Medical Industrial Complex
I was reading about how the Native Americans are going to be affected by the Affordable Care Act. Apparently there's still confusion about the federally recognized tribes who will be covered and some may have to prove their ancestry again. Then there are the Amish, who have opted out of the ACA without much difficulty. I guess the government picks and chooses who they want to impose a fine on and who they'll ignore. Weren't we all told that everyone is required to have health insurance? I guess the wording on the barn can change as we go about our day. (An "Animal Farm" reference).
I'm trying to understand how all of this will directly affect me professionally as well as personally. As I understand it, reimbursements keep decreasing for the same care we're providing in order to save money, and hospitals will be directing which facilities receive funds from Medicare as well as how much. Contain costs, force workers to work harder with less. I get it, no problem; I'll keep pulling with my head down.
Personally, however, I have issues with the medical system. As a consumer of health services across the spectrum, I'm disappointed by it all. There's no consistency when asking for specific information and finding a specialist in the healthcare community to treat my child is like mining for a bitcoin. We're on several waiting lists for potentially life-threatening situations and I can't always afford the emergency room visits when things are real bad. If insurance didn't pay for both my daughters' medication, we'd have to decide on their well-being or buying food for a family of five every week; the medications they take are that expensive.
If any of that changes, I am doomed. As I tried to get more information last week regarding changes to the health system regarding both my daughters' medical status, I was unable to because of the government's inability to compromise on issues. It has not been a good week to be a consumer in the healthcare market. Even some websites were down when I went searching for information.
Since I haven't read the ACA, I cannot say if it will be good or bad for us in the therapy profession. And since the government keeps adding addendums, I doubt I'll ever be able to finish reading it in my lifetime. I want to say we'll be alright but as reimbursements decrease, companies may begin to hire more assistants to reduce costs. It is a business, find cheaper labor to deliver the product. Don't blame the PTAs for this, talk to the representative you voted for (or the one in office) and see if you can fight the system. As a consumer of healthcare and an advocate for my daughters against the conglomerates who own the health system, I am tired of fighting, but I never give up.