Friday, November 30, 2012

Active Theatre Rations

Meeks died--thinking the El Serrano Motel looked just like the Alamo. James Ellroy, LA Confidential, pg 6



To augment my brazen temerity, and to object to a simplistic tirade by Jonathan Rauch in the August 2012 kindle edition of The Atlantic Monthly, where Rauch claims that conservative libertarians are not being honest, and that the Tea Party wants to deny health care to the poor, and suggests the right wing wants to repeal this 1986 Act, I am suggesting no such thing, whether due to the cognitive limitations of my uncle's dementia, or certain classes of those sustained with little quality of life in nursing homes.

I have seen horrors in the field, in institutional environments, and in active surgical wards that maybe you have or haven't, and dare to suggest that we begin to make value judgments over who gets more aggressive treatment and who doesn't. The average cost of heart bypass surgery is 60K. My father had many viable and productive years left when he had his procedure. His little brother, with his behavioral disorders, does not, and my aunt's aggressive do everything approach is a misguided drain of resources as opposed to utilizing compassionate palliative efforts. And if that sixty thousand dollars had been invested in giving me the technology I needed in my 30's to give me the most proactive independent environment possible, I would be paying my taxes and have remained a viable and more affluent citizen who could pay her debts. NYT's favorite flatfoot is absolutely correct that the US has practiced socialized medicine for years, but the end result is a horrific nightmare of fraud and sometimes questionable treatment, and what Keystone 65 plus did do me over procuring a power chair from a non-certified rehabilitation facility nearly cost me my life, not that the coordinating jackasses from my favorite center could do more than say "oh, you have to impoverish yourself through spend down!"

It may not be all about me, but what I went through up to 2008 caused me sustained trauma and nearly killed me, and a woman of my intelligence deserved better.

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