Left Coast Voices

"I would hurl words into the darkness and wait for an echo. If an echo sounded, no matter how faintly, I would send other words to tell, to march, to fight." Richard Wright, American Hunger

Archive for the tag “patient protection and affordable care act”

Healthcare.gov, Oh my! – Tom Rossi

The launch of the Patient Protection and Affordable Care Act (aka ACA, aka Obamacare) has gone pretty poorly. This has been due to website malfunctions and the resulting (and predictable) media frenzy.

Now I don’t want to discount the possibility (and even probability) of incompetence on the part of the healthcare.gov website designers, but is this really such a surprise? Are these failures really so rare? I think not.

The ACA website is probably the first in history to have such an intense debut. Of course, the designers knew that it would be intense all along but, unlike Facebook, Google, or Amazon, the first day the website was up, it was flooded with “hits“. Other major websites built up gradually as they got more popular.

But even so, are other websites really all that great? I think not. I’ve had problems with almost every website I’ve visited more than once. And some I had problems with the first time and that’s exactly why I didn’t go back! I’ve filled out forms, clicked “send” or “done” or whatever, only to have my work wiped out with no way to get it back.

Unhappy Customers are not Engaged Visitors

On Hotels.com my wife and I were searching for a room, the site screwed up somehow, and we had to start over. For some reason, when we started over, the calendar on the site set itself a year forward, so we ended up booking a room for a year later than we wanted. To their credit, one of their reps stayed on the phone with us for a half an hour until it was fixed. But even THAT went wrong! I was on my cell phone with a rep, our call got “dropped”, and we had to call back and… start all over with another rep.

Anyone who has visited the “Daily Show with Jon Stewart” website knows how bad it is. They’ve only recently figured out how to stream their videos without a bunch of fits and starts interrupting you. Great show. Crappy website.

Have you tried to search for a topic on Dr. Oz’s website? Good luck. Dr. Oz is great, his web designers? Aaaaah, not so much. And although things have eventually improved at Expedia.com, at least twice I’ve been at the airport and the numbers they gave us for out itinerary didn’t match the numbers that the airlines expected. The result? About a half-hour delay as one of the now rare ticket agents got my situation straightened out.

I’ve had hours and hours worth of frustrations on websites. Amazon once decided to ship something I ordered to an address that I moved out of ten years earlier. Believe it or not, fixing that took incredible effort. And just try to get something done like contacting Hewlett-Packard support through their website. Here’s a hint – where it says “contact HP” does not lead to the actual ability to contact anyone, just to search their FAQs for the same issue. I tried various methods for almost an hour and finally got ahold of a person… through the phone.

frustration

Unfortunately, Hewlett-Packard doesn’t stand out as a tech company with a bad website. Apple, Dell, Microsoft, almost anybody you can name has a clunky, ridiculously overblown website where it’s incredibly difficult to solve an actual problem. To a lesser degree, even Google’s basic search engine seems to go on vacation, once in a while.

Web sites have problems. They also almost universally have bad designs at their core. And most of these websites have had years to improve. How many times have I entered some serial number or something on a website and it comes back with an error: “You must enter a serial number”? How many times has a website crashed on me, just as I thought I was getting through all the steps to accomplish something?

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The ACA website, healthcare.gov’s problems are not that big a surprise to me at all, not after trying to change my address on the California DMV website – another winner. The healthcare.gov problems simply make news because any failure associated with the ACA is automatically news. And the pundits are using their usual “I’m not saying this, I’m just asking” method to “ask” if this all means that the ACA is a failure. That’s sensationalism, and that’s today’s pathetic excuse for journalism. End of story.

I hope everybody will calm down, ride out the problems, and get themselves some high quality health coverage. I’m going to do just that. Website problems aside, next year I’ll finally be able to afford going to the doctor, if I need to.

-Tom Rossi

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Tom Rossi is a commentator on politics and social issues. He is a Ph.D. student in International Sustainable Development, concentrating in natural resource and economic policy. Tom greatly enjoys a hearty debate, especially over a hearty pint of Guinness.

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What’s In A Name – Obamacare, Shutdown, Blackmail, Extortion.

Tom kind of stole my post with his excellent Whose Shutdown Is It Anyway. Here are two memorable quotes.

“John Boehner, Rush Limbaugh, Fox “News”, and just about every Republican politician out there is trying to pin this shutdown on President Obama. This is due to the fact that Obama stubbornly refuses to accept a Republican-crafted budget that takes away the funding for the Patient Protection and Affordable Care Act, which Obama and other Democrats worked for years to make the law of the land.”

“It’s OK to disagree about this. It’s OK to hold the opinion that Obamacare is a bad thing. But don’t shut down the government and then claim it was the other guys’ doing. Though we can continue to debate health care, out here in the world, the law has passed. We supposedly have majority rule in this country, and the majority want serious health-care reform, and the majority made Obamacare the law.“ 

imagesI really want to hear from a coherent, thinking Republican (and there are plenty around to be fair), how s/he can justify shutting down the government to object to a democratically passed law? And how can our representatives have the audacity to deny government workers a salary, but continue to pay themselves? Leading by example? I think not.

But there was one thing that stood out for me and, as I listened to various radio stations, read a couple of articles, it occurred to me, that the President and the Democratic Party have lost the war on language.

Look again at the two exerts above. One talks about the Patient Protection and Affordable Care Act, while the other mentions Obamacare. One of the biggest mistakes this government made was to use and allow the use of the term Obamacare. I have yet to hear someone offer a coherent opposition to the Patient Protection and Affordable Care Act without using the term Obamacare, and using it often. 

images-1It makes for a nice legacy and might flatter our leader, but democrats should refuse to use the word. Every time a Republican uses that term, they should stop him/her and ask that the correct term is used. It’s easy. Just ask what Obamacare is.

The Patient Protection and Affordable Care Act is not defined as only for democrats. It is an essential tool to offer what is a basic human right: healthcare without personal bankruptcy. 

If we are going to discuss language, how about ditching the Government Shutdown – if this was a union, we would be calling it a strike. So the Republicans have gone on strike. Good luck dealing with labor disputes in the future!

And while we are at it, perhaps there are a few other words we might want to begin using to describe the shutdown: how about blackmail and extortion? Maybe callousness and immunity to suffering?

Not that I’m in favor of inflammatory rhetoric or imagery. Who had the audacity to design this? Thankfully, let it be said, many Republicans have come out against the comparisons of President Obama to Hitler. 

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Alon Shalev is the author of the 2013 Eric Hoffer YA Book Award winner, At The Walls of GalbriethThe First Decree, Ashbar – Wycaan Master Bk 3 – all released by Tourmaline Books. Shalev is also the author of three social justice-themed novels including Unwanted Heroes. He swears there is a connection. More at http://www.alonshalev.com and on Twitter (@elfwriter).

Whose Shutdown is it, Anyway? – Tom Rossi

The “debate” rages on. Are 1+1 really 2? Or are they 3? Is the Pope Catholic? Does a bear sh… Oh, forget it.

Here’s the “debate”: I want to cut off your legs with a chainsaw. What’s that? You don’t want to talk it over? You don’t want to sit down and negotiate? Hmmm… Well, let’s try something less extreme. I want you to give me 25% of your paycheck… every month. Whaaaaat? You don’t want to talk about that either??? Well, YOU are obviously the problem.

tom-toles-obamacare

John Boehner, Rush Limbaugh, Fox “News”, and just about every Republican politician out there is trying to pin this shutdown on President Obama. This is due to the fact that Obama stubbornly refuses to accept a Republican-crafted budget that takes away the funding for the Patient Protection and Affordable Care Act, which Obama and other Democrats worked for years to make the law of the land.

cryingboehner

The right-wing wants Obama to just turn around, let go of victory, and be defeated. And they want the same from the American people. Republicans (publicly, anyway) agree that health costs are out of control. But instead of making it cheaper for people, they want doctors and especially big medical businesses to be largely free from lawsuits, even when they do something terribly wrong.

Obamacare may only be a B- victory for the average citizen of the United States, but it’s all we’re going to get. We will not have “single payer” health care within the foreseeable future (unfortunately) so we have to hold on to our hard-won compromise like grim death.

obamacare card

It’s OK to disagree about this. It’s OK to hold the opinion that Obamacare is a bad thing. But don’t shut down the government and then claim it was the other guys’ doing. Though we can continue to debate health care, out here in the world, the law has passed. We supposedly have majority rule in this country, and the majority want serious health-care reform, and the majority made Obamacare the law.

Obamacare-face-full

As a nation, we badly need to grow up. Countries with nowhere near our natural resource base have thriving economies and universal health care. Obamacare is an imperfect compromise, but a reasonable one. Let’s get on with our lives… and our health.

-Tom Rossi

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Tom Rossi is a commentator on politics and social issues. He is a Ph.D. student in International Sustainable Development, concentrating in natural resource and economic policy. Tom greatly enjoys a hearty debate, especially over a hearty pint of Guinness.

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Obamacare. Wow. – Tom Rossi

Oh, the fun I’m having watching the news, these days! The Republican whining about Obamacare has reached a feverish pitch, and the good guys are ahead of the bad guys by a touchdown, with less than one hour to play!

By the time you read this, a large part of the U.S. government will probably have been shut down. All because “Americans are suffering from Obamacare,” according to self-appointed head of the Lollidip Guild, Ted Cruz.

Enough has been said about how ridiculous is this political grandstanding, so, in case you haven’t already educated yourself, I’m just going to give my own little example of what the Patient Protection and Affordable Care Act (Obamacare) will mean to my wife and me.

My wife and I are not so good at making money. We are both well educated people who loathe the idea of performing some little task, over and over, in order to earn lots of money. Many people earn good money and don’t do that, but they probably did do just that to get to their present positions.

So, we have been struggling to pay for our HMO plan, one with a huge deductible and monthly premiums (or premia, for you Latin majors, out there) that we can’t really afford.

The website coveredca.com was recently put up to assist people figuring what their insurance costs would be under Obamacare. I used this website to calculate what our costs will be.

Wow.

We will qualify for a plan with a much lower deductible of $500. Our copays will be about half of what they are now, and more procedures such as lab tests will be covered. We can keep our same HMO, our same doctors, and we will be paying about $250 less than we are now.

That’s right – same insurer, same doctors, more coverage, lower deductibles, and much cheaper. Did I say “Wow?” Wow.

As I admitted earlier, our income is well below the U.S. average, or “mean”. But we are actually very close to the “mode” for U.S. incomes, which gives a much better picture of what the typical person or family actually earns. In other words, there are lots of people in situations very similar to ours.

So who is “suffering” under Obamacare? Actually, that doesn’t make any sense, because most of it hasn’t taken affect, yet. But who WILL suffer under Obamacare? Certainly not us. Odds are, you won’t either.

AATTP-Ted-Cruz1-547x330

-Tom Rossi

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Tom Rossi is a commentator on politics and social issues. He is a Ph.D. student in International Sustainable Development, concentrating in natural resource and economic policy. Tom greatly enjoys a hearty debate, especially over a hearty pint of Guinness.

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