Tag: health care
Dog blogger and broadcaster Steve Friess says he’s not going to spend $5,000 to put his dog though chemotherapy that could extend his life a year or more — and he’s going to try not to feel bad about it.
Even when he says his final goodbye to Jack in what could be less than a month.
In late October, Friess noticed the dog he’d adopted nine years ago was getting lethargic, and that his weight had dropped from his usual 11 pounds to around eight.
A vet diagnosed that Jack had an aggressive form of lymphoma that was spreading quickly through his body.
Friess did some research, checking with friends, and vets, and friends who were vets: One of the latter urged him to “do the full chemo protocol ASAP!” It could send Jack into remission for nine months, or 12 months, or even longer.
Friess and his partner researched, debated and decided against chemotherapy — not because it would be all that rough on the dog physically (they handle it much better than we do). The main reason, he admits, is the money, which, he also admits, they just doesn’t have.
There will likely be those who second guess Freiss, or maybe try to lay a guilt trip on him: Take out a loan, hit up your friends, get a second (or third) job, launch an online fundraising campaign, let me be the first to donate.
We’ve become a nation of such overflowing compassion for dogs, with such promising new medical technologies, and such handy online fundraising tools at our beck and call, that it’s easy to lose sight that decisions about life and death — both ours and our dogs — are still our own, and that throwing in the towel, for financial reasons, or others, isn’t always a shameful choice.
We suspect Friess will receive some support for his decision, but will hear from many more questioning it. His decision to write about it, as he did in a post for Time.com, is brave, but also an open invitation to second-guessers. In any case, the decision on what’s best for Jack should be (and has been) made by the person who knows him best, and deserves to be respected
Friess, a freelance writer and co-host of The Petcast, said neither his advisers nor his vet seemed to be trying to make him feel guilty about his choice. But, as is the way with guilt trips, we often don’t need a tour guide. Feelings of shame can start as soon as we ask our vet the question Friess did:
“How much will it cost?”
For Friess, the estimate was a minimum of $5,000 — more than he and his partner had.
“(It) means we have about 30 days. The end will probably come in time for holidays … “We’ve received a lot of advice, both solicited and unwelcome, through social media. Nobody comes right out to say it, but the disappointment some express at our decision shows that they question our love for Jack. In an era when people spend big on animal clothes, artisanal foods and medical intervention, and when medical science makes it possible to spend $5,000 so Jack dies slightly later than sooner, there is pressure to go as far as we can.”
There’s one more twist. Friess and his partner are trying to adopt a human baby, and they’re working on saving the $15,000 fee for that.
“If that $5,000 could cure the cancer and restore Jack’s full life expectancy, maybe we’d do it,” he wrote. “Maybe. It certainly would be a tougher choice. But to buy a year during which we’d be waiting for his lymph nodes to resume their swell? We could endure the end stages either now or later.”
(Photo of Jack by Steve Friess)
Posted by John Woestendiek November 17th, 2014 under Muttsblog.
Tags: animals, cancer, care, chemotherapy, choices, costs, death, decisions, dog, dogs, financial, guilt, health care, jack, life, lymphoma, medical, options, ownership, pet, pets, shame, steve friess, technology, treatment, veterinary
Oftentimes, when to pursue your own dreams and interests you stop working for “THE Man” — as I did six years ago — you end up, unfortunately, without “THE Salary” and without “THE Benefits.”
That — the no more health insurance part — is why I haven’t seen a doctor in six years.
That — the no more salary part — is why, in addition to being an author, freelance writer, photographer and blogger, I recently became a bartender and, even more recently, a dog walker.
I suppose I should be thanking our President for finally being able to get myself some health insurance. He’s the one who made it possible. But Lily, sweet Lily, made it doable.
If being paid to spend time with Lily makes me a gigolo, then call me a gigolo. True, I come calling on her twice a day, three times a week. I knock on her door, give her a hug when it opens, and then wrap her coat snugly around her, making sure her fluffy white ears don’t get caught inside.
We ride the elevator down to the first floor of the assisted living center in which she and her owner live and go outside for a 20-minute stroll — during most of which she walks daintily along the top of the curb, like a tightrope walker. She fastidiously poops in the same spot each time, in the woods on a vacant lot. She stops when I stop, goes when I go, and has never once caused the slightest tug on her retractable leash.
After the walk — and I’ve never met a dog who’s easier to walk — we go back inside. Then we sit in the lounge area and snuggle for maybe five minutes. That is my favorite part and, though it may be vain of me to think so, her’s too.
My other favorite part is seeing the reaction of residents when a dog comes into the room, the smiles that instantly appear and the hands that reach out. It’s amazing the change in atmosphere one dog’s presence can produce.
I’ve often thought it would be great to run some kind of program that not only brought dogs into facilities for the elderly, but found them homes there, and provided support and help to residents who wanted dogs of their own, but had concerns about whether they could manage it.
That would be fun, and noble, and help homeless dogs, and assist in bringing immeasurable joy to people.
But it wouldn’t pay my bills — much less provide health insurance for me.
I charge Lily $6.50 for each session.
In a month, that earns me enough to pay my $137.67 monthly health insurance premium, as determined by the Affordable Health Care Act, based on my income.
That income pales in comparison to what I made as a newspaper reporter, back when I worked for THE Man. I left my last newspaper job in 2008 to write a book, but also because, amid continued shrinkage and cutbacks, it had become nearly impossible to do a story justice and give it the attention it deserved. After that my dog and I traveled the country, and I tinkered with another book, while continuing to write this blog.
We ended up in North Carolina, and last year moved to the little town of Bethania.
A few months ago I started working the bar and grill at a golf course down the street from my rented house. Not to bore you with my finances, but that two-day-a-week job, coupled with my newspaper reporter pension, makes it possible to pay my rent, bills and other debts. I wasn’t bringing in enough for health insurance, though, and — after countless hours wandering around healthcare.gov — I had pretty much decided I would continue do without, pay the penalty fee, and treat any diseases or disorders that arose with chicken soup and ibuprofen.
One afternoon, at the golf course, the aunt of another employee visited and told me about her dog-walking business — business maybe not being the right word. It’s sort of more in between a business and volunteering. She helps residents of an assisted living center with chores, ranging from shopping trips to dog walking, charging a rate that does little more than pay for her gas.
She, like me, feels strongly that dogs can improve the lives of elderly people, especially those who live alone. I told her if she was ever in a pinch, and in need of a fill-in dog walker, I’d be glad to help out.
A few weeks later she called, and I began walking Miss Lily — at first temporarily, then regularly.
The insurance plan Lily has enabled me to get is not the kind that pays for everything.
It’s more, as I understand it, the type that, after I spend $3,000 or so I don’t have on doctors, will kick in and pay 60 percent or so of my qualifying medical expenses. Even with it, one good medical crisis will probably still send me into financial ruin. But at least it’s something, and I’m abiding by the law, and it might make me more likely to visit a doctor.
And even if I don’t, I’ll still be reaping some health benefits — between all the dog cuddling, which is good for the heart, and all the dog walking, which is good for the heart.
I’m sure there will be much confusion, red tape and arguing ahead when it comes to my health insurance. There always is. And with my income being of the fluctuating variety — depending on the stories I sell, the dogs I walk, the beers I serve — I don’t understand how we will determine the premium I should pay in the future. Is it based on last year’s income? Or this year’s income, which I won’t know until the year is finished?
Just last month, two more dogs showed up at the assisted living facility. First came a Boston terrier named Punkin. I take him for three walks a day, three days a week. Then came Gretel, a miniature schnauzer who is 13, and the fastest walker of the bunch.
For the record, Republican leaders, that doesn’t sap me of any incentive. I still want to have as much money as you. I’d still like to have the kind of health insurance you have.
But at least I can take a rebellious sort of pride in the fact that I’m not working for THE Man.
No. Not me. I’m working for a kind and gentle, polite and refined, sweet and loving curbwalker. I’m working for THE Poodle.
(Story and photos by John Woestendiek)
Posted by John Woestendiek March 4th, 2014 under Muttsblog.
Tags: affordable health care, animals, assisted living, benefits, costs, dog walking, dogs, dogwalking, elderly, escort, gigolo, health, health care, insurance, lily, newspapers, north carolina, obama, obama care, pets, poodle, premiums, president, salary, the man
The pros and cons of pet health insurance were examined on NPR’s “Planet Money” yesterday.
Reporter David Kestenbaum interviewed veterinarians, insurance providers, an economist and pet owners — including one whose hedgehog, Harriet, recently needed a cancerous lump removed. Fortunately, she was covered.
“Pet health care is now crossing the same magic threshold that human health care crossed decades ago: It’s getting good, and it’s getting expensive,” Kestenbaum reported. “Veterinary bills are becoming large enough that people are starting to think it would be nice to have someone else pay for them — like an insurer.”
The business is growing rapidly, at a pace of 15 or 20 percent a year, according to the report.
“It’s an open question whether pet health care will also mimic the problems of human care, with costs that keep climbing and lots of waste. The problem with insurance, economists say, is that it separates people from the money they’re spending. Why not get that extra medical test, if it’s covered by insurance?”
You can read or listen to the report here.
Posted by John Woestendiek October 22nd, 2009 under Muttsblog.
Tags: animals, cats, coverage, dogs, health, health care, health insurance, insurance, medical, npr, pet, pets, planet money, veterinary
A British physician, writing in the Wall Street Journal, says, all in all, dogs may be privy to a better health care system than humans — at least in his part of the world.
“In the last few years, I have had the opportunity to compare the human and veterinary health services of Great Britain, and on the whole it is better to be a dog,” Theodore Dalrymple, a pen name for British physician Anthony Daniels.
“As a British dog, you get to choose (through an intermediary, I admit) your veterinarian. If you don’t like him, you can pick up your leash and go elsewhere, that very day if necessary. Any vet will see you straight away, there is no delay in such investigations as you may need, and treatment is immediate. There are no waiting lists for dogs, no operations postponed because something more important has come up, no appalling stories of dogs being made to wait for years because other dogs — or hamsters — come first.
“The conditions in which you receive your treatment are much more pleasant than British humans have to endure. For one thing, there is no bureaucracy to be negotiated with the skill of a white-water canoeist; above all, the atmosphere is different … In the waiting rooms, a perfect calm reigns; the patients’ relatives are not on the verge of hysteria, and do not suspect that the system is cheating their loved one, for economic reasons, of the treatment which he needs. The relatives are united by their concern for the welfare of each other’s loved one. They are not terrified that someone is getting more out of the system than they.”
The only drawback to the superior care British dogs receive is they, or their owners, generally have to pay for it.
Still, even for those dogs, and owners, without means, there is the People’s Dispensary for Sick Animals, or PDSA, which serves as a safety net, providing free veterinary services for the poor.
The PDSA, he says, more closely resembles the National Health Service for British humans. “There is no denying that the PDSA is not as pleasant as private veterinary services; but even the most ferocious opponents of the National Health Service have not alleged that it fails to be better than nothing.”
The rest of other comparisons and conclusions can be found here.
Posted by John Woestendiek August 10th, 2009 under Muttsblog.
Tags: britain, british, care, debate, dogs, health, health care, humans, insurance, medical, medicine, national health service, pdsa, people's dispensary for sick animals, physician, services, socialized, systems, theodore dalrymple, treatment, veterinarians, veterinary
If you are among those wondering about the news media’s preoccupation with the Obama’s dog choice — amid all the other serious problems our country is facing — join the club.
Also count among its members one Julianne Hancock, a member of the Utah Air National Guard who has served a tour of duty in Iraq. When she got back, she got a dog from a shelter, a mutt named Izzy.
A steady job, though, was not so easy to find. After losing her civilian job in the commercial lending industry earlier this year, she was having trouble finding new work. She couldn’t afford healthcare. With few other options, she signed up for another tour of duty. She leaves in January.
“I heard Mr. Obama tell Malia and Sasha that they earned their puppy on election night,” Hancock wrote in an open letter to Obama posted on The Daily Kos. “Izzy will be looking for a family. Any interest?”
Posted by John Woestendiek November 13th, 2008 under Muttsblog.
Tags: adopt, barack obama, daily kos, dogs, economy, health care, health insurance, iraq, izzy, joblessness, jobs, julianne hancock, mutt, national guard, obama, open letter, president, rescue, tour of duty, war