Robin Marty writes about the potential implications for her family’s out-of-pocket health care expenses, which may increase 100 percent. She is unclear whether her husband’s employer will continue to contribute; if not, her husband’s before-tax “contribution” may climb to as much as 20 percent of his pay. Quite an increase. But, what Robin Marty really wants to know is when did deciding to have a family become an unhealthy lifestyle choice? Read here for more…
Earlier in the week, I read a story about the Lange family whose infant, Alex, was denied coverage for being too big (i.e., fat). Good grief! I remember in the old days when it was considered a sign of good health if an infant were at the top of the charts in height and weight. However, our obsession with girth and obesity has now extended itself to infants, who are not in a position to cut down on calories, nor even to understand why that might seem necessary to an insurance provider. It is not as if the infant were eating a lot of junk food. In fact, he was receiving only milk, as is proper for a young person of his age.
Perhaps I am stretching the criteria a bit by including that second story, but given that women still bear all of the child-bearing responsibility and not always by choice, some allowances should be made, I think, for consequences.
Ironically, for this family, their older son had been colicky and a bit underweight. Naturally, they were thrilled with their younger son’s robust appetite and healthy size.
The Lange family’s insurance provider has since reviewed their policy and now has agreed to cover young Alex. It is simply amazing what one can accomplish with a media blitz of publicity.
We need more such publicity these days, especially for women and children who have for many decades comprised the majority of those in poverty, meaning that they have also had less access to medical care. How is it possible that the GOP, who under most conditions, just loves numbers and statistics (whether real or imaginary), can ignore the fact that we rank much too high among industrialized nations in infant mortality? Do they care only about unborn children? If so, what does that really mean? [My suspicion is that they care even more about controlling women's sexuality, even if it means corrupting the health care system to do so.]
Clearly, stories about mean-spirited denials of coverage have an effect.* Consider the New Jersey governor’s race. Jon Corzine, a Democrat, has been singularly unpopular in his blue state. Chris Christie, his GOP challenger, appeared a very short time ago to have the race all sewn up… until the news stories about Christie’s support for insurance providers who wished to deny coverage for mammograms, particularly for younger women, regardless of family history, or a doctor’s concern. Apparently, that one issue has been enough to make the race a dead heat, which effectively means Corzine will likely win, given the Democrats’ superior GOTV efforts.
Is this a great country, or what?
* …and so do financial scandals. See Jim White’s comment below about Christie’s.
* * *
I must confess to one quibble with John Bohrer’s story about Chris Christie’s moment in the health care reform spotlight. The title: How Breasts (and Health Care) Swung a Governor’s Race. I detect something a tad exploitative, not to mention in bad taste, about using the word “swung” in this context. Surely, no woman of any age wishes to be reminded that her breasts swing, not in a world where pertness is everything, and where brassieres have been structurally engineered to ensure such pertness.
Perhaps Mr. Bohrer had nothing to do with that title. It may have been an editorial decision. If so, that makes it even worse in my opinion.



9 Comments







Yes, Karen, the insurance industry does seem to be gathering as many exclusions as it can in advance of whatever “reform” might eventually pass.
On the Corzine vs. Christie race, I think Christie’s standing also has been affected by the series of scandals surrounding him and his second in command, to whom he made a “real estate” loan without disclosing it. Emptywheel has been following the Christie scandals in detail, and has a post late yesterday about excessive travel expenses for both Christie and Brown.
You’re right about that financial scandal, Jim, and thanks for adding it here in comments. I was focused on the health care issues in this post, but I’ve been reading about that scandal, too. Pretty ironic, since he started his campaign running on getting the corruption out of NJ government. Oh, well…
I smell something fishy about that loan. I think there’s a whole lot more to the story, given their travel schedules, the 4- and 5-star hotels, etc.
just dawned on me that pre mature birth is probably now considered a pre existing condition- the bastids
throughout this fight, oldnslow and I have looked back on our experience with our youngest and how far we’ve fallen as a country in just 17 years
my water broke 2 1/2 months early and I didn’t just get stuck in the hospital, but was moved to Stanford due to risk – make that a private room at Stanford (to avoid infection) where we hung on for another month. our baby immediately went to Intensive Care and subsequently spent a month in Intermediate Care, then via ambulance ride, was moved to hospital closer to our home. We easily had some of the best care on the planet and were further afforded follow up visits with various neo natal developental specialists
’bout a month after he was home, we got a fat envelope from Aetna, multiple pages detailing line items – there was a line at the bottom: ‘Total Cost’ $326,049.17 – ah, but another line ‘Subscriber Responsibility’ $ -0-
both of us just shudder at the thought of what that Subscriber Responsibility line would read now and follow up care probably consists of handing parents a booklet
and they’d no doubt deny coverage for any subsequent pregnancies
That would make a tremendous diary…
[PS -- Our oldest was also born at Stanford, but under very ordinary conditions by comparison.]
I agree with Jim… that your story would make an especially relevant diary in these times. And, if you could find someone who knew what numbers to plug in if it were happening today, the point would be inescapable.
Despite the health care [sic] industry’s issues with women and children and coverage, the GOP is determined to make as many women bear as many children as possible. Baffling. They don’t even want us to have birth control options, much less any public option.
What amazes me about the right wing anti-abortion thinking is how they: want no government control over their or others’ lives; are willing to let money-driven industries rule over their lives; and yet see no problem in telling mothers around the world the decision they absolutely must make regarding their own bodies and deciding to have or not have children. They can read the below story that nearly half of the abortions around the world are unsafe and dangerous to the mothers and believe that they know those world cultures better than the parent and and the parent’s situation and say based on their belief that they have the religious right to rule over of these mother’s lives through the power of money or deny providing aid to create safer abortions. That is about as arrogant and inhuman as one human can treat another.
Nearly half abortions around globe are unsafe: Report: Developing nations with restrictive laws have highest death rates
http://www.msnbc.msn.com/id/33295584/ns/health-womens_health/
Too late for an update, but this is too important not to include…
I’m actually beginning to think that the health care [sic] insurance industry really does not want the U.S. to have the best health care in the world, because they make so much more money “serving” chronically ill people than they would if we were more healthy than not.
I had this epiphany while reading at Greg Sargent’s The Plum Line a piece about the insurance industry having become the WH’s number one enemy against reform. There is nothing more unsavory for an industry than to be revealed finally as acting completely in bad faith.
May we now expect to see another bubble burst?
(Is anyone else having problems with formatting? My line breaks show up in editing box, but disappear in comment.)
This…
I’m actually beginning to think that the health care [sic] insurance industry really does not want the U.S. to have the best health care in the world, because they make so much more money “serving” chronically ill people than they would if we were more healthy than not.
will remain true as long as health care is treated as a for-profit business. The health care I have as an employee of a major midwest univeristy is integrated into the health provider system run by our medical center. For years they have taken a proactive, preventive, consumer-education oriented approach to health care. By encouraging us to participate actively in our own care and showing us the best practices for doing so, they have taken a huge step in the direction of controlling costs and everyone covered has benefitted.
It’s a crying shame that a national model like this will never fly because of the efforts of entrenched profiteers.
Wow, I’m really surprised that Aetna covered Stanford Hospital. Going there for anything (even having my blood travel there by itself for tests) costs me the full amount on the bill, out of pocket.