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May 26th, 2012
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There are a lot of things in this world that I don't understand and don't choose to understand. Politics is one of them. I despise politics. I don't do office politics, I don't play games with people, I feel like I'm a straight-shoting tell-it-like-it-is kind of person. So, I really don't like politics. Which means I don't pay attention to bills and votes and all that nonsense. I should, I've tried, but I don't.

 

I do know enough to know that the passage of the health-care reform bill today and the fact that it's being sent to President Obama's desk to be signed in to law (which it will) is a big deal.

 

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Over the past few posts, you've seen me comment about diabetes technology -- mostly hardware and supplies -- in the context of a particular issue (hot weather or availability), but nothing really in terms of what I would like to see healthcare providers do in terms of better using existing technology, as well as what I should like to see pharmaceutical companies, software companies, and device manufacturers develop going forward. Because of the length of my wish list, I'm going to break this up into two posts.

 

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A man is not dead until he is forgotten. -- African proverb

 

Saturday night, the vice-president of our Friends of Faire group delivered a well-worded "toast to the immortal memory", in which he named Robert Burns "the Bard of Scotland"  in the way that Shakespeare is "the Bard of England" (not to mention most of the rest of the English-speaking world!). As our festivities were dedicated to a member who had recently and unexpectedly died, her life was also celebrated in this toast, and her passing, mourned.

 

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When I met with our new CPA for the first time, I brought him everything I could think he would need. In 2008 my family and I lived in two states and between me and my husband we had five jobs.

 

As we sat down to talk taxes, he asked the obvious, normal questions. And then the biggie: he wanted to know if I kept receipts or records from doctor's office co-pays or any other medical treatment. No, of course not, because I had no need to. Well, in Arizona, he said, you can write off your medical expenses, right down to your office co-pays.

 

Well, hot damn, I thought! I have tons of medical expenses!

 

"Co-pays, really?" I asked.

 

"Yes."

 

"Prescriptions?"

 

"Yes."

 

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This past weekend has seen a lot of DOC heat over Type 2 Diabetic and former Arkansas Governor Mike Huckabee's analogizing signing up for medical insurance with a pre-existing condition to trying to insure a home after it has been completely burned to the ground, or a car that has been completely totaled. Our peers have been enraged at the idea that Governor Huckabee is discounting productive lives to the point that, if the analogy were allowed to be continued, we should be completely culled from society (read: euthanized) -- either at the point of diagnosis, or at the point at which we can no longer pay the cost of our medical upkeep ourselves.

 

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I've been somewhat ambivalent about today's rally surrounding the United Nations Summit on Non-Communicable Diseases. The libertarian "party line" is that the United Nations does little more than abrogate nation-states' sovereignty and forcibly redistribute income from the wealthier nations to the less-wealthy, dampening incentives for innovation and destroying private charity efforts which would otherwise improve the lives of those in need. On the other hand, the prospect of spending time with friends I seldom see in-person is an opportunity not to be missed.

 

It's a dilemma I'd been wrestling with for a couple of months, and friendship was winning over politics. However, neither friendship nor politics had the choice to decide.

 

The deciding factor was money.

 

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It's Election Day. As the polls are continuing to count their votes, I'm watching the news coverage mostly unaffected. I know that whomever takes the country this year is going to bring big change for all of us. It's that kind of year. Even if it isn't a presidential election.

 

The votes are coming in with an overwhelming Republican projected sweep. Generally, I would vote Republican because I tend to be more conservative when it comes to taxes, gun control, et cetera. Yet I'm a moderate which means that I don't side with either party. I'm the kind of voter that would much rather pick and choose topics rather than parties. Let me vote yes or no for the "don't ask, don't tell" act. Or choose how the healthcare reform should be handled. Don't make me pick a party.

 

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I'm an advocate for healthcare reform. I think our country desperately needs a change in how we manage both preventive and continued care. Insurance companies can often make illness much more stressful than necessary with their copays, denied coverage, and stringent rules.

 

I've been blessed with pretty decent insurance thanks to my father's previous job. I've almost always been able to see the doctors that I want to. I lucked into a no referral clinic that allows me to see any type of doctor at my own discretion. No pink referral slips to get me into the OBGYNs' or cardiologists' doors.

 

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Sad to say, I've not had the bicycle out since Sunday morning. A combination of parental schedules, the Tour de France, rush hour traffic, and a heat wave have conspired to keep me indoors for most of this week. Now, this year's Tour de France has been about as predictable as an adolescent Type 1 girl's blood glucose levels are around menarche -- many favorites crashed out early; the second and third race leaders hung onto their leads far longer (and through more difficult terrain) than expected; expected attacks were never launched (while others were launched at unexpected times), and the French press has been having a field day (or ten) with the first potential French winner in more years than they'd care to count.

 

So much for "why watch, when I could be doing?".

 

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Last night, No. 3 got bit by a dog. She’s fine. No major damage, no shots, no stitches, but a trip to the ER and some antibiotics.

 

The kids were playing outside and No. 3 was holding our teeny chihuahua when a neighbor’s dog that was on a leash started yapping at our dog. No. 3 got caught in the middle. The Mr. was inside and I wasn’t home, so we’re getting the story from a 5 year old and a 9 year old. In other words, the details are sketchy.

 

As I was discussing the incident with co-workers this morning, I mentioned that our ER co-pay has gone up to $200 from $100. Urgent care co-pays are only $75.

 

I get that ER care is likely more expensive, but I hate that often health-care choices are completely based on money.

 

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Nicole Purcell
Nicole PurcellNicole Purcell lists having type 1 diabetes last when she's asked to provide information about herself - because that's where it belongs.

(Read More)
Michelle Kowalski
Michelle KowalskiMichelle Kowalski, a writer, editor and photography hobbiest living in Phoenix, was diagnosed with Type 2 diabetes in February 2005. In January 2008, as part of her quest to start on an insulin pump, Michelle learned that she actually has type 1 diabetes. (Read More)
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