Let’s keep the word “health” in Pre-Existing HEALTH Conditions!

Let’s think about Pre-existing HEALTH conditions!  Have you noticed lately many in the media and TV say or write:  “pre-existing conditions”?  I guess it is supposed to be silently understood that the word  “health” is implied in that statement; making it less important to actually keep the word “health” whenever references are made to this subject.  Let’s not leave it to individual interpretation if it is there or not; or if it is important to state it or not.

Like what has happened after the PPACA – Patient Protection and Affordable Care Act — the title/name  of  the program started to be more commonly known as the “ACA” — the change was to shorten it and make it easier to remember I suppose. It was also done to counter the fact that Republicans quite sarcastically called this 2010 law “Obamacare” — naming it after President Obama but with a negative stance about it; (which reminds me of a retina specialist I saw back in 2010 when I told him I had no health care insurance, and that I was waiting on the Ohio High Risk Pool to kick in for me to apply a few months later.  At the time, the high risk pools were called “the bridge to 2014” when the Patient Protection and Affordable Care Act plans in the Marketplace Exchanges would be available for everyone (not only children); and the retina specialist said with a smirk “oh you mean Obamacare?” and the tone of his voice told me he thought it was laughable;  and I just answered him “yes”.)

In reality “Obamacare” does not exist as it is not the official name of the Patient Protection and Affordable Care Act.  I feel the words “Patient Protection” are also quite important to keep and repeat because we seem to have lost sight of their being a huge part of the reason the law was enacted.  Protections that include from being denied health insurance altogether due to having pre-existing HEALTH conditions.

No one in Congress, nor the President or anyone in his administration, nor anyone sitting on the Supreme Court bench; nor their families, are having to go without health insurance due to having pre-existing health conditions.  So, it is not fair or just that any American citizen should have to be without health insurance due to having pre-existing health conditions in our  21st Century America.  I have the rejection letters from 2010 from four different health insurance companies to prove that it did happen before the Patient Protection and Affordable Care became law.

Furthermore, a person didn’t need to have a major life-threatening illness to be rejected for health insurance coverage either.  So, why are we shortening “pre-existing health conditions” to only “pre-existing conditions”?  Is it like we shortened the PPACA to ACA to make it easier to remember?  Or perhaps to take the main focus off of the meaning of the word “health“?  Only saying or writing “Pre-Existing Conditions”, unintentionally or otherwise, leaves out the important word “HEALTH“!

Health conditions that exist when a person tries to enroll in health insurance plans are what these insurance companies haven’t forgotten about, and certainly won’t if they are once again allowed to reject people for obtaining any health insurance coverage or charge them ridiculously high monthly premiums in order to cover those pre-existing health conditions.  The answers to the questions on the insurer’s enrollment forms are meant to reveal a full range of health conditions and they do.  The health insurance companies take note of them, tally them up, and deem the potential enrollee either acceptable for enrollment; or brand the person as being uninsurable and the rejection letter is generated and sent out.  If a potential enrollee tries to conceal having pre-existing health conditions on their enrollment form, they will be found out and prosecuted for committing fraud.  Disclosure is on the last page of the normally 8 to 12 page enrollment form before the potential enrollee’s signature line.

We are not “making America great again” whatsoever by allowing health insurance companies to go back to the days when having pre-existing health conditions were used as a reason to reject potential enrollees from access to having health insurance and branded them being “uninsurable”.   Now, isn’t that an undeniably deplorable practice on the part of health insurance companies?~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Sharing a link published online on November 5, 2018 to an abbreviated version of my post here that appears on Cleveland.com. 

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“No Quality of Life” — It can Happen to Anyone.

The Title :

“No quality of life:’ Halifax woman with rare disease paying $60,000 for U.S. surgery”

Please read this story if you have read that you have “Tarlov Cysts” on your MRI report, and your back pain is worsening.  You admit that you are noticing such things happening to you such as the fact that you cannot sit for long periods without feeling like you are sitting on a rock.  It hurts to bend down, twist, stretch, or lift even a half-gallon of milk. 

It is not likely you will find ANY doctor in NE Ohio, or indeed in the entire state of Ohio, who will explain to you what it means to have symptomatic Tarlov Cysts.  But, they will tell you that they do not operate on them.  

Please join several Tarlov Cyst Facebook Groups and read the posts and ask questions – and lots of them!  You will receive a more well-rounded education from other members who are willing to share their journey, and who also suffer from this debilitating disease.  

I personally feel that any Tarlov Cysts are like ticking time bombs in our bodies even if they do not initially present with pain.  Having one fall or being in one auto accident can change it all for a person. 

Please be your own advocate no matter where you live.  The doctors may turn away from you, but those who are also suffering from this horrid chronic pain disease will not.

It is Important to be Informed about Possible Changes for Health Insurance in 2017

“Your Health Care in 2017:  What You Must Know” an in-depth article that appears in “Parade Magazine”dated December 28, 2016, written by Frank Lalli, provides a detailed account of important points regarding the health insurance industry — before and currently under the Affordable Care Act — including Medicare and Medicaid, and the important changes that could lie ahead in 2017.  

This well-researched article offers a great start for a reader to become informed on this subject which affects all Americans in one regard or another.  

Kasich urged to fight Obamacare repeal | The Columbus Dispatch

Warning that nearly 1 million Ohioans could lose health coverage, advocates for the poor and disabled urged Gov. John Kasich to oppose a plan by congressional Republicans and President-elect Donald Trump to repeal Obamacare unless they have a replacement.

Source: Kasich urged to fight Obamacare repeal | The Columbus Dispatch

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My thoughts:

I received a memo from my congressman, David Joyce, yesterday.  Look to what Paul Ryan is pushing; something entitled “A Better Way”

http://abetterway.speaker.gov/?page=health-care

Now, HSAs, health savings accounts, are not going to be helpful for those who have low incomes or little to no incomes. 

Also, currently mammograms, colonoscopies, and prostate screenings are fully covered under insurance plans; I don’t believe that benefit will continue under their “Better Way” plan.

Also, subsidies that are currently in place; I didn’t see that in their plan. 

There are reports of going back to the state run high risk pools where historically there have not been subsidies.

Ohio never could set up their own high risk pool. Check out the reports on that from 2005 when Ann Womer Benjamin was the Director of the Dept. of Insurance and it was discussed where it was stated in a September 26, 2005 report:

“State Sen. Lynn Wachtmann the goal is not to deal with the “masses of uninsured.”

http://www.insurancejournal.com/news/midwest/2005/09/26/60166.htm

There is more to consider beyond the guarantee that a person cannot be rejected for getting health insurance due to having pre-existing health conditions.  What about their monthly premiums?  Will their pre-existing conditions work against them to determine what those monthly premiums will be? 

And, then there are the lifetime caps that insurance plans had in place before the ACA was implemented that were eliminated under the ACA.

Folks need to look at all of the individual benefits currently in place in the ACA (AKA Obamacare — yes they are the same — amazingly some folks still think they are not the same!) and then compare to the provisions stated by Republicans and what they are proposing for their replacement plans.  If you don’t see them mentioned, you can’t be sure that they will be part of their plan.  

Those who depend on ACA plans, and it can be anyone who has a low paying job with no employer-sponsored health insurance, need to understand what the changes mean for them.

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For health and dental insurance help in Ohio, please visit:

“Universal Health Care Action Network of Ohio”

http://uhcanohio.org/