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Wendell Potter

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It's Time to Get Outraged

Posted: 07/ 5/11 09:52 AM ET

One of my favorite bumper stickers reads, "If you're not outraged, you're not paying attention."

That's sort of how I feel about the health care debate. If more Americans paid attention to the fate of neighbors and loved ones who have fallen victim to the cruel dysfunction of our health care system, they would see through the onslaught of lies and propaganda perpetrated by special interests profiting from the status quo.  

Since I started speaking out against the abuses of the insurance industry, I have heard from hundreds of people with maddening and heartbreaking stories about being mistreated and victimized by the greed that characterizes so much of the profit-driven American health care system.

Many other people send me links to articles or broadcasts they have seen. When I worked in the insurance industry, we called them "horror stories," and for good reason. The circumstances people often found themselves in were nightmarishly horrible. As an industry PR guy, my mission was to keep as many of those horror stories out of the media as possible. We didn't want the public to know.

It occurred to me recently that Americans are not sufficiently outraged because they either don't hear these stories or, if they do, don't believe how commonplace they are or that anyone they know could experience the same misfortune. Or they might hear that more than 50 million Americans don't have insurance because they can't afford it or, in many cases, can't buy it even if they can afford it, but they don't stop to think that real human beings make up that abstract 50 million figure.

The reality is that these stories are indeed commonplace. Almost all of us -- regardless of our age, income, job or political affiliation -- are just a layoff or plant closure away from being uninsured, or a business decision beyond our control from being underinsured, or an illness away from being forced into bankruptcy and homelessness.

My life changed when I really started paying attention a few years ago. I now have a new mission -- to help people become aware of and understand what is going on around them. So, starting today, I will be sharing on an occasional basis some of the horror stories like the ones I used to work so hard to keep out of the press. My hope is that people will begin to remember why reform is so necessary and why repealing "ObamaCare," despite its shortcomings, is not a real option.

You might have heard about this first one. Even if you have it bears retelling. A few weeks ago, a man in North Carolina was arrested for robbing a bank for $1 so he could get government-provided health care in prison.

Fifty-nine-year-old Richard James Verone has a tumor in his chest and two ruptured disks, but no job or health insurance. He is one of those 50 million Americans I mentioned earlier. Verone told reporters he asked for only a dollar to show that his motives were medical, not monetary. Because of his "preexisting" medical conditions, no private insurer will have anything to do with him. He wasn't destitute enough to qualify for Medicaid, the government program for low-income Americans, or old enough to qualify for Medicare, the government program for people 65 and older.

Verone and millions of other Americans who have a history of illness are considered by private insurers to be "uninsurable." Insurance company underwriters consider them an excessive risk to profits. Even insurers that operate as nonprofits, like many Blue Cross plans, refuse to sell coverage to a third or more of Americans who apply because they've been sick in the past. Many of the people they turn down are children who were born with birth defects.

Shortly after Verone staged his robbery, one of the contestants in the Miss USA pageant revealed during a nationally broadcast interview that she is homeless. Why? Her sick mother could not pay both the rent and her mounting medical bills. Twenty-three-year-old Blair Griffith was evicted along with her mother and brother just weeks after she won the title of Miss Colorado.

"I didn't know what to think" when sheriff's deputies starting putting the family's belongings in garbage bags, she said. "It was shocking. And then I saw my mom on her knees crying and begging them, 'Please don't do this to me' and then looking up at me and saying, 'I'm so sorry.'"

Blair's mother, a widow, lost her health insurance soon after suffering a severe heart attack.  She was unable to get another policy. She and her children eventually had no choice but to join an untold number of other Americans who are homeless because they can't pay their medical bills. Many are bankrupt as well as homeless. Medical debt is the leading cause of bankruptcy in the United States.

The third story I want to share with you hasn't made headlines. Most such stories never do. A few days ago a young woman who said she'd been raped sent me an e-mail to ask if I might be able to help her find insurance.

"I am in the process of hiring a broker to help me find insurance, but it is just very overwhelming and sad," she wrote. "I have been denied by three major companies or had riders attached that will not cover anything related to HPV, cervical cancer, medications, or treatments. Basically, they will do nothing for me."

She wrote, essentially, to beg for help.

"I have never talked about what happened (to me), but I am learning that this is too big to handle on my own. There are so many barriers, and while I consider myself an intelligent person, I am by no means an expert when it comes to dealing with insurance agencies. I will take and am grateful for all the help that I can get."

I hope I can help her, but there is no assurance that either I or a broker or anyone else for that matter can help her get the coverage and access to care she needs. She is an apparent victim not just of rape but also of an unjust system that has devolved into seemingly intractable dysfunction while we were not paying close enough attention.

These are just three people whose lives have taken a tragic turn because of America's profit-driven private health care system.  There are literally millions of other stories, many of which are even more maddening and heartbreaking.

When the Affordable Care Act (ObamaCare) is fully implemented in 2014, the number of uninsured Americans will be reduced by 30 million, and many of the insurance industry's most egregious practices -- including refusing to sell coverage to people with preexisting conditions -- will be outlawed.

Let's hope that there will be far fewer horror stories after 2014. But the new law is just the beginning. We still will have a long way to go before we have universal coverage, like every other developed country in the world.

Universal coverage, in my view, is the ultimate goal we all should share. Remember this if nothing else: Until we achieve it, you and your loved ones could easily be facing your own horror stories.

 
 
 

Follow Wendell Potter on Twitter: www.twitter.com/wendellpotter

 
 
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HUFFPOST SUPER USER
Seer Clearly
Only truth remains when fear is denied
03:19 PM on 07/06/2011
I keep seeing people posting on here that they don't want to pay for others' health care. Well, folks, you're already doing it, and it's costing you much, much more than single payer would ever cost you. You're paying it in higher prices for goods and services because 50% of healthcare costs are paid by employers. You're paying for it when you go the doctor because the system is bloated with greed and entitlements from being in bed with insurers who want to turn a profit even if your rates have to pay for someone else's care - in other words, legalized corruption. You're paying for it in lower wages due to lost worker productivity resulting from missing or inadequate health care. You're paying for it in your local taxes which go to fund emergency rooms and clinics that have to treat people who can't afford the rip-off insurance rates. You're paying for it in the waste of a nation's potential if everyone could take the jobs available without having to be locked-in to a job that gives them healthcare. Oh yeah, you're paying bigtime. And the total you're paying is a LOT larger than other Western nations are paying for healthcare. There is simply no excuse for putting off single-payer any longer.
11:50 AM on 07/06/2011
I POSTED several Days ago that ins. companys are in it for the money its a big business and rep. want SRS to go to voucher system butt what happens when you reach what the voucher allows "" die"' thats what i have come to believe do away with SRS. DOES NOT BOTHER ME BUT I HAVE and YOU DO TOO CHILDREN, GRANDS . Thats why I will never vote rep. again. I will vote yellow dogs to office before I will votr rep. again.I would like for a man or woman to stand up for SRS, WORKING POOR AND THE POOR I DON,T BELIEVE WE HAVE MIDDLE CLASS ANYMORE.
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HUFFPOST SUPER USER
lasjazzman
Stress = perfectionist + lousy typist!
10:55 AM on 07/06/2011
Mr. Potter's words are infinitely more valuable given his prior history - his "awakening" and his redemption! Please keep speaking out, sir!!!!
10:08 AM on 07/06/2011
From these horror stories, it is obvious the the health care system is a money making business that takes advantage of the sick. Health care is a 1/6 of the economy and is bleeding the pockets of many Americans. If people would realize that we are dealing with real humans, in real, potentially life-threatening circumstances, then we could take a step forward in this nation. However, money is the driving force holding us back. Remember, "Be the change you wish to see in the world." No matter how unpopular it may seem, fight for real health care reform. My generation will make it happen.
09:07 AM on 07/06/2011
Mmany Americans don't understand that they pay more than twice the going rate for health care (whether an employer provides it and it comes out of their salaries, which it does) or whether they pay for it themselves.

This happens because instead of the medical industry competing fairly for their profits like so many who must pay them, the medical industry in the US lobbies for its profits. The more this industry invests in lobbying, the more they get to randomly decide how much they will take out of your wallet.

So those who are already struggling, have the added stress (the biggest health killer of all) of this extortion that unfairly drains their income. To make matters worse, due to Wealth Care Reform, instead of working Americans merely paying twice the going rate for their own health care, they now pay twice the going rate for those who can't afford their own health care.

This system is an outrage and a good place to start would be to make it competitive because if that happened, overnight Americans would pay less than half of what they do today.
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HUFFPOST SUPER USER
MeinNH
Ooooo Silly Me
08:24 AM on 07/06/2011
How sane would it be to roll the costs of Medicare, Medicare Part D, Medicaid into one Universal Single payer program? It could include Dental and Vision care as well. Get rid of the Middle Man....Insurance companies....and we could save billions. Who would not want that if they didn't have to pay outrageous premiums and got great coverage? Why can't anyone come up with a plan that does not include the insurance company leeches?
HUFFPOST SUPER USER
BAMUDA
08:23 AM on 07/06/2011
Mr Potter,

I have appreciated your "coming out" over the last few years. But at this point, there is no added value to exposing more and more tools in the bag of cynical tricks used by for-profit sectors in health care, or telling more horror stories. I will be much happier to see you reject ACA for the incrementalist giveaway that it is, and become among the most visible and strongest single payer advocates in the country. You know in your heart that at this point in the rigged game, it is the only possible strategy for containing costs and expanding access to all people. Please, whether it is for the 50 million currently uninsured, or the 34 million who will STILL be uninsured in 10 years even if ACA goes according to plan (not likely)... make the pledge to REAL universal health care and human rights.
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Dredd
Our government is a wartocracy.
08:16 AM on 07/06/2011
The intellectual warmongers think that health care is the military's number one enemy.

Yes, it is outrageous.

http://blogdredd.blogspot.com/2010/11/your-health-is-their-number-1-enemy.html
12:42 AM on 07/06/2011
So can someone explain to me the following: They(GOP) do not want a woman to have an abortion, but then if the baby is unhealthy and needs care and will always need care for the rest of their life, they(GOP) do not want to take care of it. With this logic we do not need to stop at health care lets talk about healthy babies, children and adults who will always need some health care. Let's take it a step further and feed these people....on more step ....house and clothe them. If you can not agree to take care of the needy then please shut your mouth about a woman's right to choose.
12:32 AM on 07/06/2011
I believe that healthcare benefits must first be de-linked from employment which should lower the costs businesses bear. Second we must look at and embrace best practices of other nations that provide healthcare to its populations. We further must agree that the physical health of of the U.S. population is directly tied to the productivity of the nation. Sick people cannot work. Old people with rotten teeth cannot eat a proper diet. Sorry I cannot offer a solution but I have seen better examples of healthcare delivery in "foreign" countries.
HUFFPOST SUPER USER
Kevin Rayburn
honesty in politics is a guilty plea
01:47 AM on 07/06/2011
no one person can offer up the solution....but i am pretty sure there is one it just cannot be arrived at in the way this healthcare reform act was writen and passed. we also need to address the abusive practices of both the providers and patients, but ideas like yours combined with many others might actually produce a QUALITY healthcare system.
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HUFFPOST SUPER USER
Paros
11:34 PM on 07/05/2011
So good to read you again Wendell.
I was just expressing my outrage today in a conversation with my aunt who doesn't understand why I am no longer supporting Obama. She held up Health Care Reform as an example of what he has accomplished and without realizing it I found myself responding in increasingly louder and more heated tones. I'M ANGRY ABOUT HEALTHCARE and I am getting angrier.
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HUFFPOST SUPER USER
shankapotomus
Carter and Clinton = deregulation.
09:28 PM on 07/05/2011
I saw that bumper sticker, is was at Obama.
This user has chosen to opt out of the Badges program
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HST
Conservatism = selfishness
11:35 PM on 07/05/2011
Were you on your way to a remedial english class?
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Medicine13ear
Jesus wore a hoodie.
12:32 AM on 07/06/2011
F&F -- You had me at your mini bio!
HUFFPOST SUPER USER
kathleens
Wealth doesn't create jobs. Jobs create wealth.
08:50 PM on 07/05/2011
The healthcare debate can be distilled pretty simply. Do you believe affordable healthcare is a human right? If you're communicating with a person who believes that it's not, then no argument will sway them. If you communicating with someone who does believe it's a human right, then it's just a matter of logistics.

So, do you believe affordable healthcare is a human right?
09:18 PM on 07/05/2011
It also falls on the shoulders of those who argue "capitolism" is the best when as far as healthcare goes, it is proven wrong. Why do those people put blinders on based upon a phylosophy that has USA 37th in the world for healthcare?

Their dialogue is that "Big governement is evil" while it is clea that BIG business is also evil when it cares more about profit over the patient.

When it comes to who business is paying...that is relevant. When it comes to who can give the best prices and quality...that is relevant. When it comes to being #! in the world, that is relevant.
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HUFFPOST SUPER USER
Paros
11:38 PM on 07/05/2011
But our health care system is not a market driven system and that is what so called conservatives and free market proponents also choose to overlook.

Individuals do not pay the bills - health insurance corporations do and they are the ones calling the shots. When we go to the health care industry for help we do not get a menu of services.

In March, in the middle of the night, I went to the emergency room in excruciating pain. It was a slow night and while I was there no other patient arrived. I waited 90 minutes for a doctor to come in. She did not examine me because the pain was in my mouth and there was no dentist in their emergency room. She asked a few questions left and 45 minutes later I received tylenol and a prescription for a pain killer that could not be filled for another 8 hours and I left. 2 weeks later I received a bill for $280. For WHAT?
avanteguard
Truth, Justice, and the American way
11:48 PM on 07/05/2011
It most certainly is NOT a "right" anything that you must get from someone else or from a govt cannot be called a right, as all rights cost nothing and are not something that can be taken from one to give to another
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HUFFPOST SUPER USER
Seer Clearly
Only truth remains when fear is denied
02:56 PM on 07/06/2011
I think your points are not supportable. Equality is a right, yet it does have costs to implement. Freedom is a right, and conservatives will tell you that spending over a Trillion a year on the military is what it costs. So why not healthcare? Essentially society can decide what is a right, and government is there to implement it, since government is just an instituation that the people put in place to accomplish their aims. So it boils back down to whether you think that your fellow human beings should be left to die on the streets because they don't have any money to pay for health care or not. And you - in a characteristically un-Christian way - prefer money over caring for others.
iridium53
Semper Fi
08:33 PM on 07/05/2011
Again, thank you.

I couldn't possibly agree more with your view, "Universal coverage, in my view, is the ultimate goal we all should share."

Because it was not achieved, ACA remains a tremendous disappointment.
HUFFPOST SUPER USER
Anne Rutherford
08:03 PM on 07/05/2011
The entire system is broken and falling apart, right now. If you have a policy, it doesn't mean you have access. Ask folks with Medicaid, Blue Cross in some places, or Medicare. It doesn't mean that after you've paid the policy, you can afford care. It begins with the costs of medical school, nursing school and continues to the notion of having health care access tied to employment, and ends with over built and under utilized expensive testing equipment. In between are issues of best practices, patient compliance with medications, pharmaceutical costs and over use of preventive care (not based on evidence based outcomes). This issue of health care costs affects our economy directly and indirectly (like lack of foreign investment based on health care costs). This problem stifles small business formation and creates job lock. We are fast approaching a collapse, one way or another. Lack of access to care and delayed care create potential public health concerns.