First, the gigantic tax funded bureaucracy you refer to is only going to get bigger under any sort of universal health program.
Second, and more importantly, I’m not sure I understand exactly what you’re saying- tell me if I have this right.
In your experience working with the socialized medicine programs in California, you have observed that women seeking abortions are given higher priority than people with other health priorities in order for them to have their abortion sooner rather than having to wait.
The reason for putting abortion seekers to the top of the list is because it is viewed as a compassionate practice for the mother and the baby, because they would rather that a woman aborts her child today than have to risk going without prenatal care for any period of time?
If I have understood this correctly, then I would like to add your post to my long list of reasons for being opposed to any sort of socialized medicine program.
No. I think you are misunderstanding a bit.
It is not socialized medicine. It is medical insurance and part of the welfare program, called transitional assistance. Medicaide is a program to help assist people financially with their medical (and sometimes dental) costs. It’s not part of the Public Health Department. It’s part of Human Services or Social Services.
Families, children, and pregnant women (and the state cannot interfer with the decision of the mother to get care, carry to term, whatever) can apply for Medicaide benefits, as well as the blind, disabled, developmentally disabled, aged, mentally ill, some people in nursing homes, and young adults under the age of 22 with low income/property It’s very hard for people who don’t deserve benefits to qualify for benefits. For example, there is no way that I could qualify, although I can’t afford medical insurance and have none, because I have no children, am between the ages of 22 and 65, not disabled, blind, etc. Even if you are in a category that qualifies you must meet all the income and property qualifications (in most cases) AND provide all requested verifications of income/property AND complete all paperwork correctly.
One of the things Medicaide does is augement what low income seniors who are on Medicare have (that’s called Quimby). Seniors and families who are not eligible for full benefits are sometimes eligible for financial assistance, at a share of cost. They receive some benefits and they pay a share, which is like a co-pay.
When someone has Medicaide benefits what they have is a card, like an insurance card, that they take to the doctor or clinic they choose to go to. It’s treated like an insurance when someone gets medical care. If the client has a “share of cost” it shows on the clinic or doctor office computer and they must fork over some money. If they have not visited their carrier worker in the office for their annual re-evalution, if they have moved or if they have a change of phone number and have not reported it to their worker, if they miss an appointment, the worker closes the case. Then when they see a doctor - or take their kids to see a doctor - they end up showing their card and being told, “Sorry, you no longer have benefits.” Then we at the transitional assistance department (commonly known as welfare) get called by the client who is upset because their kid needs treatment right away and they can’t pay. Or maybe they are a parent and they need surgery. All you can say is sorry, we just approve or deny cases and you didn’t play by the rules - but apply again. A vicious cycle.
At this moment, while I am writing this I absolutely cannot believe the heartlessness and idocacy of anyone who would believe that childen or any poor person should not be seen by a doctor because they happen to be poor. What are you people doing now? Eating chips and watching TV in a comfortable house, reading this and then going about boasting how you are better than anyone because you pay taxes and you are a better citizen that anyone else or whatever. Sorry to shake you up but not everyone is well off like some of you. And I think some of the stuff I have read here is just plain sinful pride and that you should be ashamed. I cannot see how anyone who is a Catholic Christian can not believe that poor people deserve health care care without having to jump through hoops.
Let me now address this:
" The reason for putting abortion seekers to the top of the list is because it is viewed as a compassionate practice for the mother and the baby, because they would rather that a woman aborts her child today than have to risk going without prenatal care for any period of time?"
No. Women who want abortions are not put at the “top of the list”. The only people have cases that are
systemically worked on first - to get benefits approved (not to be seen by a doctor - Medi-caide offices are not doctor offices) - are PREGNANT WOMEN. There are no “compassionate” practices. Many workers can be compassionate, but it they are not social workers or health care professionals. There are regulations and office procedures. Cases with pregnant women are viewed by the state and county goverments in our state as time sensitive due to the prenatual condition required immediate care for the fetus and the mother. Some women tend not to get prenatal care when they can’t afford it and Medicaide is sometimes the only way they can afford to get prenatual car. Another time sensitive case would be an elderly person in a nursing home. That would go to the front of the file system, as well, to have the paperwork and budget worked on first. I wouldn’t say that time sensitive cases are that way because of compassion. I believe it is if someone is likely to dies or becomes very ill while a pending client waiting for benefits, the state and the county governments can be sued and also are in a whole lot of trouble.
Abortions are not put at the “top of the list”. They just absolutely bump any case that an available worker is working on the moment they walk up to the reception counter and complete the initial form and state they are pregant and seeking benefits in order to have an abortion. Medi-Cal cases can take up to a month and a half to approve and sometimes the deadline can be extended. As it was explained to me, working the case right away would help to avoid a late term abortion. This is why they would call it “top priority”. The lobby reception calls you and tells you that you have just been assigned the case and the client is on their way up. You are already into a case on your desk, have calls to make, and whatever, but all other work is put on hold til you interview that client and work her case with her there.
Working a case is reviewing the application and all of the clients reported and reportable finances (income and property), according to (very complicated and ever changing) governmental regulations. Then checking the state databases to verify income, social security numbers, the ownership of medical insurance.) Entering all data into a budgeting database (some areas still do it manually) and work the budget under many different available programs to see it the client is eligible for benefits. In this area of So. Cal. we are lucky enough to have a really good database that sorts through all the various programs.
Most cases are complicated. Pregnant women were less so. Many of the pregnant women, but certainly not all, that I had as clients who wanted abortions had cases that were easy to work because they were minors. I also had some cases that were minors who were pregnant who wished to carry the baby to term. Whenever I had a case with a possible abortion, I felt very sad and prayed for the client to change her mind when she left. The job was stressful enough, but add one of those cases to my day and I was really having problems sleeping at night. I was glad when I didn’t get promoted and had to stop working there.
Sorry for the super long post.
I guess I’m not going to be checking back here, because it is very upsetting for me. You see, not only do I have a BA in Social Service, but I lost a subsequent job and in turn lost my medical and dental insurance. Actually, I was able to afford to keep up my dental and vision on COBRA for a while. (Which, I suppose, many will also think is a dreaded socialized medicine plan.) I couldn’t afford to pay nearly $350 a month for medical insurance on COBRA or privately. My COBRA dental and vision wasn’t much, but ran out and so is my savings. I would love to see a doctor, since it’s been over a year and a half and I’m in my fifties, but I can’t afford to. I need to replace a lost tooth, but no insurance now. Otherwise, I am (to the best of my knowledge) blessed with good health. I keep believing God will bless me with a good full time job and I keep going after everying I find, even some part time jobs. Hanging in there and keeping the faith. But, I have to say, I consider myself poor. Thank goodness I have family to live with.
I saw some quotes above. Didn’t really read them all. I’ll throw one in. Off the top of my head.
“There are more things in heaven and earth than are dreamt of in your philoshophy.”