Due dates, Book Recommendations, and the Micro and Macro World of Healthcare

Well, the big day (due date) has come and gone without any big news, as you may have figured out. Yesterday I went in for a doctor's appointment, and the nurse got excited and told me I was contracting regularly and probably about to have a baby, so I got excited, too, for about 20 minutes...until I remembered that I've been feeling those little annoying tightenings for probably 3 weeks now - CLEARLY, not a sign of labor in my case. Darn!

However, while the wait seems pretty long, at least the weather has been fairly cooperative...nothing like sunshine and a good book to lift the spirits. Granted, for those of you beneath the Mason-Dixon, 60's is probably a paltry example of a lovely spring day, but after such a cold winter, I LOVE it. As for the good book part...may I recommend James W. Huston to anyone interested in government conspiracy/military adventure type books? He seems to start with some little known line from the constitution and develop a "what if we interpreted this clause like THIS?" kind of scenario. Pretty interesting and not as convoluted as say, a Tom Clancy storyline.

Should I run out of house/errand/reading things to do, I find I can always count on the insurance company to occupy an afternoon. As I've mentioned in previous posts, there are two institutions in life that I'm fairly sure God designed just to test me, to see if I have mastered patience and self-control. These are the government(specifically the Downers Grove parking-ticket issuing body) and insurance.

In one of the great mysteries of life, my insurance company (United Health Care, let the record show!) has decided that the two major hospitals nearby are out of network, but the two country hospitals that don't even have labor and delivery wards that are located 40 minutes out in the country...those they like. Since you CAN'T deliver there, I obviously won't, but the process of communication with UHC about this has unfailingly been an unending set of phone transfers between the exceptions department - who says I don't need an exception to go to a nearby hospital, so they won't issue one, and the benefits department - who is all geared up to charge me out-of-network rates unless I have an exception. TOO WIERD, right?? I finally, FINALLY got my exception (VICTORY!!) and then found out that they had set it for one day - my due date - and since that passed, they closed it out. It is moments like these that confirm to me we are not an evolving species and that motivate me to demand better funding for education to promote a basic level of reasoning skills.

In other news, I spent the wee hours the morning this morning perusing the internet for information about this health care bill. I prefer to get my information from briefs published by advocacy groups rather than from mainstream media- you know where the advocacy group is coming from, and they do a better job of elucidating on the areas they care about, pros and cons. Surprisingly, NO issue briefs appeared in the morning's search results, leaving me to read just basic overviews provided by news stations. The most specific, succint summary I found is here, and the most detailed summary of the tax provisions that I found is located here. If you find better resources, please attach them to this post so others can read them!

I would love to read critiques of the bill that are more specific than "death squads" "rationing" "expensive" and really explain what parts various groups think are faulty, but I didn't find anything by anyone who seemed to actually know what they were talking about. I'm hopeful that useable materials will appear in coming days. I'm not yet willing to go digging through all 2,000 pages myself.

From what I can tell thus far, the death squads/rationing concern stems from a provision that provides monetary incentive to doctors to provide end of life couseling to seniors on Medicare and anyone with a terminal illness. Also, there is concern that swelling the ranks of the insured without creating incentives for people to become doctors will limit general access to medical care. And, no one can sue the government, apparently, leading to concerns that the government has final say about health care decisions. Anyone know of more specifics on this critique?

Also, the bill apparently mandates that states spend money on setting up health-care exchanges, and after 2016, states will bear at least some of the costs for the increased Medicaid population (because the bill expands eligibility to cover more people). I'm confused on this one; I thought any mandate had to be accompanied by funding? Anyway, some governors are opposing the bill on the grounds that their state can't afford the financial burden it places on them.

Expensive, as far as I can tell, is all a matter of perspective. The federal government states it is saving money, the states are up in arms about having to spend money, and undeniably the wealthier among us will foot the bill for the coming changes to the system. The question doesn't really seem to be IF the bill is expensive, it's just which group you want to see pay for all this...

More in coming days as I find it, assuming I'm not busy utilizing my healthcare in the labor and delivery ward. Again, feel free to attach information to this post. Opinions are fine, but actual information is preferred. Thanks!

Identity Revisited

So, a few posts ago I wrote about identity and the fact that major parts of my life are about to shift with the arrival of the baby. Recently, I returned to Old Testament reading about the various individuals of wickedness or faith recorded there. I found that short verses began to really jump out at me, namely those that were a summary description of the person's character or life actions as viewed by God. A few examples:

Of Caleb, Numbers 14. "...because he has a different spirit and follows me fully"

Of King Jehosaphat of Judah, 2 Chronicles 17. "His heart was courageous in the ways of the Lord."

Of King Abijam, 1 Kings 15, "And he walked in all the sins that his father did before him, and his heart was not wholly true to the LORD his God, as the heart of David his father."

Of King Asa, 1 King 15, "And Asa did what was right in the eyes of the Lord..."

Of King Ahab of Israel, 1 Kings 16 "Ahab did more to provoke the LORD, the God of Israel, to anger than all the kings of Israel who were before him."

And of course, Hebrews chapter 11 describes a long list of people of great faith and is well-worth reading over. There are many, many more descriptions of both good and bad individuals throughout Scripture, but even just these have been enough to make me wonder...how would God describe me? On our own, we are all assured of a judgement of "wicked" or "evil" or "unholy," before God...no amount of good deeds can restore us to perfection and holiness. To be judged as such is to spend an eternity apart from God; He is Holy, Wonderful, Perfect...evil and wickedness will not dwell with Him in heaven, but apart from Him in hell.

But, for those who believe in Christ, we have the assurance that He sees us as righteousness because Christ has covered over all our wickedness and clothed us before God in his own perfect righteousness. While this is a beautiful, blessed assurance of access to eternity with Him in heaven, our all-knowing God is sure to be aware of my character as it stands in the moment...and thankfully, He supplies His spirit to empower us to grow and mature from whatever point we find ourselves. But it all makes me wonder...does He see me as timid? bold? persevering, hopeful, or easily turned aside? Food for thought, as I consider my ways in light of Scripture -there are words to describe me, but are the ones I want to continue to fulfill before God?

To Be a Warrior

This morning I woke up AFTER dawn (not guaranteed these days) to a breakfast of hot tea and banana bran muffins...altogether, a delightful start to the day. I have recently been reading from Judges in the Old Testament; I really like Old Testament stories. Being a rather avid novel reader, I often wish the Bible came with appendices... "The Expanded Version of Othniel," for example.

Consider: The Israelites have been set free from generations of brutal slavery under the Egyptians. Despite the miracles they witnessed as God intervened on their behalf against the Egyptians (10 plagues), the Israelites almost immediately (and then repeatedly thereafter) failed to trust and worship the Lord, angering Him and resulting in 40 years of wandering in the desert. After 40 years of wandering in the desert, the Israelites come to the land God has set out for them, and they send 12 spies to survey the situation. 10 report a hopeless situation in which the Israelites have no chance of prevailing against the current inhabitants, and 2 view the situation with an eye towards God's mighty power and are more optimistic. These two are Caleb and Joshua. Joshua becomes the number two man after Moses (and later, leads the people into the promised land). Of Caleb, God declares in Numbers 14, "But my servant Caleb, because he has a different spirit and has followed me fully, I will bring into the land into which he went, and his descendants shall possess it." (The full account is in Exodus, Numbers, Deuteronomy, and Joshua).

In Joshua 14, Caleb is allotted the land of the Anakites, who are fierce warriors with fortified cities. At age 85, he proclaims himself still strong and war-ready, and he proceeds to drive out most of the Anakim from the land with God's strength. Last, he comes to the city of Kiriath-sepher, at which points he declares that whoever goes out and captures the city shall have Caleb's daughter as a wife.

"And Othniel the son of Kenaz, the brother of Caleb, captured it. And [Caleb] gave him Achsah his daughter for a wife." (Joshua 15 and Judges 1) It's such a small verse for such a cool story, made even better by the fact that the name Othniel apparently means "Lion of God" in Hebrew. One presumes that when someone offers his daughter like this, he is pretty sure there are men out there who want her enough to risk taking on a fortified city in battle. I suspect Caleb knew exactly who was going to go after the city. Anyway, scattered verses indicate this family experienced intrigue (spying), war, romance...

So, this was my morning. I was reminded of how the faithful in the Old Testament are so focused on God's power that they are able to overcome (or even, at times, completely avoid?) the disappointment or fear that naturally accompanies the VERY significant challenges life presents to them - like warriors in fortified cities, lions' dens, and death threats. Their stories become some of the most incredible adventures one could imagine, very unlike this image of "boring spirituality" that seems to abound today. One can't help but be inspired.