The Unnecessary Death of My Aunt, Hazel by Cynthia McKinney

The Unnecessary Death of My Aunt, Hazel

by Cynthia McKinney

The author is a former U.S. Representative from Georgia and 2008 Green Party candidate for President of the United States.

“My aunt, while still in intensive care, was forced to be transferred to the hospital that had, in my opinion, committed a capital crime.”

I never want you to take the journey that I'm currently on. So, I want to tell you about it.
It starts on the front of the refrigerator. "The Healthiest Foods on Earth." A two-page primer from apple to watermelon, touting immunity to male fertility support. Inside the refrigerator, natural and organic foods only. On the countertop is the Jack LaLanne juicer, the Magic Bullet, the handy food chopper plus, the food saver vacuum sealer--all items familiar to us because they are constantly hawked on the midnight cable channels. Hanging from the kitchen cabinet door are plastic bags for recycling: one for plastics, the other for aluminum cans. The house and car are filled with reusable shopping bags made of recycled materials. By the way, a new car was in the works, and not because of the cash for clunkers program of the Federal Government. An American-made hybrid was preferred--keeping U.S. workers working. In the back seat of her Ford Focus is a booklet, "Living in a Healthy Body: A New Look at Health & Weight." What I'm trying to describe is someone working very hard at changing a typically indulgent "American" lifestyle into one more respectful and healthy for the body, healthy for our earth.
So, in an act of preventive medical care, my aunt Hazel went to the doctor to have a colonoscopy. We are all bombarded with television commercials advising us to have a colonoscopy. I know in the black media, those ads abound. And so, dutifully, my aunt abided by those suggestions for healthy choices and had her first colonoscopy. What the family knows is that her colon was perforated. That's when our journey took us on a wrong turn.
“My aunt abided by suggestions for healthy choices and had her first colonoscopy.”
Unfortunately, the facility that performed the colonoscopy had told my aunt not to call before the results were published and that would take up to two weeks!!! When my aunt called them because she was feeling so bad, they told her that she'd be ok overnight and that they would call her in the morning. The hospital told my aunt to go to sleep overnight and they'd call her back in the morning. But my aunt-tee continued to deteriorate so badly that her daughter called 9-1-1 and by the morning, my aunt-tee was already in surgery at another hospital that was not too busy to care for her. This is when the perforation was discovered and repaired.
While my aunt was recovering in the second hospital, in intensive care, a letter was sent from the hospital where the colonoscopy was performed stating that they were the insured's provider and that the hospital performing the emergency surgery would not get paid. The hospital performing the colonoscopy demanded my aunt-tee back. So, against the desires of the hospital providing the emergency surgery, my aunt, while still in intensive care, was forced to be transferred to the hospital that had, in my opinion, committed a capital crime.
My aunt-tee deteriorated after the transfer, but fought like heck to live. Unfortunately, her body had been so poisoned by the doctor's failure to recognize that he had perforated her colon that her body became toxic. The third affront to my aunt-tee's health and life occurred when morphine was administered, ostensibly for pain and gave her such a blow to her vital statistics that the family objected to a second administration of morphine. But guess what!!! She was given morphine again, despite her children's complaints!!!! My aunt never recovered from that.
My aunt, a divorced mother of two, struggled to live righteously. Those of you in southern California know that she accompanied me almost everywhere I went. She was a hard-working woman, a proud homeowner in Watts, a student working on her Social Work degree, finally able to achieve her dreams after deferring them for so long in order to help her children realize theirs. She also took to the campaign trail too many times, traveling to Georgia to help my father and me realize ours. I can't even believe that she's gone--through no fault of her own--and I'm still wondering how the heck my aunt ended up in this place despite all the care she took of herself. This is unfathomable to me. And sadly, too many families are arriving at this same place. Iraqi families devastated by U.S. occupation; Afghani families devastated by U.S. war; U.S. families also devastated by U.S. policy makers. Why?
“Her body had been so poisoned by the doctor's failure to recognize that he had perforated her colon that her body became toxic.”
For the last four years, I've spouted off the racial quality-of-life disparities that exist in our country. I've said it so much, it's as if no one heard me. Because even during my tenure in Congress, I gave floor speeches, but the policy change never came. I spoke at banquets and conventions about it, but the policy changes never came. Two steps forward always seemed to end with one step backward. If we got the money appropriated, in too many instances, black institutions couldn't be in charge of it, so only a trickle at best reached the community. I found that the "plantation" was alive and well in patterns of federal spending. So when Dr. David Satcher, President Clinton's Surgeon General, found in a 2005 study that over 83,000 blacks die unnecessary and premature deaths each year due to their treatment after they arrive in a doctor's office, among other factors, I added that datum to my panoply of quality-of-life stats. And now, my aunt factors in Dr. Satcher's numbers.
I have seen such betrayal and lack of principle in the current "health care" debate, I had no intention of getting into it. In our Power to the People campaign, I wrote a platform that included policy recommendations to eliminate all disparities still extant in our society, including for health care. A single-payer system is so obviously needed, it should be too politically costly for our Democratic majority in the Congress and our Democratic White House to do anything else. I recommended an end to war. I advocated public ownership of the Federal Reserve. I even anticipated the skullduggery of the bailouts and recommended that if the "powers that be" were intent on forcing Congress to give these bailouts to institutions that conducted what I would call criminal behavior, then at a minimum, a credible person like David Walker, former U.S. Comptroller, should audit all corporations and institutions receiving such funds. I suggested that Senator Obama use the power of his Senatorial pen to amend the bailout legislation to this effect. It didn't happen.
“'I'm still wondering how the heck my aunt ended up in this place despite all the care she took of herself.”
My aunt-tee had a policy of rarely voting for an incumbent. She understood that just as she was trying to change herself into a lifestyle that she could believe in, she wasn't going to get political, social, and economic change that she could believe in by voting like everyone else, for the same special interest candidates. Once she decided that it was necessary to step outside of the box of political conformity, she discovered that there were Independent, Green Party, Libertarian, and other political party candidates on her ballot that she had long ignored. She began to listen to them and learned to explore the totality of her options. It was glorious to watch my aunt-tee's liberation.
So why is she in the morgue now?
Not enough people took that journey with her. Not enough people saw her example. Not enough was done to change policy. At a time when the policy makers have never been so divorced from the reality borne by the average citizens that they govern, the American people have shown an amazing ability to accept graft, corruption, death, and destruction while continuing to believe that hope alone can produce real change. Why did Cindy Sheehan protest without thousands in front of President Obama's $50,000 a week vacation home?
“Over 83,000 blacks die unnecessary and premature deaths each year due to their treatment after they arrive in a doctor's office.”
I've tried to walk my talk. Just last week it came out that one "journalist" who called for my lynching was on the FBI payroll at the time of his comment. He claims to have been paid to say provocative things. I've withstood a lot--for the people. But now, I really don't know how much more walking or talking I'm able to do. I just wonder, how many more will have to experience this before more people write their own Declarations of Independence from this political disorder.

The phone just rang and it was the hospital that performed the botched colonoscopy on my aunt, that ignored her call for help, that demanded that she be transferred while she was in intensive care, that administered morphine twice, despite objections from the family and from which her vitals never recovered. They wanted to know how my aunt would rate their service. I told them poor on every count.
Thank you for reading this with empathy and I thank you all for your support. I apologize for any appointments that I've missed while I've been on the road to this place I'm in now.

Ms. McKinney can be contacted at hg2600(at)gmail.com.

Insurance Industry is Simply a Parasite Feeding on the US Health System

Submitted by dlindorff on Wed, 2009-03-25 13:57.

By Dave Lindorff

As the country contemplates a major reform and restructuring of the way we run our national health care system (if it can even be called that), it needs to be pointed out that the mammoth health insurance industry is nothing but a parasite on that system.

Health insurance companies add zero value to the delivery of health care. Indeed, they are a significant cost factor that sucks up, according to some estimates such as one by the organization Physicians for a National Health Program, as much as 31 percent of every dollar spent on medical services (a percentage that has been rising steadily year after year).

Insurance companies are damaging in more ways than simply cost, though.

They also actively interfere in the delivery of quality medical care, as anyone who has had to battle with some “nurse” on the phone at an insurance company to get required pre-authorization for needed procedure can attest. Just recently, the editor of a local weekly alternative paper in Philadelphia, Brian Hinkey, the victim of a near fatal hit-and-run accident last year who spent several days in a coma, and has been working hard to regain the use of all his limbs and faculties, reported in an opinion piece in the Philadelphia Inquirer on how his insurer after a few successful weeks of in-hospital rehab, denied him coverage for six critical weeks for out-patient rehab services, though every specialist on head injuries knows that early, consistent therapy is crucial to recovery of lost brain function.

This kind of human abuse is standard operating procedure for companies whose bottom lines are fattened the more services they can deny to insured clients. My own father, once doomed by a metastasized cancer following prostate surgery, was saved by a procedure offered by a physician in Atlanta that his Blue Cross plan in Connecticut refused to pay for. He had to finance the expensive treatment himself.

Now these medical system parasites are suddenly running scared, because it is clear that if everyone in America is to be guaranteed health insurance coverage—a promised goal of the new administration of President Barack Obama, and, according to polls, the desire of a large majority of the American people—they are going to stand exposed as a costly impediment to achieving that goal.

Insurance companies have managed to stay profitable and at least somewhat affordable to the private employers and workers who, together, have to pay for them, by denying care not just to policy holders, who are denied certain tests and treatments but especially to those who have known ailments, who are simply denied coverage altogether.

For decades, people with “pre-existing conditions” have been either barred from coverage, or have had to sign waivers that excluded them from getting coverage for treatment of those pre-existing conditions. In the worst case, which is all too common, people have ended up dying because they couldn’t get treatment for common and easily treated ailments like high blood pressure or diabetes.

Now we hear that two big insurance trade groups, the Blue Cross and Blue Shield Association and America’s Health Insurance Plans, have offered to "phase out the practice of varying premiums based on health status in the individual market" in the event that all Americans are required to obtain health insurance.

Well sure they’re doing that. If they didn’t, the government would force them to! The insurance industry, in saying that it would not price sick people out of coverage in a nationally-mandated health insurance scheme, is merely recognizing the political firestorm that would arise if it were not to do that, and were to force the sick and inform onto some government insurance plan, subsidized by taxpayers, while they just cherry-picked the healthy population, as they’ve been doing now for decades.

The whole point is that if everyone is included in the insurance pool, instead of only the healthy population, then the overall cost of being chronically or critically ill to the individual is spread over the whole of society. Premiums get adjusted accordingly.

Medicare is the model. Here we already have a government plan that covers every single elderly and disabled person.

If we were to simply extend Medicare to cover everyone in America, we would essentially have the Canadian model of health care (which, it should be pointed out, costs half what we pay in America for health care when private insurance and government programs are added together). As with current Medicare, the government would pay for treatment, with private doctors and hospitals providing the care, and with the government negotiating the permissible charges. That, in a nutshell, is what “single-payer” means—the government is the single payer for all health care. It doesn’t mean, as the right-wing critics claim in their scaremongering propaganda, that people would be forced to use certain doctors and certain hospitals. Far from it. That’s what private HMOs do.

Medicare is efficient (only 3.6% of Medicare’s budget goes to administrative costs, compared to 31% for health care delivered through private insurance plans), its clients like it, and doctors and hospitals accept it.

We should not be tricked by this seeming sudden appearance of decency on the part of these corporate parasites. There is simply no valid reason for preserving the private insurance industry’s role in any health care reform plan that is aimed at giving everyone access to health care in America. The Obama administration needs to jettison its “free market” fetish when it comes to health care. The financing of health care for all Americans can all be handled much better by the government. Medicare has proven this. Other countries—Britain, Australia, France, Canada, Taiwan and most other modern nations have proven this.

Leave the insurance industry to handle our car insurance and our life insurance. It has no more place in the delivery of health care than do tapeworms in the digestive process of our bowels.
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DAVE LINDORFF is a Philadelphia-based journalist. He is author of “Marketplace Medicine: The Rise of the For-Profit Hospital Chains” (Bantam Books, 1992) and most recently of “The Case for Impeachment” (St. Martin’s Press, 2006). His work is available at www.thiscantbehappening.net

America's Pay-or-Die Health Care System By RALPH NADER

This is a tale of pay or die that recurs again and again all over our country and only in our country in the entire western world.

Advised by her physician to go to M.D. Anderson for urgent treatment of her leukemia, Mrs. Lisa Kelly was told she had to pay $105,000 up front before being admitted. The hospital declared her limited insurance unacceptable.

Sitting in the business office with seriously advanced cancer, she asked herself – "Are they going to send me home?" "Am I going to die?"

Time out from her torment for a moment. M.D. Anderson started this upfront payment demand in 2005 because of a spike in its bad debt load.

The Wall Street Journal explains – "The bad debt is driven by a larger number of Americans who are uninsured or who don't have enough insurance to cover costs if catastrophe strikes. Even among those with adequate insurance, deductibles and co-payments are growing so big that insured patients also have trouble paying hospitals."

It isn't as if non-profit hospitals like M.D. Anderson are hurting. Look at this finding in an Ohio State University study: net income per bed at non-profit hospitals tripled to $146,273 in 2005 from $50,669 in 2000. And you also may have noticed the huge pay packages awarded hospital executives.

M.D. Anderson, exempt from taxation, recipient of funds from large government programs and research grants has cash, investments and endowment totaling $1.9 billion, with net income of $310 million last year, the Journal reports.

Back to the 52 year old, Lisa Kelly. She and her husband returned with a check for $45,000. After a blood test and biopsy, the hospital oncologist urged admittance quickly. Then the hospital demanded an additional $60,000-$45,000 just for the lab tests and $15,000 for part of the cost of the treatment.

To shorten the story, she received chemotherapy for over a year. Often her appointment was "blocked" until she made another payment.

In a particularly grotesque incident, she was hooked up to a chemotherapy pump, but the nurses were not allowed to change the chemo bag until Mr. Kelly made another payment.

She endured other indignities and overcharges. Reporter Martinez cites $360 for blood tests that insurers pay $20 or less for and up to $120 for saline pouches that cost less than $2 retail.

Imagine anything like Mrs. Kelly's predicament and pressures occurring in Canada, Belgium, Germany, Italy, France, Switzerland, Holland, England or any other western country. It would never happen.

These countries have universal single payer health insurance. No one dies because they cannot afford health care. In America, 18,000 Americans die each year because they cannot afford health care, according to the Institute of Medicine of the National Academy of Sciences. Many more get sick or become sicker.

None of these countries spend more than 11% of their GDP on healthcare. The U.S. spends over 16% of its GDP on health care and does not cover 47 million people and tens of millions are under covered

In the U.S. the drug companies charge their highest prices in the world, even though we, the taxpayers, subsidized them in large ways. In other countries like Mexico and Canada, they cannot get away with such drug price gouging, with a pay or die ultimatum.

In the U.S., computerized billing fraud and abuse cost over $200 billion last year, according to the GAO arm of Congress. In other counties, single payer prevents such looting.

In other countries, administrative expenses of their single payer system are about a third of what the Aetna's and other insurers rack up.

In other western countries, medical outcomes for children and adults and paid family leave are far superior to that of the U.S. The World Health Organization ranks the US health care system 37th in the world.

When apologists in Washington hear these statistics, they say "but we have the best medical research centers in the world, like M.D. Anderson."

Clearly much is wrong with the nature of pricing health care.

Like other hospitals, M.D. Anderson is caught in a macabre spider's web of cost allocations mixing treatment costs with research budgets, cash reserves, and just plain accounting gimmicks that burden patients.

When a friend showed the Journal's article to a Dutch visitor, the latter blurted in anger – "you are a nation of sheep." Not a very flattering description of "the land of the free, home of the brave."

Someday, soon maybe, Americans will finally band together and say "enough already," we're going for full Medicare for all- without loopholes for corporate profiteers and purveyors of waste and fraud.

Last month after being in remission, Lisa Kelly's leukemia has come back.

Ralph Nader is running for president as an independent.


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