Government run health care

[Edwina's Secretary]

Give it up LH. Some people just don't want to understand reality.

After all, brain surgery will probably be covered in the plan as well and .......!

[Cataholic]

A true, but odd, insurance event.

I get an EOB for J's 5 year check up- something that should be covered without cost to me- under the 'new' plan. I see all but $70 is covered, and the whole bill is $500 something. An amount that I found outrageous, btw. We were there for 15 minutes of the doctor's time. But, I digress.

So, I called the insurer (Anthem) and asked about the $70 charge, and wondered why it wasn't 'free'. The woman (very nice) told me that only well visits are paid in full (and actually, they aren't close to being paid in full, but at a contracted for amount). I told her that I had scheduled the visit one month in advance, and that it was a well visit. She asked, seriously, "well, did you talk about anything besides well visit things?"

LOL. Well, yes, we did. J had another sinus infection, and the doctor, while performing the typical 5 year check up, checked his ears and saw fluid. And, wrote a prescription (for which I paid- out of pocket, $114 or $115 for a 20 day supply), noting in the the chart another sinus infection. And, he billed it separately.

I don't blame the doctor. He HAS to bill for every single event (like the 4 shots and the administration of the 4 shots...). But, that is crazy.

[Grace]

So, I called the insurer (Anthem)

I saw something about Anthem insurance and the State of Maine on the news the other day. I had never heard of them prior to that.

I found this from the Bangor Daily News.

[Edwina's Secretary]

Anthem Blue Cross - or just Anthem is the new name of what was Blue Cross or Blue Cross/Blue Shield.

Insurance companies have been merging, buying each other and changing names.

In some states it is still simply Blue Cross/Blue Shield I believe.

[Marigold2]

That is how everyone bills. A seperate fee for a seperate look-see.
Sorry I know that is lame. But that is the way it is done, it's legal, it's the norm.
If you go into a grocery store thinking that you will buy eggs and then pick up some bread you will be charged for both. Not just the eggs.
If you take your car in for an oil change and a tire rotation you will be charged for both.
When you go to the dr or hospital you will have indivual charges for all line items. Otherwise people would be in there for hours, can you check my ears, I have this mole, (can you remove it), my neck cracks, I have a foot fungas, my heart races, my eyes are blurry, I have the runs on other days I can't go. It goes on and on and on on.
There are some simple things we can do.
1) Use birth control. 1/3 of all births are now welfare babies. The cost is in the billions.
2) Don't smoke.
3) Watch your weight and exercise.
Just doing small things if people would take better care of themselves would ease the health care problem greatly.
When you see a crack mom giving birth to her 5th child and it to0 will have mental and physical problems you can imagine that this family alone with cost a million to support before they are 18.
Today I had an inner city man call and ask if we took Care Source I said "no I am sorry we don't" and he said F&^K you!! We all got a good laugh. What ya gonna do, either you laugh at the ignorant fool or you feel sorry for them and I have been in this business too long to feel pity for people like that.

A true, but odd, insurance event.

I get an EOB for J's 5 year check up- something that should be covered without cost to me- under the 'new' plan. I see all but $70 is covered, and the whole bill is $500 something. An amount that I found outrageous, btw. We were there for 15 minutes of the doctor's time. But, I digress.

So, I called the insurer (Anthem) and asked about the $70 charge, and wondered why it wasn't 'free'. The woman (very nice) told me that only well visits are paid in full (and actually, they aren't close to being paid in full, but at a contracted for amount). I told her that I had scheduled the visit one month in advance, and that it was a well visit. She asked, seriously, "well, did you talk about anything besides well visit things?"

LOL. Well, yes, we did. J had another sinus infection, and the doctor, while performing the typical 5 year check up, checked his ears and saw fluid. And, wrote a prescription (for which I paid- out of pocket, $114 or $115 for a 20 day supply), noting in the the chart another sinus infection. And, he billed it separately.

I don't blame the doctor. He HAS to bill for every single event (like the 4 shots and the administration of the 4 shots...). But, that is crazy.

[Cataholic]

That is how everyone bills. A seperate fee for a seperate look-see.
Sorry I know that is lame. But that is the way it is done, it's legal, it's the norm.
If you go into a grocery store thinking that you will buy eggs and then pick up some bread you will be charged for both. Not just the eggs.
If you take your car in for an oil change and a tire rotation you will be charged for both.
When you go to the dr or hospital you will have indivual charges for all line items. Otherwise people would be in there for hours, can you check my ears, I have this mole, (can you remove it), my neck cracks, I have a foot fungas, my heart races, my eyes are blurry, I have the runs on other days I can't go. It goes on and on and on on.
There are some simple things we can do.
1) Use birth control. 1/3 of all births are now welfare babies. The cost is in the billions.
2) Don't smoke.
3) Watch your weight and exercise.
Just doing small things if people would take better care of themselves would ease the health care problem greatly.
When you see a crack mom giving birth to her 5th child and it to0 will have mental and physical problems you can imagine that this family alone with cost a million to support before they are 18.
Today I had an inner city man call and ask if we took Care Source I said "no I am sorry we don't" and he said F&^K you!! We all got a good laugh. What ya gonna do, either you laugh at the ignorant fool or you feel sorry for them and I have been in this business too long to feel pity for people like that.

Marigold, your perspective is very unique. Very. So much broadstroke action you may as well be painting a barn.

I know I have said this before but you must have had a very, very difficult childhood to sound so bitter about many things.

[RICHARD]

Please don't worry about the government running health care..
The hospitals are doing a slam bang job of taking care of the patients....


Cedars-Sinai Hospital here in Lost Angeles had a CT scan machine that was out of whack for 18 months.

The machine irradiated patients at a rate of 8xs the normal levels due to a computer malfunction.

Some patients 'only' had hair loss as a side effect.

http://cbs2.com/health/Cedar.Sinai.R...2.1244165.html

[caseysmom]

Marigold, your perspective is very unique. Very. So much broadstroke action you may as well be painting a barn.

I know I have said this before but you must have had a very, very difficult childhood to sound so bitter about many things.

You got that right. I have never heard anyone speak with such stereotypical venom before.

[lizbud]

Marigold, your perspective is very unique. Very. So much broadstroke action you may as well be painting a barn.

I know I have said this before but you must have had a very, very difficult childhood to sound so bitter about many things.

I don't see a need for you to use personal attacks here.

The Op was stating facts. A little bluntly maybe, but to the point.

[Cataholic]

I don't see a need for you to use personal attacks here.

The Op was stating facts. A little bluntly maybe, but to the point.

I am sorry that you took my comment to be a personal attack upon someone. It wasn't. It was a comment, a rather polite one at that.
But, thank you for your opinion. As ironic as I might find it.

[lizbud]

I know I have said this before but you must have had a very, very difficult childhood to sound so bitter about many things.

This comment isn't personal?

[Marigold2]

I have no idea why you would be mean to me. What are you so angry about? I did not swear or yell at the patient, I nicely told him that we don't take Care Source we don't take it because it does not pay enough to keep an office open.
He attacked me, I laughted because it was funny. I get 100 phone calls a day and several have Care Source many people get nasty when I tell them we don't take it.
What ya gonna do? Take it personaly, NO you have to laugh about it and keep your humor and good mood. If he had not hung up on me I would have told him to call Care Source to find a provider who takes that policy. But he hung up, so he is the one who is F^%KED.
It's not my fault we don't take it. I don't make the rules, I just follow them.
My advice on lowing medicial rates was sound. Don't smoke, use birth control, watch the diet and exercise, Nothing nasty there. It would benefit all, as a country and just one on one. Diabetes is a very serious issue in this country as is being overweight. Heart disease, cancer, stroke and all be prevented or greatly reduced if we do our best to take care of ourselves.
As for 1/3 of all births being on welfare, well that is just a fact. I can't change it. I just stated the truth, it might not be pretty but it's true. We as Americans need to be more repsonsible for our bodies. We need better morals, better role models, and young women need to know that having a baby by 21 is not the be all end all. They need to educate themselves, be able to take care of themselves, travel, expolore, have fun, shop till they drop, break a heart or two, climb a mountain, backpack through Europe, go sailing, join the Peace Corps, go out west and follow the Oragan trial. So much to do and see and explore before you settle and have kids, Moms need to tell kids that, to educate them that life is a journey and it's a blast. I have taught my kids that. I am not bitter, I am very down to earth and partical. I tell the truth even if it is ugly. The only way to change and grow and make things better is to talk honestly. I do that. I didn't say anything that wasn't true.
Are you feeling guilty about something or picked on? Why? What did I say that was not true?




QUOTE=Cataholic;2197923]Marigold, your perspective is very unique. Very. So much broadstroke action you may as well be painting a barn.

I know I have said this before but you must have had a very, very difficult childhood to sound so bitter about many things.[/QUOTE]

[pomtzu]

[QUOTE=Marigold2;2198068]
[FONT=Comic Sans MS][COLOR=#0000ff]As for 1/3 of all births being on welfare, well that is just a fact. I can't change it. I just stated the truth, it might not be pretty but it's true.




Source???? Or is this just another fact you pulled from nowhere, like some of the other "facts" you noted about Welfare???

[Marigold2]

I believe in was several years ago in Time Magazine, It was so shocking, I had no idea. I will research it and let you know, Until then try to keep then venom out of your voice.[QUOTE=pomtzu;2198193]

[FONT=Comic Sans MS][COLOR=#0000ff]As for 1/3 of all births being on welfare, well that is just a fact. I can't change it. I just stated the truth, it might not be pretty but it's true.




Source???? Or is this just another fact you pulled from nowhere, like some of the other "facts" you noted about Welfare???

[Cataholic]

I have no idea why you would be mean to me. What are you so angry about? I did not swear or yell at the patient, I nicely told him that we don't take Care Source we don't take it because it does not pay enough to keep an office open.
He attacked me, I laughted because it was funny. I get 100 phone calls a day and several have Care Source many people get nasty when I tell them we don't take it.
What ya gonna do? Take it personaly, NO you have to laugh about it and keep your humor and good mood. If he had not hung up on me I would have told him to call Care Source to find a provider who takes that policy. But he hung up, so he is the one who is F^%KED.
It's not my fault we don't take it. I don't make the rules, I just follow them.
My advice on lowing medicial rates was sound. Don't smoke, use birth control, watch the diet and exercise, Nothing nasty there. It would benefit all, as a country and just one on one. Diabetes is a very serious issue in this country as is being overweight. Heart disease, cancer, stroke and all be prevented or greatly reduced if we do our best to take care of ourselves.
As for 1/3 of all births being on welfare, well that is just a fact. I can't change it. I just stated the truth, it might not be pretty but it's true. We as Americans need to be more repsonsible for our bodies. We need better morals, better role models, and young women need to know that having a baby by 21 is not the be all end all. They need to educate themselves, be able to take care of themselves, travel, expolore, have fun, shop till they drop, break a heart or two, climb a mountain, backpack through Europe, go sailing, join the Peace Corps, go out west and follow the Oragan trial. So much to do and see and explore before you settle and have kids, Moms need to tell kids that, to educate them that life is a journey and it's a blast. I have taught my kids that. I am not bitter, I am very down to earth and partical. I tell the truth even if it is ugly. The only way to change and grow and make things better is to talk honestly. I do that. I didn't say anything that wasn't true.
Are you feeling guilty about something or picked on? Why? What did I say that was not true?




QUOTE=Cataholic;2197923]Marigold, your perspective is very unique. Very. So much broadstroke action you may as well be painting a barn.

I know I have said this before but you must have had a very, very difficult childhood to sound so bitter about many things.

[/QUOTE]

Mean? Mean? Where was I mean? You are very bitter. Like you, I tell it like it is, even if it is ugly. And, I do, personally, find bitter ugly. Along with your "take" on the world at large. Very ugly. Only someone really bitter would continue with the late 1960's white elitism talk. We all get you are better than someone on welfare, that you are better than someone that would have <gasp> a child without being married (LOLOL), that you are better than those that don't have a job. So, relax, you are WAY better than me!