I tried to read the Senate bill on the Health Care Bill.  And I got so bogged down in the langauge that I gave up.

Has anyone read it and can you put it in plain English.  I wonder if it will cover our related medical needs.



Janet

Hrt and therapy are huge things so let's not lose sight of how valuable of a win that is for a lot of transsexuals. If it actually happens it's a foot in the door for the future so knock on wood.

What about this public option that we hear about.  Is that going to be like Medicare?  Or are we going to have to find a health care provider?  And if we have to get our own provider, could we not get a provider that covers SRS.



Janet

But doesn't the law prevent "preexisting conditions"?  And if we can chose our own is that on our dime.

Sorry Tasha but you answered the post and you are the only American lawyer on the forum.  Being Dennis is a Canadian.



Janet

the "public option" is more like a group plan provided by an employer. instead of an employer negotiating group plan rates with the insurance companies, the government negotiates several group plans with the private (subsidized) insurance companies and the individual can choose which plan to contribute to. all would have varying levels of premiums and copays just like the insurance you would get from an employer based group plan.

as to the original question, it would depend on which of the group plans you opt in to and if there are any plans that would include that as part of the services provided. usually as a cost saving measure, TG care is quickly excluded from most group plans, an effort that saves them a whopping .03% in premiums.

You know more than I do, Hon.  And you are the local legal eagle.  But now I wounder if they cover things under the DSM-IV and the AMA says we should be allowed to have SRS, without the health care industry blocking coverage.

It makes me wonder sometimes.



Thanks Tasha.
Janet

Your really not going to have to 'opt' into anything, you are going to be forced to buy health insurance, or face fines, fines the insurance companies just told Congress are 'not high enough' so Congress raised them. 

This is not anywhere near what advocates of public health wanted, and it would be best to let the thing die and try again from the beginning.

Since there is nothing in the law to force the insurance companies to cover much of anything, lots, lots and even more stuff is going to be excluded.

so true. but at least this isn't as bad as the original Baucus bill that had the public mandate without a public option. single payer would have been so much easier (and cheaper), but there aren't enough liberals in the democratic party.

Oh I'm not smart at all about it, I just know that Congress is a bunch of bought and paid for whores, who, when its really important, will fold like a house of cards and do the bidding of their corporate masters.  And I know there is a lot more money on the side of insurance companies/lawyers/medicine-as-it-is then there is on the side of change. The outcome was even worse than predictable.  The amount of bad information/total misinformation (death panels, pulling the plug on granny indeed) was staggering. 

Whatever the final bill is, and we are a long way from that, the major objectives will be to protect and maintain the ongoing bribery and payoff system for Senators and Representatives and ensure  themselves reelection, protect and maintain funding for the large insurance companies, protect and maintain funding for the large pharma companies, and do so by squeezing as many dollars as possible from patients and taxpayers.

This of course is opposed by the wrong wing party and the corporate fascists, who much prefer a direct wealth transfer from the poor and middle class to the rich, with the rich contributing nothing to support their country that has so well benefited them, while providing nothing to help the people that actually get the work done.

And no in advance, I do not want to move to the Something Socialist People's Shangri-La of the Benevolent Dictator.  I want this country to get better. 

Oh good, I just looked to see if this topic was posted in politics.  I was afraid I went off the deep end in Intros or something!   Lecture over.

SusanKG

QuoteSince there is nothing in the law to force the insurance companies to cover much of anything, lots, lots and even more stuff is going to be excluded.

You are right and the guidelines on breast exams and pap-tests are only the beginning of reduced care and give insurance companies excuses not to cover. France has removed TS as a medical condition so it does not cover HRT.  Second is that the government has borrowed all this money at a teaser rate of almost 0%. As they raise the interest rates to curb inflation our national debt will produce interest cost like making the TARP payments every year.  There is not the money for health care and everyones taxes will go up. Right now they are putting an exercise tax on the plastic surgery. So in the future with national health care it will cost individual more to transition.

Can someone explain to me why I get my hormones covered cause my endo says, "Hypogonadism" And not, "Gender Identity Disorder"



Cause hypogonadism was CAUSED by what they're covering... That makes no bloody sense. Hahahaah. I mean its Connecticut, so I dk about their person quirks...

But doesn't one get covered for HRT under GID usually, like you were saying how insurance already covered HRT? Then why does that jerkhead endo say a DIFFERENT condition is what I have LOL??


Its a dog eat dog world... Thank the internets for microgest and inhouse. Thats all I'm gonna say xD. Cause some people actually don't believe in progesterone... *Laughs hysterically like an evil genius*