July 29

Medicare Helps us Face the Future

I knew something was wrong when my father didn't want to have dinner with us on his birthday, July 8. My mother explained that his colon was acting up again. He had a colon problem years ago, and had surgery to remove part of it. He could only eat certain things as a result. However, this time, the problem was not getting better. After 2 weeks of being miserable, he decided it was time to go the the emergency room. What the doctors found out is that he didn't have a colon problem at all; instead, he had a greatly enlarged prostate gland which was making his bladder swollen and, well, difficult to use. I am still puzzled about how he thought it was a colon problem.

My father is 84 years old, and my mother 82, so health problems are too be expected, and I am beginning to wonder whether or not they will be around much longer, which is sobering, but we all go through that. My father and mother, however, have been relatively healthy and while they don't exactly look young anymore, they look young for their age. However, my mother told me that my father became very weak, perhaps apathetic and "suddenly looked 10 years older." It's pretty scary stuff for the baby of the family, which I am. My father is himself a retired doctor, a radiologist who ended up spending most of his career working for the California state medicare program, before retiring 6 years ago at the age of 78. Yet, my mother kept telling me that, father didn't seem to know what the treatment program would be, and didn't seem to be asking questions of the doctors. They say that doctors make the worst medical patients. Maybe that's true.

It turns out that the treatment program involves having my father go to a convalescent center for treatment for one month. Why one month? It turns out that Medicare pays for one month of treatment, which is about the amount of time that the treatment is supposed to take. Of course, it would be far better if the Medicare never ran out, but it's far better than nothing. By the way, my parents have good health insurance, which according to my mother paid for all of the hospital treatment (unlike my wife and I who are on a plan characterized by "Don't get sick, and if you do, rely on trained medical professionals in the family to treat you").

By chance, I was listening to NPR while coming home from stepdaughter Isabella's house yesterday, and the topic of the program was caring for aging parents, which is a growing issue with the increasing number of elderly persons and declining birth rate. I am not sure I heard this correctly, but I think the guest said that family members in the United States did an astounding $550 billion dollars worth of care for the elderly last year, and this number is growing annually. Since my wife is trained in physical rehabilitation -- along with psychiatric nursing and her MBA -- she has often mentioned that she would be willing to take care of my elderly parents if need be. Bless her heart, as usual! I know that she means it. However, my parents are typical, rather proud Americans who like to be as independent and youthful as possible. Consequently, I have been afraid to visit my father in his current condition. I wouldn't like seeing him feeble and weak, and he wouldn't like me seeing him feeble and weak. However, my mother told me that he would like us to visit him after all. Love overrides all else. Better yet, my father seems to be improving. Isabella, my wife Eunice, and I spoke with him yesterday, and he said that they are giving him medication which is making his prostate gland shrink without resorting to surgery. We are planning to visit my father Sunday or Monday, but since Eunice and I are going to Taiwan (and its well and purposefully designed public health care system) on Tuesday, I didn't think there would be enough time to write about my father between visiting him and going to Taiwan. We are already busy preparing for our trip, which will also include some serious discussions with Eunice's family, and probably some resulting blog posts. (However, Isabella says that Eunice wants to "show off" her husband to her friends and relatives in Taiwan -- such flattery.)

Anyway, I have suddenly realized how crucial Medicare is for helping us as a society, to face our future. If only we could stop spending trillions of dollars we cannot afford on foreign military occupations and military operations, and instead spend the money on helping people and building physical and social infrastructure (such as education) as we should, maybe we would have the public health care system that we deserve. Even our doctors, such as my father, know that. In fact, our doctors especially know that. To think that the assorted nuts finding their way into our government want to replace Medicare with even more for-profit, private enterprise, makes me heartsick. It also makes me think more seriously about leaving my nation of origin for a more rational place. But for now, we owe our parents our gratitude and the best care we can give them.

Comments

Natural Lefty's picture
Natural Lefty 8 years 29 weeks ago
#1

Why ban you, Alberto? There was nothing controversial or nasty in there, just a rational critique of U.S. culture. I hope you don't get banned Alberto!

My father has an elevated -- I think it's PSA level -- years ago, but somehow, his prostate didn't seem to be a big concern until lately. The doctors said it's not cancer, just enlarged, although he may be getting those female hormones. Maybe more men should get female hormones. Anders Breivik said his upbrining in Norway "feminized" him, but I wish he had been a lot more feminized. Anyway, the feminine friendly society of Norway is doing very well as a whole, much better than the United State's masculinized society.

Taiwan's health care system is similar to Australia's, by the way. I compared them along with Japan's and I think, Canada's a couple of years ago. Eunice's step son A-Ken had colon cancer in Taiwan at a young age, but Taiwan's fine doctors cured his cancer, in all probability saved his life, and now he is alive and well, with a wife and 2 young sons, all for virtually free. Bill? What bill?

Natural Lefty's picture
Natural Lefty 8 years 29 weeks ago
#2

Alberto, I just checked and the "irrational society" post is still there. Zenzoe had a link to it. However, the posts were out of order, so I do think it was a glitch. Also, people are adding blogs and posts at such a higher rate than in the past, that a post can disappear from the list of "popular blogs" in a few hours these days, so you have to check your own blog if you didn't do that already. I guess that's a good thing, though.

Alberto Ceras 8 years 29 weeks ago
#3

Yes, every man, if he lives long enough, will have prostate problems. One of my best friends from university days recently discovered that he had prostate cancer. He, too, is a physician but seems to be following, not resisting, "doctor's orders." His prescription includes female hormones to reduce the size of the prostate so that it will accept a radioactive "pill" that, if all goes well, will destroy the cancer.

Men, reaching mid-life, need to prepare for prostate problems and to learn what they need to do when those problems occur. The sooner it's diagnosed the better - no need to suffer unduly.

Of course there ought to be comprehensive health care in the U.S. Years ago I injured my ankle while playing tennis in Australia. I, naturally enough, asked the doctor who treated me how much I owed him. He just shrugged, gave me a big smile and said "nothing." My first experience with truly comprehensive care. These days I provide comprehensive health care (and incidentally dental care) for eight employees. We don't consider it an undue burden. I do not, though, live in the U.S.

I thought that my post "AN IRRATIONAL SOCIETY" had been deleted but this morning I found it in my "historical" folder. I must have made an error in someway. Apoligies for all the nasty thoughts I had about the thought police.

Natural Lefty's picture
Natural Lefty 8 years 29 weeks ago
#4

I already saw your "irrational society" thread after you said it had disappeared, so I knew something glitchy was going on. When I saw it, the posts were out of order, though, perhaps because you edited one of yours as you did here.

Alberto Ceras 8 years 29 weeks ago
#5

Yes, everything seems OK with my post. Did you have time to listen to "The Impossible Dream?" It cheered me up for a time. Maybe it's trite or cliche but so what? Great uplifting music.

Natural Lefty's picture
Natural Lefty 8 years 29 weeks ago
#6

No, did you have a link to it? I am familiar with the song and I remember liking it. I am very busy getting ready to go to Taiwan on Tuesday. I am scheduled to return on August 25.

Alberto Ceras 8 years 29 weeks ago
#7

Yes, I pasted the link on "An Irrational Society" as part of my response to your comment. Also further down on the same post there's a link to Randy Newman that you might enjoy as well. Open this and browse comments:

http://www.thomhartmann.com/users/alberto-ceras/blog/2011/07/irrational-society

Also on my post this morning "Laughs in Tough Times" both Zenzoe and I posted some URL's for comic relief.

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