Monday, March 22, 2010

Since Stephen became self-employed in 2004, we have paid for our own medical coverage. We do not get reimbursed by the company for this expense every month. We pay out-of-pocket cash for our monthly premium which has never been below $500 a month. It is average coverage, but it is coverage.

It is a write-off when tax season rolls around, but everyone has that same benefit.

In October 2007 we found out I was pregnant with baby number 3. We had above mentioned health insurance, but it did not include maternity. Maternity was an 'add-on' (upwards of $200+ in addition to our $500+ a month premium) and could only be added to a policy every January. If we had even thought we were going to get pregnant, we probably would have added the maternity coverage that previous winter, but we didn't.
And to be honest, we really didn't have the extra $200+ a month to include the maternity coverage. Yup, I was the dreaded 'pre-existing' condition.

(So much for letting nature take its' course, huh? You better know in January that you might get pregnant that following fall...and pay $200+ a month from January through the fall even though you are not yet pregnant...we were a little baffled to say the least.)

So, we freaked out. Then we got our heads on straight and made a game plan. Looked at our monthly budget, cut costs where we could, found things to sell, and low and behold we paid for prenatal visits, labor and delivery (in a hospital) in CASH.

Here is something that shocked us in this process. Our OB office actually charged us HALF of what they charge insurance carrying patients. They were so relieved not having to deal with the insurance companies policies and procedures.
And it was the best pregnancy, labor and delivery/hospital stay because I had full say on everything, no insurance company dictating my every move.

So, as most of you know, while I was delivering beautiful baby Jackson, Stephen was cross town in another hospital with cellulitis in his elbow. His stay was the same amount of time as mine, his situation WAS covered by our health insurance and he came home with a $12,000 bill, which we soon were told we owed close to half.

I remember opening that bill and having my first mental breakdown. How in the world were we going to pay that? We were trying to sell a house, move, raise 3 small children and only one of us worked??!!

Again, after the freak out and after speaking with the hospital, we got our heads on straight and made a game plan. We were put on a payment plan and for a year, we owed close to $350 to the hospital for an incident that was 'covered'.

We again cut our monthly expenses, sold things, and paid that $350 a month.

September 2009 we made our final payment. It was a huge relief, and an even bigger accomplishment.

So in reading all of this, you would think I believe health care needs to be reformed. You are absolutely right. I was so ticked when Blue Cross Blue Shield told me I was pre-existing as a maternity patient and that no coverage was available. Even more ticked that our $500 a month premium left us still paying close to half of Stephen's medical stay at Wake Med.

But that is not the moral of THIS story. For 6 years, we have paid $500+ a month for health insurance. That is over $36,000. Money that could have been well spent someplace else. But we made a choice. A CHOICE to cover our family. A sacrifice to make sure our needs are (mostly) met medically, in case something happens. That money is hard earned, and sometimes doesn't feel well spent. But we do it because we know the consequences. Someone else will pay for our medical needs when it is not their responsibility.

And we were not raised that way.

I worked at a Rescue Mission. I understand that people are in need. I know situations arise that are unforeseen and can't be avoided. I comprehend that our meager $12,000 hospital stay doesn't even compare to a family dealing with a MAJOR medical issue like cancer, where bills can be $100,000+. And I do have a heart.

But I will not stand by and let the government rob me with taxes to give healthcare to people who don't give a damn about their health, who choose to spend money elsewhere rather than investing in health insurance.
And who is to say with this current reform our premiums won't go up? Or that our coverage won't get worse? I know our family can't really handle either of those situations.

We don't have money trees growing in our backyard, but by CHOICE we have paid our monthly health insurance premium as well as the overages mentioned above. Have we missed out on things because of these costs? ABSOLUTELY. But we were taught to be responsible for ourselves and our actions and wish to teach our children the same.

Handouts to the wrong hands perpetuate the cycle of laziness, lack of responsibility, utter dependence and abuse of government agencies. And I HATE that my name will be on this, my handouts will allow this cycle to continue.

10 comments:

  1. ya know you're talking about 90% of my clients in your last paragraph?

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  2. Abuse and laziness will always happen. I truly think, however, they are the exception, not the rule.

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  3. until you go and work for a non-profit and see only 3% want to do something really different with their lives than when they first walked through the doors. I am beginning to sound like such a cynic, but I just so strongly disagree with handouts that don't teach people how to change.

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  4. There will always be people looking for a handout, but don't assume that's the majority of people out there who actually need help. Imagine if your pre-existing condition was cancer, or Parkinson's, or diabetes, and because you didn't grow up in an upper middle class family, your parents couldn't afford to send you to college so that you could get a good job that gave you insurance, or at least the income to pay for it.

    And the taxes that will help offset these costs come from the upper 1% of income earners in the U.S. Not everyone's name is on the "handout"....

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  5. So when you work really hard, your reward is paying more taxes for other people to benefit? When you achieve the American dream of owning your own business and being successful, you then are penalized? What makes someone want to work hard and be successful? What drive is there if you know you will be taken care of anyway?

    We have a family members who will pay upwards of 53% in taxes...just because they are successful.

    I WANT reform. I want health insurance providers to cross state lines, I want pre-existing clauses to be modified or taken away altogether (heck, that would have saved us a lot of money when I got pg!), but I DO NOT think bill is the right way to go about it. Especially when polls are showing the majority of people in the US didn't want this bill passed!

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  6. I am unsure how someone is paying 53% in federal taxes when the highest federal bracket is 35% -- in a progressive system. But the bigger point is, what ever happened to "do unto others as you'd have done unto you" ? We're talking about what should be a basic civil right here - access to health care.

    As for the bill itself, as the public becomes more educated about the facts, and not Tea Party ridiculousness, sentiment will shift. It has already started...

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  7. Bdonin: The 53% is total tax dollars paid to the gov't, not specifically fed. I hope that helps with your math. Either way, 53% of their EARNED income goes to the government for them to use as they see fit.

    "do unto others..." - really, you're going to use that as an argument? Where do you draw the line? Instead of having the gov't mandate it, why not fix the problems that are wrong with HC with regulations instead? If gov't continues to "give" people everything they need, we remove the goals and ambition from our society. Where are we then? Where is the reward for the hard working individual anymore? Why do I need to work hard, the gov't will take care of me! NEWS FLASH: That's NOT what our gov't was meant to do.

    Do I think that everyone should be entitled to health care, absolutely. Let's reduce the costs of health care so that everyone can afford it. A friend of mine put it well "The gov't should have a seat on the health care reform bus. They don't have the funds or the track record to be driving it." And most importantly, they should make sure that the majority of the people that they represent are on that bus as well.

    Your argument about the top 1% being the only people paying for this is also ridiculous. There have already been a handful of businesses coming out with estimates on how this bill will affect them.(maybe that's the "shift" you write about.) I've heard numbers from $75 million - $1 billion in Q1. Do you really think that their share holders are going to allow for loses like that in the business? The companies will have to offset the increased spending with adjustments to their overhead costs or increases in profits. So, the 270 million Americans that were already fine with their health care, will now be paying more for the goods and services they buy. Or, worse yet, those people will lose their jobs as the same companies choose to limit hiring or lay off staff to reduce their costs. And I'm not saying this as a republican, or as a democrat, but as a business owner that will now have to make adjustments in my business structure so that I can limit the effect on my earnings.

    As for the bill, I'll assume that you have read all 2000+ pages of it to be able to attack and criticize an organized group of voting Americans as being "ridiculous" in their opposition to it. Or should I stereotype you as being a typical liberal that will immediately attack and downplay any argument that the left-wing mainstream finds intimidating or potentially threatening to their agenda. Either way, we'll see how the "facts" pan out. Maybe that will help explain why 34 Democrats voted against the bill as well, and why they had to fight so hard to get the votes from their own party in the first place.

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  8. Yes, i am that family member in the 53% overall tax bracket. My payroll tax will increase from 35% to 39%. The other taxes (to total the 53%) comes from things such as medicare deductions doubled, a 3.9% tax increase on unearned income (like dividends etc.) and others.
    Bob Brinker from the AM radio program Money Talk gives an excellent explanation of where the 53% comes from if you are interested in learning more. You can usually find his program on the weekends on your local AM radio station.

    Here is one tax related links:

    http://www.bankrate.com/blogs/taxes/eye-on-the-irs.aspx

    Gotta run! My newborn is crying in the other room - maybe he is having nightmares about the financial burdens Congress is setting his generation up for?

    Later!

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  9. Uh, I have about 2 seconds to comment before I have to run help the 99% stay out of jail today...I don't want Tracy paying for them to stay there with cable either. "Do unto others..." 1-is for the body of Christ; 2-not applicable cuz this ain't a theocracy; 3-just shows what happens when the Church has dropped the ball and Gov't has stepped in to fill the gap while its run by lesser men. At NCI - we'd spend every year on stupid junk just so we'd get the same budget next year....yeah, that makes sense.

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