Tag Archives: responsibility

Healthcare in New Jersey – Fail First

The state of New Jersey still allows healthcare providers to override orders from doctors. Despite lacking a medical degree, insurance companies can dictate to doctors what medications to use on patients first. The insurance companies actually have lists of medications for certain medical conditions (which for some reason usually are chronic pain conditions). These lists are generated based on profits and losses. They are based on financial reasons. They are based on closed-door deals the insurance companies have with different pharmaceutical companies. The one thing that is NEVER take into consideration when generating these lists is what is best for the the individual patients.

You might be thinking what’s the big deal. So a patient tries one or two medications first. Maybe those will work; maybe they won’t. However, think about the current healthcare insurance environment. People are shopping around for the best deals. That means people can be switching plans and companies on a yearly basis. Patients would have to prove EVERY TIME THEY CHANGE PLANS that they have already tried their new healthcare insurance’s approved medications and failed to receive relief from them. We all know the red tape and bureaucracy that exist in large companies. It can take weeks or months to finally get approval to fill a prescription that the patient has had for years. If it is a medication taken daily, the risk of withdrawal is not only a potential side effect of Step Therapy ( also known as Fail First), it is a given. Who will care for a patient going threw withdrawal? The Emergency Rooms. It is far more expensive to go to an Emergency Room that to simply be allowed to take a medication the doctor has been prescribing for months or years.

The other problem with this system is that it supersedes the doctor’s medical opinion with the healthcare company’s financial opinion. The doctor supposedly has years of training and continuing education to back up his or her recommendations. What does the insurance company have? A handshake and price cut from their preferred supplier.

There is currently a bill winding its way through the New Jersey Legislature. It was introduced on June 18th, 2012. Where is it now? It is lounging out with the Senate Budget and Appropriations Committee. It has not even been mentioned since January 6th of this year. How long does it take to provide needed relief to thousands of New Jersey citizens?

I challenge the elected officials of New Jersey to dare to do something great.

Responsibilities and Consequences

The United States of America is a wonderful country. It gives its citizens certain unalienable rights. We have the right to free speech. It is one of the things that helps keep a government honest. We are free to voice our support for 1Direction and Bieber Fever. We have the right to trash a TV show we don’t like, to let everyone know how much we love-hate our venerable President. We also have the right to bear arms – to own guns and use them to protect ourselves and our families. However, what many people seem to ignore is that every right comes with its own set of responsibilities and consequences. If you fire a gun, prepare to face the consequences of that action. Ask any police officer what happens when they fire their weapon, the weapon they were trained to use on the job, and they will tell you the hoops they must jump through to show it was appropriate. If a homeowner shoots an intruder, they must prove that they felt their life in danger. If a soldier fires an assault weapon, it must be during an approved situation (during combat and not in a crowded shopping mall). All of these individuals understand that there are acceptable times and places for use of guns. The right to bear arms comes with an inherent responsibility to use them responsibility. If people fail to do so, they must face the consequences. The same can be said for the right to free speech. Just because you are legally allowed to spew hatred and vitriolic diatribes does not mean you are immune to their consequences. When a person tells the world that they hate a certain ethnic group, is it any surprise that certain companies (ones that don’t want to be seen as prejudiced) will refuse to hire him? If an actor rant and raves again the immorality of the television show he is in, can you blame the network for firing him? If a politician singles out women for causing their own rapes, is it any surprise that women in turn use their free speech to denounce him? Knowingly spreading falsehoods about a person or company can leave a person open to legal consequences. If a woman decides to write a blog about her mental and physical help, express her political opinions for all the world to see if they choose to read her words, can she then yell “Foul!” because someone doesn’t like what she has written.

I accept the consequences of my actions. Do you?