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Strollerderby
When Your Uterus is Your Pre-Existing Condition
There’s one very basic reason I’ve been on board with some kind of healthcare reform from the get-go: I have a uterus. And as the ladies of the National Women’s Law Center recently pointed out – that means I have a pre-existing condition.
Don’t believe me? A few facts, all pulled together by the NWLC:
Of more than thirty-five hundred insurance plans studied, sixty percent did not cover maternity care.
If any of you ladies have had a C-section, a large number of insurers will either refuse to foot the bill for any future C-sections (despite the fact that many hospitals are refusing to do VBACs because they say THEY can’t afford to) or require a higher premium from the mother.
I just pulled the data that directly relates to the uterus – but there’s a pile more that relates to all people who HAVE uteruses. Among them - a recent study found that at age twenty-five women are charged between six and forty-five percent more than men for identical insurance coverage. At age forty, women’s monthly premiums are between four and forty-eight percent higher than men’s monthly premiums.
Health insurance companies – as they stand – are money-making entities. And most who would justify the above base it on some idea of the ends of capitalism justifying the means. Ever questioning that draws irrational cries of “socialist!”
So let’s take this out of the uterus and the grown woman who ostensibly can make her own decisions (and – I can hear it now – get off her ass, go to work and pay for her own healthcare, bla, bla, bla). Maternity care isn’t just about a mother. A C-section isn’t just about a woman.
They’re about the brand new baby who can’t get a job, whose parents are actually paying for health insurance (yup, we’re generally talking about the women who do work here folks – this isn’t not welfare screwing people to the walls but health insurance companies). Heck, that baby might not even HAVE a uterus. But she . . . or he . . . deserves to get something decent for all that Mom and/or Dad are shelling out, don’t you think?
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[...] a womb makes us a liability in the eyes of insurers and more than half of them don’t even offer maternity coverage. Those who do will often raise the premiums of women who have had C-sections or, as in [...]
Insurance Company Tells Woman to Get Sterilized | Strollerderby commented on Oct 18 09 at 7:57 pmMistress_Scorpio commented on Oct 17 09 at 11:09 pmHell yeah!
Lisa commented on Oct 18 09 at 10:27 amThen take your issue to Obama who was so darn concerned about reaching consensus with the money makers rather than protecting the patient.
We need real health care reform, a national health care system like they have in Israel, not this circus of a bill.
insurance companies are paid to say no commented on Oct 18 09 at 10:03 pmWhen I went to law school, I left my work insurance and went onto student insurance — I was continuously insured. Then I became preganant. New insurance company said: pre-existing condition, no coverage. After several faxes and angry letters explaining what “continously insured” legally required the insurance company do to, and pointing out that the ultrasound the insurance company would not pay for proved that the pregancy was not “pre-existing” I was covered. But no discount or refund of premiums paid during the time that the insurance company was trying to deny me, no reimbursement for time or fax fees, nothing. Why people think “government inefficiency” could make this industry worse is beyond me.
Louise commented on Oct 18 09 at 10:06 pmI agree with Lisa…this is yet another reason we need, at the very, very least, a meaningful public option. It seems to me that as long as there is a profit motive for denying care or charging more for certain segments of the population, it will happen.
Put another way…honestly, if the health insurance companies exist for the sole purpose of making money by managing risk, then some might say it’s unfair to ask them not to charge more for folks who, statistically, will end up costing more. Or to force them to take on clients with pre-existing conditions. Or to not allow them to dump people that exceed some lifetime cap. Or to force them to cover procedures that are a “bad risk.”
Does that seem cold? It does to me, too. Which is why I think we need to make up our minds about a fundamental question: does the fact that someone is a fellow human being mean that they are entitled to be taken care of when they get sick? Good people can disagree, but I say “yes.” And if we say “yes” as a society, I think that a single payer system is the best way to make that happen.
Louise commented on Oct 18 09 at 10:15 pminsurance companies are paid to say no…
“Why people think “government inefficiency” could make this industry worse is beyond me.”Just wanted to see this again…very good point. Health insurance companies are not just inefficient, there is clearly a motivation for them not to process things too quickly…processing things efficiently means losing money more quickly.
And I say this as someone who really has excellent insurance.
Lisa commented on Oct 19 09 at 9:39 amLouise,
I too have excellent insurance… and I’m going to be taxed out the whazzoo by this plan.
However, the Israeli plan is NOT a single payer plan. Of course, Israel is structurally different than the U.S. but I think it would still be viable. In Israel, there is a National Health Insurance Law which spells out the minimum requirements of any insurance plan. No preexisting conditions, no one can be turned away, what must be covered and what subsidies the government will provide. Israelis are required by law to be enrolled in a ‘sick fund’ of their choice and usually premiums are withdrawn from their paycheck; lower income Israelis’ insurance premiums are subsidized by the government.
It’s a good system; Israeli health care is amongst the best in the world. But a couple of caveats: there are a larger number of doctors in Israel per person than in the U.S., doctors and nurses are paid less than in the U.S., doctors don’t have to take out enormous loans to go to medical school like they do in the U.S.
Finally, individuals may opt to purchase supplemental insurance above the basic insurance. The basic insurance is good by many standards in the U.S. but still, it doesn’t cover everything.
jenny tries too hard commented on Oct 19 09 at 1:11 pmCorrect me if I’m wrong, Lisa, but I was wondering…is the Israeli doctors’ being able to go to medical school without taking huge loans a function of their mandatory military service? My understanding was that candidates for a career in medicine could spend part of their mandatory military time training for their medical careers and providing some paraprofessional medical care to troops. Honestly, if that worked for Israel, I don’t see how something similar wouldn’t work here.
Louise commented on Oct 19 09 at 5:08 pmOh, yes, Lisa…I didn’t mean to imply that it was single payer, but thanks so much for explaining the way it’s done in Israel; the more we hear about how other countries handle this (including the benefits and the drawbacks), the better off we’ll be. I was mainly agreeing with the idea of a “national health care system” in the general sense of guaranteeing, in some form or another, that people are able to obtain health care. While my preference would still be single-payer, I think the model you describe does have advantages over what we have now.
DirkJohanson commented on Oct 19 09 at 11:37 pmAbsent rape, maternity is voluntary and shouldn’t be covered by insurance. And if you are so against being charged extra for having a uterus, you should also be complaining about being charged less by auto insurers for NOT having a uterus.
Lisa commented on Oct 21 09 at 10:31 pmJogging, mountain climbing, sex, heavy lifting, erections in a pill and suicide attempts are all voluntary… should insurance not cover them?
Kate commented on Nov 20 09 at 1:31 amDirk, then how exactly are we going to create a new generation?
Also, while we’re at it, we should ban all health costs regarding smokers, because hell, they deserve it! After all, it was a choice. And 90% of dental costs can be thrown out, since you didn’t brush your teeth! If we were to cut everything out of health insurance simply because you did something voluntarily, there would be basically no heath care. Broken arm? Did you do something to cause it? Then you aren’t covered. Sorry. Gallbladder issues? You probably ate too much fatty foods. No coverage for you.
Jason commented on Nov 20 09 at 11:13 amI agree – the companies are going off of who is more likely to need to use the insurance money at some point. Women are more likely to need health care. Same with the Auto insurance. Men are more likely to get in an accident and need the coverage. Based on this, I understand the higher rates. However, being a woman should not be considered an ‘existing condition.’ Being denied for that reason is wrong.
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