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View Diary: Insurance? For whom? (117 comments)

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  •  bingo... (1+ / 0-)
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    rserven

    ...in the absence of a legal and medical framework, care is a roller coaster.  There are great systems and horrible ones, and very little consistency.  

    But..."acknowledging we exist would be a good thing" sums it up perfectly.

    •  blathering... (1+ / 0-)
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      rserven

      (down here in a subthread where I suspect only you'll see it Robyn) I'd suggest that this whole issue changes dramatically when framed in terms of inadequate access to care for a class of people.  Surgery is a pretty small cost when put in that frame; indeed, in the terms of arguement, it changes presumption.  When it is in terms of "SRS" people focus on genitalia, choice, squick -- at worst -- and noble tale of obstacles and overcome -- at best.  And the issue can be seen as neither of those things, but rather one specific treatment in a group of people who have a HIV rate which rivals or surpasses Africa's.  People can still contest the cost of this or that because they're squicked -- but if the discussion starts from that, presumption lies with relatively complete treatment.

      •  Well... (1+ / 0-)
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        jessical

        ...I had hoped we'd talk about more than just surgery.  I didn't flesh that out as well in the diary, but it was getting too long as it is.

        And the truth is, I * won * that part of the battle.  Many people don't.  On the one hand, I wanted to talk about treatment in general, but on the other hand, * squick * draws a crowd...know what I'm saying?

        And it is a bigger issue.  It's an issue for all people with non-popular diseases.  Democracy is not a good doctor.

        Maybe some people with similar issues can find common cause with us.  That would be nice.

        Insurance? For whom? is open
        Teacher's Lounge Saturday, noon EDT

        by rserven on Fri Jul 13, 2007 at 01:34:28 PM PDT

        [ Parent ]

        •  eh... (1+ / 0-)
          Recommended by:
          rserven

          ...no criticism of the diary.  I was thinking about the comments, and my own reaction -- specifically how people talked about SRS right off the bat.  Not the immediately offensive stuff but the comparisons to -- let's see -- gastric bypass, erectile dyfunction, obesity, burns (my little contribution), nose jobs.  The lifeboat measuring was predictable.  What the discussion felt like, for me, was initially pretty uncomfortable.   I don't like simplified contexts, even if they work :}  I kept thinking of my NL experience.  They have this really hard headed, cost-benefit system, but they cover everything -- electrolysis or laser even, to a point.  But it's in a larger social context.  You don't leave a class of people on the street, because it's socially and ultimately monetarily expensive.  And that is an arguement I think finds common cause of it's own :}

          Anyway, back to work...

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