Showing posts with label health care reform. Show all posts
Showing posts with label health care reform. Show all posts

Monday, January 11, 2010

A House Divided

In all the years I've followed politics, which is practically all my life, I've never seen us so divided by party. This division became pronounced in the second President Bush's terms of office, I feel, because of his "You're either with me or agin' me" attitude. I had hoped that President Obama could bring us back together again but a year after he took office we seem to be more divided than ever.

This country has seen political divisions and personal attacks in campaigns ever since the rumors about Jefferson and his slave and most famously the attacks on President Jackson's personal life. In my lifetime though political games were more civilized until just a few years ago. As we're seeing right now with Harry Reid's apology for so-called racist remarks about candidate Obama, that's all it takes for the other party to jump all over someone and try to drive them out of office. Both parties are guilty - I'm not just criticizing Republicans here.

When I learn about a candidate's views in order to decide whether I want to vote for him or not, I don't expect to agree with him about everything. I simply want to vote for a person who agrees with most of my opinions on important issues. I am registered with the party I normally agree with so I can participate in primaries, and in the general election I vote for the candidates I want to, rarely a straight ticket. According to party leadership these days, though, I'm supposed to endorse everything the party stands for. In that case, I would have to become an Independent and forfeit primaries.

I'd like to think that most citizens vote the way I do, but perhaps I'm being naive. Where I live voters are predominantly Republican and I know people who would rather croak than vote for a Democrat, but I don't think this area is representative of the country as a whole. At least I hope not.

My hope that President Obama could bring us all together is dimming. I don't see any sign that the division is easing in Washington and in fact the health care reform process seems to be building a solid wall between the aisles in Congress. I hate all the wheeling and dealing involved in this vital issue and I certainly don't know what the final bill will look like, but I support the effort on behalf of all Americans who cannot afford health insurance. We absolutely must help them.

We're all Americans and like it or not we're in this together. How can we hope to have a solid economy, jobs, education, environmentally sound policies and the other necessities of a nation that leads the world if we don't cooperate, compromise, give each other a say, help each other out, and work together to create opportunity? Instead of finding things to complain about, how about if we emphasize the positive. This is still a great country and I know we all love it. Let's show it.

Wednesday, August 19, 2009

End of Life Counseling

One of the more misunderstood provisions of proposed health care reform concerns end of life counseling. This is not a "death panel" to decide who lives and who dies.

The proposal is an attempt to do what doctors and families are often unable to do - have a rational discussion with terminally ill people about their wishes and give them facts to help them come to an intelligent decision on their own. We've all had dying relatives who obviously needed to talk to someone about what was happening to them. Usually the doctor, who has sworn to help people live, is reluctant to discuss the subject. The people who should be talking honestly with the patient, family members/loved ones, just keep saying, "Oh don't talk like that. You're going to be fine." Right?

I remember when my own mother was terminally ill. She desperately needed to talk about it and say her goodbyes. My father simply couldn't handle that sort of discussion, and I'm an only child so it was up to me. Mom and I spent most of every day together for many weeks as I helped take care of her and it was emotionally draining. She adored my husband and was very happy that he flew down to see her and say goodbye. They lived in Florida; once a day I would walk on the beach to pull myself together. During that time we drew closer than we had ever been and we had many long and deeply satisfying talks. When she died, she was at peace and ready to go.

I think perhaps families either convince themselves that the patient will survive because they can't come to grips with reality themselves, or they think the patient will be traumatized further by hearing the truth. Whatever the case, they need to realize the patient's real need to say goodbye. Hospice workers sometimes are able to help in this way; they do such wonderful work.

In short, end of life counseling helps not only the terminally ill person but his loved ones as well. No one is going to "pull the plug on grandma" or decide whether she lives or dies. The counseling is an attempt to make this inevitable time less traumatic for everyone.

Wednesday, August 12, 2009

Uncivil Discourse

I am outraged at the conduct of some of the people at what are intended as informative town hall style meetings held by our senators and representatives during their "vacation" from Washington. Those who attend to learn about the proposed plans for health care reform and ask questions may as well stay home. Only the person who can shout the loudest will have the floor and no one will learn a thing.

These red-faced, arrogant idiots ride roughshod over everyone else in the apparent belief that their opinion, right or wrong, is all that's important. The other taxpaying citizens in the room don't even exist for them, even if they happen to agree with that particular view. Meanwhile, the shouters are the feature of media reports about the meetings in lieu of anything constructive because reporters can't learn anything either.

For many years my self-employed husband and I paid ever-increasing health insurance premiums for ever-decreasing coverage, and I fought with our insurance company many times - sometimes successfully because I was polite but persistent. The last few years we've been on Medicare and a supplement and happily so. Heavens, a government-run health insurance program! We chose our own doctors and hospitals and enjoy excellent care. The scare tactics of people who obviously have employer-paid health insurance don't bother us at all.

I had thought that I would attend if a town hall meeting were held in our area, but after seeing such travesties on television and reading about them, I won't go. I would want to learn something and that obviously wouldn't be in the cards.

Whatever happened to civil discourse? People seem to make up their minds by listening to the most ill-informed, biased, so-called expert they can find and then refuse to listen to reason. We've become a nation of "sides" with nobody willing to discuss, listen to another viewpoint, compromise, or negotiate to achieve a common ground.

When I have a strong opinion about government policy or programs, which is often, I write or call my senator or representative or even the president. If I'm angry, I say so, but keep my comments reasonable. I usually get an explanatory messsage in reply. Don't these shouting boors realize no one ever listens to them? Their way guarantees that they won't get their point across. Unfortunately they may also manage to keep needed reform from being passed.

I can only hope civil discourse will come back into vogue in my lifetime, but I won't hold my breath waiting for that to happen.