A MIND FOREVER VOYAGING THROUGH STRANGE SEAS OF THOUGHT, ALONE


This is my second blog.

My first blog chronicled my experiences over three years caring for my dad as he lived through and finally died from Alzheimer's. That is the book that is for sale.

This second blog kind of chronicles of life, what it is like to start your life over in your late 50's. After caretaking, you are damaged, file bankruptcy, and the world doesn't care what you did. After 8 months of unemployment, you wake each day knowing the world doesn't want you. Finally you do find a job, 5 weeks before homelessness, but doing what you did 30 years ago and getting paid what you did 30 years ago. So this is starting over.



The object of life is not to be on the side of the majority, but to escape finding oneself in the ranks of the insane.

Monday, March 10, 2014

WELCOME TO THE MONKEY HOUSE

Ezekiel Emanuel, one of the architects behind Obamacare, is now claiming that “insurance companies as we know them are about to die.” Critics of President Barack Obama’s signature health care law have long alleged that one of the real goals of the law was to put private insurance companies out of business.

“The good news is you won’t have insurance companies to kick around much longer. The system is changing,” Emanuel writes in an op-ed on New Republic. “As a result, insurance companies as they are now will be going away. Indeed, they are already evolving. For the next few years insurance companies will both continue to provide services to employers and, increasingly, compete against each other in the health insurance exchanges.”

Due to Obamacare, “new actors will force insurance companies to evolve or become extinct,” he continues. Instead, new groups called “accountable care organizations” (ACOs) must start competing directly in the health care exchanges for exclusive contracts with employers.

The ACOs will have “standardized, guideline-driven care plans for most major conditions and procedures to increase efficiency,” says Emanuel, the brother of Obama’s former chief of staff and current Chicago Mayor Rahm Emanuel.

“They will have figured out how to harness their electronic medical records to better identify patients who will become sick and how to intervene early as well as how to care for the well-identified chronically ill so as to reduce costs,” he notes.


The focus, for most, is Emanuel's discussion of the end of the insurance industry.  Many have predicted, myself included, that Obamacare was designed to fail from the start, the real goal is single payer government health care and by bankrupting insurance companies and causing the masses to be without insurance and forcing a single payer cradle to grave system.  And don't think for a moment that corporations don't want to get out of the health insurance benefits business; it's an added cost to their goods that foreign countries don't have.

But that last paragraph sent a chill down my spine. 

How to identify patients that will become sick and how to intervene early.  Do you understand that?  Your government doctors will determine that in X years you might get Z and therefore they can start treating you, controlling your behavior.  And that is not even the part that bothered me.

How to care for the well identified chronically ill so as to reduce costs.  If you are over 50, that should terrify you.  Who is chronically ill?  Define that?  And how to care for them not for their benefit, not to save their life, but to reduce costs.

Kurt Vonnegut, that well known liberal sage, wrote a short story Welcome to the Monkey House about a society that encouraged people over 60 to visit their local Suicide Parlors.  Vonnegut really was good at seeing the future except he always assumed that it would be the other side creating all of this living hell in the future - I'm sure he never envisioned those like minded thinkers of his would be the culprits.

As costs escalate and services, drugs, and other health care providers become unable to accommodate the masses, those operations and treatments we saw our parents and grandparents receive will no longer be available; unless of course you are part of the elite where all the latest will provide with extended life spans.

Of course, such treatments won't be given to the elite until the experiments on the masses have run their course.

I don't know, maybe I'm paranoid.  Maybe you have to have been a caretaker to even catch that line.  But remember it as the train we are on continues it's runaway path down the track to nowhere.  You will be seeing it again and probably not in a blog.


MY tower was grimly builded,
  With many a bolt and bar,
"And here," I thought, "I will keep my life
  From the bitter world afar."
 
Dark and chill was the stony floor,         5
  Where never a sunbeam lay,
And the mould crept up on the dreary wall,
  With its ghost touch, day by day.
 
One morn, in my sullen musings,
  A flutter and cry I heard;  10
And close at the rusty casement
  There clung a frightened bird.
 
Then back I flung the shutter
  That was never before undone,
And I kept till its wings were rested  15
  The little weary one.
 
But in through the open window,
  Which I had forgot to close,
There had burst a gush of sunshine
  And a summer scent of rose.  20
 
For all the while I had burrowed
  There in my dingy tower,
Lo! the birds had sung and the leaves had danced
  From hour to sunny hour.
 
And such balm and warmth and beauty  25
  Came drifting in since then,
That the window still stands open
  And shall never be shut again.