A U.S. Health Care Horror Story...

My conservative Trumpian friend in Milwaukee was quick to send me the video of 33 yr old Cheryl Justice Anderson, who told her story explaining that she didn't have access to a family doctor (unknown reason why), and how one ER "brushed her off" forcing her to go to 3 ER's.

The Horrors of Socialized Health Care...in Canada? My friend loves anecdotal stories, one here, one there, to paint an entire system like Canada's health care system a failure. Of course I also mentioned we have a few horror stories of our own in the U.S., but he didn't care. 

Few people know that the Province of Nova Scotia, like every other province in Canada, has control of their own system, with national guidelines. Some provinces are better than others. My sister lived in Canada a number of years and told me that one province was horrible, while others were great.

A US Horror Story: Medicare covers all seniors at a low negotiated price, and that's good, but it's also been compromised by private sector profiteers looking to make money off retirees. So a Rube Goldberg set of rules were constructed to put a patient and their relatives hard earned cash on the line, and into the pockets of hospitals and insurance companies.

The following is such a story. But first, keep in mind, (1) the best Democratic Medicare-for-All proposals don't include the failings of our current system. (2) Imagine too how different things would be if we had just had a "public option" in the ACA. (3) And if we had the time, and people weren't currently dying under our current system, I would love to institute a Medicare buy-in option that progressives, liberals, socialists, and Democrats would take in a heartbeat, while giving rugged Republican individualists who love their current obscenely costly private insurance the option to stay in their own plans. We'll see how long that lasts.

U.S. health care horror story:

Dr. Hasan Shanawani, a high-ranking physician at the Department of Veterans Affairs, was overcome by frustration over his 83-year-old father, also a physician, who was hospitalized in New Jersey with a spinal fracture. Like millions of people who are sick or old and the families who care for them, this physician was disheartened by the health care system’s complexity and its all-too-frequent absence of caring and compassion.

Shanawani Tweet: “The threads I will share w/U will be about the RIDICULOUS stuff I have had 2 navigate in my dad's care.” Hospital staff didn’t acknowledge his family’s concerns or address them adequately: How can an old man with terminal prostate cancer and a broken back be sent home without measures to ensure his safety?

1. His dad was classified as an “observation care” patient. Why was his dad, who had metastatic stage 4 prostate cancer and an unstable spine, not considered eligible for a hospital admission? When someone is in observation care, he or she can face copayments for individual tests and medical services under Medicare Part B — expenses that can quickly add up. Also, Medicare will not pay for short-term rehabilitation in a skilled nursing facility for observation care patients.

2. Currently, patients with Medicare coverage cannot appeal a hospital’s decision to place them in observation care.  
3. Sidestepping Shanawani’s questions, the care coordinator didn’t provide answers. Later, another senior nurse in the hospital unit didn’t respond when he asked her to find out what was going on.

4. No one seemed to care or be willing to listen: When family members asked that lower doses of painkillers be administered to Shanawani’s father, who had become delirious during previous hospitalizations, they felt nurses were disapproving and disrespectful.

5. Shanawani’s father and the family decided against surgery but were told that he couldn’t receive a brace in the hospital because that option was available only to inpatients. 

6. Outside the hospital, it would take time to arrange an appointment with a spine specialist and get a brace. In the meantime, with an unstable spine, “my father was at risk of permanent paralysis,” Shanawani said.

7. “I wish I could say that this was in any way unique or an isolated event,” said Dr. Richard Levin, chief executive of the Arnold P. Gold Foundation, which focuses on humanism in health care, who reviewed the physician’s Twitter stream. “But his description of a broken system is so common.”

On April 30, his father took a turn for the worse and was rehospitalized. Shanawani knew this was likely at some point, but he had hoped it wouldn’t be so soon. “It starts all over again,” he wrote to me in an email.

75 Dairy Farmers on verge of going out of business!!! Not a big issue for Walker and Trump!

I still think rural voters should be trying to get a second opinion, this time from the Democrats. What the hell have Republicans done for them lately?

Canada blocks Dairy State: Believe it or not, the latest casualty under Scott Walker's rule? The dairy industry!!! Where has Walker been, and how hard has he worked to get Trump to act on this, as opposed to getting Wisconsinites drug tested? So now about 75 dairy farms are teetering on the edge. That's a lot of local generational farming.

Walker's number one Priority with Trump!!!

Here's one dairy farmers story. WISC:

...and another. WKOW:

Is Trump or Scott Walker getting anything done as the party in control?

U.S. dairy groups are calling on Donald Trump to set his sights on Canada's "protectionist" dairy practices as he seeks to safeguard American jobs. (Earlier this month), Gov. Walker was among those sending a missive to the President, saying Wisconsin's dairy producers have been disadvantaged by Canada’s recent change in their pricing policy. 

That's too little, too late Scott. And Trump's hard line on trade? 

 

CBS: Canada should brace for a tougher, hardline approach to trade negotiations with the U.S. under Donald Trump's new pick, experts warn ... "trade hawk" Robert Lighthizer ... is aligned with the president-elect's protectionist views ... Lighthizer won't be very willing to make concessions to resolve disputes such as dairy and softwood lumber ... That could mean more protracted legal battles rather than negotiated resolutions.

On Jan. 17, 2017, Food Dive took notice of the problem, but didn't have high hopes for Trump:

Food concerns don’t appear to be his main order of business. It wouldn’t be much of a surprise if he simply didn’t respond in any meaningful way to the dairy groups’ request.

Back even further, on September 6th, 2016, in a preemptive move, Sen. Tammy Baldwin started the wheels in motion:

U.S. Senator Tammy Baldwin is pushing for an investigation into whether Wisconsin milk exports are being unfairly blocked and if trade agreements are being upheld. Baldwin and Sen. Chuck Schumer called on USDA Sec. Tom Vilsack and U.S. Trade Representative (USTR) Michael Froman to investigate new Canadian dairy pricing policies that could hurt dairy farmers and processors in Wisconsin.

Here's what Canada is doing:

The policy allows Canadian dairy processors to buy domestic milk at world market prices instead of higher prices controlled by the national supply management system. The U.S. dairy groups say that provides the processors with an incentive to cut milk imports. "The entire U.S. dairy industry is being hurt, as milk prices are being driven down nationally by Canada's trade actions," they wrote.

Trump to the rescue?

Canada faces a contentious trade dispute with the U.S., but industry observers believe Trump could take steps that hurt Canada's auto, beef farming, dairy and liquor and beer import monopolies.

"Stand with Walker" trolls don't seem to care about those 75 dairy farms, or people seen in the video above, because they're just too small percentage to care about:

For rural voters and dairy farmers everywhere, Sen. Tammy Baldwin is a Democrat, on the front line trying to save the industry. Again, what has to happen before conservative rural communities look to another party to get something done:

“Grassland Dairy Products Inc. is very appreciative of the interest and leadership Senator Baldwin has shown on the Canadian trade issue.” Jim Mulhern, President and CEO of the National Milk Producers Federation (NMPF) says the letter comes at a critical time for both trade and the well-being of America’s dairy producers. “We appreciate the Senators’ attention to the importance of holding one of our largest trading partners to its international commitments and the key role that the U.S. government must play in doing so.”

Senator Baldwin is a strong supporter of our Grown in Wisconsin economy and Wisconsin’s dairy farmers and producers. In July, Senator Baldwin joined a bipartisan, bicameral coalition of 60 lawmakers to call on the USDA to assist dairy producers struggling with declining milk prices. As a result, the USDA announced $11.2 million in financial assistance to American dairy producers enrolled in the 2016 Margin Protection Program for Dairy (MPP-Dairy).

ALERT: 4/6/2017: Looks like someone in Dumb Ron Johnson office was watching TV and finally picked up on the story. From the quotes below, it's more than obvious Johnson has no idea what is happening,