Thursday, November 05, 2009

Just be glad you have a job.

Since this recession began, I've heard a number of people comment about someone else's employment situation: "He should just be glad he has a job." Well, yes, there is some wisdom in that statement, especially considering that a small city nearby, the unemployment rate is 17%, although it has gone down below 8% in the rest of this state.

I've heard about my friend's daughter who has a high profile job that her college degree prepared her for: she earns only a little above minimum wage. She has to look at this job as a stepping stone to a bigger and better position elsewhere.

I've observed what has happened to my son in his young work life. He worked at an entry level position for a company where he had interned. The pay was decent and there were benefits, but they broke promises to him about helping him financially to get classes so that he could take on more responsibility.

Then he got a "management" position at a large Big Box Store (no, not Wal-mart.) The pay was poor, considering that he had to have a specific college degree to get that job, and if you wanted benefits, you had to pay for them, which is hard to do when your pay is way less than it costs to attend college for a year. BTW, the owner of this business is a billionaire. But at least my son had some income, even it hardly covered his expenses.

Next he got some pick up work involving scraping and painting apartments. The pay had no tax subtracted from the gross amounts and the apartment owner had no building permits. There were no provisions for safety of the workers. And, oh yes, these apartments are in one of the most upscale areas of the city where many buildings are owned by this one man. But at least my son had a job. For two months.

My son moved to another part of the US where many people work for minimum wage, although that is higher than it is here. He got a job in a Big Italian Restaurant Chain, which pays whatever the lowest legal wage is, depending on which state they are in. Where he is, they pay $2.13/hour because there are tips. Yes, that is correct, I verified this on that state's website. The people tip 10% if the waiter is lucky. That wage is down more than $1/hour compared to two years ago. In this state, minimum wage in $6.25/ hour or $5.25/ hour, depending on the size of the company. How is it that the same restaurant chain can pay $4/hour less for the same work, just because the building is in another state? Oh, that's right, don't question, just be glad he has a job.

Well, Son was also applying elsewhere, and one place called him back for three additional interviews, but would not tell him what the salary would be. Then he was offered the job. It was a job with a good company and included benefits, but the salary offered was surprisingly low, considering that this is a lower management position. After thinking it over, my son decided he could probably do better as a waiter, so he said no because of salary reasons. Well, surprise! The manager called him back and offered him the position at a salary of 25% higher. Now I am glad that my son has a job.

During this recession I've come to the conclusion that the owners of companies, who may be making less than before, but who aren't starving, use the economic climate to get people to think, "At least I have a job." Wages are kept low and the wealthy owners can keep their accustomed life style.

Friday, October 30, 2009

Helen again is her sharp witted opinionated self. On 24 hour news: " News as it is happening is not news. It’s an observation without much thought. " And that's one of the mild opinions. See the blog in which Helen records her wry comments about the political scene. Click on Margaret and Helen: Margaret and Helen

Sunday, October 25, 2009

Single payer health insurance mandated by the government...???

Article 31 of the Iraqi Constitution, drafted by the Bush administration in 2005 and ratified by the Iraqi people, includes state-guaranteed (single payer) healthcare for life for every Iraqi citizen.

read about it here.

Sunday, October 18, 2009

$1800 View




Yes, there is a story behind why I had this view, but I'm not sharing.

Tuesday, September 29, 2009

Priorities, keep the straight!

Many years ago, my grandmother cut this poem out of a newspaper, made a notation,"how true," in the side column, sent it to her cousin, and eventually got it back.  Somehow it came into my possession.  I've treasured it.  My grandmother DID have her priorities straight in life when I knew her.  She was a lot of fun and admired by many friends.
 
Of Things That Are
    Lovely and Fleeting
 
The dust on the piano keeps better
    than the flashing
Of loveliness, keeps better than
    the clean slant of wings
Across the cool garden, where the
    honeysuckle berries
Call the brown song sparrow that
    balances and sings.
 
The undone ironing keeps better
    than the beauty
Of the star-hung plum tree in
    the drying yard,
And the undarned socks will out-
    last the radiance
Of a sunset's glory to its last
    bright shard.
 
The tarnish on the spoons keeps
    better than the mischief
In a wee girl's eyes or the sun-
    light on her hair,
And the stacked supper dishes will
    long outlast the clinging
Of a small boy's arms and his little
    whispered prayer.
 
Ah, life is so short and the earth
    is so beautiful,
And boys and girls are children for
    such a little while--
So we run n the orchard and look
    for the four-leafed clovers,
And we know a spotless house isn't
    worth a baby's smile.
 
By Leona Ames Hill
 
 
 
 

Wednesday, September 16, 2009

Work toward improving outcomes and don't spread lies.

This article is a physician's view of the arguing and division and contention about the health care issues among the politicians. Quote from the article:

In health care, we improve outcomes by working as an integrated team as well as through respectful and constructive competition. This never involves spreading lies about our colleagues' opinions or motivations. We are able to respectfully disagree, compromise and work toward the best interests of our patients, regardless of personal and philosophical differences.

Tuesday, September 15, 2009

Against Government Involvement in Health Care? Oh, are you really against Medicare?

While watching some of the news coverage yesterday, I saw the reporters putting the microphone in from of some of the protesters in Washington. Several of these people were clearly senior citizens, and several of them said that the government shouldn't be involved with our health care.

My reaction: YOU HYPOCRITES!

I think these people are taking for granted their Medicare benefits. They are potentially entitled to more financial compensation (Medicare as insurance payments) for their medical care then they have paid and are paying into the Medicare pot. The rest of the wage earners are paying with the Medicare deduction from their paychecks.

Senior citizens are more likely to need prescription medications than younger people. Now, thankfully, there is Medicare D, which helps pay for this benefit. One of my relatives was complaining about the "doughnut hole" in Medicare D. Yes, there is a significant out of pocket expense after a certain dollar amount is reached. But isn't she forgetting that in the previous years, after her husband lost his medical insurance, she was paying for ALL of these medications out of pocket? At one time she told me that she and her husband were paying about $500/month for prescriptions.

Patients who have certain conditions need to have lab tests periodically to make sure certain blood levels are in a healthy range. Medicare patients don't have to worry as much about the costs.

End of life illnesses often mean very high medical costs for the last year of life. Much of this is covered by Medicare, and if the patient also has a Medicare Supplement insurance policy, his family isn't stuck with a big debt after the patient passes away.

I think we take for granted a number of quality of life issues these days because of Medicare. Think of all the people you know who have had knee or hip replacements. The surgeries and hospital after care are expensive. The patients go to physical therapy to speed the recovery and increase the chances that the patients will have good mobility in the following years. They may get more enjoyment of life during their golden years if they can walk comfortably and play with their grandchildren. Joint replacement patients who are seniors can spend a few days in a rehabilitative nursing home immediately following release from the hospital if they wish, which often speeds the recovery and therapy. Who could afford these surgeries and therapies pre Medicare, when many people would have no insurance at all after retirement? One man I know, who is clearly "not poor" had an accident which severely injured his hip. He got by with reduced mobility so that he could wait until he qualified for Medicare before he had his hip replacement surgery.

Medicare patients who live in a nursing home are seen by a doctor every month, or in some practices, by a physician every other month, and a CNP on the off month. Those nursing home patients who are not on Medicare don't fall under a doctor visit requirement. Elderly nursing home patients get therapy evaluations when they enter the nursing home, paid for, of course, by Medicare.

Are there problems with Medicare? Of course. And we know that through the years the percentage of the costs paid for by Medicare has shrunk, which is a concern. But the purpose of this post is to highlight areas of care that we might be taking for granted after so many years of Medicare.

I am basing the above information on my own knowledge. I was a certified insurance counselor, helping senior citizens with coordinating their insurance coverage for several years. I have the personal knowledge of dealing with my mother's finances, especially with her medical bills. Actually, there have been no problems with the Medicare and supplemental insurance payments. I've seen my mother-in-law have a hip fracture, replacement, and nursing home care, and be able to have a very high quality of life afterwards. Actually, due to falls, she has been in the nursing home three times, gotten therapy, and moved back home each time. I doubt she would have recovered as well if there hadn't been the therapy paid for by Medicare.

And I've had extensive discussion with a Family Physican who is also board certified in Geriatrics and who has extensive experience with nursing home patients. His assesment of Medicare is that it requires care for a lot of people who would be neglected or overlooked without it.