Saturday, August 20, 2011

Obama Care Saving Lives, Saving Money

The one hope I have that health care reform will survive the corporatist, repug Supreme Court is that by the time the case gets there, ACA will have been so successful in saving both lives and money that Anthony Kennedy will not be able to vote to destroy it.

Rick Ungar at the Washington Monthly:

Recent data published by both the Standard & Poor’s Healthcare Economic Composite Index and the Congressional Budget Office reveal some unusually good news on the Medicare spending front.

The rapid growth in annual government spending on Medicare is slowing down - and is doing so in rather dramatic fashion.

This despite the fact that "Obamacare" - the Affordable Care Act - is making life-saving procedures affordable for thousands of Americans.

The Rude Pundit explains the most well-known case:

A Tale for the One-Year Anniversary of the Terrible, Horrible, No-Good, Very Bad Affordable Care Act:

So Dallas Wiens was working when it happened in 2008. He was standing in a cherry picker, painting a Fort Worth church. That detail seems kind of important, considering. His head hit a high-voltage power line, and it pretty much incinerated his entire face off. A series of miraculous operations got Wiens to a point where he had skin on his face, but no nose or lips. He went blind in one eye, and a skin graft covered the other eye. He pretty quickly started seeking out how to go about getting a face transplant just so, as he says, he could smile and feel his now 4 year-old daughter's touch on his face. Also, so he doesn't look so godawfully disfigured (let's be brutally honest here).

Now here's where we veer into the lesson: Medicaid paid for his hospital care and other expenses until his disability payments got too high for him to qualify. His parents set up a fund to take contributions for the incredibly expensive operation and recovery (not to mention the six months of being in Boston for treatment). But in two years, the guy who had his face burned off while painting a church did not collect enough money for the operation from people who might, you know, follow the teachings of one church or another (or, truly, from any of us).

And that might be the end of the story, except for one thing. See, the president when Wiens got injured was George W. Bush, and George W. Bush couldn't have given a jolly rat fuck about anyone's medical care unless it involved bizarre pharmaceutical donuts. However, Barack Obama became president, and that situation changed.

Now, you can say what you want about the Affordable Care Act on its one-year anniversary, which happens to be today, and virtually all of your criticism from the left would be correct. It is a massive giveaway to private insurance companies. It doesn't do enough to rein in costs. It doesn't guarantee 100% of Americans will be covered. And on and on, in so very many ways a massive disappointment (and not, as the nutzoid conservatives would have you believe, a government takeover of anything or a violation of the Constitution).

But here's the deal: Dallas Wiens got a face transplant because of it, not because good, conservative, church-going folk stepped up and had cookie sales, not because the myriad organizations that have "family" in their name gave a goddamn. No, Wiens received the first full face transplant in U.S. history because of the government. The operation itself was paid for by a grant from the Defense Department, which is looking for ways to help soldiers who get horrible scars from combat. And the $1300-$2000 a month in drugs that he will need to take for the rest of his life to prevent his body from rejecting the transplant will be paid for by his father's insurance. That's because Wiens is 25. And that inhuman law mockingly called "Obamacare" raised the age that a child can stay on a parent's insurance to 26. Wiens will turn 26 in May. In June, again, because of changes in the law, he will qualify for Medicare as a disabled person.

Yeah, the left should be trying to improve the act, constantly, until we actually get universal health care (or "single payer," if you want). And, of course, the douchebag right, led by d-bag kings John Boehner and Mitch McConnell, will continue their Neanderthal drumbeat of repeal because, really, they have nothing else to talk about except how to harm and repress people (how's that jobs bill coming, eh, motherfuckers?).

But at the end of the day, there's a fuck of a lot of people, in cases not nearly as extreme as Dallas Wiens, who have been helped. It's at least a baby step on the road to a compassionate, sane future. Would that we take more instead of veering off the path as quickly as possible.

Weins' case also illustrates the extreme danger of repealing Obamacare now that doctors, hospitals and patients have relied on it for more than a year.

TPM:

But if the Republican Party's crusade against the health care reform law is successful -- if they somehow manage to repeal it, or if the Supreme Court voids it entirely -- other transplant patients will find themselves in a similarly perilous situation: with a new organ but unable to afford the critical life-saving drugs that make transplants viable.

In the year since the law passed, patients and their doctors have been making treatment decisions based on current benefits, according to health care experts and providers interviewed by TPM, including the prohibition on discrimination against children with pre-existing health conditions, a "Pre-Existing Condition Insurance Plan" for adults, and the "Young Invincibles" provision that allowed Wiens to get his transplant.

Like Wiens, other patients will get transplants and life-saving treatments, thanks to these new benefits. But, also like Wiens, these same patients will require lifetimes of expensive care and medication, without which they'll reject their new organs and die, according to the experts and providers we talked to. The consequences of the care they received thanks to the health care reform law, will leave them holding the bag, if Congress or the Court abolishes it. That means bankrupting out of pocket costs, a scramble for care and medication, and possibly death.

Read the whole thing.

Liberals know that what repugs, freakazoids and conservatards hate most about liberalism is that liberal solutions - even imperfect half-measure liberal solutions - work.

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