We are so lucky

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leggo
leggo Member Posts: 3,293
We are so lucky

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  • leggo
    leggo Member Posts: 3,293
    edited March 2012

    I was just reading on another heart-breaking thread that someone wasn't treated because they didn't have insurance. I can't even wrap my head around that. After reading these boards for so long, I'm unbelievably grateful for our healthcare system. I can't imagine having to deal with insurance companies and paperwork for everything. I get frustrated just dealing with cell phone plans. I can't imagine having to deal with all of that while being sick. It's just not right. I don't know how they do it...I'd be a basket case. I feel so sorry for anyone who has to go through that. It's almost painful to read.

  • pupmom
    pupmom Member Posts: 5,068
    edited March 2012

    The situation with health care coverge in the U.S. is an abomination. I am blessed with a husband who has awesome insurance, but so many are not as fortunate. NO ONE should die because they cannot receive the medical care they need. That is a no-brainer to me at least. Hoping that Obama's plan plugs some of the holes in this system.

  • Fighter_34
    Fighter_34 Member Posts: 834
    edited March 2012

    It just a mess. I am the one in the house with excellent health insurance, but I am also the one who got sick. So it makes my fight even more challenging. Gotta stay ticking for the family.

  • SelenaWolf
    SelenaWolf Member Posts: 1,724
    edited March 2012

    I simply cannot imagine not being given the medical care you need because you don't have insurance.  I cannot wrap my head around the idea that, if you can't pay, sorry.  I cannot fathom HMO's determing what kind of care you are going to be given based on what they decide is "relevant" or an "Oncotype" score.  I mean, seriously?  You're going to bet against the odds ... with my LIFE?

  • BouncingBetties
    BouncingBetties Member Posts: 379
    edited March 2012

    I am horrified every time I read posts about not being able to afford care or see it on t.v. Dr. Oz had a woman on his show who had come to a special clinic set up for the poor and uninsured. Her tumour was the size of a grapefruit and had burst through her skin. It was so upsetting I starting sobbing. He got her help at a cancer centre and, unbelievably, she had no mets! Just this giant tumour. It is so confusing to me that there are Americans who don't want Obama to succeed at his promise of universal healthcare. Who are these people and what is wrong with them? I couldn't live in a society where the rich believe only they have a right to live. We ARE so very lucky to live here in Canada and my family and I say that each week. The Alberta Government pays for my Zoladex and Tamoxifen, too. I have a plan through work and one I pay for, and the one through my office pays for everything - my Clasteon, oxy and everything else. I am grateful that I will get to live as long as possible because I live in Canada. If I lived in the US, my parents and I would have to sell everything and we would likely run out of money for any further treatment I might need.

  • crazy4carrots
    crazy4carrots Member Posts: 5,324
    edited March 2012

    BB -- We believe healthcare is a right, and not just a privilege.  As someone noted (Justice Ginsburg, I think) during the U.S. Supreme Court hearings this week on the Affordable Care Act, virtually every U.S. citizen has an encounter with the healthcare system from the time (and often as a fetus) they are born, so health insurance is totally unlike any other "product" that you can choose, or not choose, to purchase.

    The only time my DH and I have had any kind of bill for healthcare was when, as an emergency patient requiring overnight care and an operation the following morning, he was put in a private room.  He didn't ask for the room, it was the only one available. One phone call to the Hospital Finance Dept. to straighten it out was all it took.  I'm happy to pay my taxes for our care, and to ensure healthcare for my fellow citizens.  What I fail to understand is why too many of my southern neighbours don't feel the same way. 

  • pickle
    pickle Member Posts: 1,409
    edited March 2012

    It is so sad to see women having the extra burden of worry regarding insurance etc. Isn't the dx enough to worry about.

    We are very fortunate to have coverage for all citizens. I am so grateful that I received the same treatment as anyone else would get regardless of socio/economic status.

    I am in Alberta and I didn't have to pay for tamox or Aromasin.

    The Health care costs in the US are higher per GDP than in Canada and many other countries and yet so many of their citizens have no coverage. Their whole medical system seems so complicated and so unfair

  • BouncingBetties
    BouncingBetties Member Posts: 379
    edited April 2012

    Lindasa, I know! I can't fathom why there are Americans who are against universal health care. They say it's socialist and communist - I think it's just human.

    Pickle, I'm in Calgary and was surprised when I found out that I had to get my Tamo from the Tom Baker and that it was covered by the government.

    I saw a few minutes of Rosie the other day while flipping channels and she said it costs $500,000 to DIE from cancer in the US. Unbelievable. I see all of those Cancer Centres of America commercials and wonder at the costs of the treatments they provide.

    I am truly am grateful that I have a great onc and onc nurse, and that I'll receive what treatment I need regardless of my socio/economic status. It's been hard enough being on disability pay without having to worry about paying for treatment. Although, Pickle, I'm a bit worried about the upcoming provincial election. I did e-mail the party leaders to ask what happened to the new Cancer Centre they had promised for Calgary but not one of them has responded.

  • Booboo2
    Booboo2 Member Posts: 59
    edited April 2012

    I agree with everyone here.  It is totally incomprehensible to me that some Americans are actively fighting against something that helps people.  I somehow doubt that opponents of Obama's health plan have ever been through the fear and pain of breast cancer.  How could anyone go through that and have to worry about money and insurance at the same time?

    I know this isn't a political board, but I do hope, for the sake of Americans with breast cancer and other serious diseases, that Obama manages to stay in and get the American health care system up to the standards of what we consider to be civilized.

  • sweetangel
    sweetangel Member Posts: 168
    edited April 2012

    Gracie, you are right! we are so lucky not having to deal with insurances just to get our treatment.  I am always thankful that I landed here in Canada just before I got diagnosed (from Philippines).

    BouncingBeatties, I didn't know that tamoxifen is covered by the government.  I am seeking treatment at TOM BAKER, and hubby's insurance covered the pay for my TAMOXIFEN. 

    Unfortunately, I had to stop tamox between I had a progression in my liver and bones, I had to do another chemo this year.  (6cycle of Taxotere)

  • QuinnCat
    QuinnCat Member Posts: 3,456
    edited April 2012

    Bravo to all of the comments above.  My grandparents and parents were Canadian, ergo I have many cousins and 2 uncles that are still Canadian and I hear how well the Canadian healthcare system works, despite the rightwing propoganda that we sometimes hear in the USA about (cough) "socialist medicine."

    The thing about "Obamacare,"  the system that is being currently challenged in the SCOTUS, the model for this plan was originally the brainchild of a rightwing think tank. It was adopted in Massachusetts by the would be Republican Presidential Candidate.   The challenge to Obamacare from the Right is more about the "Obama" part of the Act.  In no way shape or form do they want this POTUS to succeed.   Other than that, via the dumbing down of America, most don't even understand what the Affordable Care Act is even about.  Admittedly, I don't even know all of the parts.  Some just know, if Obama wants it, then they have to be against it.

    They'll argue that there is already medical care for all via various Medicaid programs without acknowledging that not all doctors or facilities will take such patients or in rural areas, that might require relocating at great expense (those people don't have money, duh!) to be near a teaching hospital.   Those people just choose no care.  On the other extreme, I've seen the young carpenter who hurts his knee while working for cash under the table who signs up for Medical (in California) to get his knee operated on...never really paying into any pool over a period of time and the same young man will say he should not be mandated to pay for insurance in case he does get hurt.   "That's wrong for the government to force the 'individual mandate.'"

    Nonesensical. 

  • BouncingBetties
    BouncingBetties Member Posts: 379
    edited April 2012

    Sweetangel,

    Tamoxifen is covered by the provincial government. It's also dispensed from the TBCC and all provincial cancer centres. You can't obtain it at your regular pharmacy. I'm not certain if it is different because, as you stated, you were diagnosed after arriving here from the Phillipines. I am a fourth generation Canadian and was born and raised in Calgary, so am very aware of what is and is not covered. Here are links regarding coverage of cancer drugs:

    http://www.albertahealthservices.ca/services.asp?pid=service&rid=1025651

    http://www.albertahealthservices.ca/ps-1025651-drug-benefit-list.pdf

    I hope that your chemo results in regression!

  • crazy4carrots
    crazy4carrots Member Posts: 5,324
    edited April 2012
    Kam -- I think it's pretty clear to those of us outside the U.S. exactly what the situation isCry  The hypocrisy is quite breath-taking.  We got our first taste of the nonsense when she-who-shall-not-be-named started talking about death panels (actually, end-of-life voluntary discussion with one's doctor).  From my perspective, health insurance companies are the real death panels.....
  • QuinnCat
    QuinnCat Member Posts: 3,456
    edited April 2012

    lindasa - sadly, I think Canadians in general "get it" more than most Americans, but thanks for reminding me.  LOL..."she-who-shall-not-be-named."

  • sandilee
    sandilee Member Posts: 1,843
    edited April 2012

    It's pretty clear to many of us inside the US as well, it's just that there isn't anything we can do about it.  The US has become a corporatocracy.  The money from corporations has too much influence in Washington.   Companies, and some doctors, don't want any kind of government regulation that will impact their profits, and they are buying a lot of influence in Republican circles.  It's also true that the Republicans are philosophically against "too much assistance", as they believe it squelches motivation.  What makes many of us angry is that our congressmen and women have wonderful government-paid health insurance.  But the rest of us - forgetaboutit.  

    Honestly I think most Americans want some kind of universal healtcare, or at the very least, want many of the provisions that are in the Affordable Care Act.  I also think Obama will win this next election,  Many of us think he is doing a decent job, but he is fighting a party that wants him to lose  no matter what.   He has a lot more support than the press credits him with, imo.

     Unfortunately, our Supreme Court is more political than it has been in my lifetime.  The majority are Republicans, so it's pretty clear to me that the AC Act will be found unconstitutional.  This is the same court that made sure Bush was "elected' before all the votes were counted.

  • QuinnCat
    QuinnCat Member Posts: 3,456
    edited April 2012
    Sandilee - I have the same insurance as Congressman as I'm a federal employee.  While it is good insurance, it in no way meets the gold standard.  Ofcourse, the gold standard of yesteryear (in California, it would have been State and County employees 5-10 years ago) has long since gone by the wayside, making our fed insurance appear much better.  For instance, I get no dental or optical care, never have..ok, I get $16 for a teeth cleaning...big deal.  My stop/loss/catastrophic is $5000, my deductible is $350, and I still pay copays, no matter what, in addition to the $5000.  Where it does come thru is that I have had zero problem getting a pet scan for Stage 1, Oncotype test and BRCA test (though I had to have cancer to get that test). Pharma is excellent. They don't fight us often because they know we'll just call our Congressional office and guess who has the same insurance!?  It is also the power of being in a large pool.
  • sweetangel
    sweetangel Member Posts: 168
    edited April 2012

    Lindasa, that is good to know.  If i will be put on hormonal therapy I will ask about it at TOM BAKER.  I always buy my TAMOXIFEN at shoppers.....

  • leggo
    leggo Member Posts: 3,293
    edited April 2012

    Just to reiterate what I initially said....I'm overcome with gratitude for all my medical care. I recently received the benefit of a very expensive procedure, just because my onc felt sorry for me (about my mobility re: neuropathy). He wasn't even sure it would help...just wanted to try. The cost of the procedure was well over $10K. He fought like hell for me to have it (said it wasn't easy b/c of my diagnosis, but got approval none-the-less). That's the kind of healthcare we have the good fortune to have....WHATEVER WE NEED (or might benefit from). We have so much to be thankful for.

  • 208sandy
    208sandy Member Posts: 2,610
    edited April 2012

    Yes, we are so lucky - I had my "brush" with the U.S. 'lack of healthcare' system - my DH was very sick for the two years before he passed away (it coincided with my diagnosis and treatment) - he was working as a "consultant" (read, he couldn't get a staff job because of his age "60's") but was able to get very expensive insurance which didn't cover everything - when he passed the bills were astronomical (the last one I saw was for $700,000 for surgery and hospital stay - ICU for 3 weeks then two more weeks in regular room) - to top it all off the insurance company tried to evade paying for my treatment by stamping it "pre existing condition" - found out really quickly they try to do that to all bc first timer's - one very angry call from my dh stopped that in its tracks and they paid for most of my treatment - a private foundation picked up the extra costs - they were never named but through the financial coordinator at the clinic I was able to thank them.

    I will never understand the hostility that has led the U.S. down this path.......

  • leggo
    leggo Member Posts: 3,293
    edited April 2012

    I know, I don't understand it either, but then I don't understand much about the US system, just what I see on tv. There's a tv show I watch regularly and I'm always floored by how after every chemo treatment, this guy has to show up at a "billing" desk to negotiate the bill. We walk in,  we walk out....I'd truly feel like giving up if I had to jump through a billing hoop for treatment. It's so easy for us and I hope it continues to be. They can have all the taxes they need from me to make sure it stays that way. What I would like to see change is the way the ER is run. People come in for the dumbest things. It would be nice if they perhaps put a Dr.'s office in the ER area just to deal with the idiots. Though, I did have a recent experience there a while ago and was very pleased with what happened. The triage nurse had called for a particular patient...twisted his ankle, poor baby, (he'd left to go to 7-11, seriously!), called him again about 1/2 hour later and asked him where he was and then proceeded to tell him if he can walk to 7-11 he can afford to be put back on the bottom of triage. Good on her!

  • leggo
    leggo Member Posts: 3,293
    edited April 2012

    Just wanted to add my all-time favourite to the ridiculous ER list. "I think I might be pregnant". Thank goodness I'm not a triage nurse....I'd have lost it but this one just politely told her there's a pharmacy downstairs and she should get a pregnancy test...even gave her the money....out of the "dispossessed" fund. (I worked for the hospital and we had a special fund/room to help these people with things like clothing and cab fare and such). Nobody gets left behind.

  • chele
    chele Member Posts: 1,465
    edited May 2012

    If you have National Insurance, why do you have other insurance?

  • mks16
    mks16 Member Posts: 415
    edited May 2012

    Chele, our "other", private insurance covers out of pocket expenses such as prescription drugs, dental, glasses, chiropractor, massage therapies etc.

    Not everyone has it, its mostly part of employee benefits. There are also programs in place to help offset such cost for people who don't have private health plan but have exceptionaly high expenses for dental or prescription drugs.

  • CuterWCurves
    CuterWCurves Member Posts: 317
    edited May 2012
    Not at all exceptionally high. Trillium is in Ontario. For those struggling and who don't know about it... Here is a PDF file.
  • crazy4carrots
    crazy4carrots Member Posts: 5,324
    edited May 2012

    chele -- Just wanted to add that folks 65 and over in Ontario have their drugs paid for under our version of Medicare.  But some continue to carry private, supplemental health insurance for dental, optical, chiro, physio, massage etc. as mks16 has indicated.

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