RE: An Update and Vent about Insurance

[Guest guest]

A case manager acts as a liason to help get things taken care of

in a quicker manner when something is being challenged.

Daughter of Type 2 Insulin Dependent Diabetic,

Kristy

__________________________________________________

[Guest guest]

We already have forced vaccinations in this country.

I am sorry your hard earned tax dollars have to pay for someone like me who has

been looking for a better job since 1991 without any luck and took what I could

find to try to get by. I have tried to get more hours without any luck. I have

gone in early to help get things set up without getting paid for that to try to

make myself more valuable at the job. I get no sick leave and no insurance.

Maybe I should have just gone ahead and died. Maybe that would make you

happier.

Darlene

Re: An Update and Vent about Insurance

" Beverly, Your hard earned money is already paying for strangers health care.

We are paying all of our wonderful (haha) politicians insurance and all the

people on various welfare programs. We should all be so lucky as to have the

same care these two groups get. "

So true, so true! When others are not responsible for their own care they

soon relinquish all responsibility and rely on " Nanny " for their needs. Much to

their own detriment! Along with socialized medicine will come enforced

medications and vaccinations. I will take care of myself, thank you very much!

Bev

[Guest guest]

>

> Hi Angelina,

>

> Why would you not want socialized medicine, with care available for

> everyone? With no hassles?

>

> I am not trying to start a war, honest, but I dont understand why the us

> system would be better?

I don't know that anyone has said it's better. I'm guessing that there are

problems with any system anywhere.

There is the 'devil you know vs. the devil you don't' and we've heard

stories of Canadian healthcare where people come to the US and pay the price

because they can't get what they want in Canada *when they want it*.

That may or may not be true. But the bottom line is we have the system we

have. People don't want to pay (as taxpayers) for the Medicare and Medicaid

systems as they are... it would be hard to prove that they would want to pay

more in taxes for a socialized system.

Mike

[Guest guest]

But the US already has 'enforced' vaccinations for children to get into

school and for some people to get in colleges (if they are living on

campus).

I don't know that there is really any more 'relinquishing responsibility'

for people on Medicare and/or Medicaid than there is for people who have

group health insurance supplied by their company. Either way, you have

'insurance' that you aren't paying for.

Part of our great society is that we (as a people, maybe not you) take

responsibility for those who need assistance.

Mike

>

> " Beverly, Your hard earned money is already paying for strangers health

> care. We are paying all of our wonderful (haha) politicians insurance and

> all the people on various welfare programs. We should all be so lucky as to

> have the same care these two groups get. "

>

> So true, so true! When others are not responsible for their own care they

> soon relinquish all responsibility and rely on " Nanny " for their

> needs. Much to their own detriment! Along with socialized medicine will

> come enforced medications and vaccinations. I will take care of myself,

> thank you very much!

> Bev

>

>

[Guest guest]

Well, we all have our own opinions about what is good and bad with the systems

here in the USA, so let's all agree to disagree and starta new discussion,

ok????

Now, everybody take a deep breath and think of something good that has happened

or something they are grateful for.

I am glad that a person put a red rose on my back step today, in a Diet Coke can

haha! I tried to grow roses and had no luck, and so the neighbors share with

me, how sweet!

Tucson Kitty

Diabetes homepage:

http://groups.yahoo.com/group/diabetes/<http://groups.yahoo.com/group/diabetes/>

To unsubscribe to this group, send an email to:

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>

Hope you come back soon!

[Guest guest]

Hi Dale,

Yes, there are. Prices are fixed by their employer, the provincial or federal

government. In some countries there are private doctors or clinics, and they

charge what the market would bear.

Socialized medicine is hardly socialism? It simply guarantees the right to

health care to every citizen, I honestly dont see the american model doing that?

mary robinson

Re: An Update and Vent about Insurance

> Reply-To: diabetes

>

> Hi Angelina,

>

> Why would you not want socialized medicine, with care available for

> everyone? With no hassles?

>

> Ive lived in countries with socialized medicine all my life - New

> Zealand, England and now Canada, and so I guess I would be biased, but

> I have to admit that I feel so sorry for my us friends.

>

>

[Guest guest]

It is only better for people who can afford to pay for their own insurance

or who get good insurance through work, or are really rich enough to just

pay for it. While those people may get better care (but I don't really see

it), everyone who doesn't fit in one of those categories suffers for it, and

I expect a lot of them die earlier. We have a shameful infant mortality

rate, and our average life span isn't so hot among developed countries

either.

We are the only advanced industrial country in the West that doesn't provide

medical care to all its citizens.

Jan

New Mexico

Re: An Update and Vent about Insurance

>

>

> There could be a HUGE debate over why we do or dont have socialized

> healthcare. I for one DO NOT WANT IT.

> I would rather pay our insurance.

>

> Angelia in OR

[Guest guest]

Neither am I a Christian. What does that have to do with diabetes?

JUDITH

> " I hope you dont consider

> yourself Christian. "

>

> Sure hope it is not a requisite for membership in this group since I am

not.

> Bev

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[Guest guest]

Without turning this into an economics debate, please anyone who wants

socialized medicine, please do research.

Many of the problems we have today in healthcare are due to government

involvement. All government is capable of doing is regulating and

restricting. By definition what will result from socialized medicine is

SHORTAGE!!! Not free care for all.

Remember government is not capable of lowering the cost of health care, only

innovation, or new discoveries, or discovery of less expensive raw materials

can do that. Government can affect the price. That is very different from

cost. When they lower price to one group, the remainder of the cost must by

definition be borne by someone. That happens in either higher premiums to

the members, of which eventually would cause revolt or financial ruin, or

more likely shortage and rationing of services.

Please study the wait times for ordinary services in nations that have

socialized medicine. Canada, Europe.

Saying we have problems in healthcare is not the same as saying we need the

government to take over. Please ask yourself what area has the government

entered into where they have decreased costs and increased efficiency.

Ourside of their constitutional roles such as defense, there are none.

Enough of my soapbox, but I am very passionate on this subject.

Re: An Update and Vent about Insurance

Hi Angelina,

Why would you not want socialized medicine, with care available for

everyone? With no hassles?

Ive lived in countries with socialized medicine all my life - New Zealand,

England and now Canada, and so I guess I would be biased, but I have to

admit that I feel so sorry for my us friends.

For example, I have a home based business and take a low salary - and my

monthly premiums are zero, we also have socialized prescriptions, and I do

have to pay $300 deductible per annum, but its all taken care of after that.

And if there is a prescription I need, and its not covered, a call from my

doctor is all thats needed to get what I need.

I am not trying to start a war, honest, but I dont understand why the us

system would be better?

An Update and Vent about Insurance

>

>

>> Sorry I did not update sooner. Life has been crazy and hectic along

>> with being very painful. Here is the scoop: Thursday afternoon we

>> came home after being out in town for appointments and stuff. In the

>> mail was a rather large first class mail envelope addressed to me.

>

>

>

> Diabetes homepage: http://groups.yahoo.com/group/diabetes/

>

> To unsubscribe to this group, send an email to:

> diabetes-unsubscribe

> Hope you come back soon!

>

[Guest guest]

Lois I have Tricare which is a government/military insurance. I have

never had any issues with them approving anything till now so I am

hopeful that it will be a quick process. Went to my dr yesterday and

we started the appeal process. Tricare has 30 days to give me an

answer one way or another.

What kind of back surgery did you have? I have to have a 2 level

lumbar fusion.

What kind of surgery did you have done on your shoulder? I had a

bone spur removed from my right shoulder in September of last year.

in Utah

>

> , What kind of insurance do you have? I have never had a

problem with ours. I have Blue Cross. I know how you feel as I've

had back surgery last year I'm still having the pain in back and

legs especially when doing alot of walking or standing. Last

Thursday I had the stitches taken out of my shoulder from the

surgery I had April 5th. Afterwards we went shopping at our new

super wal-mart. I had to pick up a perscription for pain and didn't

think I was going to make it to the grocery department. Luckily they

have benches to sit on so I was able to rest. Needless to say when I

got back to our truck I immediately took a pain pill. My husband did

most of the grocery shopping. So I feel bad for you because I know

what it's like. Hang in there and I'm wishing you the best. If you

have to go to your state's insurance board and contact your state

legislationer for help. Good luck. Lois

[Guest guest]

Mike, I have never had any problem whatsoever with my insurance till

now. This surgery is not exactly something I am asking for nor is it

something I really want to have to go through. This surgery is

something my dr has told me I need. Its not a choice. Trust me if I

had the choice to not have this surgery at all I most certainly

would not have it. But I do not have the choice to not have it. It

is a must have.

We (my neurosurgeon and myself along with my husband) started teh

appeal process yesterday and my insurance has 30 days to give me an

answer one way or another. Their reason for not approving the

surgery is cuz they think it is not medically necessary. My dr

stated that it is medically necesary if I want to have some kind of

a normal life in the future. I don't know what made them think it

was not medically necasary nor do I really care. I just want them to

approve it so that I can get it done and have some sort of a normal

life in the future and in turn get my diabetes under better control

which it is not due to all my pain and the drugs that I am on.

I understand that it takes insurance companies time to approve

things. I know what that time is for my insurance. I have had the

same insurance for years and know the ins and outs of it. So it is

not like I am asking for something they are not capable of doing.

in Utah

>

> , I understand your frustration. Keep in mind that the

insurance

> company has to operate within it's guidelines as well. They can't

blindly

> pay for everything that people ask for and control their costs for

policies.

>

> If every policy holder submitted claims that met or exceeded the

amount of

> premiums paid in, it would take little time before the rates were

raised or

> the company went bankrupt.

>

> Not to defend the insurance company, but we don't know exactly what

> information the doctors office submitted for the pre-approval. It

is highly

> possible that a diagnosis code was omitted or that part of your

medical

> record was not submitted.

>

> I'm sure that this will be taken care of reasonably soon. If your

procedure

> is truly medically necessary and within the scope of you policy

I'm sure it

> will be taken care of to your satisfaction.

>

> Mike