Patients without insurance who self prescribe from livestock supply catalogues

Nurses General Nursing

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My patient went home the other day who had pulmonary fibrosis secondary to having raised pigeons and other farm related exposures. They are ranchers and very independant people without insurance. She told me how she did apply for government medical aid at one time. She said the place was filled with people who don't speak English, but she was denied help. No wonder people resent immigrants!

What she has been doing for years, she told me, was order animal supply antibiotics to treat her infections and illnesses. They are ranchers and raise cattle, horses, sheep so they have access to these things through their animal supply catalogues. They barely scrape by and obviously can't afford insurance. I heard from the doctor that they lost it at some point. Obviously, a lung transplant candidate isn't going to be viewed favorably by insurance companies.

I really loved this family. They were very appreciative and modest people, soft spoken and hard working gritty types. Yes, they own 100+ acres which has been in their family for more than one generation. The adult children follow the rodeos for a living. Should people like this be denied healthcare because they make their living from the land? Should they be forced to sell their land? Meanwhile, people who come into the country illegally get free medical care?

There's something wrong with our healthcare system where hardworking Americans are forced by financial neccessity to obtain antibiotics from livestock supply catalogues!!!:angryfire

Specializes in Home Health, Case Management, OR.

I have family that farms for a living, and they work their tails off! That is sad that someone so hardworking is denied assistance while people in their early 20's, perfectly healthy are handed assistance with a smile. Take this story for example: Girl goes to school to obtain diploma in a field that pays better than where she is now, she is trying to better herself for her child. Upon graduation, when asked why said girl is not out applying for those better paying jobs she states that she wants to keep making diddly squat so she can get housing assistance, food stamps, WIC, and MA. :madface: Our government seriously needs to look at each personal case, not just say oh well you dont fit this and this qualification so your out. People are just using the system to be lazy while those that really deserve it suffer. Makes me so mad!!

It is too bad states cannot set up something for people like farmers to buy and pay (a reasonable price) for health benefits, like the HMO/PPO's we have for MA patients. For some people paying $100.00/month for example or $50.00 is feasible, while private insurance-often 1,000/month is not. I assume these folks pay taxes. They are making an honest, worthwhile living. I think we should have universal care. If we don't do it through the tax system completely, we should require people to take advantage of a subsidized care system. If you can afford $100/month for healthcare, you shouldn't be able to refuse it and take your chances. Lots of totally non-productive people get free care and free services. America should help its' working people w/ some sort of subsidized system. We make it so that people must get auto insurance if they want to drive, why not have some sort of health insurance mandate w/ support? I think Mass. does this. My husband pays $500/month for our insurance from the U.S. govt. job he has. Even though we can afford it, it is a huge payment, but we just have to do it.

Personally, I think for anyone that has worked a good majority of their life, paid taxes and when they fall on hard times (i.e. job layoff, injury, etc..). There should be a type of fund set up for the working class who all of a sudden find theirselves without health insurance. Not poor enough to qualify for Medicaid, which I feel...is not fair. Some people ride the gravy train way too long and there is nothing for the working class.

Specializes in LTC,Hospice/palliative care,acute care.
Should people like this be denied healthcare because they make their living from the land? Should they be forced to sell their land? Meanwhile, people who come into the country illegally get free medical care?

There's something wrong with our healthcare system where hardworking Americans are forced by financial neccessity to obtain antibiotics from livestock supply catalogues!!!:angryfire

They did make a choice years ago NOT to invest in health insurance...I think the government should make group health insurance more accessible for small business owners-aren't there co-ops or something for people like them? Several of my husbands bro's and his younger sis are self employed and all have insurance.They pay for it off the top every month.I agree that the system needs alot of help but no one deserves something for nothing,IMHO...
Specializes in LTC, Med/Surg, Peds, ICU, Tele.
They did make a choice years ago NOT to invest in health insurance...I think the government should make group health insurance more accessible for small business owners-aren't there co-ops or something for people like them? Several of my husbands bro's and his younger sis are self employed and all have insurance.They pay for it off the top every month.I agree that the system needs alot of help but no one deserves something for nothing,IMHO...

I don't know what caused them to make this or that choice or why they lost their insurance, or any other detail of their lives. I know that all insurance companies totally pulled out of this state for individual policies a few years back when the state required only a 3 month pre-existing conditions clause for the companies. Individuals could NOT get insurance for a couple of years here until the legislature changed the law. A person could only get insurance through their place of employment during that time.

Our system is disorganized and is seriously unfair, and a disgrace to this great nation.

I have family that farms for a living, and they work their tails off! That is sad that someone so hardworking is denied assistance while people in their early 20's, perfectly healthy are handed assistance with a smile. Take this story for example: Girl goes to school to obtain diploma in a field that pays better than where she is now, she is trying to better herself for her child. Upon graduation, when asked why said girl is not out applying for those better paying jobs she states that she wants to keep making diddly squat so she can get housing assistance, food stamps, WIC, and MA. :madface: Our government seriously needs to look at each personal case, not just say oh well you dont fit this and this qualification so your out. People are just using the system to be lazy while those that really deserve it suffer. Makes me so mad!!

Vista - I've seen this happen too, and it's SO wrong. The gal I'm thinking of went to school 'free' because she was a single mother - yet she isn't working because she doesn't want to give up her 'benefits' that the rest of us pay for.

If the 'system' doesn't see anything wrong with that scenario, they've got their heads buried in deep sand.:angryfire

Specializes in LTC, Med/Surg, Peds, ICU, Tele.
Vista - I've seen this happen too, and it's SO wrong. The gal I'm thinking of went to school 'free' because she was a single mother - yet she isn't working because she doesn't want to give up her 'benefits' that the rest of us pay for.

If the 'system' doesn't see anything wrong with that scenario, they've got their heads buried in deep sand.:angryfire

Our welfare system is seriously flawed and perpetuates dependance and abuse of the system.

Specializes in Family Nurse Practitioner.
There is virtually no money to be made in farming today. You spend more in equipment and maintenance of a farm than you will earn.

This is exactly my point. It is sad, disgraceful and an embarrassing statment about our country but it is a fact of life and it did not happen over night.

I don't recall seeing the age of the pt that the OP referred to, but let's just guess, for the sake of round numbers, that they are 60. Do you know of any profession anywhere, that is looking to hire a 60 year old inexperienced person with impaired health, and give them benefits? As the daughter and granddaughter of citrus growers, I am telling you right now, that isn't going to happen. They sell the property, spend the proceeds to acquire housing and pay off current medical bills, and what do they live off of for the the future? Food Stamps? Medicaid? How do they pay property taxes on the new dwelling? Or do they just throw it all to the wind, own nothing, and pay rent? These people have worked extremly hard all of their lives, having been very self-reliant. Their pride would likely not allow them to stoop to that. What an indignity to expect people who have never asked for anything to settle for less, OR NOTHING, than illegal immigrants in this country!

In my area farm land is worth quite a bit. I understand that it is a heartbreaking decision but the two families that I know who finally did make the decision to sell made enough for two generations to live out their lives comfortably. Fortunately they also had the insight to send their children to college so the could pursue a sustainable career.

Specializes in Spinal Cord injuries, Emergency+EMS.

I'm curious tho, with the heat on for 'Universal Health Care', how do people think it's going to be PAID for? Yes, many people will get it for little to nothing - but in the end, SOMEONE has to pay for this huge, expensive program, and it will be the Taxpayers who get socked for it, as usual.

Us taxpayers are already 'socked' for healthcare for others and 'socked' again for insurance IF they can afford it , leaving the gap of peopel who pay tax but earn too much for govt assitance , yet can't afford insurance...

the US has a system which is set up to bill for every piece of gauze or gauze, roll of tape and steret used ... a huge cost in time and effort accounting for this also for generating and chasing billing

all this expenditure disappears with 'socialised healthcare' , ususally replaced with the provider billing the purchaser a fixed price for the procedure(s) and a fixed price for inpatient stays - NHS payment by results simplifies this further into bands of procedures ... (especially forthe ED . no dignostics/ simple diagnostic/ multiple or complex diagnostics and outcomes discharged/ admitted to acute bed / admitted to criticalcare bed

And I feel that ultimately, it won't be that good of a program. I haven't seen a governmental initiated program yet that wasn't without major problems and abuse.

the simpler the sytem the easier to avoid abuse ...

I have actually treated myself with meds I bought from an online veterinary meds site.

The med was made by the same company, and had the same active ingredient and strength as the mega- expensive human version.

It worked well, and my outcome was good.

Specializes in Family Nurse Practitioner.
I have actually treated myself with meds I bought from an online veterinary meds site.

The med was made by the same company, and had the same active ingredient and strength as the mega- expensive human version.

It worked well, and my outcome was good.

and about 95% of the ones I give my dogs and cats are human medications that I get from Walmart's Pharmacy. I only wish I could get them added to my prescription plan. :)

Universal Health Care would SUCK. Don't do it.

Good Lord get hold of yourselves, do you really want the government in charge of EVERYONES health care? I sure don't.

You guys do realize that even under a crappy universal health care system or whatever you want to call it, illegal immigrants and people who abuse the ER's will still be around.

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