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Universal Health Care and the New America (with Respect to Harvey Milk)

Posted: 11/29/08 12:15 AM ET

This is the column my parents will wish I didn't write.

I should first begin by warning you I just came home from viewing Milk. We gay people often think our history is just discos, drag queens and casual sex. But long ago, in a galaxy not so far away named San Francisco, there was a man named Harvey Milk. Milk stood up for all of us, and made this country a safer place for gays and lesbians. He made sure that discrimination against homosexuals did not occur under his watch in California by running a precise, passionate, and very well planned campaign, almost knocking on every single door of every single person in the State. Milk firmly believed that once people knew a gay person, it would be difficult to vote against us.

Where is our Harvey Milk now?

Why didn't our current gay and lesbian leaders take a page from Milk's handbook and stand in the face of those who oppose us and not back down? Why did we only preach to the choir when Proposition 8 was being campaigned around the State? Why didn't we, like Milk would have done, go to the churches that discriminated against us and show them that we count, that we are humans just like them, and convince them one at a time if we had to, that we, too, are entitled to marriage.

Instead we got a commercial that apparently went unwatched.

What happened to our leaders in the HIV community? When did it become politically correct not to stand up for what you believe in, no matter whom you pissed off? Why have HIV related health care issues seem to have become last decade's news? Why aren't our leaders kicking down doors in Washington to fight for more funding because more and more people need those precious dollars everyday? Why have we become complacent with the current status quo of holding the disease at bay, when so few can actually afford the treatments, deal with the side effects without a problem, or even begin to have the access to decent care.

Like Milk, I can point the finger at myself. There was a time when I didn't, no wait, couldn't, talk about my boyfriend, David, and his illness. We lived in fear -- fear that he would get deported, and fear that he would lose his health insurance. And I lived in fear as a gay man that I would be cut off from my family if I shared our secret. I lived with this same fear when I knew I was getting sick myself. I thought people would turn against me and would just let me die alone.

It turned out wrong -- for me, at least. Plenty of people do not have anywhere to go and do die alone -- from a variety of causes. I was instantly proved wrong the second I got honest with myself, and then got honest with everyone around me. For you see, after you tell your mother you have AIDS, it is truly downhill from there. Once you know you have Mom on your side, you know you will not be fighting this alone. I then made sure I told everyone that mattered in my life, for I did not want them to find out second-hand. I wanted them to hear it directly from my own mouth, and ask whatever questions they had. And you know what happened -- there was a non-stop parade of people in and out of my hospital room showing their support, so many that the nurses just started pointing and saying, "He is in there."

I realize now that in spite of whatever perceived imperfections my life may have from time to time, that I am one incredibly lucky and loved guy. I also have friends and family behind me, no matter what time is it, to help me through this crisis one calls "Living with AIDS". I also have health insurance and a family that can help me, should the need arise.

But what about my brothers and sisters with HIV that do not have this support? What about the individuals without health insurance that get forced to deal with a bankrupt and overly bureaucratic county health care program that barely works when you have the most minor of problems.

People argue that we cannot have national health insurance because they fear it will cause long lines and reduce care. God, how I wish Milk was around to help us through this one. He would have pointed to Europe, stating their high quality of care, the equal access for all, their lower infant mortality rates, and higher quality of life. The United States, in spite of our bragging about being the richest nation ever, ranks 37th on the global infant mortality rate chart - beneath France, United Kingdom, Sweden, Czech Republic, Norway, and Ireland, to name only a few.

As Thomas Jefferson stated that all men were truly created equal, then why can't all men have equal access to health care?

If we were truly pro-life, why don't we care about the life after it has been born?

Back to that comment about my Mom, since telling her my diagnosis, she has been great, amazing beyond all expectations even. She went from being a woman who never wanted to deal with this disease, to being proud of her son who speaks out on behalf of those who cannot. I am proud to say that my family are my number one fans, and, honestly, I would have not guessed that ten years ago.

In Milk, he starts to talk about his boyfriends who committed suicide because of living in the closet, how he felt he betrayed them by not being strong enough to stand up for his own lifestyle. Milk felt he had no other choice but to speak. I started speaking out, rather innocently in fact, when I was written about in the New York Times regarding a project I created for the residents of the San Antonio AIDS Foundation. I was honest with my status, and the writer included it in the piece. People who knew me but didn't "know" were amazed. I was told that it was a beautifully written story -- and that "I had the balls to come out in the New York Times." Honestly, it would have taken more balls not to say it, for you see Mom already knew, and speaking freely with the Times was part of the "downhill."

I have seen too many people die because they were afraid to speak out and ask for help. I had a friend die because he was afraid to change doctors for fear of hurting that doctor's feelings. I had another friend die because his family did not accept his lifestyle.

If we want change to come to America, we must be the ones that change, not just the people that get paid to work on the Potomac. We must fight every single day for this change. We must fight for all Americans to be treated equally on every single level of their lives -- and this must include health care.

Throughout the movie, Milk kept getting death threats. I had my own Milk moment recently after a radio interview. I was on the Cable Radio Networks, discussing what it was like to be a person living with AIDS in America in 2008. The very next day I received a call - it came up "private" on my caller ID. It was some woman, I believe her name was Dolores, and she said she was from the State of California Health Department. She told me that a recent sexual partner of mine tested positive and that I had to test in thirty days or she would call my employer. I laughed and said, "Well you are assuming I have an employer, for you are talking to him." She was to call in thirty days and make sure I tested. She never called back. Just to be sure, I contacted the California AIDS Department, and they backed up my fears - it was a crank call. The County makes those calls and never, ever without giving out phone numbers to call for more assistance.

My Milk moment. The part my parents did not know about until they read this, but part of the process. I now look forward to the next one, because, I know, change isn't going to happen to our health care without pissing dozens of people off.

So, to that woman named Dolores, and others just like her -- I say bring it on -- I await my next Milk moment with pride.


 

Follow Thomas DeLorenzo on Twitter: www.twitter.com/TDeLorenzo

This is the column my parents will wish I didn't write. I should first begin by warning you I just came home from viewing Milk. We gay people often think our history is just discos, drag queens and ...
This is the column my parents will wish I didn't write. I should first begin by warning you I just came home from viewing Milk. We gay people often think our history is just discos, drag queens and ...
 
 
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11:42 AM on 12/01/2008
I am sorry you have AIDS.

You said "As Thomas Jefferson stated that all men were truly created equal, then why can't all men have equal access to health care?"

I don't think I have a right to ask others to fund my medical care and I don't find that Jefferson thought so either. I'm ready to lie down and meet my maker if the last disease I will have is upon me. Hasn't it always been that way for most of human kind? Isn't this how the nature works?

You said: "If we were truly pro-life, why don't we care about the life after it has been born?" Inherent in the pro-life view is the understanding that once life occurs, it walks an unstoppable path towards death. That is why pro-lifers think HOW life is lived in the interim is key, and that is part of HOW they "care about life after it has been born". Our disagreement is between government "compassion" and private charity.

That you and I have lived as long as we have is already a cause for celebration, since so many die long before it seems that they ought to have.

I believe that you and I are immortal souls who will continue to exist after we die and our choices are merely between where we will dwell after death: with Christ or without Him.

May you choose Christ and receive His peace now and hereafter.
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HUFFPOST SUPER USER
Pearlswan
Born in Philly yet my heart's now in Frisco
01:26 AM on 12/01/2008
I can't help but wonder why this movie was not released before the election rather than after it? Were the opponents of Prop 8 afraid it would create a backlash that would lead to a victory for Prop 8 in California? I heard a "No on Prop 8" campaign person say they had marketing studies that showed the general (straight) population did not respond favorably to images of gay couples. Maybe the film about a gay politician hero didn't want to get involved in gay politics? Thats quite a paradox for sure; its antithetical to the meaning in Harvey Milk's life and his sacrifice to the cause of gay rights. I think it would have been a great film to have before the public in advance of the vote on Prop 8 to let Harvey Milk persuade people from beyond the grave. I think Harvey Milk would have wanted the film to advance the cause for gay marriage and civil rights or why bother making a movie about him? He was no egotist. So whats up with the late release date? I am extremely disappointed it wasn't out sooner.
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12:07 PM on 11/30/2008
Few if any medical centers will cosider a person a good candidate for a transplant if they lack financial resources to afford it eather through insurance or other means. Less than 1% ( 0.8% ) of organ transplant recipients were uninsured.
My point is if you can't benifit from a programe, than why donate to it. Most organ donors are uninsured.If you want national health care, than don't sign that line on your drivers liceince and tell your family not to donate your organs in the event of your untimely death until there is national health care. No way can anybody expect you to donate to a programe that you have know way of benifiting from. No way can anybody that does'nt agree with national health care can argue with you on this point.
12:18 PM on 11/30/2008
And don't give blood either, for the same reason. Sell it if you must, but don't give it for free.
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12:28 PM on 11/30/2008
Your right, See how fast the rich and well insured's openion will change about national health care once their supply of organs and blood drys up.
10:26 AM on 11/30/2008
I am an expatriate living in Germany now for 5 years. I had an apendicitis here and went to the doctor. He sent me over to a hospital.
For a nine-day stay in the hospital they charged me exactly 2405$, INCLUDING surgery, MRI and Ultrasonography. The best stay in a hospital of my live! Their medical technology is beyond anything i have seen in the US.
Later I found out that in the US my PPO insurrance only had covered me for 3 days, guess i would have paid 100000$ or so for the same or worse treatment i received here in Germany.

WAKE UP US!
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gaydm
Into the great wide open.
08:13 AM on 11/30/2008
Health care should be Government controlled, universally obtained, tax dollar paid for program. That way "the Government", which is WE the people, would be able to control OUR health resources.

Health care is about eating right, not smoking, exercising, AND it's also about medicine, surgery, diagnostic testing, well you get the idea.. I pay tax dollars for police, fire, and for gods sake, WAR. I would rather instead pay for all our health care in that mix as well. That way IF I find out someone is skimming money, or scamming the system, WE can fire them and replace them with someone else, without having to chase them clear to China, or Costa Rica.

When there are as many hospitals, and doctors offices within that magic 1 hour time period for trauma care, or for that matter just plain old health care as there are churches, or automobile dealers in the US cities and towns. Then I will trust your Free Market health care program. Until I actually have choices as to where I can shop for a doctor, then I do not see how I have a choice other than "take it or leave it," is a wise idea.
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Pyrum
02:12 PM on 11/30/2008
How are you ever going to have a choice as to where you can shop for a doctor if the government controls the whole medical industry?
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gaydm
Into the great wide open.
05:56 PM on 11/30/2008
Do you have a choice of police department?

Do you want to take the time to look in the phone book for just the perfect firefighter, when your house is burning down?

I know!!! I'll just get the Walmart 2 for one deal, Police and Fire service set, and get it on a lay away plan.
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Pearlswan
Born in Philly yet my heart's now in Frisco
12:44 AM on 12/01/2008
Its a blind choice anyway. You get to pick your doctor off a list in a booklet. When your job changes, its likely you have to choose a new doctor from a new list in a new booklet. You don't even get a choice in treatment. Your insurance company will decide and "authorize" you to see a specialist or have a procedure or a surgery performed or get a treatment other than a prescription. If you had a government health care system you could find the doctor you like and keep that doctor and you are free to change your doctor if its not a good fit for you. Plus, your full records will be accessible to all your doctors through a centralized computer records system. In today's medical care centers, research indicates that the most effective cure rates for patients are gained through a team approach to patient care. How does a sick patient have the energy to research a team of doctors to treat an illness that has yet to be diagnosed? Its not pragmatic to have this choice. It is like having a police or fire fighter respond to an emergency; you expect whoever responds to be competent and fully trained. There is no free market, buyer beware component to the response. Prompt medical treatment protects the safety of the community and minimizes the risk of an epidemic in the population. It is a matter of public safety, not personal choice.
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Pyrum
10:17 PM on 11/29/2008
I grow weary of the euphemism. What you're talking about isn't "health care." Health care is watching what you eat, going to the gym, avoiding smoking and other bad habits, you get the idea.

What you're talking about is "medicine," and no, Thomas Jefferson would not have agreed people have an equal right to it. It's a business providing a service to be bought by those who value it, and it deserves to have competition from alternatives.
03:15 AM on 11/30/2008
Right On!!! You took the words right out of my mouth:)
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WoodyCPM
Now what?
08:03 AM on 11/30/2008
Or so you believe.
08:57 PM on 11/29/2008
Universal Health care makes sense if we consider that the Government is to be a tool of society at large to distribute wealth in terms of services we ALL need. Why is it ok to be "socialists" about our roads and bridges, but not about the overall health of citizens? Why is it ok to use tax money for firefighting, but not for diseases that sometimes strike unexpectedly? If the Government isn't giving the people all of the services it needs in order to ensure a stable thriving society, then it needs re-tooled and re-thought. There's still room for capitolism, room for entrepreneurs, and room for creative endevours, but when it comes to the basics, the Government is our tool, not our master, and we elect officials to assist us in the very complex task of organizing those things that bring all of us the ability to thrive. If we take the best aspects of every universal healthcare system in the world, we can make this work for less money and more efficiently.
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Pyrum
10:31 PM on 11/29/2008
You're forgetting something. Roads, bridges and firefighting are paid for mostly by state taxes, not federal taxes. If you're talking about socialized medicine being administered on a state by state basis, well, I'd find that to be a bit more palatable than a huge federal program.
schatsie
Wall Street is Worse than Vegas
01:17 AM on 11/30/2008
Ok let me get this correct, the states are responsible for elections until you want the Supreme Court to decide in favor of the Great Decider.... Same issue with health care I would suppose... After all, Georgia tried to do something about the Toxic Mortgages, but the Federals would not let them...

With that type of planning, it would be in committee or court forever until we have health care that costs 50% of our GDP... This is our best shot at getting the cost under control,, Medicare does a fabulous job and we know where every penny goes...which is more than you can say about the bank bailout or DOD...If they try putting some super glomerate in place, then we are in the same mess again...We really do not need to overengineer it at all...In fact that would kill it.

4 things..adjustments are normal but result in overhead.. Cross references with membership numbers also result in overhead squared...(cross references would be eliminated with a national system)... Then audit trails for analysis for fraud and abuse or to improve care...then the money trail, is it going overseas and have they paid taxes on it...
06:06 PM on 11/29/2008
Plus, Romulus, in your example of the 75% who "are pretty lazy and not very good at farming and don"t produce enough food" - how many of that 75% are children, teachers, previously producing elders, doctors, nurses, car mechanics and other non-food producing members of society.

Of course there will always be those who "game the system" and get more than their fair share in terms of what they are contributing back to society. But I'd rather err in the philosophy that we are "all in this together" rather than cut off the needful members who, for whatever reason, are not as able to be totally personally responsible.

Romulus, how confident are you that if and when (and for nearly all of us it is a matter of when, not if) you will be incurring a huge medical cost that you personally will be able to cover it? Are you confident, if you have insurance, that this company will actually pay out? (again - see "Sicko"). If you are one of the lucky few, then count yourself blessed. And as a blessed one, then consider sharing your blessings.
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Romulus
Centrist
07:07 PM on 11/29/2008
What I was trying to illustrate with my little parable, geminisun, is just because statistics show that more people are eating doesn't mean that anyone is getting enough food. Transfering that metaphor to healthcare in Canada or Britain, just because everyone is getting healthcare doesn't mean that healthcare is adequet for anyone. I'm heard a lot of horror stories about the care in Canada and Britain, just as many horror stories as we hear about health care here in the U.S.. I'm not suggesting that we continue here in the U.S. with our current system but I have strong doubts that a Canadian or British model will solve our problems.
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HUFFPOST SUPER USER
Balancement
Timendi causa est nescire. -- Seneca
09:34 AM on 11/30/2008
There are many, many nations with universal health care--not just Canada and the U.K.--so why can't we take a look at them, see what works best, and build an even better system? I think we're smart enough to do that--unless of course you're just so dead-set against it that you'd rather believe that the U.S. couldn't possibly be talented enough to do that. My guess is you'll find any excuse not to try. Which insurance/pharmaceutical company is it you work for?
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FightingTheRight
That isn't God's voice in your head.
11:49 AM on 11/30/2008
Try not to run screaming form the room with your hands over your ears, when you read this!

Take a look at the FRENCH healthcare system.

OH NO , he said French!

It is actually one of the better universal healthcare systems in the world.

Just because the Canadian and UK systems are flawed does not mean the US has to follow their example.

Trust me when I tell you, even bad healthcare coverage is better than no coverage, when you have a life threatening illness.
06:05 PM on 11/29/2008
Part of the problem, Romulus, is that medical care is out of whack in terms of affordibility, and this is because of market forces involving practioners, insurance companies, and pharmaceutical companies. Not only that, but even if you have (or had) insurance, there is no guarantee that they will pay up when you need help (see "Sicko").

On Tuesday I will be having a hysterectomy. I had to pay $14,500 up front because what insurance I have will only pay part. As you might imagine this is a huge expense for us, particularly because we are on a fixed income (my husband is older, and retired and my work is as his caregiver) but I'm not yet eligible for Medicare. My choice is to leave the cancer untreated (and die painfully and leave my husband untended) or incur dramatic debts.
09:45 AM on 11/30/2008
Dear geminisun, best wishes for your operation on Tuesday, and I'm sure it will all go very well.

However, I am truly shocked to hear that you've had to pay $14,500 for it (and that's only a part payment? How much is the full charge, dare I ask?). In every other western society, you wouldn't have been charged anything at all. I'm very very sorry for all Americans who have to choose between health-care and, for example, paying their mortgage. It's a scandalous way for a prosperous society to treat its citizens.
05:45 PM on 11/29/2008
Considering his appointments of Summers and Bush boy Geithner, I seriously doubt we will see health care reform from Obama, and I'm almost certain we won't be seeing any advances in gay rights.
05:38 PM on 11/29/2008
Good point from the author. It is about a movie and equal opportunities for all Americans especially universal healthcare. So I think it is the right time to watch this together:
http://democracyandsocialism.com/Videos.html
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Romulus
Centrist
04:55 PM on 11/29/2008
Serious Black-"Of course, all of that is a moot argument ANYway, seeing as how your main beef is that you think it will cost each and every person MORE if we had unversal single-payer health care for everyone, than our current health care "system". CORRECT?"

No. My main beef is the lack of personal responsibility that seems to pervade this nation. The belief that others are required to pay for your health care if you can't afford it ESPECIALLY when your illness IS your own fault. If you don't take care of yourself and if you engage in risky behaviour then no one has the moral responsibilty to pay for your healthcare.
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Romulus
Centrist
04:08 PM on 11/29/2008
For those who claim that government health care in other western nations is better and cheaper than private health care let’s try a simple metaphor. Let’s envision a farming community in which 25% of the farmers work very hard, are very productive and have a slight abundance of food, while 75% are pretty lazy and not very good at farming and don’t produce enough food. An outside agency comes in to access the quality of life in this community and finds 75% of the people are on the brink of starvation. It also finds that life-expectancy overall is very low and infant mortality is very high. So this outside agency recommends that all food be distributed equally. This agency comes back a few years later and finds that all residents now have barely enough to eat, that the overall life expectancy has risen and the infant mortality rate has declined. Success, right? What the report doesn’t tell you is that the 25% still produces the majority of food and THEIR quality of life has gone down. They also barely have enough to eat when previously they had a slight abundance. THEIR life expectancy has decreased while THEIR infant mortality has increased. But that’s okay because the agency can point to better overall health for the same or less production, i.e. money.
09:50 AM on 11/30/2008
Are you seriously suggesting by this tortuous analogy that the majority of citizens in France, the UK, Germany, Australia etc don't have access to decent medical care? Certainly no system is perfect, but honestly, come and visit the rest of the western world, and you'll see that we are at least as healthy as Americans, and receiving very good medical provision.

It is quite telling that while every country always wants to improve its health-care system, and complains about the bits of it they don't think are functioning properly, NO other country in the world would ever consider adopting the current US system, because we can all see very clearly that it DOESN'T WORK.
03:46 PM on 11/30/2008
Why on earth do we need to try a simple (and completely wrong) metaphor? Just look at statistics. America (considering it's wealth) has a considerably lower life expectancy than other Western nations.

United States - 77.1
Canada - 79.6
France - 78.8
UK - 77.7

A couple of years may not seem like much, but as an average across a large industrialized nation is it pretty big. Especially considering Canada has similar geography (other than being colder which is a negative on life expectancy) and similar life styles. Yet it has almost a 3 year increase on life expectancy. Guess why.
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Romulus
Centrist
02:36 PM on 11/29/2008
I smoke cigarettes. I've known for years that this is unhealthy, that I may (probably) contract lung cancer or COPD yet I continue to smoke. Should that happen, I do not believe that society has an obligation to pay for my health care if I can not do so myself. When anyone knowingly engages in risky behavior then the consequences of that behavior bleong to the doer, not society.
03:14 PM on 11/29/2008
OK. Very simple solution.

After we have universal single-payer health care for everyone, if you get lung cancer, then you can CHOOSE to stay at home and die, without burdening anyone else.

But, anyone else who develops some kind of illness that is not their fault in any way, can get treatment.

Of course, all of that is a moot argument ANYway, seeing as how your main beef is that you think it will cost each and every person MORE if we had unversal single-payer health care for everyone, than our current health care "system". CORRECT?

Which is where you go wrong in the first place, because every other western democracy on the planet has proven that doing so will cost each and every person LESS than what you are paying now, with BETTER health care.

What part of that don't people like you understand?????
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HUFFPOST SUPER USER
Romulus
Centrist
03:32 PM on 11/29/2008
Well, what makes me unable to understand your claims is that I see conflicting reports as to the efficacy of healthcare in other western democracies. Perhaps if you can prove your statements rather than making unsubstantiated claims, I might see your point.
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jeffrey678
You don't happen to make it. You make it happen.
11:11 PM on 11/29/2008
Yeah right. That's the ticket!
01:23 PM on 11/29/2008
Thank you, Thomas; for giving us a voice. Your story mirrors the lives of so many gay people, and your empathy for those of us who don't have the support of our families speaks to your compassion and intellect.

I "found out" in 1990 when I was very young -- 18 years later, I still haven't been able to tell my family about my illness for fear of the implications (my father is an evangelical minister). My partner and I saw many of our friends die during our 19 years together and I feel shameful, in light of their memory, for my lack of courage.

I was moved by your story and was encouraged by your calls for more aggressive action from our leaders. Thank you for stepping into the leadership void in our community and for challenging the "status discquo".

Who knows, you may just be our next great leader. We need all the Harvey Milk's we can muster.