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Why we need health care reform

Caduceus from Charm StoreToday, I went to pick up my prescriptions. I’m on some maintenance medications because asthma and other things. So, I get there and find out my insurance decided to not pay for one of the inhalers. The same inhaler medication I’ve been on for almost two years. The cost with the drug coverage — $165.00 per month.

Needless to say, I didn’t pick it up. If you’ve read my open letter to congress about medical coverage, you know that my out of pocket with the, in point of fact, very good medical health insurance that I have is around 10-14K per year as it is. I can’t deal with the insurance company anymore — I get ticked off and cry so Hyperion will give them a call tomorrow and try to find out what the deal is this time. Meanwhile, I’ll have to set up an appointment with the asthma/allergy doc and see if I can be moved to something the insurance company might just, maybe help pay for (normally, I paid a $50 copay for this inhaler).

Oh, the other surprise was that all the medications that were 3rd tier just went up to $60/month. Oh, joy. Guess, I’m a shoe in for the medical tax deduction now.

Is the insurance company making medical decisions by refusing to pay for their share of my Rx? According to them, “No!”. In a near quote what they told me the last time they did this is that they are not making medical decisions because they’re not stopping me from having the medication I need, I just have to pay full price. No one is stopping me from paying for it.

Well, I got news. That is making a medical decision. The insurance company is more concerned with their profit margin than in the people they cover. And THAT, is the reason that we need a public option. Health care should not be entrusted to a for-profit company.

The sad part for the people in this country is that Congress is more interested in getting big bucks for their campaign coffers than serving the people who elected them. The current health care bill is now a useless piece of legislation that is a great windfall for insurance companies at the expense of Americans who are without health insurance. As if stands now, the new health care bill gives corporations everything they’ve asked for and the American people nothing– no public option, no expansion of Medicare, and no coverage of pre-existing conditions. It also mandates that people buy insurance which will not cover their pre-existing conditions with a fine if they don’t get insurance. So, thank you Congress for requiring people buy insurance that won’t cover any of the medical problems that they have and then punish them if they don’t buy this useless insurance in order to afford what health care they can with what little money they have on the health problems they do have.

I’m upset from my experience today. Yes, I am. But I’m even more upset knowing that other people are having an even rougher time that I do. I have health insurance and I still have problems getting medications and care. Nothing that Congress is doing is going to make it any easier for me and it certainly isn’t going help Americans who currently don’t have health insurance or who can barely afford the coverage that they have.