In case you missed it, here's the 60 Minutes report on Knoxville based Remote Area Medical and the recent free clinic they conducted in Knoxville.
See also this column in yesterday's Knoxville News Sentinel by Dr. Tom Kim who operates the Free Medical Clinic in Knoxville. And this article from last week that reports there are up to 80,000 uninsured in Knox County alone.
This is a national disgrace. Dr. Kim describes the scene at the RAM event as a "Third World emergency room." In Knoxville, Tennessee. In the United States of America.
Watch the 60 Minutes report. Read the articles. If you have an ounce of human compassion it will break your heart. If you care at all about social justice you will be outraged that we are allowing this to happen in America.
In the 60 Minutes report, Joanne Ford was hoping to get in to the clinic. When asked what she would do if she couldn't, she said "I don't know. I have a lot of friends and I have a lot of church support. I was very active in my church and I have a lot of friends in church. I just hate to ask. I've worked all my life. I hate to ask."
I hate to ask.
Well, I hate to ask, but if you think this is a disgrace please do a couple of things.
First, go over to Remote Area Medical's website and make a donation. Then write a check to Dr. Kim's Free Medical Clinic or the Interfaith Clinic or one of the other local organizations helping the needy and the working poor who are uninsured and can't afford basic health care.
Second, when politicians ask for your vote, ask if they are committed to fixing America's broken health care system so that every man, woman, and child in America has health insurance they can afford or that is provided for them if they can't.
Read up on HR676 and ask your Senators and Representative why this hasn't been brought up for a vote or at least debated. Ask them if they think it's a good idea, and if not why not. Ask them what their better idea is, and don't accept more empty rhetoric about "market based" solutions and tax credits for employer-provided insurance as the answer. Tell them to watch the 60 Minutes report and get back to you on how that's working out for the poor and the working class people of America.
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60 Minutes did a very good
60 Minutes did a very good job with this report. Some might think it over the top with their footage of the people behind fences, lining up to get healthcare. It was a reminder of the Mariel boatlift and Katrina refugees.
I was shocked and very saddened by the 60 Minutes segment.
80,000 uninsured in Knox County? How can this be?
Many thanks to Stan Brock and Dr. Tom Kim, neither are from the U.S. Apparently they can see what is happening here. Many thanks to the large group of other volunteers willing to help.
I am committed to supporting elected officials that are pursuing a fix to America's broken health care system so that every man, woman, and child in America has health insurance they can afford or that is provided for them if they can't.
Talk about bad timing: Today
Talk about bad timing:
Today the nimrod "conservative" columnist in the UT Daily Beacon has an article called "National health care not a "right".
"There is no..'right to life' — only a right not to be deprived of it without due process. But even if there were a 'right to life,' it would imply nothing about free, universal health care. Why? Because of another important American principle: personal responsibility."
Blecchh - and he digs himself further into his little hole by explaining how health care doesn't "protect" us, it is only something we "demand" and how that is immoral, blah, blah.
for some reason
the phrase life, liberty and the pursuit of happiness just started running through my head. I'll have to google that and figure out which idiot came up with it, because apparently they got it wrong.
One thing that I found
One thing that I found curious about the 60 Minutes program. They spoke to a man who had driven to Knoxville from Dalton, GA.
Now, I have a family of 5, and I carry a $500 deductible, with a $1250 deductible for the family. Yet, I never considered this to be unaffordable. Actually, by today's standards, I considered it to be pretty acceptable.
Are pundits and analysts looking at the health care crisis through such a small microscope as to consider that to be unaffordable? If that is the barometer we're using, then I believe there is very little chance for a solution to our health care coverage problems.
really? we're both self
really? we're both self employed, and have $2500 deductibles on each of three family members. That's just to keep premiums under $600 a month. No employer to pay a portion of that. That's all on us.
That's not very affordable, especially when your doctors overcharge you for medical equipment, like $1260 for a $200 knee brace. That goes straight to that deductible.
The solution to our health care problems is to start distinguishing between health care costs and health care prices, and to start fighting the medical company lobbyists who collude with insurance companies to price fix Medicare reimbursement rates, which trickles down to private insurance rates like ours.
read this: Oxygen Suppliers Fight to Keep a Medicare Boon
I wasn't trying to argue any
I wasn't trying to argue any policy points. I'm just saying that a $500 deductible is quite affordable in today's market, and the article states matter-of-factly that it isn't.
I wasn't clear on that part,
I wasn't clear on that part, either. I think what they were saying is that the guy couldn't afford the $500 deductible so he doesn't go to the doctor.
Now it could be that he just chooses not to afford it, and that's an argument for mandatory enrollment in a single-payer national health insurance program that covers routine/preventive health care.
But the sad truth is that a lot of people who are uninsured, underinsured, or even insured but one medical emergency away from financial ruin can't get help with health care until they are bankrupt and can qualify for Medicaid. That's not a choice people should have to make.
P.S. I'm not so sure about
P.S. I'm not so sure about any policy, much less a $500 deductible policy (which is a pretty low deductible in today's market) is all that affordable or even available to a lot of people.
That guy in the 60 Minutes report, for example, would not be able to buy private insurance at any price in Tennessee because of his preexisting condition. He wouldn't have any insurance at all if it weren't for his employer.
That is confusing. I have a
That is confusing. I have a $2500 deductible per family member, but the deductible doesn't apply for regular doctor visits. It's a copay each visit. I have never had anything applied to my deductible in my 12 years being covered by my own insurance (knock on wood). It does, however, cost us over $5000 to have a normal, healthy baby.
Maybe he has a different setup. Maybe he can't afford a $30 copay for a dr visit. I guess it doesn't matter, if he can't afford it, he can't.
Randy: "I'm not so sure
Randy: "I'm not so sure about any policy, much less a $500 deductible policy (which is a pretty low deductible in today's market) is all that affordable or even available to a lot of people."
I would agree. There are many folks in Knoxville who are the working poor who scrimp and save $500 to buy their next car. That's all they can afford: a $500 car. They drive it back and forth to work until it runs into the ground. They couldn't even imagine coming up with $500 toward a medical deductible. For them, it's way out of their league. That's why the ERs are so overburdened.
deductable is a fraction of cost
The deductible is only a fraction of the affordability problem with health insurance. If a person becomes acutely ill and requires extensive care in an ICU or requires long term, complicated medical care for conditions such as cancer or diabetes the costs after the deductible is paid could be capped by the insurance company. The individual is then forced to either stop care or pay for everything out of pocket. Many people do not know if their coverage has a cap and won't know until they need their insulin or chemo or a blood transfusion & get hit with a whopping bill they can't pay.
Re: that fool at the Beacon: John Dean was correct. This generation of conservatives has no conscience.jcg
By the way...
Thank you for pointing this charity out to the KnoxViews readership. I'm sending them a donation, and I would encourage the rest of the KnoxViews community to do the same.
Good for you. We already
Good for you. We already donated online to RAM. Hope everyone who reads this will consider doing the same.
We also sent checks to the Free Clinic and the Interfaith Clinic who provide these services every day. Interfaith says on their website that the average visit costs $55 and the patient pays about $15, so it costs them $40. So a relatively small $40 donation will pay for someone's visit to the clinic. It may not sound like much, but hundreds of $40 donations will pay for hundreds of people to get health care they need. Every community probably has something similar, so supporting local efforts is good, too.
Thanks, Randy. I had heard
Thanks, Randy. I had heard this promo'd but forgot about it in the social activities of the day. And, thanks for bringing up the Free Clinic and Interfaith.
As I think I've said before, I am a patient at Interfaith. They are good people, who have helped keep me healthy and sane the last three years. I'm self-employed and have pre-existing conditions that make private insurance impossible in today's world.
Some insight into Interfaith. My income means I pay a $16 co-pay for a doc's visit. This winter I was horribly ill twice with upper respiratory issues. The first time it started w/ laryngitis. My throat was neon red. The doc visit was $16. The strep test was $10. The meds were $5. They have donations from drug companies or for ongoing needs use the drug companies patient assistant programs. The $5 is their handing fee, basically.
In late January, still throat issues, coughing, managed to get dizzy and faint. Sinuses messed up Doc visit, another strep test (the nurse practitioner said that it was odd but that many people w/ strep faint early on), a blood panel just in case b/c I'd managed to avoid having one for a year and a half, more meds. $44. If I'd gone to the ER or a walk-in clinic that $44 would likely have been just the beginning of the charges.
I take three meds for a chronic condition that they have dealt w/ almost better than my previous doc when I had insurance. I take one med for another chronic condition, which keeps everything pretty well ok. They get 600 mg ibubrofen for $5 a month that addresses my arthritis issue, mostly. I get generic allergy meds for $4 at Kroger. They have trouble keeping nasal sprays -- every body in Knoxville needs them you know -- but theses days the KC health department has them so I get a prescription that's good there.
There have been a couple of times that they meds haven't come in when ordered, and I've ended up going to a drug store w/ a prescription. Belew's near the Fellini Kroger has the best deals. And I have some card that someone was handing out last year that helps w/ the price. Once when one of my main medications, which is very expensive, was delayed by paperwork, the nurse practitioner (who I love already for other reasons) actually approached the drug rep at the gym and explained that I needed the meds and got samples straight from the reps car trunk.
Which brings me to the other thing that's wonderful about these clinics -- continuity in care. The nurse practitioner I spoke of above is who I see when I can, she remembers things about my various problems. She knows what works best for me, and understands better than if I saw a random health care provider.
They also have dental care -- $20 something a cleaning visit, i don't remember now exactly. And a percentage for various procedures/appliances. I could get a mouth guard for my teeth grinding habit for about $120.
And, last fall I got my second eye exam -- $13. For another $13, they give you a voucher to take somewhere for glasses. However, for my prescription the voucher wouldn't work, so I paid out of pocket for a Lenscrafters special. I get my complicated vision problems from family, and have always had optician issues.
What I'm saying is that I'm a working person, who would gladly pay for insurance if I could get it and could afford it. But health insurance companies don't care that my medical conditions are manageable, they just care that I have them. And, the last few years my income hasn't been the greatest. i get by. I have some fun, and I'm far from getting to do all I want to do. But if I had to pay out of pocket for the full-price of my health care, I'd be in debt instead of debt-free w/ a tiny bit of savings here and there.
Again, thanks, Randy. Me and others like me appreciate it.
Pam Strickland
"We are what we pretend to be, so we must be careful about what we pretend to be." ~Kurt Vonnegut
One suggestion I have seen
One suggestion I have seen if you do not have insurance is to go to the Medicare Physician Fee Lookup web site and check the price and offer that plus 10%
http://www.cms.hhs.gov/PFSlookup/
Although that is still beyond possible for a lot of people.
That could be tight w/ some
That could be tight w/ some folks, especially when you get into specialists. I regularly see an orthopedic physicians assistant for a knee problem I have. First time was a huge round of x-rays and a steroid injection. It seems to me that the total was $500. .......
Through Interfaith, they payment is between 10 and 30 percent. pgs
Pam Strickland
"We are what we pretend to be, so we must be careful about what we pretend to be." ~Kurt Vonnegut
I just noticed their mailing address...
Are these guys located in the old Giffin Elementary School building (my "alma mater", I might add parenthetically)?
Are these guys located in
Are these guys located in the old Giffin Elementary School building
Yup.
I missed this report because ...
I was still in shock over the sloppy "reporting" CBS News' David Martin did in the previous segment about the Pentagon's new Active Denial System.
health care
I've used Interfaith and Cherokee through the years and have had good and bad experiences with both. At times I've had a three week wait for appointments, but once I got in good care and cheap meds helped. But at times its also felt sort of like a cattle call, in and out really quick and not much help if your situation is complicated. At Interfaith it depends on what dr. or nurse is on duty that day, some good , some not. All that said I know people with insurance who have had similar experiences at their dr. Its not quiet a safety net, sort of a patch work thing for me.
The thing that struck me...
most about this whole story was the editorial piece that Dr. Kim wrote for the News Sentinel.
And we call our hometown "Home of the Tennessee Volunteers". Indeed.
_________________________________________________

"You can't fix stupid..." ~ Ron White"
"I never said I wasn't a brat..." ~ Talidapali
Sadly, only nine of the 52
So much for TN being the volunteer state eh? For a region chock full of hospitals having only 13 local dentists/physicians is pathetic.
No one has mentioned this
No one has mentioned this and I know it has helped some of my patients find the best prices on medications. www.knoxrxcard.com allows you to look up the prices charged by different drug stores for a specific medication. Valtrex, for example, ranges from $240 to $120 depending on which drug store you go to. It isn't generic yet so it's quite pricey, the generic of it is much cheaper but you have to remember to take it 5 tiems a day instead of 3 times a day.
Anyway, there is also a discount feature with the card that can help reduce the costs of some meds. It is available to all Knox county residents and if I am not mistaken, there is a similar program available in Blount county.
Great point. And yes, there
Great point. And yes, there is a BlountRX card, too. I have one and save a bundle.
There's a generic version, too, for anybody anywhere. The only difference is that local governments don't get a commission.
Previous discussions and background on the program here:
http://www.knoxviews.com/node/6868
http://www.knoxviews.com/node/576
I used some version of this
I used some version of this when Interfaith couldn't get my meds a couple of years ago. I need to note for anyone in the area, that Belew Drugs, in the Fellini Kroger center, had the best prices around. Ok, I'll note that I never ever go to Wal-Mart so I don't check their prices, but I was told that they were competitive w/ Wal-Mart by a health professional who had made some calls for another client.
Pam Strickland
"We are what we pretend to be, so we must be careful about what we pretend to be." ~Kurt Vonnegut
I think Wal-Mart, Target,
I think Wal-Mart, Target, and Kroger are all offering the $4 prescriptions for commonly prescribed drugs now. Which is an even better deal than the RX cards, but of course it doesn't apply to everything.
(I guess they lure people in with $4 blood sugar pills hoping they load up on cases of soda and potato chips.)
Yeah, the generic thing is a
Yeah, the generic thing is a blessing for sure.
(
Well, you've got to market however you can...
Pam Strickland
"We are what we pretend to be, so we must be careful about what we pretend to be." ~Kurt Vonnegut
Thank you for what your program is doing for people
My name is Michael. I live in Middle-Tenn after moving here from Morristown Tn. a little over two years ago. My wife and I saw you amazing program on 60 Min.We were both moved. I have always wanted to help programs that really truly help people. I haven't been able to with my tight budget.Another problem has been able to find someone like yourself that actually helps from your heart. You remind me so much of my Mom. She always helped people.When I was growing up in a small town in East Tenn. my sister (one of three,me being the only male) was a beautiful young lady that had alot going for her.She worked as a model,making alot of money. She fell into a life of drugs. It started with recreational drugs then onto harder ones. She lost her then Husband and her job. She had a little girl,remarried and continued using. She ended up getting a divorce and continued her life-style.We even went to court and got custody of her daughter.Long story short,we recieved a call from UT hospital that Linda was there and my Mom needed to get there now if she wanted to see her before she died. My Mom got there and they said her alchahol level was .5% and she was on the verge of being in acoma .My Mom prayed to GOD and asked HIM to spar her life and she would open up a facality to help other people with addictions.My Mom mad good on that promise. She bought a building in Morristown,and 13 mths. later it was up and running. The people of Morristown, the Sherriff (Charles Long) had inmates from the jail and other people that were on probation come to help.With the city and the community we did it. Today it is thriving and doing well.Also Linda,my sister, is doing great. She is clean,remarried,and she got her daughter back.As for my Mom she has went on to HEAVEN to be with GOD and recieve the blessings that people like yourself will. I just wanted to share this story with you to say thank you for doing the things you do. ITS GIVING FROM YOUR HEART AND SEEING ALL THOSE PEOPLE HAPPY THAT ARE HAPPY, MAKES IT ALL WORTHWHILE. If I can be of any assistance please contact me. Thank you again for you love and compassion for all those people.
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