The Dog Whistles of Reasonability and Sensibility

For those who don’t know, political dog whistles are things said that seemingly mean one thing but which are meant to communicate a hidden meaning to those who understand the language. In the Democratic primary, we are inundated with the political dog whistles of reasonability and sensibility. As you will see, the corporate-run media and their beloved bought and paid for centrist candidates use the dog whistles of reasonability and sensibility to ensure old white people they have their backs.

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Thoughts on the October Democratic Debate

The October Democratic debate was interesting. It was different than the previous debates in several aspects. I don’t believe it will change the race much though. Warren will still be seen as on the rise. Biden will still be seen as falling. Sanders will be seen as having stabilized his campaign and still firmly in the top three. For the rest, it’s almost midnight.

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Explaining my Daily Struggles for Accessibility

The biggest reason I rarely write about or discuss the inaccessibility I overcome on a daily basis is the fear that my concerns will be blamed on my blindness–not the needless inaccessibility that so often exists.

Another reason I rarely write about or discuss the inaccessibility I must overcome on daily basis is the fear that many will, whether they are aware of it or not, use the struggles I always face as more reasons to dismiss me. Some of you may believe watching me or maybe having to help me overcome so much inaccessibility will detract from your lives. Some of you may find the struggles too frustrating to fully accept me. Some of you, when forced to think about the struggles inaccessibility regularly cause me may have to confront an unfair world your privilege allows you to ignore.

And, of course, there is the possibility that I must acknowledge that by doing this and continuing to publish things like this I will find more support than I realize. I’m not afraid to admit when I’m wrong. Here, being wrong would feel good. Here, being wrong would encourage me to keep sharing things I often keep to myself.

I will now share the daily struggles for accessibility and equality I too often fight alone or nearly alone.

The incidents are in know particular order. I will write them as they come to mined.

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Reviewing Two-Income Trap

Elizabeth Warren and her daughter Amelia wrote Two-Income Trap in 2003. It was rereleased in 2015 with a new introduction. Reading the 2015 version in the context of the 2020 election was a thought-provoking experience.

Instead of recapping the premise of the book and quoting interesting passages, I’m going to focus on what I was thinking as I finished the book. There are loads of traditional reviews of Two-Income Trap. I want to focus on what it may tell us about Elizabeth Warren and how it could predict her political actions as president.

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Abolish my Health Insurance and Raise my Taxes

Through my job with the city of Portland, I have better health insurance than many Americans. Still, I would gladly trade my adequate insurance and pay more taxes to support all Americans having access to health care.

I will use the rest of this post to demonstrate why my recent eye problems have reminded me there is no such thing as good, fair for-profit health insurance.

Billing for Nothing

When my eye started acting up, I had to go to the emergency room. I went to the emergency room at a Providence hospital. During the intake process, I was honest about my prosthetic eye, the problems I Was having with my eye, the history of issues with my eye, and what I thought was happening.

Yesterday, I mailed Providence a bill for $738. My health insurer and I paid providence roughly $3,000. Let’s see what we got for our money.

  1. Providence ran several tests, including a Cat Scan.
  2. Two unduly people checked my eye.
  3. The person who read the Cat Scan believed I had an abscess in my head that most likely required prompt surgery.
  4. I was then told Providence didn’t have anyone who could help me. I needed to see a specialist at Oregon Health Sciences University.

To recap: Providence was paid roughly $3,000 to misread a Cat Scan, misdiagnose my problem, and tell me they didn’t have anyone who could help me.

This highlights one of the big problems with America’s for-profit health care industry: they are paid for services provided. It doesn’t matter if the services are competent. It doesn’t matter if the services are needed. What matters is that services are provided and bills for those services are sent.

When I arrived at the emergency room, Providence knew they didn’t have anyone there familiar with prosthetic eyes, or even anyone who specialized in optometry. Yet, they made sure they ran their tests and had people see me so they could send their bills.

Checking the Network

When it was determined I needed a new prosthetic eye, my surgeon referred me to an ocularist (someone who makes prosthetic eyes). When I called the ocularist, I was told they needed to check with my insurer before scheduling me for a new eye. They wouldn’t schedule me until my insurer said I was in the network, determined how much they would be paid, and that I could cover the $603 that wound up being my coinsurance.

My doctor recommended a service I absolutely needed. Yet, my insurer–not my surgeon–decided whether or not I could see the recommended specialist. And don’t forget I wouldn’t have seen the specialist if I wasn’t lucky enough to be able to afford the $603 my insurer refused to pay.

Payments and Timing

The arrangement between my employer and insurer says our plans work off of a fiscal year that starts on July first. The July first date is most likely based on July first being the start of Portland’s fiscal year. But Mota, my insurer, likes the arrangement because premiums, coinsurance, and out-of-pocket limits reset and/or increase every July first.

To make this simple: I’m going to wind up paying double for the procedures on my eye than I would have paid had I first gone to the emergency room in December. This is because had the months-long process ended before the end of June, my out-of-pocket costs would have been capped at $1,800. Since everything resets on July first, I paid $1,800 for the bills incurred before the end of June. By the time I pay for the surgery I’m having in October, I will pay another $1,800.

I have no control over billing schedules. Obviously, I can’t control when my eye will need treatment. But my out-of-pocket costs aren’t related to the services I need, or how much those services cost; instead, they are based entirely on a payment schedule agreed to between my employer and my insurer.

Conclusion

The next time you believe your medical decisions and/or the costs for your medical services are determined by you and your doctor, I hope you will remember this post. In reality, our employers and the insurers they contract with control what treatments we get and how much we pay for those treatments. When you throw in a system that rewards services provided instead of caring about generated outcomes, you have a system that makes huge profits for health insurance corporations at our expense.

Consequences for Politicising our Lives

I need to make one thing clear: no one’s health insurance is in immediate jeopardy. Still, the Affordable Care Act is now facing its biggest threat. The possibility that 20 million insured Americans will lose their coverage is now real. There is a chance those with preexisting conditions will no longer have the opportunity to purchase coverage. Children under the age of 26 currently getting insurance from their parents’s policy could soon be uninsured.

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How I’m voting on Oregon’s Ballot Questions

This post will tell you how I’m voting on each of the five statewide ballot questions in Oregon. In order to hopefully help you understand the often deliberately misleading ballot questions, I will also explain why I’m voting the way I’m voting. If my tendency to be nerdy is too much for you, I have included a bulleted list of key points to know for each question. If you find this information useful, please share it.

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