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	<title>Comments on: Health care IS an anti-racist issue.</title>
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	<link>http://theangryblackwoman.com/2009/10/16/health-care-is-an-anti-racist-issue/</link>
	<description>Race, Politics, Gender, Sexuality, Anger</description>
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		<title>By: LDR</title>
		<link>http://theangryblackwoman.com/2009/10/16/health-care-is-an-anti-racist-issue/comment-page-1/#comment-28060</link>
		<dc:creator>LDR</dc:creator>
		<pubDate>Tue, 17 Nov 2009 16:16:02 +0000</pubDate>
		<guid isPermaLink="false">http://theangryblackwoman.com/?p=1224#comment-28060</guid>
		<description>You may have seen &lt;a href=&quot;http://www.newyorker.com/reporting/2009/06/01/090601fa_fact_gawande&quot; rel=&quot;nofollow&quot;&gt;this article&lt;/a&gt; already, but it&#039;s pretty interesting.  One of the things it describes is doctors ordering unnecessary tests/services . . . perhaps to avoid lawsuits, but also because they get paid per test and in many cases get kickbacks for referring patients.</description>
		<content:encoded><![CDATA[<p>You may have seen <a href="http://www.newyorker.com/reporting/2009/06/01/090601fa_fact_gawande" rel="nofollow">this article</a> already, but it&#8217;s pretty interesting.  One of the things it describes is doctors ordering unnecessary tests/services . . . perhaps to avoid lawsuits, but also because they get paid per test and in many cases get kickbacks for referring patients.</p>
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		<title>By: nojojojo</title>
		<link>http://theangryblackwoman.com/2009/10/16/health-care-is-an-anti-racist-issue/comment-page-1/#comment-28031</link>
		<dc:creator>nojojojo</dc:creator>
		<pubDate>Tue, 17 Nov 2009 01:57:05 +0000</pubDate>
		<guid isPermaLink="false">http://theangryblackwoman.com/?p=1224#comment-28031</guid>
		<description>I&#039;m not sure there can be such a thing as a healthcare reform &quot;agnostic&quot;.  It&#039;s one thing to doubt the existence of something unprovable, like the divine; another thing entirely to doubt the existence of uninsured and underinsured people, and the relative average poor health of Americans versus other nations with socialized healthcare, and other facts that aren&#039;t just provable, but undeniable.  It seems to me that there should be another word for those who doubt the undeniable.  Several choices come to mind.

But to address your points -- the problem is that ultrasounds &lt;em&gt;don&#039;t&lt;/em&gt; cost $3000.  When you talk to ordinary people in countries with socialized medicine, you find out &lt;a href=&quot;http://uk.answers.yahoo.com/question/index?qid=20090605092639AA6JF08&quot; rel=&quot;nofollow&quot;&gt;they&#039;re paying 1/10th or less of that&lt;/a&gt; for ultrasounds.  Across the board, other countries pay 1/2 to 2/3rds less than we do for the same procedures and pharmaceuticals; if the price of an ultrasound were an incontrovertible baseline thing, then this difference would not be possible.  

But those countries keep the price low through a combination of price controls or single-payer bargaining, limiting malpractice to discourage &quot;defensive medicine&quot; (the problem of over-treatment that you&#039;ve mentioned -- much of this comes not from patients demanding too much, but from physicians trying to cover their asses to prevent lawsuits), reducing the cost of administration and paperwork by simplifying the system.  And some other things.  None of which our country is likely to do because our legislators are owned by healthcare companies.  

And at the moment, those companies are setting the prices at pretty much whatever they can get away with charging, because American citizens have no other choices.  That&#039;s the whole problem with a monopoly -- or oligopoly, in this case.

Backing up --

&lt;em&gt;This country suffers from a massive problem of over-treatment when it comes to healthcare because the service recipients (i.e. the patients) are not the same ones paying for the treatment.&lt;/em&gt;

I don&#039;t understand this statement.  The underinsured are service recipients; they&#039;re paying for treatment, just not &lt;em&gt;getting&lt;/em&gt; treatment.  I&#039;ve basically given my insurance company about $3000 since I started my current policy, and gotten nothing in return.  If I hadn&#039;t bothered getting insurance at all, I&#039;d be better off, at least in the short term -- now I&#039;ve got to pay &lt;em&gt;another&lt;/em&gt; $3000.  How is giving people like me what we pay for &quot;a very expensive undertaking&quot;?</description>
		<content:encoded><![CDATA[<p>I&#8217;m not sure there can be such a thing as a healthcare reform &#8220;agnostic&#8221;.  It&#8217;s one thing to doubt the existence of something unprovable, like the divine; another thing entirely to doubt the existence of uninsured and underinsured people, and the relative average poor health of Americans versus other nations with socialized healthcare, and other facts that aren&#8217;t just provable, but undeniable.  It seems to me that there should be another word for those who doubt the undeniable.  Several choices come to mind.</p>
<p>But to address your points &#8212; the problem is that ultrasounds <em>don&#8217;t</em> cost $3000.  When you talk to ordinary people in countries with socialized medicine, you find out <a href="http://uk.answers.yahoo.com/question/index?qid=20090605092639AA6JF08" rel="nofollow">they&#8217;re paying 1/10th or less of that</a> for ultrasounds.  Across the board, other countries pay 1/2 to 2/3rds less than we do for the same procedures and pharmaceuticals; if the price of an ultrasound were an incontrovertible baseline thing, then this difference would not be possible.  </p>
<p>But those countries keep the price low through a combination of price controls or single-payer bargaining, limiting malpractice to discourage &#8220;defensive medicine&#8221; (the problem of over-treatment that you&#8217;ve mentioned &#8212; much of this comes not from patients demanding too much, but from physicians trying to cover their asses to prevent lawsuits), reducing the cost of administration and paperwork by simplifying the system.  And some other things.  None of which our country is likely to do because our legislators are owned by healthcare companies.  </p>
<p>And at the moment, those companies are setting the prices at pretty much whatever they can get away with charging, because American citizens have no other choices.  That&#8217;s the whole problem with a monopoly &#8212; or oligopoly, in this case.</p>
<p>Backing up &#8211;</p>
<p><em>This country suffers from a massive problem of over-treatment when it comes to healthcare because the service recipients (i.e. the patients) are not the same ones paying for the treatment.</em></p>
<p>I don&#8217;t understand this statement.  The underinsured are service recipients; they&#8217;re paying for treatment, just not <em>getting</em> treatment.  I&#8217;ve basically given my insurance company about $3000 since I started my current policy, and gotten nothing in return.  If I hadn&#8217;t bothered getting insurance at all, I&#8217;d be better off, at least in the short term &#8212; now I&#8217;ve got to pay <em>another</em> $3000.  How is giving people like me what we pay for &#8220;a very expensive undertaking&#8221;?</p>
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		<title>By: Miles C. Smith</title>
		<link>http://theangryblackwoman.com/2009/10/16/health-care-is-an-anti-racist-issue/comment-page-1/#comment-27963</link>
		<dc:creator>Miles C. Smith</dc:creator>
		<pubDate>Mon, 16 Nov 2009 01:39:56 +0000</pubDate>
		<guid isPermaLink="false">http://theangryblackwoman.com/?p=1224#comment-27963</guid>
		<description>I read your post and was very intrigued by it.  As a healthcare reform agnostic, I can&#039;t help but play devil&#039;s advocate here.  This country suffers from a massive problem of over-treatment when it comes to healthcare because the service recipients (i.e. the patients) are not the same ones paying for the treatment.  Given that an ultrasound apparently costs at least $3000 (by virtue of the fact that&#039;s how much you were charged), don&#039;t you think tackling the problems of the underinsured (in addition to the uninsured, whose problem, I think, is clearly more pressing) would be a very expensive undertaking?  And given that we can&#039;t currently afford the high levels of treatment we already have in this country, wouldn&#039;t this reform be fiscal suicide?

Again, not expessly disagreeing.  Just want to see what your thoughts are about the drawbacks of inviting even more people into the &quot;all-u-can-eat&quot; buffet that is American healthcare.</description>
		<content:encoded><![CDATA[<p>I read your post and was very intrigued by it.  As a healthcare reform agnostic, I can&#8217;t help but play devil&#8217;s advocate here.  This country suffers from a massive problem of over-treatment when it comes to healthcare because the service recipients (i.e. the patients) are not the same ones paying for the treatment.  Given that an ultrasound apparently costs at least $3000 (by virtue of the fact that&#8217;s how much you were charged), don&#8217;t you think tackling the problems of the underinsured (in addition to the uninsured, whose problem, I think, is clearly more pressing) would be a very expensive undertaking?  And given that we can&#8217;t currently afford the high levels of treatment we already have in this country, wouldn&#8217;t this reform be fiscal suicide?</p>
<p>Again, not expessly disagreeing.  Just want to see what your thoughts are about the drawbacks of inviting even more people into the &#8220;all-u-can-eat&#8221; buffet that is American healthcare.</p>
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		<title>By: Momsomniac</title>
		<link>http://theangryblackwoman.com/2009/10/16/health-care-is-an-anti-racist-issue/comment-page-1/#comment-27392</link>
		<dc:creator>Momsomniac</dc:creator>
		<pubDate>Thu, 05 Nov 2009 16:43:34 +0000</pubDate>
		<guid isPermaLink="false">http://theangryblackwoman.com/?p=1224#comment-27392</guid>
		<description>Kitrona,

Indeed - I spent YEARS in my 20s having doctors basically tell me that all my pain was because I was a whore (yes, I was actually called that, and no, I was just a college student, not a sex worker *nothing against that, but it wasn&#039;t at all a helpful attitude for a doc to take simply because he couldn&#039;t find a problem*).  Turned out I had endometriosis, which was a fairly new &quot;thing&quot; to doctors at the time.  I have been wary ever since.  I am not sure I would ever have been</description>
		<content:encoded><![CDATA[<p>Kitrona,</p>
<p>Indeed &#8211; I spent YEARS in my 20s having doctors basically tell me that all my pain was because I was a whore (yes, I was actually called that, and no, I was just a college student, not a sex worker *nothing against that, but it wasn&#8217;t at all a helpful attitude for a doc to take simply because he couldn&#8217;t find a problem*).  Turned out I had endometriosis, which was a fairly new &#8220;thing&#8221; to doctors at the time.  I have been wary ever since.  I am not sure I would ever have been</p>
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		<title>By: kitrona</title>
		<link>http://theangryblackwoman.com/2009/10/16/health-care-is-an-anti-racist-issue/comment-page-1/#comment-27357</link>
		<dc:creator>kitrona</dc:creator>
		<pubDate>Thu, 05 Nov 2009 06:31:41 +0000</pubDate>
		<guid isPermaLink="false">http://theangryblackwoman.com/?p=1224#comment-27357</guid>
		<description>&quot;Tina&quot; is being absolutely offensive to anyone who has health problems that require more complicated treatment than &quot;here, have an antibiotic&quot;. More specifically, she&#039;s extremely offensive to me, and a perfect example of the bigotry and willful ignorance displayed towards people with disabilities.

I know, I probably shouldn&#039;t give her the satisfaction of letting her know I&#039;m angry. But I most definitely am angry, and her attitude is both widespread and exactly why people have trouble getting adequate healthcare (aside from the access issue); unless it&#039;s something that can be quantified and measured, it&#039;s not real, even though pain can&#039;t be measured.</description>
		<content:encoded><![CDATA[<p>&#8220;Tina&#8221; is being absolutely offensive to anyone who has health problems that require more complicated treatment than &#8220;here, have an antibiotic&#8221;. More specifically, she&#8217;s extremely offensive to me, and a perfect example of the bigotry and willful ignorance displayed towards people with disabilities.</p>
<p>I know, I probably shouldn&#8217;t give her the satisfaction of letting her know I&#8217;m angry. But I most definitely am angry, and her attitude is both widespread and exactly why people have trouble getting adequate healthcare (aside from the access issue); unless it&#8217;s something that can be quantified and measured, it&#8217;s not real, even though pain can&#8217;t be measured.</p>
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		<title>By: kitrona</title>
		<link>http://theangryblackwoman.com/2009/10/16/health-care-is-an-anti-racist-issue/comment-page-1/#comment-27356</link>
		<dc:creator>kitrona</dc:creator>
		<pubDate>Thu, 05 Nov 2009 06:22:22 +0000</pubDate>
		<guid isPermaLink="false">http://theangryblackwoman.com/?p=1224#comment-27356</guid>
		<description>&quot;The US health system is the best in the world.&quot;

Bullshit. That is flat-out bullshit. If it&#039;s the best in the world, please explain to me why it can take YEARS to get properly diagnosed for anything besides a cold, all while being sneered at and told you&#039;re a hypochondriac because THEY can&#039;t find anything wrong, and if a doctor, who we all know are GODS, can&#039;t find something wrong, then nothing&#039;s really wrong and it&#039;s all in your head.

Best in the world, my ass.</description>
		<content:encoded><![CDATA[<p>&#8220;The US health system is the best in the world.&#8221;</p>
<p>Bullshit. That is flat-out bullshit. If it&#8217;s the best in the world, please explain to me why it can take YEARS to get properly diagnosed for anything besides a cold, all while being sneered at and told you&#8217;re a hypochondriac because THEY can&#8217;t find anything wrong, and if a doctor, who we all know are GODS, can&#8217;t find something wrong, then nothing&#8217;s really wrong and it&#8217;s all in your head.</p>
<p>Best in the world, my ass.</p>
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		<title>By: Kanika</title>
		<link>http://theangryblackwoman.com/2009/10/16/health-care-is-an-anti-racist-issue/comment-page-1/#comment-26518</link>
		<dc:creator>Kanika</dc:creator>
		<pubDate>Thu, 22 Oct 2009 15:28:54 +0000</pubDate>
		<guid isPermaLink="false">http://theangryblackwoman.com/?p=1224#comment-26518</guid>
		<description>Actually, ultrasounds for fibroids are not as uncommon as you think and are a medical necessity.  When I was diagnosed w/uterine fibroids, I had an ultrasound taken to check the amount and size of my fibroids every year to see if they&#039;ve grown or whether I needed surgery or not.  I&#039;ve even gone for a second opinion and that doctor gave me an ultrasound.</description>
		<content:encoded><![CDATA[<p>Actually, ultrasounds for fibroids are not as uncommon as you think and are a medical necessity.  When I was diagnosed w/uterine fibroids, I had an ultrasound taken to check the amount and size of my fibroids every year to see if they&#8217;ve grown or whether I needed surgery or not.  I&#8217;ve even gone for a second opinion and that doctor gave me an ultrasound.</p>
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		<title>By: nojojojo</title>
		<link>http://theangryblackwoman.com/2009/10/16/health-care-is-an-anti-racist-issue/comment-page-1/#comment-26499</link>
		<dc:creator>nojojojo</dc:creator>
		<pubDate>Wed, 21 Oct 2009 17:47:25 +0000</pubDate>
		<guid isPermaLink="false">http://theangryblackwoman.com/?p=1224#comment-26499</guid>
		<description>Our policy is to moderate/prohibit personal attacks and behavior that&#039;s offensive to categories of people.  But while I might find stupidity offensive, that&#039;s a personal thing, not necessarily a group trait.  =)  And I actually thought it might be useful to illustrate for everyone following this thread just what kind of batshittery we&#039;re up against in the healthcare fight.  Tina&#039;s no different from those people shouting at the town hall meetings back in August, insisting that healthcare reform is socialism and socialism is bad but Obama had better keep his Nazi hands off Social Security!!!1!!elevenone!  How do you have a battle of wits with an unarmed opponent?  All you can do is point at them and laugh, and hope their example keeps smarter people from following their path.</description>
		<content:encoded><![CDATA[<p>Our policy is to moderate/prohibit personal attacks and behavior that&#8217;s offensive to categories of people.  But while I might find stupidity offensive, that&#8217;s a personal thing, not necessarily a group trait.  =)  And I actually thought it might be useful to illustrate for everyone following this thread just what kind of batshittery we&#8217;re up against in the healthcare fight.  Tina&#8217;s no different from those people shouting at the town hall meetings back in August, insisting that healthcare reform is socialism and socialism is bad but Obama had better keep his Nazi hands off Social Security!!!1!!elevenone!  How do you have a battle of wits with an unarmed opponent?  All you can do is point at them and laugh, and hope their example keeps smarter people from following their path.</p>
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		<title>By: LDR</title>
		<link>http://theangryblackwoman.com/2009/10/16/health-care-is-an-anti-racist-issue/comment-page-1/#comment-26498</link>
		<dc:creator>LDR</dc:creator>
		<pubDate>Wed, 21 Oct 2009 17:31:01 +0000</pubDate>
		<guid isPermaLink="false">http://theangryblackwoman.com/?p=1224#comment-26498</guid>
		<description>&lt;blockquote&gt;patients themselves drive up costs.&lt;/blockquote&gt;

Yeah, by getting sick.  Stupid bastards.

If it were my blog, I would have moderated this person already.  I admire your restraint.</description>
		<content:encoded><![CDATA[<blockquote><p>patients themselves drive up costs.</p></blockquote>
<p>Yeah, by getting sick.  Stupid bastards.</p>
<p>If it were my blog, I would have moderated this person already.  I admire your restraint.</p>
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		<title>By: nojojojo</title>
		<link>http://theangryblackwoman.com/2009/10/16/health-care-is-an-anti-racist-issue/comment-page-1/#comment-26404</link>
		<dc:creator>nojojojo</dc:creator>
		<pubDate>Tue, 20 Oct 2009 21:49:46 +0000</pubDate>
		<guid isPermaLink="false">http://theangryblackwoman.com/?p=1224#comment-26404</guid>
		<description>Actually, I didn&#039;t say diddly about symptoms one way or the other, Ms. Mindreader, much less &quot;make it clear&quot;.  &lt;em&gt;You&lt;/em&gt; made that &quot;no symptoms&quot; shit up, because it suits your &quot;preventative medicine is de debbil!&quot; agenda.  But for the past few years my doctors have &lt;strong&gt;recommended&lt;/strong&gt; the annual tests, for reasons including but not limited to my family history.  Yes, including symptoms.  So again, you don&#039;t know what you&#039;re talking about.

(Now you&#039;ll say they still did it out of fear, because I&#039;m an angry black woman and we&#039;ve all got lawyers and Al Sharpton on retainer, or something, or more likely because you have this lovely stereotype-filled narrative running in your head.  My finger is hovering over the &quot;moderate&quot; button on you, note, but you haven&#039;t shown your ass &lt;em&gt;quite&lt;/em&gt; enough just yet.)

To bring this back on point, I think you illustrate the biggest problem with people opposed to healthcare reform -- so many of them love to shout at the top of their lungs about stuff they know very little about, or know solely from insurance-company-sponsored shill reports.  Either they don&#039;t care that they sound like idiots, or they&#039;re getting paid to make a stink, however incoherently.  Which are you?</description>
		<content:encoded><![CDATA[<p>Actually, I didn&#8217;t say diddly about symptoms one way or the other, Ms. Mindreader, much less &#8220;make it clear&#8221;.  <em>You</em> made that &#8220;no symptoms&#8221; shit up, because it suits your &#8220;preventative medicine is de debbil!&#8221; agenda.  But for the past few years my doctors have <strong>recommended</strong> the annual tests, for reasons including but not limited to my family history.  Yes, including symptoms.  So again, you don&#8217;t know what you&#8217;re talking about.</p>
<p>(Now you&#8217;ll say they still did it out of fear, because I&#8217;m an angry black woman and we&#8217;ve all got lawyers and Al Sharpton on retainer, or something, or more likely because you have this lovely stereotype-filled narrative running in your head.  My finger is hovering over the &#8220;moderate&#8221; button on you, note, but you haven&#8217;t shown your ass <em>quite</em> enough just yet.)</p>
<p>To bring this back on point, I think you illustrate the biggest problem with people opposed to healthcare reform &#8212; so many of them love to shout at the top of their lungs about stuff they know very little about, or know solely from insurance-company-sponsored shill reports.  Either they don&#8217;t care that they sound like idiots, or they&#8217;re getting paid to make a stink, however incoherently.  Which are you?</p>
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