Got Swine flu? You may not be able to get insurance again…

In the aftermath of beating H1N1 virus, some children may never be elligable for Health Insurance agin becuase of the lifetime cap…that is unless you are on medicaide, then the tax payers paid for it.

After six weeks in intensive care, Lateasha Howard has apparently beaten H1N1.

But Carolyn Howard has no idea what saving her daughter’s life will cost.
“Are you expecting to see a big bill at the end?” asked CBS News correspondent Mark Strassmann.

“Hopefully not,” Howard said. “Praying and hoping that I don’t see one.”

Tony Estlinbaum’s finally home. He fought H1N1 for a month in the same ICU, at Children’s Hospital in Oklahoma City.

As a stress relief, his parents used to joke about the whopping expense.

“How much is this going to cost to be in the ICU for a month?” Hugh Estlinbaum asked.

“Hold your breath for three seconds, oh, there’s $500,” Lizzy Estlinbaum said.

More coverage of Tony and others at Children’s Hospital:

A Child H1N1 Patient’s Joyous Homecoming
Two H1N1 Kids Now Show “Miracle” Progress
Two H1N1 Patients, Two Different Outcomes

A machine called an ECMO is the big expense. It’s a lifeline for the heart and lungs and requires two nurses in the room, around-the-clock.

“Staffing, training, equipment – very quickly you’re going to be running into the hundreds of thousands of dollars,” said Cole Eslyn the CEO of OU Medical Center.

Lateasha Howard’s hospital charges? $1.2 million – and rising.

Tony’s bill? Almost $900,000.

And that’s just the hospital.

“That doesn’t include the doctors or nurses, or the CT or the plastic surgeons that came into the room,” Hugh Estlinbaum said. “The list is long.”

Hospitals usually negotiate much lower settlements. But unlike many insurance plans, the Estlinbaums have a lifetime cap on expenses: $1.5 million. Tony’s hospital stay and continuing rehabilitation could top that.

“I don’t know how we’re going to do these medical bills,” Hugh Estlinbaum said. “I have no idea.”

Every insurance plan’s lifetime cap varies. But in extreme H1N1 cases, with sky-high medical bills, a child who once had a severe flu might have trouble getting health insurance ever again.

“Their ability to purchase individual insurance in the open market is very limited, if not zero,” said Dr. Peter Kongstvedt, a health insurance expert.

Carolyn Howard relies on Medicaid — which will pay Lateasha’s bills.

“You’re better off having Medicaid than private insurance with that type of cap,” Kongstvedt said.

Congress is now considering three major bills to overhaul American health care. All three would eliminate lifetime caps.

“I can’t put a price tag on what he is worth,” Lizzy Estlinbaum said. “There is no price tag on what he is worth.”

So the Estlinbaums could soon face a new crisis. Not medical – financial.


Published in: on October 30, 2009 at 7:56 am  Leave a Comment  
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Pelosi unveils new Health Care Bill from the steps of the Capitol.

pelosi_cruellaWell folks, its just around the corner……

Speaker Nancy Pelosi said Congress was “on the cusp of delivering on the promise of making affordable, quality health insurance available to every American.”

Officials said the measure, once fully phased-in over several years, would extend coverage to 96 percent of Americans. Its principal mechanism is creation of a new government-regulated insurance “exchange” where private companies would sell policies in competition with the government. Federal subsidies would be available to millions of lower-income individuals and families to help them afford the policies, and to small businesses as an incentive to offer coverage to their workers.

Large firms would be required to cover workers, and most individuals would be required to carry insurance.

Obama praised the bill, which was developed without Republican input.

The House legislation includes critical reforms to the insurance industry, so that Americans will no longer have to worry that they will be denied coverage, or that their coverage will be dropped or watered down when they need it most. I’m also pleased that the bill includes a public option offered in an exchange,” he said in a statement released shortly after the unveiling.

No Republicans are expected to vote for the sweeping legislation, which would raise taxes on upper-income earners and cut Medicare payments to insurers, hospitals and other providers to cover a price tag that costs $894 billion over 10 years. But Democrats control 256 seats in the House, and can afford about 38 defections on the vote and still prevail.

Pelosi has also said the bill would strip the health insurance industry of a long-standing exemption from antitrust laws covering market allocation, price fixing and bid rigging. Democratic officials said the bill also would give the Federal Trade Commission authority to look into the health insurance industry at its own initiative. The officials spoke Wednesday on condition of anonymity, saying they were not authorized to pre-empt a formal announcement.

While precise figures were not immediately available, it appeared the legislation would target the drug industry for more than the $80 billion pharmaceutical firms agreed to contribute toward health care in a deal earlier this year with the White House and key senators. But the industry managed to come away with a provision worth billions: 12 years of market protection for high-tech drugs to combat cancer, Parkinson’s and other deadly diseases.

Medical device makers also took a hit, with a 2.5 percent excise tax on sales of their products that is reported to cost the industry $20 billion over the next decade. A $40 billion fee on those businesses was included in a Senate Finance Committee-approved version of the legislation, but Reid is considering cutting it by as much as half.

And that’s all folks!!!

Health Care: Pelosi gives public option a new name

Pelosi thinks that the ‘public option’ needs a new name.

In an appearance at a Florida senior center, the Democratic leader referred to the so-called public option as “the consumer option.” Rep. Debbie Wasserman Schultz, D-Fla., appeared by Pelosi’s side and used the term “competitive option.”

“You’ll hear everyone say, ‘There’s got to be a better name for this,'” Pelosi said. “When people think of the public option, public is being misrepresented, that this is being paid for with their public dollars.”

The speaker said the “competitive option” idea emerged during her closed-door roundtable, you know one of the ones where the repblicans got locked out at the Sunrise Senior Center with advocates of seniors and others who work with older populations. Wasserman Schultz suggested the term might be here to stay.

As for having the votes to pass such a measure, both women said a public option would survive. They wouldn’t get into numbers of congressional supporters, but said it was simply a matter of picking which type of public option to pursue.


What is going to be the total cost of Health Care lobbying? $400million plus?

They are calling it the “super bowl” of heath care reform. Super Bowl because it is costing more than the damn super bowl to put on.

The amount of money lobbyists are spending on health care reform could break records, and now that the five bills before Congress have cleared committee, that spending is going to go on even further

The funny thing is, this article estimates that they have only spent $263 million, however earlier reports suggest as of the first half of this year the figure was $280 million. and the total cost is going to be around $400million.

Enough money for 30,000 families in the U.S to afford health care.

There are more than 3,000 people registered to lobby about health care, almost six lobbyists for every member of Congress

All I know is we seem to be entering a game of he said, she said, the health insurance companies are starting to come out swinging saying this is going to cost more and politicans are shooting it down, something very similar to when Clinton was in office.

Shold we address caps being spent on lobbying? Does that not seem fair considering the amount of money being spent on this, which in the long run, ends up in the pockets of the people that are “suppose to help you”

Im smelling something in the air and its certainly not smelling sweet.



Published in: on October 15, 2009 at 8:34 am  Comments (2)  
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Self proclaimed “Abortion Addict” writes a memoir about 15 terminated pregnancies


First of all let me say, I have the same debate that goes on over and over in my head, yes I do believe in a woman’s right to choose, I’m just not too sure how many times is acceptable to choose. I know its like chasing my tail and contradictory on both sides of the fence, but none the less it is my thought

Irene Vilar has admitted to being ‘an abortion addict’ after having 15 terminations over 17 years.

She had the abortions not from poverty or fear but as an extraordinary act of rebellion against her ‘controlling’ husband who did not want children.

One could argue that although a very bright child that was rigged with devestation it lead her to become involved with an older man and have her first abortion at the tender age of 16 and ended 7 years ago.

Mrs Villar now has two daughters and is penning a memior on motherhood.

It begs so many questions.


Published in: on October 14, 2009 at 7:24 am  Leave a Comment  
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Once step further to health care and one big slide for the dollar.

a_bad_day_for_the_US_DollarWell folks, we knew it was going to happen and it did, so let me start my saying…


Ahhhh, make sure your grand kids thank you before you die, oh thats right, this thing is not goign to cost us anything is it?

Sen. Olympia Snowe, R-Maine, was the lone committee member to cross party lines, breaking with other Republicans to vote for the measure. All the committee’s Democrats supported the bill.

Which we all knew she would as she is as crazy as Brtitney Spears without her drugs

So what the next step

If the House and Senate both manage to pass health care overhaul bills, a conference committee then will negotiate a final version requiring approval from both chambers before going to O-man for his signature. Who as you could imagine when it comes to that will have the biggest hard on ego known to man.

Well folks for the time being, its off behind closed doors in Reid office for the orgy next step, all the while, the dollar is slipping to the yen and euro.

Its going to be a Merry Christmas for everyone!

Knock, Knock? Who’s there? Health Insurance

us_president_barack_obama_spending_money_for_debt_policy_speech_strategy_comic_political_cartoon_economist_funny_best_top_free_greatest1Ahhh back to the heath care battle. The dems are now scrambling behind closed doors as the Health Insurance companies with their huge pocket books are not playing nice anymore.

So once the Senate Finance Committee votes Tuesday on its health care overhaul plan, the focus will shift to the closed doors of Harry Reid’s office.

And then this is where must merge the conservative-leaning Finance Committee legislation with a more liberally drawn bill approved by the Senate Committee on Health, Education, Labor and Pensions.

So whats the difference? The Finance Committee bill and the health committee legislation involves a government-run insurance company — the public option.

The health committee bill provides for a robust public option designed to compete head-on with insurance companies and force them to rein in costs.


So what are the health insurance companies doing?

They are sending a strong message that health care legislation will drive up premiums for people who already have coverage comes as a warning shot at a crucial point in the debate, and threatens President Barack Obama’s top domestic priority.

So whats the fear for the dems you say/ well back in the 90’s it was the Insurance industry that destroyed President Bill Clinton’s health care plan by fanning fears that people with coverage would wind up paying more.

Published in: on October 13, 2009 at 7:55 am  Comments (8)  
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Need health care? Got no I.D? No problem

It turns out, I have away to avoid my health care costs everymonth afterall.

I’m just going to turn up, not speak English.

The smarts that are at congress rejected a proposed a requirement that immigrants prove their identity with photo identification when signing up for federal healthcare programs.

Because basically they figure, they will just turn up with a fake one anyway, so why they have put all these new fabulous rules in place, like showing a Social security card, if you are a legal immigrant you need to be here for 5 years before you can access Medicaid etc, they are scraping the idea of actually showing any I. D.

Maybe its just me, but this seems to make no sense at all.

But there again, not too sure why I’m even questioning, because this thing is not going to cost taxpayers anything, right? Just like the Olympics in Chicago are not going to cost them anything?

I dont know where they learnt math like that, but I like it. Now if only my check book could operate under the same math equation.


Update on recovery money, where is it going?

O-man will announce $5 billion in grants when he visits the National Institutes of Health on Wednesday, according to an O-man official.

This money was already set aside in the stimulus package that totals of $100 billion in innovative research and advancing science and technology infrastructure for the American Recovery and Reinvestment Act’s .

Yay, just in time for the swine flu outbreak.

Oh wait. My bad!


Published in: on September 30, 2009 at 7:35 am  Leave a Comment  
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They are at it again…..stupidity that is!New Law Bans Flavored Cigarettes.

Yes, smoking is bad. No, I do not smoke. Do I smoke a clove cigarette about once every 2 years and/or a cigar, sure, its not illegal and sometimes I like to do it.

Now, like my cuban cigars, it looks like I will have to get my clover cigarettes snuck into the country via the United States Postal Service hard-core smugglers I know as a law has just passed that anyone selling cigarettes flavored with cloves, fruit – anything but menthol – is a criminal under a ban that marks the continued assault in a new war on tobacco.

And why the heck are we only learning about this once it’s passed? Don’t the have enough bullshit work going on the hill, they have to do this, and no offence, but I’m pretty sure they need all the tax money they can get.

If you dont want people to smoke, then ban cigarettes, get some balls…oh wait! That would be against the constitution. And what does this do for some of the small businesses that have tobacco stores and hookah bars, I guess they go out of business as well, so if you are going to send these places out of business, just man up and do it entirely.



Published in: on September 24, 2009 at 10:31 am  Leave a Comment  
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