Why are people so thin skinned
Why do people live in glass houses?
Why do people attack others with their own insecurities?
Why is no defense often the strongest position?
 

Gutter Poetry and Bill Clinton Harsh Chaffing Sounds

 

I had a lot of time to think about the country’s pain and the bill clinton trauma.

I saw a Gray Davis campain comercial this week.
It made me spit my food on the floor.
Grey Davis said, "help me reign in the HMO’s."
What is really important in this world?
Why are health maintenance organizations margins growing so rapidly?
Why are they denying so much in the form of services and benefits?

Why are they trying to squeeze the rehab intermediaries
so they cannot provide the services?
Why do administrators salaries
and corporate salaries continue to rise?
Why are rehabilitation professionals salaries
Is there no longer a shortage of rehabilitation professionals? Are the number of rehabilitation jobs
suddenly dropping like a bomb?
Is this really, the case.

Why do HMO’s have the power to play god and
deny medical services and rehabilitation services?
Why do HMO’s deny coverage and
benefits that are reasonable and beneficial
and at the same time maintain a gag order
on the professionals who are providing the services?
How can they get away with this?

When will the american public subscribe to a
grass roots effort and demand reasonable and prudent
services be supplied by the HMO’s.
Why do people have to have bed sores from
laying in bed who would other wise be active and
of modified independence function.
Why do people have to have joint contractures,
muscle atrophy, and loss of function because HMO’s
Will not pay for rehabilitation services?
Why do people have to lose the ability to walk,
fall and break hips,
fall and break arms,
and then be denied
services by the HMO’s?

How can they demand medical professionals to
maintain a gag order on the subject when
discussing issues and options with patients?
What is wrong with this picture?
Why is the money being paid
and not being used
to provide the reasonable and prudent services?

Why are people with neurological events,
strokes, gunshot wounds to the head,
post-seizures, post craniotomies,
who previously were allowed reasonable, prudent,
and highly beneficial rehabilitation services
no longer allowed to receive the services?
Why are people falling and severely injuring themselves
and then not allowed to receive the rehabilitation services to prevent further falls and further injuries?
Why are people falling and breaking their hips
and then being denied higly beneficial rehabilitation services to allow the person to resume their prior level of function?

Why are we going backwords with all of the new knowledge
about the effectiveness, efficacy, and benefits of proper
physical rehabilition and activity?
What is really important here?
Is it a quality of life issue for the aging population?
Is it a dollar issue for the HMO’s?
What is wrong with this system?
What is wrong with this picture?
How bad does it have to get?

Do people have to lay in their own urine for days
and weeks on end and get open sores
as a result of the moisture from the urine?
Do people have to be tied down in subhuman conditions
in order to save the HMO some money?
Do people have to be restrained in chairs 24 hours a day
Do people have to sleep in 4 point restraints,
thrash around in bed,
to the point of bleeding extremities
We treat our criminals better than this?
We treat animals more humanely than this?
We do not treat the sick and injured
because the HMO’s are trying to save a buck?
I cannot help but be passionate about this issue.
I am alive today because of a teaching fund
provided by the university of california davis
which totaled more than a quarter million dollars
and involved 6 major surgeries?
I am severely dysfigured in the face and jaw.,
my speech is severely dysarthric,
I am alive.
In my 12 years as a physical therapist
the changes I have seen in the last year and one half
are enough to make me sick.
Something has to change.
The doctors have taken their hit to the pocketbook.
The physical therapist and other rehabilitation professionals have taken their hit to the pocket book.
The nursing homes have been squeezed.
The corporations have restructured?
There is no fat left to squeeze.
The only thing further to squeeze is by
denying more and more services by the HMO’s.
If it was any other industry,
if it was any less powerful lobbying group.
I believe that fraud would be screamed from the highest mountain.
Abandonment would be screamed from the highest mountain.
It is simply not right.
It is subhuman.
It is not right to administer care in the health profession
based on a reviewer’s position and lack of education.
It is just not right.
It is a travesty.
It is destroying moral.
It is destroying the rehab teams , the guts and fiber of
some of the most horrific situations short of acute medicine in vietnam. It is a fraud.
I do not want to aid and abet the fraud.
The american public must demand that things change.
It is not about reigning in the HMO’s.
the HMO’s are already so powerful they have
absolutely no checks and balances on their behavior
when it comes to certain reasonable services.
How inhumane does the system have to be before the HMO’s
will agree to part with, but a little of their money?
In my opinion, it has progressed beyond an issue of money.
It is an issue of what is important,
and are we human?