Travesty of Healthcare
Anonymous
About three months ago, my family was devastated with the news that one of our dear loved ones has Stage 3 breast cancer.
To
be honest, she discovered the lump about a year and a half ago, but
only sought treatment when it erupted and started to bleed profusely.
The family had no idea until she rushed herself to the ER in LA County,
but why did she delay so long?
Part
of the reason is the completely understandable fear of “The Big C,” but
most of the reason was that, as a poor person living off of doing odd
jobs for cash, she had no easy access to healthcare. Would things be
different now, if she could just walk into her doctor and be examined
and know that a compassionate and accessible system could help? A
resounding, “yes.”
Obviously, I am talking about my sister Dede Miller and we feel this story is important and needs to get into the hands of every "decision maker" to try and help others.
Since
our own struggles began with the abominable system, I have reached out
anonymously and heard many horror stories of rising costs of premiums
and deductibles and lowered access to appointments and care. The
“Affordable” Care Act may have helped a few people, but tens of millions
of Americans are still without insurance and being fined because they
don’t have money to pay for insurance out of some kind of malicious poor
tax.
So, all this is true, but I want to focus on our experiences with the system at LA County-USC medical center (LAC-USC).
I
live about 450 miles from Los Angeles, but I have traveled to L.A.
frequently to attend appointments with my sister and I have been
horrified at what I witness and stressed, frustrated and appalled at the
way my sister and other human beings are treated in the “death” care
paradigm.
I
have only been privy to what happens in the cancer (surgical and
medical) departments, but there are far fewer conditions that are more
frightening than cancer and where the treatment seems to make people
feel worse than before they were diagnosed.
First
of all, the minimum wait time for any appointment for my sister is four
hours. I sit in the waiting rooms with her where there are never enough
chairs for these desperately ill people and their caregivers. I have
seen 70-year-old women with scarfs on to cover their chemo-bald heads
leaning against walls.
My
sister has never been counseled on managing her ulcerated tumor and
puts a baby diaper on it with a salve that we came up invented made of organic turmeric powder, and cucuminoid oil. My sister
has never been counseled on nutrition and I was, once again, appalled
when a cart wheeled into the medical cancer waiting room that was
selling processed snack items filled with carcinogens and soda filled
with sugar, or high-fructose corn syrup.
My
sister has been run from one department to the next for one test or
another that haven’t occurred. My sister is a large woman with large
breasts and one of the breasts has a large tumor up near her chest. She
needed an MRI to see if she could be enrolled in a clinical trial but
her breasts didn’t fit in it. They sent her someplace else for the MRI
that was supposed to have a bigger machine, but it was the same exact kind.
Since
she was diagnosed with cancer, her lump has grown from about the size
of “half a tennis ball” to triple that and she hasn’t even had any
treatment yet: biopsies, mammograms, and other tests that twist and turn
her already sick breast into shapes not meant for it.
One
appointment that I was not able to make with her, she had to break down
and sob to her medical oncologist that she was so sick and so worried
and no one was calling her to schedule treatment or letting her know if
she was in the clinical trial (they finally abandoned that idea) and
after a CAT-scan and EEG, (to see if she has a strong heart), she was
scheduled for her first chemo on June 15 th .
Aside from the wisdom and efficacy of chemo (that’s another subject),
she was so relieved to finally be doing something and I was planning a
trip back to L.A. to be with her for several days before and after.
A
few days ago, she called me, and said that there was a cancellation and
they had scheduled her for chemo at 8 the next morning. That was far
too quick for me to make it to L.A., but we have heard that the first
treatment usually doesn’t make a person that sick—although, it’s
different for everyone.
So,
my sister drove to LAC-USC (a 30 minute drive for her in clear traffic,
and god only knows how long at other times) to get labs done that day
to proceed with the chemo the next day.
She
arrived at LAC-USC early and was where she needed to be, when she was
told that before she received chemo, she needed to “go to the financial
office.” Of course, she was confused since she was put on Medi-Cal and
had been going to LAC-USC for tests and appointments for weeks at that
point.
When she got to the financial office, she was told that LAC-USC “Doesn’t take her insurance.” What!?
Apparently,
when one goes on Medi-Cal, he/she must pick a Medi-Cal provider and my
sister was told by a social worker there on site (I was at that
appointment) that she could choose LA Care or HealthNet. She chose
HealthNet and the worker at financials told her that LAC-USC “does not
accept HealthNet.” (Subsequently, we have found out that that’s not even
true). So, she was turned away without her chemo and spent eight-hours
on the phone for the rest of the day trying to straighten it out.
With
so-called ObamaCare, I guess, it’s almost impossible to switch
providers in mid-stream, but that point should be moot since LAC-USC
“absolutely” does take HealthNet—so, my sister is making another trip to
LAC-USC to try and get an “exemption” so she can receive treatment.
My
question is, “What if she is turned down for that exemption?” Do they
just send her home to die? When is euthanasia the next step for poor
people? I have witnessed animal shelters treating stray dogs and cats
better than poor people get treated at LAC-USC.
I
will give credit where credit is due, though. I have seen some heroic
acts from doctors and nurses (especially the surgeon assigned to her
case, Dr. Kahn) who have advocated for my sister and got the wheels
spinning a little faster and I appreciate that. However, absent the
ideal situation of Medicare for all, “everyone in, no one out,” poor
people have the exact same human right to quality healthcare as the
“1%.”
These
programs should be fully funded by taxing those who profit off of the
illness and problems of others and re-prioritizing human needs over
corporate greed. Los Angeles is a rich county in a rich state in a rich
country. No one should have to struggle for care while they are also
struggling for their lives. It’s inhumane.
Also,
where is an office of “patient advocate?” My sister is fortunate to
have people who love her and will go to bat for her, but she has needed
someone inside the system to also help her (and us) navigate it.
This
is only one story out of millions, but my sister is also my best
friend, dear auntie to my children and grandchildren, and a major force
for good in the world who has chosen to live outside of the corporate
life to help try and make this world a better place.
It’s personal and I wish to god that the so-called “powers that be” understood that.
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