Dear Lydia, a Pro-Healthcare Reform Message

    
I received an email from my friend Shon. He was being harassed because someone didn't like his support of healthcare reform. He IMed me and asked me to send her a letter telling her why I support it. Below is the letter. (Her name has been changed.)

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Dear Lydia:

You sent a message to a friend of mine commenting on his support for healthcare reform. I, too, support healthcare reform, and I would like to share my story.

I have been a working stiff since I was 11 when I started babysitting. My family is like a lot of middle American families, we struggle to get by. My mom worked various jobs as a cashier, Catholic school secretary, running an in-home day care, and as a biller for a medical billing company. Now she works as an administrative assistant for a hospice. None of those jobs offered health insurance (including her current one). Luckily, my dad worked for a grocery store in produce and his union provided insurance. (Now, he is a janitor in a school, and still provides the health insurance.) So we all had coverage.

Then, I grew up and was no longer covered by my father's insurance. I ended up working different jobs trying to find my way. I worked mostly in youth service or education jobs and was only lucky enough to get insurance when my employer provided it. When an employer didn't provide it, I went without. It wasn't because I didn't want health insurance. It was because I couldn't afford it. Not only couldn't I afford it, but I had serious back problems in high school, am clinically diagnosed with ADHD, and have a heart murmur. All of these so-called "issues" (aka pre-consisting conditions)  increase the price of my premiums.

I have been lucky. I haven't needed serious medical attention since losing my health insurance again last July 2009. Recently, I developed a cold along with a very serious fever of 101.4. I panicked. I didn't know what I was going to do. I could go to the emergency room, but that didn't seem worthy of a trip to the emergency room or seem to me to qualify for the financial burden of an emergency room visit. I waited and my fever reduced but stayed at 99.4 for three more days. I had to see the doctor. If noting else to rule something more serious out.

I live in San Francisco, and we have a public health system here. Instead of running to the emergency room or to urgent care, I decided to see if I qualified for the program first. I make about $3000 a month before taxes. Luckily, I squeaked in as a qualifying participant. After a little explanation of cost (it will cost me $450 every three months plus $20 for urgent care visits and $10 costs for doctors visits and $200 for any overnight admittance to the hospital regardless of how long I stay or what services I receive), I went home for the evening because I was exhausted.

I returned the next day for urgent care. I waited. I waited a fairly long time (from the time I entered until I left it was about 6 hours). I saw a nurse practitioner; I got a chest x-ray because they thought it might be pneumonia (it wasn't); I got my prescriptions. I left with only having to pay $37 out of pocket for everything including the medications.

Before becoming uninsured, I had Kaiser. I developed a similar sickness and had to go to Kaiser's urgent care. I had to pay a $30 co-pay, and $20 for prescriptions. I waited in the waiting room for two hours. Once I was admitted, I waited in my room for another hour. I only saw a nurse practitioner. I never got a chest x-ray. My employer covered the monthly healthcare bill of $300 per month.

When comparing these two systems, I actually prefer the San Francisco option. It is just as simple or just as complicated depending on how you look at it. It provides the same level of coverage, arguably better. I got well in the same amount of time. And it costs less.

This is what healthcare reform is about. It is about ensuring that all Americans have access to healthcare. It is about making it affordable. It is about making sure that someone with a simple case of the flu or a cold doesn't get worse and drain the system. It is about reform.

I believe this isn't the complete answer, but I believe that doing nothing is way, way worse. I know that this will help a majority of Americans. Including you.

Peace,
Jason

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