This will all be happening in Rhode Island very soon as well.
I see the headlines — how Romney is supposedly gaining in the polls, and I want to tell people to watch this video and listen to the voice of your President, and understand that he is the only one who will keep us on a course that will sustain what we have left of the middle class.
I have mixed feelings about Whole Foods. A co-founder and former CEO, John Mackey, put corporate weight behind opposition to health care reform and unions. On the other hand, there are worse places to work, and they do what they do very well. And my schedule strands me in a wireless desert in Cranston with Whole Foods the nearest oasis.
So I’m hunched at a table eating out of a biodegradable box when I realize I’m being cruised by a guy in an electric wheelchair. Our heads are at about the same level. He’s younger than me, well dressed, his speech is slurred and his eyes a little unfocused.
“Can I ask you something?” he says.
I really want to concentrate on my food, but okay.
He goes into a rambling joke about the president, and the vice president, that I figure out is intended to be a shot at Barack Obama’s right to hold the office.
Some people might have been impressed with the man’s condition, which I guess is MS. But I’m a nurse. So I cut the guy zero slack.
“I find that offensive,” I told him.
“Well, he wants to raise our taxes and give away all our money,” he said.
I looked him right in the eye and told him I knew that the only way he could get through the day is with the help of a lot of good people. He conceded that was true. “Don’t they deserve a living wage?” I asked.
He asked how much they should get. “What’s fair,” I said. He nodded, as if he was seeing the faces of the home health aides who must be a part of his daily life.
“I know how hard you have to work to get through the day,” I said.
“Me, and my wife,” he said.
He took it all in good humor, he was smiling as he left.
There’s a good expression for the human condition –‘temporarily abled’. I don’t know what misfortune robbed that man of his power, maybe some immune system misfire, or car accident. I do know that it could just as easily be me. We don’t know what the next moment might bring.
We can recognize our interdependence, and build a safety net that anyone of us might need some day. Or we can blame the poor and cry about taxes and pretend that the home health aid lacks ‘individual responsibility’ when her labor is so poorly paid that she has to use food stamps to feed her family.
A level playing field doesn’t just happen, anymore than a baseball field maintains itself. Building on solid ground, taxing fairly and investing in education, infrastructure, health care and other aspects of the public good is the American way. If we settle for a gated community as our model, subversion will come in through the servant’s entrance. No one gets through life without the help of other people.
In case you wonder what Obamacare will look like in some states, here is an example of a state, Mississippi, that is already saying “Whoa, horsie!” when it comes to implementation.
I wonder about the implementation here in Rhode Island and whether we will be able to extend health care coverage to all, given our sagging economy. As I said in an earlier post, I see health care as a potential economic driver, and I hope Rhode Island will find ways to make this happen.
As a health care practitioner, I am particularly interested in changes specific to children and families. For more on how the law specifically impacts children and families, the Children’s Mental Health Network has a page that gives a helpful breakdown of all the changes.
[Ninjanurse butts in to Kiersten's post]
Lt. Governor Elizabeth Roberts sent an email with this–
Rhode Island has been implementing the federal health reform law for over two years, beginning with Lt. Governor Roberts’ early efforts in 2010 to ensure Rhode Island had a clear path ahead toward achieving universal coverage for Rhode Islanders. With the Supreme Court’s ruling, that path has been cleared for the state to move forward in partnership with the federal government and continue to benefit from its support and funding.
The Supreme Court decision means up to 120,000 uninsured Rhode Islanders will be able to enroll in healthcare coverage starting October 1, 2013 and will have access to the coverage by January 1, 2014. Rhode Island families and small businesses soon will have an online marketplace known as the RI Health Benefits Exchange where they can easily buy and compare health insurance options. Some residents will even qualify for free or low-cost insurance depending on their income. Rhode Islanders will begin to hear more about this marketplace in the coming months.
These are not empty words, but a work in progress. As much as I wish we could speed it up, I know that good people are working overtime to meet these goals.
One of those good people is a Republican, Christine Ferguson, who has been appointed by Governor Chafee as head of the new Rhode Island health insurance exchange. Ms. Ferguson has a long resume of health management experience in Rhode Island and Massachusetts and is a passionate and effective advocate for people in need of access to basic healthcare. We’re lucky to have her on our team at this point in time.
Short interview with Sen. Whitehouse in which he extolls the virtues of Netroots Nation, appreciates the value of the Occupy Movement, and talks about his efforts to keep funding for wellness and health. He also talks about his phone conversation with President Obama following the Buffet Rule vote in the Senate, and how the fight is not over to change our tax policies to support the middle class.