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| Why “government-run health care” can be good for you |
Many politicians and television commentators are making
"government-run health care" sound like a string of dirty words. I
have a different view. To me, government-run health care makes me think about a
patient I cared for during my family medicine residency - I'll call him Ed -
whom I met while volunteering at a free clinic in Lancaster, PA. Ed was a
well-educated man: he had a Masters in Divinity and formerly directed a
nonprofit. But at that point he was just beginning to climb out from a
disastrous time in his life, having fallen victim to alcohol and heroin
addiction and losing his job, home, and family. A few months earlier he learned
that he had diabetes, but having no health insurance or primary care doctor, Ed
let his sugar level spiral out of control until he was hospitalized in a coma
from diabetic ketoacidosis, an often fatal condition when the body's
metabolism, unable to turn sugar into fuel, produces waste products that
dangerously acidify the blood. Fortunately, doctors were able to reverse the
process in time, and Ed pulled through.
Ed arrived at the clinic for his post-hospital follow-up
visit the night I happened to be volunteering. I almost couldn't believe my
eyes as I reviewed the laboratory results and hospital records he brought with
him. He was lucky to be alive. Unfortunately, he had been prescribed several
medications that, having virtually no income and living in a homeless shelter,
he couldn't possibly afford. The clinic stocked some donated medications, but
not nearly enough to supply Ed's needs for more than a few days - after which
his diabetes would inevitably worsen until he would be back in the hospital
again, or worse. Through a social worker at our hospital, I helped Ed apply for
Pennsylvania Medicaid (health insurance administered by state governments with
federal government subsidies), and was able to see him in my regular office.
I cared for Ed for nearly 2 years. During that
time, we not only controlled his diabetes, but he was able to get back on his
feet emotionally, spiritually, and financially, eventually moving into his own
apartment and holding down a paying job as a counselor. That's what
"government-run health care" can do. And if you're thinking that
you'll never be stuck in a situation similar to Ed's, I'd ask you to consider
what you would do if you suddenly lost your job, if you were disabled in an
accident, or some other financial catastrophe happened to your immediate family
or friends. The "safety net" isn't enough. Several national
organizations representing primary care physicians recently came to the same
conclusion; you can see their powerful message on the website Heal Health Care
Now.org
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