By Danielle Alexander
AMSA On Call blog, Dec. 7, 2011
I met a patient last week who stopped taking her antidepressant medications because she had been denied long-term health insurance and thought it would improve her chances of eligibility. Unfortunately this obviously wasnât in the best interest of her health.
I had another patient who presented to the emergency department with metastatic lung cancer. He had not been to the doctor in over 30 years because he couldnât afford it. If he had sought treatment earlier he may have been cured.
Everywhere I look private health insurance companies are making our patients sicker.
I was proud to be at in Lafayette Park in Albany, N.Y., last Sunday for the Health Professional Students Day of Action for the 99%. We carried a banner that said âHealth Professional Students Occupy for Health Justice and Single Payer.â
I support the occupy movement because I feel that powerful and profiting insurance companies get in the way of my practice of medicine. Treatment should be the same high quality for everyone; instead, we have to consider what someone can afford.
It too often becomes treatment for the âhavesâ and neglect for the âhave nots.â But the thing is, these days you may not know which group you fall into. Insurance plans are so spotty, with major gaps in coverage, that you donât even realize it until you need medical attention, and you find your plan does not cover it.
I see it every day in the clinic â treatment is designed around what the insurance will pay (or not) instead of what is best for the patient first and foremost. Itâs no fault of the medical team; we want to give the patients the best care, but the insurance industry has our hands tied.
Todayâs future doctors realize that health care is more than physical health, social determinants of health are equally as important. The schools our kids attend, the neighborhoods we grow up in, the cleanliness of the environment, joblessness, and poverty all deeply impact our health.
A classmate said today, âThere is so much inequity and injustice, it cuts into everything, including caring for patients. If you really want to care for patients youâve got to care about everything, not just their liver.â
I asked some of the other attendees why they support the Occupy movement. âHealth care is a fundamental human right and by increasing access to health care we can reduce some of the inequality,â said one medical student. Another classmate agreed: âWeâre here for health care because you canât do anything if youâre not healthy.â Yet another: âAs a future physician, itâs disconcerting that patients canât get into my exam room, and I want to change that.â
Even early in their medical careers, these students see that there are major problems with the health of our nation.
As I talked with my classmates, I found that we were all there for slightly different reasons. âI feel like too much of our countryâs infrastructure has been diverted away from the important stuff like health and well-being,â said another student. His peer believes âthe system is broken and change needs to start somewhere.â
The United States is the only industrialized country that does not provide health care to all its citizens regardless of employment status or economic class. Our profit-driven health care industry raises costs and inequality.
But our political system has been corrupted by corporate money and power, and the 1% have rejected evidence-based health policy that save lives and money, namely expanded and improved Medicare for all. We support Occupy Wall Street because economic and social inequality makes our patients sick.
Danielle Alexander is a medical student in Albany, N.Y.