Monday, October 31, 2011
Sunday, October 30, 2011
Warren Buffet's Idea to End US Deficits
2012 Health Insurance
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Friday, October 28, 2011
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Aging Happens, Personality Helps
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Recovering
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Monday, October 24, 2011
Financial Facts I wish I knew When I got sick
I could have a year to survive, and feel well too!
This is great news, for me, a person who has fought off Hodgkin's lymphoma for 5.5 years now against the odds.
But imagine if you received the same news today. Imagine if you heard my reality. Imagine if you heard this news:
Congratulations, I think I can keep you alive and feeling relatively well for the next year using this brand new $10,00 therapy. Thank goodness Obamacare removed that nasty 2 million insurance cap or you'd only have half a year with these expenses.
You'll have to travel to New York City every three weeks for check-ups and your medication. You may wait 3 hours or more to see me, but it's absolutely worth the time since I have the most promising innovative therapy to keep you off the "chemo junk" that would disable you for life.
In the interim, you need to take a medication regimen of twenty medications daily including $150 eye drops and shots. You'll really need those eye drops too. They're the cure to graft vs. of the eyes, which will leave you blind and unable to realize the debt you're up to your eyeballs in.
You'll also need to have an oxygen concentrator and portable tanks just in case your lungs act up again.
Overall, allot a minimum of $1200 monthly for your healthcare expenses alone, because you'll be paying more than you get in social security disability benefits. Don't even bother having taxes taken out, because if you don't have money, you don't get treated. You need that money now, and with all your write-offs, you've paid your taxes and then some, but you'll never be seeing those expenses back no matter how knit-picky you are in keeping receipts. The government is pretty broke too, and there is no "cancer fairy" watching out to make sure you recoup those costs when you deduct them on your taxes.
You'll be lucky to get a couple $100.
Good luck surviving cancer. You may just have to opt out of paying for groceries and your mortgage alongside treatment, because as far as needs go, surviving is at the top of the list.
No, I don't think anybody else would take that as good news, but hopefully others can learn from the mistakes I've made or sidestep the horrendous practices that have nearly bankrupted me.
Ten Insider Tips to Avoid Medical Financial Ruin
First- Medical related debt does not go against your credit rating! Breathe a sigh of relief if you are hoping to purchase a car or home. Your medical information is protected by law, and so are your medical expenses.
Second- Know your insurance policies, all of them inside and out: short term, long term, life, and health insurance. Memorize the books and fight any charge that appears suspect. People will take the path of least resistance, and billing is no different It's common practice to submit once to insurance, and if rejected, send the bill to the patient. Medical billing is difficult and the first submission is often rejected due to incorrect wording. My diagnostic PET scans were rejected because "restaging Hodgkin's Lymphoma" wasn't covered but "nodular sclerosing" was. Fighting saved me $3000 a scan.
Third- Failure to know your insurance policies and abide by them step-by-step can result in fees later, especially if you become an expensive patient that threatens the companies' return-on-investment. My long-term disability insurance company sued me for overpayment, because it failed to request my social security benefits to offset my wages. My husband put $8000 on a credit card while he sat vigil in the ICU beside my ventilated, near dead body. Ignorance of the provision is not an excuse. Again, the sole option is a payment plan. Take the payment plan, do not put it on a credit card.
Fourth- Avoid interest at all costs. We all hope we'll be fixed within six months, but if a six month battle turns into six years, those finance charges will start to be more than your weekly budget for groceries. Hospitals, clinics, medical supply facilities will all offer interest free payment plans. Take those, and if you're lucky, overtime the hospital will become tired of trying to collect on an old debt and right it off as a bad debt expense. When this happens, your bill is gone.
Fifth- If battling the bills becomes too much, and often companies profits are banking on the fact you will give up, that doesn't mean the war has to stop. Find a financial advocate immediately who will do the fighting for you. Cancer Connect http://news.cancerconnect.com/ will help you do just this. You don't need the stress of fighting your disease and fighting to get treated.
Sixth- If you made the mistake of using credit cards to pay for medical expenses, stop right now. It is illegal to deny emergency care for inability to pay. If you are in dire financial straights and need treatment, such as surgery or chemotherapy, talk to your doctor, nurse practitioner, nurse, secretary, social worker, human resource person, Someone will help you find financial assistance.
Then proceed just as with any other debt, If you have high-interest credit card debt, pay that off first.
Fifth- The worst thing you can do is ignore bills. Communicating with the hospital or clinic will keep the costs from going to claims. With the hospital, clinic, private practice, whatever, you can set up a no interest payment plan at a cost you can afford. I worked out $20 monthly to both the hospital and clinic I attend which I would pay monthly, same as cash, for hopefully the rest of my long healthy life.
Sixth- If your situation becomes so bad you can't pay the bills remember medical bills do not hurt your credit, when an agency sends your bill to "claims," they are essentially paying for someone to harass you. These calls are awful and annoying, especially when sick, but that is all they are. Turn off you phone. Get a second private line. Get caller ID, and if you get really angry, fire back.
Seven- Consider reporting the agency that sent your claims to the Better Business Bureau. Did they disclose legally protected, private medical information to a third party without your consent? This is illegal. You're protected among the strongest of all healthcare laws: HIPPAA.
But If you really want something fixed call your government representative. They are elected officials who represent you. They have the knowledge and connections to answer your questions. Though you may not speak directly to the official, you will speak with their specialists.
Eighth- Shop for more affordable and appropriate insurance. Yes, I said it: compare and save. The days of being tied to employer health insurance, COBRA, or a $20,000 out-of-pocket plan you don't need are almost over thanks to websites on-line that allow comparison shopping just like searching for auto-insurance. Ehealthinsurance.com is an internet site that compares different plans side by side online.
Tenth- If you know exactly what needs to be done, what surgery you need or what treatment, you can now compare treatment costs between hospitals. Previously, prices and reimbursement rates were determined behind closed doors among businessmen with little consideration to the actual quality of the service. Better group rates were given to customers of certain insurance companies while patients paying out-of-pocket often paid more, shouldering the costs of any financial loss the hospital took in negotiations with the big business. Don't be a victim anymore, price compare.
Finally, if you're not just concerned about finances but quality of care as well, there is now http://www.hospitalcompare.hhs.gov/ that allows you to compare the success rates of different hospitals. can find a few hospitals that are within your budget for treatment, find the one that will best suit your needs, and get treated with confidence that you are receiving the best care at the best cost.
Still need to afford your medications? You may be able to negotiate with your hospital to get a discount. You could also buy generics or compare pharmacy costs and ask for the better price. Most pharmacies have a lowest price guarantee. For over the counter medications, use coupons or rebates. You’d be surprised what you can get for free. If you’re in a huge lurch, you can always ask your doctor for samples or go to www.pharmacy.ca to buy the same medications for less money in Canada.
Sunday, October 23, 2011
Creative Anxiety Coping Strategies for Those with Terminal Illness
Thursday, October 20, 2011
Worth the wait?
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Waiting
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October's Treatment Trip
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Wednesday, October 19, 2011
Hope Lodge NYC
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Road trip
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Tuesday, October 18, 2011
Suburgatory is Coming!
Her hysterical musings designed in the style of The Onion have humorous headlines such as: Hot Nanny and Dad: Really Just good friends or Woman Shops at Walmart to Make Herself Feel Thinner.
Don't just take my advice, get to amazon and buy your own copy.
http://www.amazon.com/Suburgatory-Twisted-Tales-Darkest-Suburbia/dp/0762780193/ref=sr_1_1?ie=UTF8&qid=1317914364&sr=8-1
Monday, October 17, 2011
Finding affordable health insurance
My "healthy" face
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Sunday, October 16, 2011
How to work with your Higher Power to find meaning in life
2. SPEAK HIS WORD over my problems or in explanation of my problems. There is always a reason for suffering. We can't see due to our limited foresight.
3. USE THE NAME OF GOD to stop attacks of sickness, violence, or any threat to life or livlihood, such as unethical government mandates.
4. Teaching the unknowing they too have the AUTHORITY and power to do these things. Jesus gave it to all of us. Speechless? Call on him, listen, and he will provide inspiration
JESUS walked this earth among the "common" people performing miracles for 3 years all within 8 miles of his birthplace.
He expects no less of all of us who know God's Word, because he knows we all are able to obtain these standards. The biggest obstacle to doing his work and facilitating social change is ourselves. Be sure you are part of the solution, not the problem.
To gaurantee change, Jesus preached Practical ministry. He needs EACH ONE OF US now to step out of our comfort zone to fullfil the "calling" inscribed in our hearts.
He had no church building. He had no computer, smart phone, or facebook. Only his voice, hands, and feet, which he used to get His message out to the multitudes.
I encourage all of you to STEP OUT IN FAITH, and become DOERS of the work your higher power has inscribed in your heart. There you will find your purpose for life and happiness.
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How to Eat Well and Cheap during Medical Travel
Check out www.pinkpueblo.etsy.com for your graphic design needs, especially classy & creative clip art and site templates. |
I've been stressing over this weeks upcoming trip to NYC. I'm going with a friend as a caretaker and not my parents, who tend to baby me.
I've been adding up the costs in my head:
2 tanks of gas: $80
Parking for 48 hours- $80- 130 + tip
Without ever leaving the house, I know I'm dropping $200, MINIMUM, to survive for the two day trip, and this does not include meals.
Even McDonald's has gone up:
Highway food: $20
Meals During Stay. . ..
This is the big scary unknown, but I've discovered something I wish I'd participated in before.
Restaurant.com offers discounted giftcards, up to 80% off or $2 for $25!! Today just enter TOUCHDOWN in the coupon code box to get the deal.
www.hgracejewelry.etsy.com for my endeavors: now including handmade clocks |
Purchases are printable! Once you've completed your order, the gift certificate is at your fingertips.
Just one warning: be sure to read the sites and the merchants regulations carefully. The purchase of a $50 gift card often requires purchasing $100 worth of food with 18% gratuity automatically added. Your $8 meal (with discount) turns out to be $66 very quickly, a mistake I made. I think I'll be meeting my friends for Pacific Asian Cuisine Weds. night.
It's so important to understand guidelines and fees. My caretaker and I are now eating at The Pita Grill for a minimum purchase of $35 for a total cost of $12 + tip.
Thank you to all who have purchased my jewelry or donated. My funds for food are coming directly from that account.
Saturday, October 15, 2011
http://www.msnbc.msn.com/id/44912532/ns/world_news/#.TpltMxwdLd8
Friday, October 14, 2011
Creative Banking and Cost Shifting: Senior's Cures for The CLASS Act Failure
Sec. of Health and Human Services Kathleen Sebelius told Congress in a letter,“I do not see a viable path forward for CLASS implementation at this time” (http://firstread.msnbc.msn.com/_news/2011/10/14/8325174-obama-administration-halts-part-of-health-care-law). The CLASS acts inability to maintain funding was predicted in 2010 by medicare's actuary Richard Foster who said the bill was at a significant risk for failure as those who were ill or likely to experience severe health issues would sign up for the plan while the healthy would not, leaving no way to offset the cost of care. Sebelius' letter drew the same conclusion.
Claiming victory over the loss of a safety net protecting seniors and their families from huge medical expenses during their final years is not a win for any individual who wants to age with dignity, whether Republican, Democrat, or Independent. The loss of this bill, and the failure to find a sustainable alternative, is likely to result in the spending down of a lifetime of earnings and liquidation of assets to qualify for medicaid as well as medicare. Removal of The CLASS Act will only encourage the practices of spending down and creative banking and cost shifting from individual health plans and insurances to medicare and medicaid.
Creative banking practices are a common but unspoken aspect of obtaining long term care for an elderly loved one that allows money or assets to remain in the family but not in the hands of the individual or couple in need of services. Actions may be the creation of trusts for family members, gifts of money or equity while still living, and/or transferring assets into the name of caregivers.
With the economic downturn Medicaid has all ready seen a dramatic increase in participants. Sixty percent of Americans now rely on some sort of government assistance to survive. With the economical forecast remaining grim, some economists claim we shouldn't expect changes until 2013 when the economy will either recover or fail irreparably, these figures aren't likely to decrease anytime soon.
What is guaranteed is America's population will continue to age, requiring all the services and care needed to assist them. Our current system of providing this care, such as long term placement in nursing homes or rehabs, is no more sustainable than the CLASS act itself. The ultimate problem is not with The CLASS Act, it's with the environment that has created a need for The CLASS Act and made it unsustainable.
As it stands now, no other options for offsetting the huge costs of long term care for the later years of life have risen from our representatives though there are existing health care practices that can be provided safely and cost effectively that have not been explored.
Expanding home care and/or altering rules for hospice, such as allowing patients to receive palliative "curative" treatment for incurable diseases, such as terminal cancers, is an option of safely providing care without the use of long term care or acute care institutions.
Improving transparency and communication practices among providers has also proven previously to lower consumer costs. In a 1999 article, Political Economy attributed a million dollar drop in the cost of life insurance to on-line comparison sites, which allowed individuals to make informed decisions where they could not. Freeing health care professionals to communicate through the implementation of an electronic communication system along with electronic medical records all ready being implemented would theoretically do the same.
Unfortunately these measures require a community social change alongside any healthcare reform to be viable. It's a change that will need bipartisan participation, people interested in policy not politics, and leaders that care about human equity not monetary assets. It's a change American's will either have to make willingly or be forced by reduction in options. All we know for sure now is that CLASS can't survive in today's United States.
Thursday, October 13, 2011
Inside the Presidential Debate
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Inside The Presidential Debate
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Wednesday, October 12, 2011
It's a Twin Thing
Or maybe, it's that I took an extra 2.5 mg of prednisone and a whole lot of caffeine to do stay awake, so much that I couldn't actually sleep until 1am, walking up at 7am and not getting back to sleep after dropping X off making myself a walking Zombie today.
Last night at the debate, Heather and I met up wearing similar purple/gray silk shirts and blazers. Even though steroids have bloated my face, we still put on the same make-up while dressing apart. |
Or maybe it was listening to Republican's hypothetical Presidential plans to get budgets back in order by repealing "Obamacare" while I stress more about money than cancer
But I am in an astronomical funk, one I want to medicate into a sleeping stress free oblivion and it's coming down to a phenomenon few understand.
It's a twin thing.
If you've heard the rumors about identical twins that can feel each others feelings, read each others thoughts, and know each other's decisions before the other one even makes them, I'm hear to tell you those weren't just rumors. It is an absolute truth that identical twins share a metaphysical bond that allows them to connect on a level unable to be experienced with any other person in the world.
I know. I'm a twin.
Celebrating Preston's 2nd birthday with a brownie. |
Face to face, my left dimple aligns perfectly with her right.
Where she was right handed and footed I desperately tried to be left.
I would even write my name backwards, starting from left and ending to the right, a complete mirror image of what my sister was doing.
As infants and toddlers we had a language of our own and were "talking" with one another immediately.
Growing up we couldn't own the same outfit, color, or style, because each morning we would walk out of our rooms at the same time, stop, and turn around to change when we saw the other had the same outfit on.
Our kids accidentally dressed in matching green shirts. |
Believe it o not, that was where the similarity ended. There is only so much likeness when you have a person who looks exactly like you.Or personalities were opposite.
Heather was a bubbly, smiling, social chatterbox while I preferred to keep to myself and listen. I liked to read. She liked music and dance. She'd get the party started while I laid back and enjoyed the ride.
We completed each other. Where she excelled I was weak. We were halves of a whole, yin and yang.
Not only could we complete each other's sentences, we could complete each others thoughts and night time dreams.
When we left each other for college I felt socially awkward because I had to consciously remember to finish my sentence. I had never been in a position before where I couldn't say two words and stop with Heather understanding.
I didn't even realize we had been speaking in half sentences our entire lives until I was 19 years old, even though people had tried to tell us for years. We were always in our little world where "You know Mike. . ." would send us into fits of laughter or "Heyyyyy. . ." would start world war three.
I also had to stop referring to myself as "us" or "we" whenever I did or thought something, because without Heather, I just sounded like a woman with multiple personalities, not one with a bond few others in the world are as lucky to have.
The family pre-steroids. Heather and I looked more similar then. When trying we were still clearly identical. Our bro, Pat, with wife Grace sit in the middle of our families. |
We had plans for growing old together where we would live in a big house where I live now. I would be a professional working woman, a nurse practitioner, and Heather would be the homemaker, taking care of all the foster kids and adoptees we could handle.
It's been since Heather left caring for me after my first bone marrow transplant that we've shared the strong connection we had through our lives, and the bond breaking was intentional.
If it's difficult to be the caretaker, the loved one, or the family member of a cancer patient, it is confounded if you're the twin who is accustomed to calling asking "What's wrong?" and demanding you tell your secret before you've had a chance to dial the phone to tell anyone, or worse, the living replicate that would awake from a deep sleep screaming as an infant while I slept comfortably through my shots.
Heather was always the one who could feel my pain before I did or know a problem existed before I saw it.
Who wants that job if the person is in constant excruciating pain and the problem is an incurable cancer?
No, supporting me whole heartedly through one transplant was enough for a lifetime. It was imperative to break the bond, or at least, control it.
Even though I received Heather's donor cells in that first transplant, which did make me feel and behave more like her from the highly theoretical "cellular memory," we actually lost our twin connection as I continued to battle my disease, and she continued to live her life: moving, getting married, and having children.
Now, even though it's a miserable feeling of irritation I'm having on her behalf, I'm excited to be having it. It's been years since I've been able to relieve the physical stress of emotion from her, and she's had too much to bear for too long holding on to even a little of mine.
Tuesday, October 11, 2011
Update from Vic
Five Eagles Design, Victor St Pierre
110 Great country rd Charlestown NH 03603
603-542-4915 Office
5eagles@myfairpoint.net 5eaglesdesign.com
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Sunday, October 9, 2011
Predictions
Community hospitals are quickly becoming the crossing gaurds that stop and guide you until you can make it safely to the larger hospital that can keep up with technology and give the patient exactly what they need. What's going to happen to these smaller hospitals? Will they turn to ghost buildings? And If I saw this coming, who else did and why hasn't anybody tried to alter the process?
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Happy thirdish bday to me!
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Saturday, October 8, 2011
Round 3: fight
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