Posts Tagged ‘Responsibility’

I know my  next sentence will mostly be repeating what many have already stated before; this is, after all, an ongoing, nationwide, nightmare. Then why do I feel compelled to say any more?  Because my most recent experience only highlighted, again, the additional burden placed on the state medicaid system.  It’s all very well for the federal government to mandate that everybody gets insured for medical coverage, but the manner and method of the coverage they mandated, has created the most costly and inefficient medical coverage any of us have ever seen, or felt.  Lest you get too discouraged about this subject up front, and stop reading; let me just reassure you, dear reader, that I will make a small suggestion that could help alleviate some of the wholly unnecessary burden the state is carrying, once I’ve outlined what happened in the most recent incident.

I recently wrote in one of my other sites , an article called “Fried Eggs” about a stop in the emergency room.  This stop was necessitated, not by a true emergency, but by a combination of ridiculous employer requirement, and a non-working medical card.  My daughter had come down with a summer cold, and her nose was running, and she was sneezing, and when she woke up, unusually, she couldn’t breath well.  A sort of choking sensation was occurring.  Naturally, being a waitress, she called in to work, to say she was ill, and wouldn’t be coming in.  Now, she had come down with this cold a few days before, so she had already been exhibiting the signs of the cold the previous day, and her manager knew this; however, the manager still required my daughter to get a note from the Dr. to prove she was ill, for the company records.

A little history here, about the medical card.  I used to have a full time job, before my required college course schedule began to interfere with getting there on time, and since the company wouldn’t adjust my hours, not even to make them part-time (how unusual), I was forced to choose between the call-center work, and finishing my education.  Being that I really want to finish getting a degree, I chose the education.  Now, I don’t have a full-time job, just a part-time one, and so, no insurance; however, the system was having a hard time getting updated to reflect the new status.  I had been trying for four months to get it updated, but there  was always some new hang-up.

On this particular day,  we tried to go in to the immediate care center, but the card was still not working, so we went down to the local medicaid update center, and tried again.  We were told, that we did indeed have coverage, but that the insurance company system where the main body of the coverage resided, needed to update itself. Under the circumstances, we still couldn’t go to the immediate care center, or the Dr’s. office, as they required the card to be working already.  We were sent to the emergency room for the required visit to the Dr. for the note.  Now, this makes getting that note a very expensive proposition.  An emergency room visit is at least three times, and often five times more expensive than a Dr’s office visit.

Imagine, if you will, how many other people may be going there for similar purposes, as it’s unlikely that we are the only ones who have difficulty with our medical coverage status.  Now understand, this coverage is being provided through both the federal government, and your local state government. They are both paying out a share  for these completely unnecessary visits. They get their money from the taxpaying citizens; from you.  In one recent article, I read that medicaid accounts for 25% of the state budget… I’m not sure which state it was referring to, but any state that is covering all these unnecessary trips to the Dr., and unnecessary emergency  room visits, is bound to be bogged down in an overblown medicaid budget.

Now, maybe you are mad about this expense, and you should be; but at least, in our case, I drove my daughter to the emergency room.  In many cases, the visit is made by ambulance, because it is being used as transportation; not because the trip is for a life threatening emergency, but because the traveler can’t afford a taxi, and has no other means of getting there.  The ambulance ride also gets billed to the state.  This is a really expensive ride to the Dr’s office.  These are all unexpected expenses in the state budget.  The real cost of covering all medical expenses lies not just in the actual medical issue, but in the combination of working, and non-working computer updates, human error of inputs, and availability of other resources.

In my daughter’s case, we did finally get seen, and she got a whole new health designation, due to having developed bronchial spasms, which had never occurred before.  She also got her required note for work, so she can keep her job; low paying though it is, it’s part of what we live on.  As I’m sure everyone already knows, part-time work doesn’t have required medical coverage for the employees, not that we could afford it if it did.

This is where I make my suggestion for cost savings to the state.  I know, I’m about to suggest that another government requirement be met by businesses, but, under the circumstances, I believe it’s necessary.  Here goes: Any time an employer requires an employee to get a note from the Dr’s., in order to prove an illness, or an injury exists, the employer should foot the bill.  I’m sure they could make an arrangement with a local immediate care to do this service, at a reasonable cost to all, in the same way that many employers arrange for lab work for drug tests.  Seriously, if a company can’t trust its employees to tell the truth about being ill when they call in, they have other issues that shouldn’t be burdening the taxpayers.

As for the transportation issue; the state should arrange with local cab companies, or with the ride sharing services, to allow them to bill the state for rides to the Dr.’s office, or immediate care centers, or even to the emergency room, where it isn’t a life or death ride, to save the cost of unnecessary ambulance services being billed to the state.  I’m fairly certain, that even if there were some billing done that wasn’t legitimate, it would still save the state money over the present system. And since there are GPS trackers in some of the cabs, the state could even cross check on the locations, and patient information being billed, to help keep companies, and rides legitimate.

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Corinthia Grand Hotel Royale

Corinthia Grand Hotel Royale (Photo credit: Wikipedia)

'Manners Makyth Man': the motto of New College...

'Manners Makyth Man': the motto of New College School, Oxford (Photo credit: Wikipedia)

Matte color photochrom postcard, entitled &quo...

Matte color photochrom postcard, entitled "A part of the main lobby, showing office and mezzanine, "The Tutwiler", Birmingham, Ala." Published by Post Card Exchange, Birmingham, Ala. Made in U.S.A. For more information on the hotel, see The Tutwiler's website (Photo credit: Wikipedia)

English:

English: (Photo credit: Wikipedia)

The University of Sydney, established in 1850,...

The University of Sydney, established in 1850, is the oldest university in Australia (Photo credit: Wikipedia)

I read with interest a new post on

Physicist Stephen Hawking in Zero Gravity NASA

Physicist Stephen Hawking in Zero Gravity NASA (Photo credit: Wikipedia)

A still from the video of the Releasing the Jo...
A still from the video of the Releasing the Joint Strategic Plan to Combat Intellectual Property Theft. (Photo credit: Wikipedia)

Freshly Pressed, “Did I Miss the “don’t plug in your phone” Memo”.

The Roebuck Hotel, Oxford Road, Tilehurst, Rea...

The Roebuck Hotel, Oxford Road, Tilehurst, Reading, seen from across the river, 1904. The footbridge over the railway is visible. 1900-1909 : copy of a postcard entitled "The Roebuck Hotel, Tilehurst (prettiest views on the Thames), Walton Adams Series. (Photo credit: Wikipedia)

It seems that the author has run into problems with hotels and such that don’t want their lobby sockets used for people re-charging their phones, laptops, etc. even when that person is a guest there, without asking first.   Although it may seem excessive to some, the subject brings up several issues.

I don’t know if it’s manners (which have ceased to be taught in most places) as the first consideration or potential theft of property as the main issue.  Of course there may also be some potential for security risk, due to the days we live in….   don’t scoff, that’s how the airplanes flying into the tall buildings happened. Someone scoffed at the idea that not learning to land was a potential problem.
Additionally, I think this has a lot to do with an entitlement attitude.  Never before has any generation thought it was so entitled to anything it wanted, except certain past leaders, perhaps (I don’t think They are supposed to feel so entitled either, but it seems to creep into the role, the longer any position of authority is in place).
It’s understandable that this generation thinks it is entitled, since our good Senators  and other politicians have been telling them they are entitled to this, that, and the other thing in order to get their votes.  The Senators have been doing this for so long that they think they(the Senators) are entitled to everything They want too.

I hate to break it to you people, but no one is actually entitled to Anything.  This life we are experiencing is an adventure of huge proportions, but it doesn’t come with entitlements until we come together and make agreements to mutually accept responsibility for the safety and freedoms of each other.  On the other hand, being born into this life does come with responsibilities.  You are responsible for the decisions you make.  If you treat each other with respect and courtesy, then you Might get some back, though there is no one who can force anyone to give it to you.  No amount of legislation will make a civil society.  People have to want and give that of their own free will.

The question remains then; In a civilized social structure, are there things we should be entitled too?  Perhaps in any civilized country (by that I mean that places which pride themselves on protecting their citizens and keeping things orderly) a citizen who pays their taxes and works to make a positive contribution to their culture, should be entitled to feel some respect from their government; whether that contribution is serving coffee over a counter to lines of impatient customers, or drafting legislation for the next rule to protect the citizens from themselves, it doesn’t matter, they both make a contribution to an orderly and productive society.

Respect from your government should translate into not ransacking your house without having solid evidence to suggest you’re doing something malicious.  It should also mean not accusing you of doing malicious things, without having solid, correctly obtained evidence to back it up.  These are things a citizen should expect from their society.  It is all too easy for someone with a grudge or trying to get away with something to point a finger and make an accusation.  It shouldn’t be so easy to convict someone of something they haven’t in fact done.  An accusation is not proof of a crime.

Another thing a citizen should be entitled too is some legal protections for being allowed to live.  Just to live.  From birth upward, or before even.  Sure a baby doesn’t make a contribution right away, but it’s the future of us all.  We were all babies once too.  As we were cared for, so should we also care for those coming up.  Who, after all, will be there to run the society when we are too old to do it ourselves?   We should have a care that we treat the coming generation with as much respect as we hope to get from them when we are old and frail.

Some would argue that we shouldn’t have the same care for those who are born, or will be born with difficulties that will prevent them from making a constructive contribution to society; who’s care would be a burden for a lifetime, perhaps.   I would point out that if these people had their way, Stephen Hawking, whose contributions in the field of Astronomy and earth science have been huge, would not have been allowed to live, for his care has been tremendously long and costly; however, even without that contribution, I would also argue that there can not be a more significant contribution made then that of testing our societies heart and soul.

If we are truly a civilized society, then the care of those in difficulties is the primary reason for a societies existence.  A strong healthy person can take care of themselves, if need be in the middle of a forest,  or a desert.  Societies are only necessary for the care of the weakest among us; So that should be an entitlement.  That you get to live, even if you are not strong.

Another entitlement should be that you get to build or create things to your benefit, or to societies, as you have the proven ability to do, without need of hiring someone else to do it for you.  If you can pass the tests that prove your knowledge base is broad enough, You should be able to do what you will with a skill on your own property. Guilds, which preclude anyone else from building or creating something unless they are a member of the guild, should Not have entitlement status, and that includes Unions.  You are NOT entitled to prevent others from producing a product which they have designed and built themselves.

You are not entitled to tell someone else what they are allowed to do and not do, as long as it does not harm another person.  These are not entitlements.   A complaint from someone about something you are doing which does not physically or mentally harm a person , because they don’t personally like it, is not enough of a reason to justify making a desist order.  Personal preference should have some entitlement status.

You are not entitled to take things that belong to others, just because they have it and you want it.  If you want something that someone else has, you are allowed to ask, or barter for it.  If you are turned down, you are not allowed to take it anyway.  You are not entitled to have just as much “stuff” as the next person.  If we all had equal incomes, some would use it wisely, and some would use it foolishly, and we would still have different amounts of “stuff”.

I do believe you are entitled to as much respect as the next person for an honest hours labor, regardless of what type of labor is being performed.  An hours labor is the same amount of time out of every persons life, no matter the product being produced or the service being performed.  All honest labor should get the same respect.  I would go so far as to say that all wages should be the same, regardless of the activity being performed.  If piece work could be done across the board than that would be the best way to pay people; but if that’s not possible, then the time put in should be compensated the same.   Some people would manage to save some of their wages and start businesses of their own.  A business Owner is entitled to as much profit as his product is able to generate after paying his workers and his overhead, unless his product is a life necessity, and the business owner is the sole provider,  in the which case it needs to be provided at the lowest possible cost for the better benefit of the whole society.

These next things should be entitlements, to the better benefit of the entire society, but they cost, and these things require taxes to be paid for them:  An Education sufficient that you can best benefit both yourself and society, and repay them for the education you receive.  That should be an entitlement, as a better education repays it’s society in added productivity.  Accessible entrances for public buildings.  All the people within a society should be able to have access to publicly owned buildings.  The right to a fair trial, when an accusation has been lodged and some evidence suggesting that it might be you is presented.

The right to humane treatment at the hands of jailors, while you repay society for any crimes you commit.  I do believe that prisoners should be working to repay society for what was taken, and not just get free housing for a length of time.  A person convicted of a crime after due process is accomplished, is Not entitled to free everything.  Time served should be just that;  time serving your community.  Once they have repaid a debt, then they should be free to go.   The punishment should fit the crime.  That should be an entitlement.

Thinking that just because you breathe that you should also be given everything else necessary to be happy is Not an entitlement.  If you are a capable person, you have an entitlement to repay society for helping you to grow up and become that capable person.  Now you have responsibilities to meet.

 

© Ellen M Story and EMariaEnterprises, LLC, 2012

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