Saturday, September 15, 2007

San Francisco, A Laughable Liberal Loopy-Land Totally Out Of Touch With Mainstream American Values.

American values like if you are sick and not worthy, you should just suffer and/or die. Preferably in a way that does not inconvenience your social betters. From today's New York Times:

Since contracting polio at age 2, Yan Ling Ho has lived with pain for most of her 52 years. After she immigrated here from Hong Kong last year, the soreness in her back and joints proved too debilitating for her to work.

That also meant she did not have health insurance. Not wanting to burden her daughter, who was already paying her living expenses, Ms. Ho delayed doctors’ visits and battled her misery with over-the-counter medications.

“Sometimes the pain was so bad, I would just cry,” she said. “I didn’t know what else to do.”


USA!..... USA!...... USA! The land where if you're rich it's because you deserve it and if you're poor it's because you deserve it. America at the turn of the 21st century is the land of individual responsibility Yan Ling Ho, and if you end up on the wrong side of our kiss-up, kick-down society, then you're just gonna have to get kicked. You probably just came here looking for the glamorous life of an American welfare recipient anyway. Just an immegant who probly dont neven speak English good.

Sound familiar? Of course it does. We all know someone who read that last paragraph and took it seriously. Their ilk has been running the country since the time of Reagan.

Fortunately Yan Ling Ho landed in a place out of touch with mainstream American values. That part wasn't a joke. Back to the Times:

Last month, unable to bear her discomfort any longer, Ms. Ho went to North East Medical Services, a nonprofit community clinic on the edge of Chinatown, and discovered to her delight that she qualified for a new program that offers free or subsidized health care to all 82,000 San Francisco adults without insurance.

The initiative, known as Healthy San Francisco, is the first effort by a locality to guarantee care to all of its uninsured, and it represents the latest attempt by state and local governments to patch a inadequate federal system.


A place that treats pain rather than inflicts it. I'm not sure how much more out of touch with mainstream American values you could get really.

"Fucking liberal Drugmonkey" I hear you saying. "If bleeding heart wussy's like you were in charge, my taxes would be so high I wouldn't bother to work"

Tangerine M. Brigham, the program’s director, projects that it will cost $200 million the first year, and Mr. Newsom expects to finance it without a tax increase. The city already spends about that much on care for the uninsured, and that money will essentially be redirected to Healthy San Francisco.

Wow, Mr. defender of the taxpayer......you could not be more wrong. I'm sure that won't stop your frothing at the mouth though. You see, it costs less cover someone's Advair inhaler than it does to treat them at the ER for status asthmatics, but you don't care about that. If we gave you a shot of truth serum, what we'd find out is that your ranting isn't about taxes at all. What's important to you is to have someone lower on the social ladder to make you feel better about yourself, and if every sick person can get the same treatment as you, then that erodes away some of your self-esteem.

I will remind you though, that many health problems are contagious.

So if you're from Mississippi, Alabama, Tex-ass, or any of the other bastions of red-state America, and you think of California as the land of fruits and nuts, by all means stay away. That includes when you can't afford your Blue Cross premiums anymore and the bird flu comes.

Yan Ling Ho will be covered. You can lie in the bed you made.

17 comments:

Anonymous said...

Wait, im confused.

SF spends about 200 million a year on the uninsured. So they are going to put that money into a socialized medicine plan for the uninsured. Isn't that what they are already doing? Are they just putting a nice fuzzy name on something that is already in place?

However if the current program treats only the uninsured with that 200mil, and they make socialized medicine that is available to everyone (including private insurance holders), that 200mil is going to be a drop in the bucket when everyone wants something for free.

DrugMonkey, Master of Pharmacy said...

Yes, you are confused. Probably because you didn't read the article I so carefully linked to in my post. No problem. I explain things for a living, and I'm here to help.

Yes, San Francisco spends $200mil a year now on healthcare for the uninsured. Maybe you're not aware, but if you show up at a hospital ER clutching your chest, unable to breathe, or a step away from a diabetic coma, that hospital is obligated to do the bare minimum to patch you up and shove you back out on the street, regardless of insurance status. The idea here is to take that same amount of money, give people Imdur instead of waiting for the heart attack, give people Advair instead of waiting for the status asthmaticus, give people insulin instead of waiting for the diabetic coma....taking the SAME amount of money and spending it SMARTLY.

We could cover everyone in this country, and we could have better health outcomes FOR THE SAME AMOUNT OF MONEY.... ACTUALLY PROBABLY LESS than we are spending on health care now. EVERY WESTERN INDUSTRIALIZED COUNTRY IN THE WORLD SPENDS LESS AND GETS MORE FROM THEIR HEALTHCARE SYSTEM THAN WE DO.....HOW ELSE CAN I SAY THIS????

SPENDS LESS!!!!!

GETS MORE!!!!!!

WE...ARE....GETTING....RIPPED....OFF!!!!! Why? because we are afraid of the words "socialized medicine"

The article you didn't read also addresses your concerns about people dropping private insurance "to get something for free"

1) Healthy San Francisco will not be free for everyone. Depending on income, you will pay up to $2700 a year for coverage, plus copays of up to $20 for an office visit or $350 for a hospital stay.

2) The coverage is only good in the city. You go to Mountain View, not covered. Oakland, not covered. Most people, given the opportunity, would opt for coverage that is good outside the city limits.

So by all means....go ahead and waste your money on people that could have been treated far more cheaply before they stumbled into the ER door. We'll do things the smarter way. Follow our lead or leave us the hell alone.

Hope that clears up the confusion.

Ash said...

A little down the road, Sacramento County is trying to finalize their budget still. Someone came up with the bright idea of taking $2mil from the Indigent Health Services budget and no longer providing non-emergency care to uninsured and illegal immigrants. The problem, of course, is that we cannot refuse emergency care to anyone and would have to treat every homeless asthmatic in the ER instead of in preventative clinics, but I guess that jumps from the county's problem to the local hospitals' problems. Luckily, a couple people on the budget committee motioned to do away with the proposal before it went to vote.

I hope if San Francisco does this successfully that other cities will take notice.

Anonymous said...

Yes, you are confused. Probably because you didn't read the article I so carefully linked to in my post.

If you didn't already have a cheerleader for a girlfriend, I would totally throw myself at you right now.

I heart you, Drug Monkey. You rock.

Anonymous said...

Eh, I still dont buy that its something 'new'.

People on MediCal would rather sit in the ER to get free Tylenol Elixir than go and preemptively see a doctor. We've gotten to a point where we need to /bribe/ people with money and movie tickets to get them to see the doctor for checkups. Even then they'd rather sit in the ER for 4 hours to get 30 vicodin.

Healthy San Francisco just sounds like a county-ran MediCal plan complete with a share of cost.

Every Western Industralized country also doesn't have millions of hungry and rabid lawyers frothing at the mouth for an undocumented side effect to come. They also dont have civil suits where you get 1.8 kerzillion dollars for making a human error. They realize that "shit happens" and really cant do anything about it.

We need to go out drinkin, now that I know where you live.. :)

Anonymous said...

Like many liberals, you are wildly sure of yourself, and yet perhaps a bit naive. You may find this interesting, as I did. Happy reading:
http://heather.cs.ucdavis.edu/pub/Immigration/WelfareUse/NewDemo.html

DrugMonkey, Master of Pharmacy said...

AP,

Thanks for bringing up the myth that medical malpractice costs are the major drain on our health care system. The myth is a prevalent one, and it is flat out wrong. W-R-O-N-G!, as you will see when I am done beating the crap out of it. Here we go:

The total amount spent on medical malpractice payments in this country as of 2005 was $4,100,000,000.

"Um, Drugmonkey" you may be saying "You're not off to a very good start in beating the crap out of this argument. $4.1 billion is a lotta change"

Yes, it is. Until we compare it to the entire amount of money spent on healthcare in this country; $2,000,000,000,000. Do the math and you'll see that if we eliminated every single dollar spent on malpractice payments, we would save a whopping 0.2% off the country's total medical bill. We would also have the peace of mind that comes from knowing that an incompetent doctor couldn't be held accountable.

Malpractice payments are rising faster than inflation. About 0.5% more. Total spending on healthcare in 2005 rose at 100% the rate of inflation. 100 is a lot bigger than 0.5. It don't take a monkey brain to figure out there's bigger problems out there than malpractice.

Now that your point is on the ground unconscious from having the crap beat out of it, I will deliver one last kick to it's head. Listen carefully to what the right-wing propagandists say when they talk medical malpractice. They will use the word "verdicts" to make their inaccurate point that the system is out of control. Any lawyers in the house will tell us that a verdict is often reduced by a judge whose job it is to say "What the fuck were you thinking jury?"

Do you know what the median payment, not verdict, but payment, was in a malpractice case involving the death of a patient in 2005?

Remember, this is death. Gone. Dead. Forever. Go ahead and take a guess before I tell you.

C'mon.....guess. Remember we have an out of control malpractice system in this country that is driving up costs for everyone and destroying our healthcare system. Remember that when you guess....

Ready?......ok.....

$195,000. That's the median payout in a case where a doctor killed someone.

Your point is now dead.

Moving on:

"People on MediCal would rather sit in the ER to get free Tylenol Elixir than go and preemptively see a doctor.

Really? You have a survey that shows this? A good, solid study that shows that you're just not remembering a few dumbasses that take advantage?

No, you don't. Back in October though, I did write about a hospital that was saving money by getting their ER "frequent fliers" into preemptive care.

Real dollars. Not anecdotal ones.

And if we accept your claim that we need to bribe people to get their ass into the doctor, which again was made without any supporting evidence, so what? Fucking bribe them. Hire a hooker to give them a blowjob with every glipizide refill and we'll still be coming out ahead.

We may have to come up with alternate incentives for those whose diabetes have left them unable to get an erection, but you get my point.

Anonymous said...

I would be all for a plan like this. But somehow I know I'm going to be the one getting up at 6 am and going to work to pay for it. I'm never going to be a beneficiary. And at age 52 there is nothing Wang Ho can do? Nothing? No kind of work at all?

DrugMonkey, Master of Pharmacy said...

Anonymous,

Wow, a 13 old article about some people who might have been taking advantage of the welfare system before the sweeping changes to the system that occurred after said article was written. You can certainly put a liberal in their place.

I was particularly impressed with the series of examples that we can not show were pulled out of someone's ass "to protect the families" The contrast with the actual real person cited in the NYT article I linked to, with a picture of the actual real person, certainly does a lot to point out my naiveness

It is much easier to feel sure about myself when this is the refutation. Please continue to inform me of the state of the country as of the early 1990's.

here's a link to the article you used to try to make your point. Not only would you be taken more seriously if you used sources from this decade, but learning how to correctly direct people to your old source material would help as well.

Idiot.

Anonymous said...

Wow, "Idiot"? I guess you did learn something. You're awfully defensive. Lord knows the immigrants aren't getting any more welfare. What year was that? What year did they turn off the tap? I forget.... Hahahaha!

DrugMonkey, Master of Pharmacy said...

Not defensive at all anonymous one, just annoyed that no matter how many times your ilk gets proven wrong, you keep coming back for more. Here we go again. From your 13 year old article you continue to insist is relevant:

"To put it another way, most of these Chinese seniors do not speak English and do not know the meaning of standard American acronyms such as CBS, NBA, FBI, or even INS. But there is one they all know quite well: SSI, or Supplementary Security Income, the federal welfare program for older Americans.

So according to you, immigrants are taking advantage of the SSI program. Those of us that have picked up a newspaper in the last decade though, know that the Personal Responsibility and Work Opportunity Reconciliation Act made immigrants ineligible for SSI.

What year did they turn off the tap? 1996. Look it up and tell me who's learning something here.

You'll learn I don't post shit unless I know what I'm talking about oh anonymous one. You should probably quit embarrassing yourself now.

Anonymous said...

will you come rant, i mean speak, at my pharmacy school?

DrugMonkey, Master of Pharmacy said...

eut,

For the proper fee I will rant anywhere. Make me an offer.....

Anonymous said...

Drug Monkey, as a nursing student I know that prevention is the cornerstone in medicine. If we can educate the public and get them medications to keep their conditions under control, this in turn leads to lower healthcare costs and fewer ER visits. Good point with the Advair script being cheaper than an ER visit. Too often in this society we don't want to pay anything upfront and it ends up biting us in the ass later. Already our healthcare system IS socialized. Someone comes in and they don't have insurance, guess what, they still get treated and someone else pays for it. If that isn't socialism, I don't know what is.

Anonymous said...

Vancouver, Canada Karen here again.
I was in San Francisco for a long weekend in the summer and wowza did it ever NOT feel like an American city - in other words, oddly Canadian. Actually, just cool.
I still cannot, despite having seen Sicko and read and blah blah blah, get my mind around the American health care system. I'll tell you about my province. If you are a single person, you pay $54/month for medical insurance. This is generally covered by your employer. Say you are poor or just lower middle class, then premium assistance would cover most of that $54/month. Being a hypochondriac with a few actual medical conditions, I've visited my share of medical clinics, seen my regular doctor, seen specialists for various ailments, etc. etc. $54/month. Now, we are all rather ticked off that an ambulance will run you a bill of $80. They recently doubled that I believe.
We complain about health care up here in terms of wait lists that can be long and treacherous, especially if you are waiting for a test to tell you what the heck is wrong with you.
I'm sure I have a point somewhere, but I am sadly iron deficient. Drug monkey, can you please talk about the best kind of iron to take for iron deficiency? If you don't mind.
Move to Canada! Your health care system sounds archaic and too confusing to the average person with iron deficiency.
- Karen
p.s.- oh oh and psychiatrists, not psychologists, are completely covered by health care up here. What's the deal down there with shrinks? Is the American government helping out the mental health status of its people?

Anonymous said...

eut said...

will you come rant, i mean speak, at my pharmacy school?

DrugMonkey said...

eut,

For the proper fee I will rant anywhere. Make me an offer.....


Proper fee? How about a bunch of Asian college girls... haha kidding again. Only because I have to be "kidding," though.

Anonymous said...

Also from B.C., Canada: In 2009, premiums for a couple are $1100 annual (covered by employer). Who knows how much else is out of general taxation? I've had no problems with waitlists but haven't need anything like knee surgery. And copays, so far, are zero as are hospital stays and all tests. But they keep trying to privatize/profitize. Why is socialize such a spitting-bad word? Aren't roads for SUVs communally paid for? Someone mentioned social responsibility recently. Has a nice ring.