http://www.guardian.co.uk/society/2009/aug/21/healthcare-provision-us-ukDying for affordable healthcare — the uninsured speak
In a week of claim and counter-claim about the merits of healthcare provision in the US and UK, Ed Pilkington travelled to Quindaro, Kansas, to see how the poorest survive
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Over the last month President Obama's attempts to live up to his election promise to extend healthcare to all Americans has stalled in the face of a sustained rightwing guerrilla attack. Opponents of Obama's reforms have succeeded in distracting attention from Manley and the 46 million other medically uninsured, swinging the focus instead on to the "evils" of publicly funded healthcare. The fear tactics were epitomised by Sarah Palin's wholly inaccurate claim that the reforms would set up "death panels" that would force euthanasia on to older people.
Such scaremongering has dismayed and infuriated Sharon Lee, the doctor who now treats Manley in Kansas City. "I'm very angry, very angry," she says. "Many of the people I treat have already been in front of a death panel and have lost – a death panel controlled by insurance companies. I see people dying at least monthly because we have been unable to get them what they needed."
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That she sees basic healthcare as a blessing, not as a right, speaks volumes about attitudes among the mass of the working poor. Also revealing is the fact that Gabaree has absolutely no idea about the debate raging across America. She hasn't even heard of Obama's push for health reform, nor the Republican efforts to prevent it. "I don't watch much television," she says.
That provides Palin et al with a massive advantage: the 46 million people who would most benefit from Obama's plans are also among the least educated and informed, and thus the least able to make political waves. All of which leaves Lee fearful about the prospects for change. She has, after all, been here before – in 1993 when Hillary Clinton's pitch to overhaul the health system foundered. That attempt ended up doing more harm than good from Lee's perspective. Many of her most important donors stopped funding the centre because they assumed that the White House was fixing the problems. After the Clinton reforms crashed, brought down by the same rightwing assault that Obama is now enduring, it took many months for the centre's funds to regain their pre-1993 levels.
Recession
Lee fears history could be repeating itself. This time round there is the recession more unemployed equals more uninsured people who come knocking on the door of Family Health Care. Last year Lee and one other doctor between them dealt with 14,000 visits, and the numbers are rising daily. All of which leaves Lee part despairing, part determined to fight even harder for the bare minimum of human dignity. The frustration is that every day she must beg and plead with other health providers for simple treatments for her patients. "It drives me crazy with frustration," she says.
She rattles off a litany of horror stories. There was the man who walked into the clinic with a brain tumour. It took Lee three months to get him an MRI scan and another two to get an appointment with a neurosurgeon. Or the patient whose nerves in his neck were pushed against his spinal cord so that he lost use of both arms; by the time Lee found a way of getting him an MRI he was so sick he had to be operated on immediately. Or the woman who had such heavy periods she would wind up in ER every three months requiring a blood transfusion. What she really needed was a hysterectomy. "It took us almost a year to beg hospitals until she finally did get a hysterectomy," Lee says.
These are the stories, the broken lives, that have been obscured by the fury generated by the Republican rump. Unless Obama finds a way to regain the political initiative, to remind Americans that only nine months ago they voted overwhelmingly for change, then the future of millions appears bleak.
"Here's what I'd like to ask Palin," Lee says. "People without health insurance are dying, here in America, right now. So I'd like to ask her: how does that fit into your vision of good and evil, Sarah Palin?"
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