Twenty-four

There are days in my life I know I’ll always remember. Thursday August 13, 2009 turned out to be one of those days. I began my day in the emergency room and ended it perched on a mountain top. What a memorable 24 hours for me and my family!

My mother-in-law, Kathy, and I have been planning a family hike to the Quartz Mountain Fire Lookout. I had made an overnight reservation with the parks department for August 13th. Ben wouldn’t be able to come because of his work schedule, and CO was too young for an overnight hike, but the rest of us were looking forward to a unique and much-needed summer diversion. On Wednesday we were packing hiking backpacks for ourselves and RO, JO and SO. We made a list of last-minute supplies we’d need. I went shopping about an hour before Ben woke up for work, and Kathy made dinner.

A few minutes before Ben left for work he heard SO choking in her room. She was sucking on a heart-shaped plastic piece from an earring and accidentally swallowed it. I got home and found my girls crying on their daddy’s lap. (CO had fallen off a chair, but was soon fine.) SO was looking very sad, pointing to her neck. I could tell she was in a lot of pain. I called the pediatrician to talk to a nurse and gave her some ibuprofen to keep her scratched throat from swelling. As I was talking to the nurse, we decided to try feeding SO a bite of pasta noodles coated in olive-oil (the theory was “coat her throat with oil and it might slip down"). She promptly threw up. But then she looked a little better and the nurse guessed this meant she had indeed swallowed the plastic heart and her throat was now feeling the effects of being scratched. We were all eager to agree with this theory, especially SO. Ben left for work. The rest of us sat down to watch a movie after dinner. SO napped on the couch.

At bedtime I decided SO could recover next to me in my bedroom. By about 10:00pm she had thrown up two more times. We slept for a few hours, but SO woke up moaning at about 2:30am. I was troubled by the fact that she had thrown up two more times. I knew that this amazing family hike was on the calendar for that day, but I couldn’t take a girl who wasn’t keeping any food or water down. I called Ben at work and he encouraged me to make sure there was nothing in her throat. I left a note for those soundly sleeping and took SO to the ER, just in case!

In an effort to make a long story slightly shorter there were two x-rays taken, a chest x-ray and a soft-tissue x-ray. Plastic is hard to see in an x-ray, there was one dark area that registered a “maybe,” but because she was vomiting the doctor made the decision to schedule a scope with an Ear Nose and Throat surgeon that morning. SO threw up once more in the ER before she was admitted. Ben got off work at 7:00am and came to the hospital so I could go home to the kids and Kathy when they woke up. At 8:00am SO went into surgery. They found the heart-shaped plastic stuck in her esophagus and promptly fished it out. Ben called home with the good news. I went back to the hospital so Ben could head to bed. The girl I saw in the hospital room was 100% different from the one I had left only two hours before. She was smiling, talking to EVERYBODY, and eating an orange Popsicle. What a relief! I brought her a few little flowers, some playing cards (to keep me awake), and a purple pen. I was reminded of Andrew and Amy's ER experience when the nurses soon gave her a big activity book. SO turned to me and said "Mom, aren't you sad you didn't swallow anything?" The nurse who discharged her at 1:00pm also gave her a stuffed animal. She came home to find little notes and chocolate chips from her brothers and hugs and kisses from Kathy and CO.

An hour and a half later, the van was packed with our hiking gear. We dropped off CO and her overnight Dora the Explorer backpack (thanks, Lindsay!) and headed north to the Quartz Mountain Fire Lookout. We started our hike in a bit later than planned but took a leisurely pace. We did a dance of joy when we found the lookout and marveled at the 360 degree view (of Washington, Idaho, Montana, and Canada). I also marveled as I saw my spunky 5 year-old collect rocks and flowers to show me and Kathy. It was so hard to believe she was in the hospital earlier that day. We played cards and enjoyed a Mountain Lodge freeze-dried dinner and dessert before turning in for the night. I slept soundly after my long day 5,129 feet above sea level.

Kathy will send me the pictures she took, but are photos of the lookout we stayed in and the view.

[I apologize if you disagree with the following, and by all means, feel free to look the other way in utter disgust and horror if you must, but the following 24 points are fitting considering the 24 hours I recently experienced. Health care affects everyone and shouldn't be ignored. Our out-of pocket plastic heart fishing expedition costs are $200.00 so far and will increase with each bill we'll soon get from the ER, ER physician, radiology, inpatient care, surgery center, and surgeon. Whether or not you agree with every detail of the “fix” all sides acknowledging that a “fix” is long overdue is child's play.]

8 ways reform provides security and stability to those with or without coverage:
1. Ends Discrimination for Pre-Existing Conditions: Insurance companies will be prohibited from refusing you coverage because of your medical history.
2. Ends Exorbitant Out-of-Pocket Expenses, Deductibles or Co-Pays: Insurance companies will have to abide by yearly caps on how much they can charge for out-of-pocket expenses.
3. Ends Cost-Sharing for Preventive Care: Insurance companies must fully cover, without charge, regular checkups and tests that help you prevent illness, such as mammograms or eye and foot exams for diabetics.
4. Ends Dropping of Coverage for Seriously Ill: Insurance companies will be prohibited from dropping or watering down insurance coverage for those who become seriously ill.
5. Ends Gender Discrimination: Insurance companies will be prohibited from charging you more because of your gender.
6. Ends Annual or Lifetime Caps on Coverage: Insurance companies will be prevented from placing annual or lifetime caps on the coverage you receive.
7. Extends Coverage for Young Adults: Children would continue to be eligible for family coverage through the age of 26.
8. Guarantees Insurance Renewal: Insurance companies will be required to renew any policy as long as the policyholder pays their premium in full. Insurance companies won't be allowed to refuse renewal because someone became sick. http://www.WhiteHouse.gov/health-insurance-consumer-protections/

8 common myths about health insurance reform:
1. Reform will stop "rationing" - not increase it: It’s a myth that reform will mean a "government takeover" of health care or lead to "rationing." To the contrary, reform will forbid many forms of rationing that are currently being used by insurance companies.
2. We can’t afford reform: It's the status quo we can't afford. It’s a myth that reform will bust the budget. To the contrary, the President has identified ways to pay for the vast majority of the up-front costs by cutting waste, fraud, and abuse within existing government health programs; ending big subsidies to insurance companies; and increasing efficiency with such steps as coordinating care and streamlining paperwork. In the long term, reform can help bring down costs that will otherwise lead to a fiscal crisis.
3. Reform would encourage "euthanasia": It does not. It’s a malicious myth that reform would encourage or even require euthanasia for seniors. For seniors who want to consult with their family and physicians about end-of life decisions, reform will help to cover these voluntary, private consultations for those who want help with these personal and difficult family decisions.
4. Vets' health care is safe and sound: It’s a myth that health insurance reform will affect veterans' access to the care they get now. To the contrary, the President's budget significantly expands coverage under the VA, extending care to 500,000 more veterans who were previously excluded. The VA Healthcare system will continue to be available for all eligible veterans.
5. Reform will benefit small business - not burden it: It’s a myth that health insurance reform will hurt small businesses. To the contrary, reform will ease the burdens on small businesses, provide tax credits to help them pay for employee coverage and help level the playing field with big firms who pay much less to cover their employees on average.
6. Your Medicare is safe, and stronger with reform: It’s myth that Health Insurance Reform would be financed by cutting Medicare benefits. To the contrary, reform will improve the long-term financial health of Medicare, ensure better coordination, eliminate waste and unnecessary subsidies to insurance companies, and help to close the Medicare "doughnut" hole to make prescription drugs more affordable for seniors.
7. You can keep your own insurance: It’s myth that reform will force you out of your current insurance plan or force you to change doctors. To the contrary, reform will expand your choices, not eliminate them.
8. No, government will not do anything with your bank account: It is an absurd myth that government will be in charge of your bank accounts. Health insurance reform will simplify administration, making it easier and more convenient for you to pay bills in a method that you choose. Just like paying a phone bill or a utility bill, you can pay by traditional check, or by a direct electronic payment. And forms will be standardized so they will be easier to understand. The choice is up to you – and the same rules of privacy will apply as they do for all other electronic payments that people make. http://www.WhiteHouse.gov/realitycheck

8 Reasons We Need Health Insurance Reform Now:
1. Coverage Denied to Millions: A recent national survey estimated that 12.6 million non-elderly adults – 36 percent of those who tried to purchase health insurance directly from an insurance company in the individual insurance market – were in fact discriminated against because of a pre-existing condition in the previous three years or dropped from coverage when they became seriously ill. Learn more: http://www.healthreform.gov/reports/denied_coverage/index.html
2. Less Care for More Costs: With each passing year, Americans are paying more for health care coverage. Employer-sponsored health insurance premiums have nearly doubled since 2000, a rate three times faster than wages. In 2008, the average premium for a family plan purchased through an employer was $12,680, nearly the annual earnings of a full-time minimum wage job. Americans pay more than ever for health insurance, but get less coverage. Learn more: http://www.healthreform.gov/reports/hiddencosts/index.html
3. Roadblocks to Care for Women: Women’s reproductive health requires more regular contact with health care providers, including yearly pap smears, mammograms, and obstetric care. Women are also more likely to report fair or poor health than men (9.5% versus 9.0%). While rates of chronic conditions such as diabetes and high blood pressure are similar to men, women are twice as likely to suffer from headaches and are more likely to experience joint, back or neck pain. These chronic conditions often require regular and frequent treatment and follow-up care. Learn more: http://www.healthreform.gov/reports/women/index.html
4. Hard Times in the Heartland: Throughout rural America, there are nearly 50 million people who face challenges in accessing health care. The past several decades have consistently shown higher rates of poverty, mortality, uninsurance, and limited access to a primary health care provider in rural areas. With the recent economic downturn, there is potential for an increase in many of the health disparities and access concerns that are already elevated in rural communities. Learn more: http://www.healthreform.gov/reports/hardtimes
5. Small Businesses Struggle to Provide Health Coverage: Nearly one-third of the uninsured – 13 million people – are employees of firms with less than 100 workers. From 2000 to 2007, the proportion of non-elderly Americans covered by employer-based health insurance fell from 66% to 61%. Much of this decline stems from small business. The percentage of small businesses offering coverage dropped from 68% to 59%, while large firms held stable at 99%. About a third of such workers in firms with fewer than 50 employees obtain insurance through a spouse. Learn more: http://www.healthreform.gov/reports/helpbottomline
6. The Tragedies are Personal: Half of all personal bankruptcies are at least partly the result of medical expenses. The typical elderly couple may have to save nearly $300,000 to pay for health costs not covered by Medicare alone. Learn more: http://www.healthreform.gov/reports/inaction
7. Diminishing Access to Care: From 2000 to 2007, the proportion of non-elderly Americans covered by employer-based health insurance fell from 66% to 61%. An estimated 87 million people - one in every three Americans under the age of 65 - were uninsured at some point in 2007 and 2008. More than 80% of the uninsured are in working families. Learn more: http://www.healthreform.gov/reports/inaction/diminishing/index.html
8. The Trends are Troubling: Without reform, health care costs will continue to skyrocket unabated, putting unbearable strain on families, businesses, and state and federal government budgets. Perhaps the most visible sign of the need for health care reform is the 46 million Americans currently without health insurance - projections suggest that this number will rise to about 72 million in 2040 in the absence of reform. Learn more: http://www.WhiteHouse.gov/assets/documents/CEA_Health_Care_Report.pdf