Dillards 53: Making Assumptions and Indoctrinating the Children

[NotQuiteMotY]

On 3/13/2018 at 10:40 AM, libgirl2 said:

And we read Thomas the Tank Engine! Oh the shame! 

I can do worse... My son's been obsessed with Beatrix Potter the last week or so. Not just heathenry but unmanly, too!

As far as what's "safe": I suspect Little House is still safer than Little Black Sambo?

On 3/13/2018 at 11:41 AM, LurkerOverThePond said:

Psst, Cathy! If you are wondering what to buy next to your grandkids... https://www.amazon.com/Parents-Open-Carry-Brian-Jeffs/dp/1618081012

The book is horrifying. The reviews are gold.

1 hour ago, libgirl2 said:

I am reminded of people who are saying what is wrong today is we took God out of school and kids should be able to pray. So what denomination or faith?

Well, the correct Protestant Christian one, of course!

Ick. That mindset drives me nuts. Frankly, I hate having In God We Trust in bills and "under God" in the pledge. Government and by extension government schools should not be in the business of pushing religion of any kind.

[libgirl2]

12 minutes ago, NotQuiteMotY said:

I can do worse... My son's been obsessed with Beatrix Potter the last week or so. Not just heathenry but unmanly, too!

As far as what's "safe": I suspect Little House is still safer than Little Black Sambo?

The book is horrifying. The reviews are gold.

Well, the correct Protestant Christian one, of course!

Ick. That mindset drives me nuts. Frankly, I hate having In God We Trust in bills and "under God" in the pledge. Government and by extension government schools should not be in the business of pushing religion of any kind.

that book is awful! 

Of course, but which one??? There are such a variety Protestant religions!!! 

 

[justmissedquiver]

This creepy ass looking book was the teen hymnal during my jesus camp years.

 

 

 

[SassyPants]

1 hour ago, SapphireSlytherin said:

I assumed she meant labeled in the hospital, with the assumption that the baby would somehow be treated differently - not "labeled" by society as "less than" another baby.

I can only speak for NICU and PICU settings where the vast majority of patients do end up on government programs because their private insurance runs out rather quickly- that is exactly why the government stepped in to help those families and children...care does not change for inpatients based on insurance. 

[LurkerOverThePond]

12 hours ago, MarblesMom said:

 

Ok, this was so beautiful I might have cried a little <3

[SassyPants]

2 hours ago, Chickenbutt said:

And if you have a hospital/doctor/nurse treating you based on your insurance, time to find a new hospital/doctor/nurse. In 20 years of nursing, I can't remember one time that I looked at a patients insurance info and based my care on that. 

Wait, during report you didn't include the patient's insurance plan?... 50YO, white female, on Medicaid, 2 days post op from a hysterectomy.... *insert severe eye roll and sarcasm font*

Where do people come up with these notions? It is so distorted and sad.

[Thorkim1954]

3 hours ago, libgirl2 said:

My mother, who is currently in a nursing home with dementia, had to go on Medicaid. My parents worked their whole lives, worked hard, but there is no way they could afford the 6-7K a month a good nursing home charges. My dad is the communal spouse, they own their home and one car.... the man has to eat. He has some savings accounts and isn't poor just a bit above average, but he couldn't afford a year of her care. They never in all their lives and mine, took anything from the government. 

Just sickening this happens in America.  Awful.

[PennySycamore]

@NotQuiteMotY,  I leave the “under god” part out of the Pledge when I say it.  I also say “liberty and justice for all” pretty loudly.  

[Chickenbutt]

@SassyPantsNo. Insurance was never a discussion during report. The only time I can ever remember insurance being involved in any discussions was discharge planning and that was when the doctor and patient advocate/social worker was looking for discharge services like home health, durable equipment, etc. And those discussions were rarely had in the ED. 

 

[SassyPants]

13 minutes ago, Chickenbutt said:

@SassyPantsNo. Insurance was never a discussion during report. The only time I can ever remember insurance being involved in any discussions was discharge planning and that was when the doctor and patient advocate/social worker was looking for discharge services like home health, durable equipment, etc. And those discussions were rarely had in the ED. 

 

Exactly. It's not as if the treatment plan (medical) or care plan (nursing) changed based on insurance.

 

[libgirl2]

28 minutes ago, Thorkim1954 said:

Just sickening this happens in America.  Awful.

And the work to get on it. My elderly father and I were chasing and submitting everything but blood! i almost had a nervous breakdown over them wanting a copy of a 3 year old check for $600 to see where it went to. It was electronic so I couldn't get a copy. We assumed it was a credit card payment as it was to a bank. The bank wouldn't give me a copy of the statement as I was not on the card, only my mom. Medicaid also wanted quarterly statements from an account my dad has that doesn't offer those, only yearly. Medicaid kept asking.  I submit a letter from the investment banker stating this. 

My dad wonders how people who aren't "That smart" are able to navigate through all this. I understand them wanting to be careful about giving Medicaid out, yet how are some able to cheat the system? We are honest and barely made it. 

[Chickenbutt]

@SassyPantsAs you already know, nurses could not care less about patients insurance. We are there to treat all patients to the best of our abilities regardless of insurance. In fact, my experience is that nurses don't even bother to look at patients insurance coverage in the day to day care of that patient. 

That information is only important for discharges/transfers etc. 

 

[feministxtian]

My husband and I were BOTH on medicaid for awhile. I can say that neither one of us suffered lack of any care during that time. He got his insulin and enzymes no problem (that bill is 7K/month), we both saw excellent doctors. The PCP, upon hub's first visit immediately set up appointments with the different specialists he should see, endocrinology, gastroenterology, a diabetic eye specialist. For me, I had no problems getting my anti-depressants filled and pain management after my car accident. Unfortunately, our income went up and we were no longer eligible. Hubs got into the VA system and well...I have no insurance now. Can't afford the premiums. Between the premiums and deductible, that was going to be 10 grand a year, over 20% of our combined income (actually that was based on a projection, it would be significantly more now). 

Don't shit on Medicaid...it's keeping lots of folks alive. 

[libgirl2]

12 minutes ago, feministxtian said:

My husband and I were BOTH on medicaid for awhile. I can say that neither one of us suffered lack of any care during that time. He got his insulin and enzymes no problem (that bill is 7K/month), we both saw excellent doctors. The PCP, upon hub's first visit immediately set up appointments with the different specialists he should see, endocrinology, gastroenterology, a diabetic eye specialist. For me, I had no problems getting my anti-depressants filled and pain management after my car accident. Unfortunately, our income went up and we were no longer eligible. Hubs got into the VA system and well...I have no insurance now. Can't afford the premiums. Between the premiums and deductible, that was going to be 10 grand a year, over 20% of our combined income (actually that was based on a projection, it would be significantly more now). 

Don't shit on Medicaid...it's keeping lots of folks alive. 

I have no issue with it. I thank God for it. I just feel bad for those who need it and have to go through such a process to get it. The fear of being denied..... I honestly had nights I couldn't sleep. My mother is having very good care. She sees the dentist once a month, she gets all her medications..... 

[J'Lurker]

I interpreted the Medicaid comment to mean that families who accepted the assisstance struggled with government red tape and wait times later on, versus an ill child with only private insurance--- and not as a value judgement on those families. 

But as a Canadian, I'm thankful for our universal health benefits because nobody should be too poor for medical assistance. My sister had a bunch of strokes, was in a coma on life support, and needed a heart transplant but all it cost us was 11 dollars a week in cable so she had entertainment....

[libgirl2]

8 minutes ago, J'Lurker said:

I interpreted the Medicaid comment to mean that families who accepted the assisstance struggled with government red tape and wait times later on, versus an ill child with only private insurance--- and not as a value judgement on those families. 

But as a Canadian, I'm thankful for our universal health benefits because nobody should be too poor for medical assistance. My sister had a bunch of strokes, was in a coma on life support, and needed a heart transplant but all it cost us was 11 dollars a week in cable so she had entertainment....

We were approved over a year ago. I just had to complete some more steps for the annual check (more bank statements, SS benefit letters) as of this post, we still don't know how much we are to pay out of pocket to the nursing home. Initially, the liason from the home estimated it at around $55 a month. I had gotten a letter last year saying it was $260 a month out of pocket. I noticed that they had my dad's and mother's social security switched with her having the higher amount. I spoke to the book keeper for the home and was told they would submit benefit letters. And still we wait. I hate not knowing how much the check has to be, so I continue with the $55 a month until I hear otherwise. 

[feministxtian]

The "government red tape" can be a pain in the ass, but when it's the difference between literally life or death, you deal with it. You don't know how much I miss having it. I could get back on my anti-depressant meds, would have MUCH better pain management than from the quacks I have to go to now (they're being paid through the bitch's insurance company so I have no real choice). I live in TERROR of getting sick or getting to where I can no longer cope w/o my meds. If I get to that point, I'll end up either in a psych ward or dead. 

[libgirl2]

13 minutes ago, feministxtian said:

The "government red tape" can be a pain in the ass, but when it's the difference between literally life or death, you deal with it. You don't know how much I miss having it. I could get back on my anti-depressant meds, would have MUCH better pain management than from the quacks I have to go to now (they're being paid through the bitch's insurance company so I have no real choice). I live in TERROR of getting sick or getting to where I can no longer cope w/o my meds. If I get to that point, I'll end up either in a psych ward or dead. 

I agree. I shouldn't complain, but I did feel like I did everything I possibly good and it still didn't seem like it was good enough. We even got denied first time out and I was crying. I was so afraid that even though I did almost everything they asked for (I couldn't find my parents marriage certificate!) it wouldn't be good enough. That made me angry too. 

 I am so sorry for what you are going through. I feel like so many people get screwed and others just ride the system. 

[Pandora Spocks]

1 hour ago, libgirl2 said:

 

My dad wonders how people who aren't "That smart" are able to navigate through all this. 

I can't speak for your experience, but in the SNFs I've worked in, the social worker has always been great about helping people navigate those insanely choppy waters. Though I totally agree with your dad and can appreciate the frustration. 

I was laughing about stating insurance company in report, but then I remembered something. We do track Medicare A residents in the SNF. However, this is due to the specific kinds of charting that has to be done to justify the rehab a patient is getting. So in that instance, we kind of do keep track of payor source. It also kind of matters in hospice because anyone not on Medicare might have to make copays and such,  so we want to be mindful of that. Does any of this effect patient care? No.  And it never came up in Med/Surg, or the clinic. Every human being gets the same care.

[Ace3]

23 hours ago, CaricatureQualities said:

Left Behind: The Kids Series? This is a thing? Holy jumped up Rufus in the dark......

Sure is! I read them all! I read most of the adult ones too. I truly can't remember if it phased me, but we joked all the time about scaring friends during sleepovers by leaving our clothes laid out *just right* 

16 hours ago, MarblesMom said:

 

So this just made me cry at work. Today would have been my Parker's 11th birthday, but he passed away in October. This brought me joy. 

[SamuraiKatz]

So this just made me cry at work. Today would have been my Parker's 11th birthday, but he passed away in October. This brought me joy. 

@ace3 I send you hugs! [emoji173] [emoji173] [emoji173]

[scribble]

1 hour ago, J'Lurker said:

I interpreted the Medicaid comment to mean that families who accepted the assisstance struggled with government red tape and wait times later on, versus an ill child with only private insurance--- and not as a value judgement on those families.

I have not found that to be the case at all. My kids all have Medicaid until they are 18 because they were adopted from foster care. For three kids over the course of five years, I've paid a total of $2.50 (for one OTC medication not covered) for my kids' healthcare. No waiting, no red tape at all -- and they see some really great specialists that would cost a fortune otherwise. (And this is the way it should be for ALL kids and adults in this country.) We are really, really lucky in this regard.

Contrast that with the health plan my husband and I have -- we were billed $10,000 for a three-day hospital stay for pneumonia because his O2 level was a 90 percent instead of 89 percent. Six months and four appeals later our insurance finally paid it -- but the amount of paperwork I had to fill out was ridiculous. I'd take being labeled as a "medicaid" patient any day.

[Evangeline]

My mind is boggled by the suggestion that private insurance is paying for optional, expensive treatments while Medicaid is not. ON WHAT PLANET?!? Perhaps this was true a few decades ago but it is not now. Even then, this was only true for top-of-the-line plans, which most Americans have NEVER had. Private, for-profit insurance companies deny every possible thing they can. The fact that my kids qualify for a state plan is a HUGE relief. Since the day they were accepted I haven't spent a single minute on the phone disputing charges and arguing about coverage. Prior to this, we had to fight after every specialist and every procedure. It's really amazing how many "mistakes" are made when a for-profit company wants to get out of paying a bill. 

[Four is Enough]

3 minutes ago, Evangeline said:

. Private, for-profit insurance companies deny every possible thing they can. The fact that my kids qualify for a state plan is a HUGE relief. Since the day they were accepted I haven't spent a single minute on the phone disputing charges and arguing about coverage. Prior to this, we had to fight after every specialist and every procedure. It's really amazing how many "mistakes" are made when a for-profit company wants to get out of paying a bill. 

Well, yes and no. Three and Four qualified for state provided insurance at first because they were foster children, then, later, after the adoption, because they, as a sibling pair, were classified as "special needs" because they needed to be together.

Their state provided insurance did get them things our private insurance did not, including special dental treatments, certain therapies, among others. HOWEVER. we found ONE dentist within driving distance that would accept their state insurance. When I had to take my small children into the dentist's office, and then sit in the waiting room with one guard and about six or seven shackled inmates waiting for treatment, I always wondered: should I go back into the treatment room with the frightened child, or sit in the waiting room so the other child wouldn't be attacked?

The child therapist they could see was nearly 20 miles away..and only open at certain times... think when it was time to pick One and Two up from school..

It can be done with state insurance, but our pediatrician only accepted our kids because she worked next office over from my husband. If I'd have had to take them to "the state insurance clinic" place, with a different pediatrician and different hours, and way down away from us, it would have taken me to a breaking point. I will say, their ADHD meds were dirt cheap on that insurance.

[Evangeline]

My kids state plan is accepted everywhere private insurance is accepted, because it's run through Blue Cross Blue Shield. Medicaid WAS more inconvenient for sure, not denying that, but at least there was no fighting, no lying, no bait and switch, and no surprises. A person with significant health issues who can just choose not to use a subsidized plan has better insurance than most, a higher income than most, or both. Which I'm sure is nice for those who can afford it. It just is not reality for the majority.