Dr. Lynn Blewett

speaker
80 appearances 1 recordings 1 series first heard May 2024 last heard May 2024

Dr. Lynn Blewett’s voice in public audio — every appearance, attributed to the second.

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you really have to know a lot of information when you go into open enrollment or get help in discerning among the different plans that are, are being offered and what they offer and how they changed from last year. And yeah, it's kind of, but that's the, that's that's this element of competition, which is you have informed consumers and then you have multiple consumers.
supply and that you can make informed choices of the best you know for and again this is sort of the the ideal theory you make you know the best plan high quality plan at a reasonable cost and that's then you have to assume that consumers have all that information which i think the whole thing falls apart because exactly don't have that information or they don't need it's a little bit flawed yeah or even if they had the information they wouldn't understand it
That's a good point. Yeah, really a good personal example. Thank you.
No, it's such an important question. And, you know, if you. It's in our country, it's not a right. You know, we have 26 million people who are uninsured. And so and so and they struggle to get and people who are insured may be underinsured, which is they still they have a high deductible plan and they can't.
So and there's nowhere there's no way there's nowhere in our Constitution, in any legislation where health care is listed as a right. We have the right to. what is it right to what is health and health and wellbeing and happiness or whatever, or the right, but we don't have a technical right to healthcare. Now, president Biden often says it's a right.
But if you go, if you have a legal scholar on here, there would be, there's no right. And until that is something that everybody agrees to, or we have some kind of, you know,
amendment, which is, you know, it's very frustrating for people who work in the field because if it was a right, we'd have another lever, you know, to get, we'd get those people who are not covered into some kind of system of care.
what it is that they have a right to and you know whether it's universal coverage or whatever it is and you know there's there's a part of our country that just does not like government um public programs per se and so the role expanding the role of government even increment even just incrementally like the affordable care act did it just a tiny
you know, input into reducing the uninsured was just, you know, it's just been a huge lift and very controversial, but there's people who's like, I don't care if I'm uninsured. I don't want government public funded program. I want, you know, it's just a very, you have to remind them that their Medicare program is government.
Yeah. Things are going to happen at some point in your life.
Life does happen.
Well, if you're suffering a heart attack, You know, this is so terrible. I would, you know, have your loved one take you down to the ER. Once you're in the ER, they have to, there's a law that requires them to assess you. And if you are an emergency patient, If it's emergent, they have to treat you at the hospital. They can't transfer you or say we're not going to treat you.
So if your heart attack is imminent, get you down there. Now, I kind of stopped short of saying take an ambulance because I'm thinking the ambulance would probably charge you for that ride. So if you need an ambulance, absolutely go get it.
Or where I should go.
They have to get to an ER and then they'd assess whether it's emergent or non-emergent. And if it's not emergent, they can deny you care or send you down to HCMC, which does happen. So if it's non-emergent, you can go, if someone came to me and said, I'm having these heart issues, I'd say go to Westside Clinic or the Northside one. And that's a FQHC and get assessed by a primary care doc there.
And they can help you with a treatment plan and figure out what you need to do.
Well, and the ER does become the default for many people because it's open 24-7. It's open on the weekends. It's, you know, it's visit where you know a hospital has one.
Yeah, the foster care issue, that's very sad.
Well, I think... You know, we're kind of, I think the Affordable Care Act was probably the last federal piece of legislation that we're going to have for a long time. And so I think the next iteration or the next incremental changes, I think our healthcare system has, as I've learned over time, it's been, we make changes kind of incrementally.
And that's, we make progress, but we also complicate the system more. So we build on what exists rather than fixing the problems and then changing them. So one of the reasons everything's so complicated is because you know, we add on to what we already have, but that's just the way it is. So, you know, so we expanded Medicaid. That's part of the Affordable Care Act.
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