Saturday, August 08, 2009

Health-care La La Land

The Obama administration is attempting to reform America's health care system. How they plan to do this is highly complex and downright confusing. No matter how many articles, charts, and graphics I attempt to understand, I still emerged perplexed. I'm pretty sure that the bottom line is to provide insurance to all Americans though a number of convoluted programs. This costs money and threatens the health insurance tsars in charge of the current ridiculous system. An elderly lady was turned away because the doctor's office this week because the practice did not accept her insurance. If she has insurance, she should to have access to see a doctor at any office - isn't that a fundamental right?

Now, however, the debate has gone completely into la-la land. Instead of focusing on getting the reform passed, the media is filled with stories and videos of protesters heckling politicians in health-care reform town hall meetings. The protesters appear to be republican-backed citizens focused on stopping any kind of reform. Why they don't want the reform is very difficult to determine. The news paper articles don't seem to be explaining the protesters motives, instead they detail the shouting and fighting. Great. Many people are claiming that the protesters are being controlled by republican lobbying firms. So it is all, again, political bullshit and the media is playing into there hands. Why give these people any press? Why can't we focus on what is important - educating people on what the reform is actually trying to do and not sensationalize the actions of a few emotionally charged republicans? It would be a depressing if the reform fails because of these dirty tactics. Surely the Obama administration and the politicians driving the reform is strong enough to resist these attacks. Why are the important bottom lines always lost in the bullshit and why do people listen to the bullshit?

Some commentators are saying the motives driving the protesters is racism. The protesters are predominantly white and the people set to gain the most from the reform (the uninsured) are not white. If this is true then the whole situation dives even deeper into la-la land. Who, in their right mind, would begrudge anyone having access to medical care whatever color their skin happens to be? But again this gets back to the fact that it is so difficult to actually discover the real motives of these folks in the media. Maybe I just need to look harder - but why should I have to do that? Shouldn't their motives be clear?

Back to things I can actually control. Our interaction with the health care system has been equally as complex this week. I have seen my doctor twice this week and had my fifth ultrasound. On Monday, my check-up showed me to be measuring slightly small again (but my sneaking suspicion is my doctors had the wrong dates in his head) and I was advised to have 5 - 6 hours of rest a day and avoid unnecessary activity. I had planned to go to the zoo the next day and stupidly told him so. He advised me not to go. I went anyway - I think my doctor is being a little too careful. On Thursday, I went to the ultrasound. It showed her to be in the 57% percentile for size (7 pounds and 1 ounce for 37 weeks and 5 days). She is absolutely fine.

Finally, yesterday we met with the doctor again to discuss labour and delivery. He is a proponent of early induction to reduce the risk of C-section. A wonderful idea that means a very long, painful and highly medicated labour. We talked it though and our bottom line is not before Mum arrives. I would not be forgiven if we scheduled the birth before her arrival. We did, however, discuss August 25th as a potential induction date if she is still hanging out in there. I would be happy for that to happen. However, for the past 24 hours my BH contractions have been increasingly more frequent and powerful. I have had some cramping and a definite increase in discomfort. I don't know whether she is going to be happy to stay put until the 25th! Whatever happens I can't wait - though considering the tiny level of discomfort I'm feeling right now, this birth thing is going to hurt like a mother f****r.

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