>>>>

>>>>

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Share on other sites

Merav,

I will only respond to one of your comments. The 3-4 month wait

happened when going outside the HMO network. A referral was requested

and received from the HMO within 24 hours. When the outside providers

were contacted, it took them 3 days to verify that the HMO would

indeed pay, then once the outside provider allowed the patient to

schedule the appointment (no appointments are scheduled unless there

is proof of payment, up front), there was a 3-4 month wait to see the

provider. When appointments are made with providers within the HMO,

there is typically a 1-2 week wait, at most.

My warmest regards to all for a healthy and happy new year,

pam

Pam Charney, PhD, RD

Affiliate Associate Professor

Pharmacy

MS Student

Clinical Informatics and Patient Centered Technology

School of Nursing

University of Washington

Seattle, WA

pcharney@...

http://www.linkedin.com/in/pamcharney

>

> Let me respond to each of your point:

>

> 1. While many of us might not be covered for catasrophic, we will be

> covered even less with Gov health care. Those who wait for ENT or

> Endo for 3-4 months are likely having an HMO insurance. Even GHI has

> few options: PPO, HMO and EPO but at least you have a choice and

> you choose according to yourt means and needs. So why I will have to

> give up my great PPO, which allows me to see an ortho and get a knee

> orthoscopy within 2 weeks, just for someone to decide that I have to

> have something less.

>

>

>

> 2. level of care - I can tell you that in Israel, in general, the

> healthcare is very good. many doctors here in the US even came and

> graduated in Israel or did fellowship there. Talking about liver

> transplant - Hadasah Ein karem, one of the best in the Middle East

> and considered a very respectful med center in Europe, for that

> precidure alone. I had the pleasure to work with that surgeoun while

> on my first internship back then. I hope I will never need him, for

> myself or loved ones, but if I do - I will not hesiste to be taken

> under his care. BUT, with all that said - if I would not have a

> supplemental insurance - I might have to wait longer to have the

> ability for his great consult.

>

> When the socialized health care stated/reformed in israel many

> privet MD-groups formed to allow better and quicker access, paid by

> with cash or supplemental insurance. It is just a fact and it does

> create 2 classes of health care and this will happen here once we

> are all forced for the Gov bill.

>

>

>

> 3. I am well aware that every healthcare insurer is having a team,

> usually made of MDs, or RNs, who decide and approve or

> disapprove.BUT, according to my PCP, and per my own experiance -

> all is doen sufficiently. Before my knee orth - I got an MRI

> approval by the health insureance within 24hrs, appointmnet within

> 72 hrs and Sx 2 weeks later. It is just a question of quantity.

> When you have milion memebrs, let say, that you need to check their

> MDs claims/requests for tests - it will take a " X " time to do so.

> When you ahve 10 milion to review - it will take 10X longer. Pure

> math. yes, you can say they will employ more, great, we need more

> jobs, but again - these jobs are Gov jobs, which could be great but

> we are loosing more hold of our capitalist country. No system is

> perfect, but why break everything to the ground and re-invent the

> wheel? Why not correct what is not good, like the fact that many

> leagal Americans don't have any health covergae and therefore go to

> ER for every little thing.

>

> as far as benefiting the share holders - true and they are the ones

> who ahve interst not only in their dividends but also in the

> contiuum of their company, so they ahve an interst that the ones

> insured, you and I, will get the best service b/c if we are not

> happy, we could choose another carrier. When it is Gov run, or

> controlled, we will not ahve any choice. happy or not with your

> carrier or provider - too bad. You are stuck.

>

>

>

> 4. I said it before and I will say it again. I am all for providing

> coverage to all and as Kathy said - to all legal Americans. But why

> that should mean that we give up a good coverage by PPO plans that

> some of us are lucky to be provided by our employers? Why give up

> Mayo Clinic system - who are not just one of the best in the

> Americas but in the world. Mayo's name goes around the globe. not

> for nothig.

>

>

>

> That will be very intersting what and how it will affect us, as RDs.

> Will we be considred as preventive and non-invasive care and

> therfore more MNT will be approved? or Chiroprators/ MDs and RNs

> will provide nutritional care and charge for it b/c not all states

> have licensure (but this is a whole diferent discussion)? I did not

> form an oppinion about this one. I am not sure....

>

>

> Merav Levi, RD, MS, CDN

>

> http://www.linkedin.com/in/meravlevi

>

>

>

>

>

>

> To: rd-usa

> From: pcharney@...

> Date: Thu, 31 Dec 2009 08:46:36 -0800

> Subject: Re: Grrrr

>

>

>

>

>

> Merav,

>

> I've spent the past year studying health care in various areas of the

> world, so am familiar with the issues you discuss. This discussion is

> far beyond the forum we have here. Suffice it to say that health care

> is rationed in the US now, although it's the elephant in the room

> here, probably because that rationing is economic. You can get a liver

> transplant tomorrow if you like, as long as you pay in cash.

> Otherwise, you cannot even be evaluated by a transplant team unless

> there is sufficient evidence of ability to pay. Many who think they

> have health insurance for catastrophic illness are shocked to find out

> that their insurer will not pay for life-saving therapies.

> Additionally, it is not uncommon for individuals in the US who need

> subspecialty care to have to wait. I know folks who wait up to 4

> months for endocrinologist visits, 3 months for ENT, etc. And these

> are folks who HAVE insurance through their employer.

>

> Your statement that quality of care is reduced in nations that have

> public options for healthcare is flat out wrong. The US is not even in

> the top 10 when it comes to health care outcomes. About half of the

> folks with diabetes in this country do not receive care meeting

> standards set by the ADiabA. There are many, many other areas where we

> fall short.

>

> Also, it is patently wrong that President Obama is " stepping in " to

> make decisions regarding your health care. Are you comfortable now

> with your insurer making those decisions instead? Because those

> decisions made by the insurers are purely for economic reasons, and

> not with the goal to provide care for everyone. Rather, as Pat

> pointed out, the economics now are to benefit the share holders of the

> insurer.

>

> It's been said that no one is for major health reform until they

> experience the horrific reality of a bill for health care that exceeds

> their ability to pay. Again, my wish is for no one to experience this.

> As human beings, we should all have access to health care.

>

> Regards,

> pam

>

> Pam Charney

> pcharney@...

>

>

>

>>

>> Dear Pam,

>>

>>

>>

>> When you say believe 1/2 of what you see and none of what you hear -

>> is a great notion but also delivers a message that no one has the

>> right information but you. At least this is a hidden message that I

>> get. Maybe it’s me.

>>

>>

>>

>> Let me tell you a thing or two about nationalized/socialized health

>> care, if you look at countries that have it (Canada, UK, Russia, and

>> Israel -where I am from):

>>

>> 1. Access is granted to all - great, and I am all for it.

>>

>> 2. every little blood test, every x-ray (unless in ER), MRI or CT

>> scan needs approval before they could be performed and to get

>> approved takes sometimes 2-3 weeks, sometimes 2-3 months. I agree

>> that some doctors are over-testing, but it due to defensive

>> medicine, they all want to make sure they cover all bases and beyond

>> so they are protected from future law suites. This is something we

>> have to blame our society, at least in part, b/c ppl are coming to

>> hospitals with a mind set of " where and what could I sue you for " .

>> I don't want anyone but my doctor to make a decision about my health

>> care and now Mr. Obama is stepping in and I don't like it.

>>

>> 3. Quality of care is reduced. Why? Because the good doctors don't

>> want to participate in the Gov programs b/c they are getting hard

>> time ordering tests and they will be the ones being held liable if a

>> pt dies while waiting for approval. They don't like the bureaucracy

>> that comes with it and therefore not only choose to be out of it but

>> they can afford it b/c the rich pts will come anyhow.

>>

>>

>>

>> My father had to wait 3-4 months for a simple cataract Sx. Not a

>> life threatening, but a quality of life, simple, ambulatory

>> procedure, as we all know.

>>

>> My aunt had to pay 1500 IS (Israeli Shekels, about $375) to get an

>> appointment for a cardiac procedure in 2 weeks. She was able to get

>> it in 2 wks because she had a supplemental insurance, private

>> insurance, on top of the Gov one. If she didn't have the means to

>> pay for it ($375 is not cheep) - she would have gotten an

>> appointment 3 month later. And I am talking about a cardiac

>> procedure. I don't know the name of the procedure in English, since

>> they gave me the term in Hebrew, and it is a life threatening

>> condition. Basically, she as an un-controlled A. fib and the only

>> options, after medications didn't help, are this procedure or a

>> pacemaker.

>>

>> I have colleagues and other co-workers, some of them are MDs, who

>> came to the US from the previously USSR - they are all very much

>> against the Gov health plan. They all say the same - level of care

>> is less, lines are longer and everything needs approval prior to

>> providing care.

>>

>> and again, the better doctors prefer or may prefer not take the Gov

>> insurance and if they do - they will give priority to paying/

>> private pts. When ppl are able and paying out of pocket, they

>> expect, and rightfully so, a better and quicker service.

>>

>> So it will create a 2-class health care.

>>

>> My problem is that by forcing all of us to use the Gov health plan,

>> those of us who are lucky to be not only employed, but also fully

>> covered with good insurance, may be forced to either pay taxes on

>> our health coverage (depends how much is it, but with the inflation

>> and recession - many already living pay-check to pay check so any

>> increase in taxes means reduced net-income), or our employers will

>> stop providing us with health coverage , after all - why should they

>> if the Gov gives something else for free (free to the employer),

>> they wouldn't care that is not as good.

>>

>> I am all for covering the uninsured, but why does it have to be on

>> my expense, why do I have to potentially lose my current coverage

>> for the sake of someone who doesn't, why my level of care should be

>> deteriorated in order to improve someone else's. That's socialism

>> and I did not vote for it.

>>

>> What we needed is a plan that allows the uninsured to be covered by

>> Gov health plan, but to say that this plan is offered ONLY to those

>> who are unemployed and not provided health coverage. This way - you

>> may still need some tax increase to cover that bill, but it will be

>> less then covering all of us. And once you get employed - you should

>> have coverage by your employer. Businesses should get tax credit or

>> refund for providing health care. This way you get two things:

>>

>> 1. Employers will have to provide a better health coverage then the

>> " basic " Gov plan which will lead to #2: ppl would want to work

>> because they will know they will be having access to better health

>> care/coverage. Unlike now - many ppl are discouraged to seek work bc

>> the pay is so low, so " why bother " and depends on the state you are,

>> you get financial aid from the Gov and health care to some level (or

>> go to the ER for every little UTI). BUt if we all get the same

>> coverage, and some ppl in have the mentality to be unemployed bc

>> sitting at home and collecting benefits is better in their mind,

>> from working, maybe, just maybe, a knowledge that you can get a

>> better health coverage when employed, might encourage them to take a

>> job, for less pay, but more benefits.

>>

>>

>> HAPPY NEW YEAR everybody.

>>

>>

>> Merav Levi, RD, MS, CDN

>>

>> http://www.linkedin.com/in/meravlevi

>>

>>

>>

>>

>>> To: rd-usa

>>> From: pcharney@...

>>> Date: Wed, 30 Dec 2009 20:52:54 -0800

>>> Subject: Re: Grrrr

>>>

>>> I'd like to clarify a couple statements. ADA is not " pushing " a

>>> particular platform. What our professional organization would like

>>> is

>>> for the RD to be included in whatever the reform package looks like.

>>> I'm sure we'd all like to be recognized as competent health care

>>> providers regardless of who is paying.

>>>

>>> As for who is paying, I'd venture to guess, it will be the same as

>>> previously; all of us. At this point there is some talk about

>>> raising

>>> taxes, but only for the very highest income levels, and (although I

>>> am

>>> not entirely sure on this one), some of the business taxes for large

>>> employers. Remember that we should believe half of what we see and

>>> none of what we " hear " , particularly when it comes to emotional

>>> issues

>>> such as this one. Please try to vet what you " hear " through a

>>> reliable

>>> source.

>>>

>>> Here is my own personal wish for health reform; that no one in the

>>> United States has to go to bed worrying about how to pay for

>>> medication, a Dr's visit, or their next RD appointment. That we all

>>> have access to healthcare that is of the highest quality, regardless

>>> of our financial and employment situation. And finally, that no one

>>> faces financial ruin simply because they had the misfortune to lose

>>> their job and/or get sick.

>>>

>>> Best wishes for a happy and healthy new year,

>>>

>>> pam

>>>

>>> Pam Charney, PhD, RD

>>> Affiliate Associate Professor

>>> Pharmacy

>>>

>>> MS Student

>>> Clinical Informatics and Patient Centered Technology

>>> School of Nursing

>>>

>>> University of Washington

>>> Seattle, WA

>>> pcharney@...

>>> http://www.linkedin.com/in/pamcharney

>>>

>>>

>>>

>>>

>>>

>>>> Exactly.

>>>>

>>>> Grrrr

>>>>>

>>>>>

>>>>>

>>>>> Because I value one particular practice group within the ADA, I am

>>>> still a

>>>>> member. I tell you what, it is getting more and more difficult to

>>>> put

>>>>> things in perspective.

>>>>>

>>>>> We all have deferring opinions about healthcare reform. However

>>>>> the

>>>>> pressure to support legislation - no matter your opinion is

>>>>> getting

>>>>> increasingly more difficult to ignore. If I get more " Late-

>>>> breaking news

>>>>> from the ADA " subject line emails inly to open to see it is about

>>>>> healthcare reform I am going to be pushed over the edge.

>>>>>

>>>>> I am an independent voter, I do not align myself with any

>>>>> political

>>>>> party. I am so frustrated that our own professional organization

>>>>> continously trends more towards one political party than the

>>>> other. I am

>>>>> so very close of washing my hands of my very own professional

>>>> organization

>>>>> and quite frankly I am finding this rather shocking. Never thought

>>>> I would

>>>>> be where I am my feelings about the ADA.

>>>>>

>>>>> I know, I am just venting. However I am quite frustrated.

>>>>>

>>>>> Carol

>>>>>

>>>>> (sent via Blackberry)

>>>>>

>>>>> " You'll never do a whole lot unless you're brave enough to try. " ~

>>>> Dolly

>>>>> Parton

>>>>>

>>>>>

>>>>>

>>>>>

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