My fellow Gatherites,
This was a letter written to me by Dr. Alice Chen, a supporter of Organizing for America, a group working to reform a shattered health care system that seems only to operate well for those who can afford it, and I am moved to pass on her message.
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Geoff --
My name is Alice Chen. I'm an OFA supporter, and a physician practicing internal medicine in Los Angeles.
I'm following the health reform debate pretty closely -- you probably are too. And as I see opponents of reform trying to water down or derail the President's plan, I know it's our urgent responsibility to speak out.
That's why millions of my fellow doctors and nurses, the American Medical Association, the American Nurses Association, and groups like the one I work with called Doctors for America are all fighting so hard for reform right now: talking to our patients, holding grassroots events -- and a few are even filming an ad with OFA.
Health professionals are doing what we can, but this is something we need to do together. Your voice, your opinion, and your story can help influence the debate at this crucial moment.
OFA has an online tool that makes it really easy. They'll provide background info on the President's plan that you can combine with your personal story about reform, and you can even submit your letter online to newspapers near you.
You don't have to be a doctor or an expert to write an effective letter -- you just have to have an opinion or a personal story to share. And these letters are short, usually just a paragraph or two, but they can have a huge impact because it shows your representatives and the media what local folks are thinking in the most public way possible.
I know that one of the most important things I can do for the health of my patients is to stand up for the reform all Americans need. That's why I and my fellow doctors are working so hard to spread the word, and that's why I'm asking you to join me by writing a letter today.
http://my.barackobama.com/write
Thank you,
Dr. Alice Chen
P.S. -- I want to share a story with you about why I'm so passionate about reform:
Two years ago, I took care of a businessman in Los Angeles. He had Crohn's disease, and his health and nutrition had been getting worse for over a year. He was seeing doctors at one of our private hospitals, but he lost his insurance, so he couldn't see his doctors anymore. Buying private insurance was impossible - no amount of money could have convinced an insurance company to cover him. He tried the county hospital ER, but the wait was 24 hours. He thought maybe he could manage.
A few months later, when he could barely walk from his bed to the door, he tried the ER again. By then, he had kwashiorkor (the kind of malnutrition that famine-stricken African children get) as a complication of his gut disorder. Every organ system was failing. I remember that even in the hospital, he tried to keep up his work via his Blackberry. We tried to help him, but he rapidly deteriorated and died just six days after admission.
I was devastated and talked to many colleagues about what I could have done differently to save my patient. He should have been living his life and being a productive member of society today, but he's dead. We could have saved him if he had been able to come for care sooner -- instead of being deterred by his lack of insurance. Ultimately, I recognize that he died because the system failed him. In our great country, that is unacceptable.
That's a big reason why I keep fighting for reform. I hope that this week, you can share your own view and your story in your letter to the editor.
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Thus, in closing, there is obviously a terrible need for Universal Health Care in this country, and it is not enough that I, as a member of our small Gatherite elite, should merely speak of it. It is not enough that I feel so intensely for it. What is absolutely necessary is that I impart my feelings, my hopes, into your hearts and minds...so you do not go away with a shrug of the shoulders, assuming that others will fight the good fight.
We are at war with a despicable class of people who dismiss us as a renewable resource, and once so dismissed...we are discarded like embarrassing garbage. The time has come to put a stop to this nonsense, and with one resounding shout it can be done.

Comments: 1
I highly recommend Andrew Weil's book, Why Our Health Matters.
The point is that disease management costs are going to continue to rise, regardless of what "reforms" are enacted, until we, as citizens, begin to actually care for our health.
My suggestion is to enact policies that promote healthy lifestyles and discourage unhealthy lifestyles. A few examples. I think there should be subsidies for organic foods and products, and health taxes on junk food, like transfats and high fructose corn syrup. I think there should be tax credits for gym memberships, and hefty taxes on tobacco products and alcohol. I think products involved in serious injury, e.g., hand guns/ammunition, should be heavily taxed. Also, I think traffic laws should be "strictly enforced" (seriously) - and that moving traffic violations should carry signficant fines.
I have posted this restatement of the problem and my suggested solution on many threads. Most agree with my understanding of the problem, but I have had alot of criticism for my proposed solution. Yet no one has offered any alternative.
Here's my contention: doing nothing is untenable. If you don't have a better suggestion to prevent the train wreck that is our current "disease management" non-system, then you have no valid criticism of my solution.