Coffee heat rising

Is This EVER Gonna Go Away?

Up since 2:00 a.m. coughing and gagging. This is bar none THE worst respiratory ailment I’ve ever had. Have lost track of how long this had been going on because I’m too sick to think, but my sense is it’s been about a month or six weeks. I’m beginning to think it’s never going to clear up.

Guess I’ll have to call the crew at the Mayo again. Ugh! How I hate having to beat my way through rank after rank of gatekeepers to get at a doctor. Apparently they’re hired to block patients from talking to doctors. Then, whenever I do manage to get an appointment, the damn clinic is an hour’s drive away through homicidal traffic.

My neighbor across the street recommended her doctor. I looked up his practice in Healthgrades and discovered one of the partners was defrocked in Connecticut for recurrent drug abuse. Oh brother. When you’ve been thrown out of practice in a civilized state, what d’you do? Come to Arizona and open a new practice!

Onward to Angie’s List. Almost all the doctors with “A” grades from a respectable number of Angie’s List participants are in east Scottsdale, not a heckuva lot closer than the Mayo. The very few within a reasonable driving distance don’t take Medicare assignment…which is one of the several reasons I spent some $8000 on health-related insurance and care in 2011. The Mayo doesn’t, either: this means a) whatever they choose to charge above and beyond what Medicare and its private henchmen imagine is “reasonable,” you pay out of pocket; and b) they will not accept electronic payment from Medicare or from Medigap insurers, so you have to collect an endless stream of little $20 and $30 checks, drag them to the credit union, deposit them, and then disburse those amounts one at a time to the doctor’s office. You really never have any idea how much you owe and how much Medicare or Medigap owes, so you have a constant tab that you can’t clear off the books.

It is, in short, a plan designed to keep you away from doctors. If going to a doctor weren’t aversive enough, this complicated pushmi-pullyu system effectively discourages you from seeking care, because you just don’t want to get mired in it. Especially when you’re feeling bad.

Tax Time y-Cumin’ In

Getting a running head start on the taxes this year, thanks to a new(ish) accountant who sees  no good excuse for dawdling. Tax time, is, after all, a-coming in, and really, except for a couple of stray K-1’s from the ex-DH’s various limited partnerships, there’s no reason not to start pulling all this stuff together.

The S-corp’s 2011 tax data, such as it is, can be said to already be pulled. The 1099s have been sent winging toward the folks who help make Funny about Money and The Copyeditor’s Desk possible, and all of the corporate transactions are duly recorded in Quicken’s online incarnation of Quickbooks.

The nice thing about the online Quickbooks is that New Wonder-Accountant can access the corporate books online from her computer, even though she uses a different platform from mine. I’m told the new Mac OS’s don’t support Intuit at all, and so the only other way to coordinate Quicken data with her would be for me to buy an inexpensive PC and load it with a browser and an expensive single program. The online version costs no more (possibly less) than it would cost to buy the program each year at Costco; it’s regularly updated; and she can access it whenever need be.

The S-corp’s 2011 fiscal year marked the beta-trial of QB online for me. I also kept the corporation’s books in an Excel spreadsheet, just in case. But no “in case” seems to have happened. The accountant has already explored the QB site and uttered no squawks of dismay, and so it looks like keeping the company’s books in the Cloud is going to work. It is possible to download the data to disk, by way of making back-ups at one’s own site, so I feel a lot more comfortable about this method than I did last January.

Matter of fact, the first of this month I set up an new online Quickbooks account for my personal bookkeeping, which should go a long way toward simplifying the tax process next year—and, I hope, keeping the costs of tax prep down.

Truly, I hate wrestling with all this stuff. Most of this afternoon was occupied with tracking down data and filling in parts of the 19-page worksheet for my personal taxes that Wonder-Accountant presented to me yesterday. Ugh.

Who knows what any of this stuff means? Though I struggle to keep the records complete, accurate, and transparent, half the time I have no idea what I’m doing and so have no way of knowing whether I’m getting it right. It’s a miserable, incomprehensible, time-consuming job, especially onerous given the inherent unfairness of our tax system.

Plus some of this stuff…well, I just don’t want to be reminded. It would be good, for example, not to have to dwell on how much the most basic healthcare is costing me: in 2011 I spent $6,028 on Medicare Part D, Medigap insurance, long-term care insurance, and dental, vision and medical care that was not covered.

D’you have any idea how much more that is than I used to pay for the same level of care while I had a salary? It’s just phenomenal! Lose your job, lose your income, and the cost of health insurance skyrockets.

That figure doesn’t even count the $111 a month (or so…I’ve lost track) Social Security withholds to cover Medicare Part B.

If I were paying now what I paid for healthcare when I had a job, I could live fairly comfortably in unemployment without having to make like an anchorite. And you know what? When I’ve been sick as a hound dog for something over a month, that is something I really would rather not contemplate.

Especially since my doctors so resent the chintzy reimbursements from Medicare that I can’t even get past their damn gatekeepers, who just brush me off when I call to tell them I’m not getting a whole lot better. Higher cost, lower quality.

Oh well. At least  we’re getting an early start on it this year. Maybe, with any luck, entering my personal data in Quickbooks will reduce the amount of work next January and cut the number of hours—and cost—of 2012 tax prep. That’s something. I guess.

How about yourself? Have you started? Have you found a system that makes your taxpaying life any easier?

 

High Noon: Concealed Weapons on the College Campus

Having been vetoed by our governor last year, our wacko legislators are trying again to make it legal for students and faculty to carry concealed weapons on college campuses.

Does anyone need any other evidence of how crazy these people are? Even after the bonkers defunct Senator Russell Pearce was yanked out of office by a recall election, they just don’t get the picture that Arizona still has some rational citizens.

Pearce promptly found new work as the state Republican party’s vice-chairman (its no. 2 position) and still maintains a Web page describing himself as Senator. Why bother to take it down, after all? He intends to run again to take the seat back.

When (not “if,” I’m afraid) they finally push this crazy legislation through, I’ll need to consider whether I really want to stay in the classroom, or if there’s some other way to make what passes for a living here.

It sounds melodramatic to say you’re not going to stand in front of a class when who knows how many students are toting pistols around. But to understand the situation, all you have to do is watch the video of Pima Community College that poor nut case Jared Loughner posted before he shot an elected representative and a bunch of innocent citizens, including a child.

Loughner is far from unique. Every college and university campus hosts a few people who are so far lost in the wilds of mental illness that they’re capable of anything. The last thing we need to do is make it OK for them to arm themselves. And between you and me, I don’t think it’s worth risking my life to earn $2,400 per 16-week class.

The idea that if everyone is armed we’re all going be safe…my god! Is it even possible to express how absurd that is?

In the first place, the fact is most people do not easily shoot another human being, all bragging to the contrary. No matter what we think we’ll do, few of us know exactly how we will react under stress. It takes training—a lot of it—to prepare a person to make a decision, under duress, to kill another person and then move to do it quickly and accurately.

And in the second place, few American citizens get that kind of training. At civilian ranges you learn to shoot at motionless targets. By and large it takes military or police training to learn to shoot a moving target accurately, and it takes a great deal of psychological preparation to shoot a moving target that happens to be a human being. How many of the 18-year-olds wandering around college campuses have that kind of training? A few returning veterans may, but that’s about it. And I can guarantee that not one in a hundred college professors have a trained shootist’s mindset.

My father was a military sharpshooter and he remained a firearms enthusiast all his life. I have one of his guns, and yes, I’d use it against an intruder, given the right circumstances. But I don’t practice often enough to delude myself that I could strike an assailant in a classroom without hitting a kid, too—or even that I could get at a pistol in time to do much if such a person burst into the room.

My own strategy for avoiding harm is simply to stay out of harm’s way. And since our legislators propose to bring a lot more harm into my workplace, I guess it’s time to consider how I might find some other workplace.

At my age, there’s not much I’ll be able to do. But I have considered that during this relatively slow semester I could get myself licensed as a Realtor. The course, I’m told, is very easy, and as an adjunct “employee” I can probably take it for free through the community college. While I’m not much of a salesperson, I certainly could work as an assistant in a real estate office. In Arizona, you need a Realtor’s license even to work as a gofer for a real estate office. Pay would be low—but what I’m earning now is lower than low. A part-time job filling out forms and answering phones would at least bring in money through the summer instead of just eight months a year.

Real estate. Maybe it’s time to take a closer look at that.

Susan G. Komen vs. Planned Parenthood

So, what do you think about the flap over the Pink Ribbon set’s slap in the face to Planned Parenthood, wherein the Susan G. Komen breast cancer charity announced it was cutting off its funding to one of the major providers of women’s healthcare because (horrors!) it provides contraceptive care and ends unwanted pregnancies.

Predictably, it sure makes me mad as a cat.

Reproductive care—including decisions about when and under what circumstances one is going to bear a child—is a central part of women’s health care. Many more of us ovulate and get pregnant than fall victim to breast cancer. An organization whose mission is to save women’s lives ought to be able to get the message that there’s more to women’s lives (and deaths) than boobs.

In the past, friends have asked me to join them in Susan G. Komen “Race for the Cure” walks. I’ve gone along with them, even though I think it’s pretty silly to imagine that walking up and down the streets is going to cure cancer. In fact, despite all the money that’s been thrown at the problem, metastatic breast cancer is not a lot less fatal today than it was twenty years ago. I will admit, I’ve found the pinkiness and the stuffed animals vaguely offensive; more vocally radical women and articulate patients who claim this sicky-sweet motif infantilizes women and turns breast cancer awareness into a merchandizing opportunity have got something there.

Vaguely offended, however, is different from effin’ outraged.

I have walked my last Susan G. CKomen mile and donated my last Susan G. Komen dollar. If I have any cash left over at the end of this month’s budget cycle, it’s going straight to Planned Parenthood.

Join me if you dare!

 

Saved from Another $250 Bill

Surprise! Something didn’t go wrong for a change!

Last month I figured I was $650 or so in the hole, but that was wrong because I’d forgotten to enter the $225 bill for the oven repair. So January actually ended about $875 in the red. {sigh}

Hoping to recover sometime before the utility bills heat up in lockstep with the weather (according to NASA, temps are supposed to go up about 2 degrees in these parts, which would give us 118- to 120-degree days this summer), I’m pinching every penny this month.

Yesterday I went to turn the heat on under a pan and…nothing. The burner would not  light. The other three burners were OK, but this one: dead.

Well, of course it’s the front right-hand burner, the one I use the most. So I figure I’m going to have to call the appliance repair guy again. That’ll be another $250, no doubt.

But since he’s such a nice appliance repair guy, I decide I’d better clean the filthy stove, which I haven’t felt well enough to do since I came down with the present epizootic two weeks ago. It’s extravagantly greasy and dirty.

So last night I put the burner grates in the dishwasher. Soaked the small parts in dish detergent and hot water. Cleaned the shiny parts with white paste for cleaning glass stovetops.

This morning I put the thing back together, admiring how shiny and beautiful it looked. Wondered if the issue was in the burner cap thingie instead of the burner itself. So switched those thingies back and forth, turned on the switch, and…voilà! On it came!

Saved!

I can’t call this a DIY repair, because I didn’t try to fix anything. Apparently whatever was the matter cleared out when I soaked the burner cap thingie and then let it air-dry.

Hallelujah!

Only 20 more days of austerity this month. If nothing else happens, the budget will recover a little. That’ll leave one more month to recover before the utility bills start to rise again. w00t!

Codeine Cough Medicine…where’s our common sense gone?

By Friday afternoon, I was so sick! And coughing so hard I couldn’t breathe. The voice was gone—for three or four days it was all I could do to whisper, not because of laryngitis (as in a cold settling into your throat) but because the unstoppable violent cough was tearing up the windpipe. I called a Safeway pharmacist and asked if he could recommend a cough medicine that would work.

“Only one cough medication will work,” said he, “and you’ll have to get a prescription: codeine. Dextromethorphan does nothing—it’s practically useless.”

Roger that, pal! “I’m kind of afraid to ask my doctor for codeine,” I said. “He’ll think I’m drug-seeking.”

“Well, you’ll have to get over that,” he said.

So I called the Mayo and repeated to the gatekeeper lady what the guy had said. When I said “…and the pharmacist said I should ask for a codeine cough medicine,” she took on a real snippy tone and said “uh-HUH!” She didn’t hang up on me but said a nurse would call back. Which of course never happened.

Gasping for air and no longer able to speak above a whisper, I finally e-mailed my son and asked him if he would ask his P.A. friend to write me a scrip for a cough med that worked. Finally, around 6 or 7 p.m., this elicited the desired pharmaceutical. My son went up to the Safeway to retrieve it, where he found that Medicare and Medigap absolutely positively will not cover it. Fortunately, it only cost $20. Wouldn’t have mattered…I’d have paid a hundred bucks for it.

And it worked, just like it worked when I was a teenaged girl and used to get these nasty coughs. And no, it did not poison me and it did not make me high. It did, however, allow me to get to sleep for a few hours.

By Saturday morning the cough was still gawdawful but at least was more or less controllable. Sunday it was still terrible, but less so: the throat started to heal up and the torso hurt less with each heave. It took a half-hour to quiet last night’s regular evening frenzy, but I slept until 4, when after a brief coughing frenzy another dose put me back to sleep. This morning the cough-fest was not so bad that I needed any medication, and by about 9 a.m., lo! it pretty much started to settle down.

Now, this very evening, I can talk! Actual words, in an actual voice! Not a single coughing frenzy all day long, and no doses of codeine since 4:00 a.m. Along about 3:00 p.m. my appetite started to come back. It even occurred to me that I wouldn’t mind a bourbon and water—haven’t even been able to look at my favorite potables for the past ten days.

Obviously, I’m holding off on the boozie-poo, just in case another frenzy strikes this evening or during the night. But if this state of affairs stays stable through tomorrow…gosh, maybe I could have a glass of wine with dinner tomorrow night!

🙂

In the course of double-checking whether it would be safe to take codeine for bronchitis, I found out why Big Brother is so anxious to keep this useful and highly effective antitussive out of our gummy little hands.

The Moron Brigade has decided that drinking cough medicine is THE way to get stoned! Sunovabiche.

Google “codeine cough medicine,” and up come all these sites where groups of morons advise each other on how to get high on the stuff. Idiots like to mix it with Sprite—the resulting tasty elixir is cutely called “purple drank.” This stuff has been popularized by moron rappers and moron athletes, making the only medication that actually works on a severe cough a very hot item on the moron market.

I found not one but two message boards where stupes were trading dosages and recipes. One of the nitwits actually posted the Rx number of her prescription on the freaking Internet!!!

Where’s yore sign, honey?

IMHO, trying to interdict this stuff, or any of the various intoxicants numbskulls and nitwits like to play with, is the wrong approach.

Instead, street drugs and prescription pharmaceuticals should be made freely available, just like alcohol and nicotine.

And, in the same moment the chains go off, legislation should be enacted to take the chains off ERs, insurance companies, Medicaid, and Medicare. To wit: if you make yourself sick or injure yourself by getting stoked up on a harmful drug, then you pay for your own medical care. If you can’t pay, hospitals will be allowed—nay, required—to turn you away. Your health insurer not only does not have to but will be legally enjoined from covering medical bills that result directly from a patient’s drug abuse. Ditto Medicaid: it will not be allowed to cover medical bills arising from drug or alcohol abuse. If you cause a car wreck and harm someone else or damage someone else’s property, your victims’ insurer will cover their bills, but by law you will be required to reimburse that insurer.

You say you’re a turnip? That’s OK. By law, your wages, your welfare payments, your alimony, your child support payments, your Social Security benefits will be garnished until such time as you cough up all the money…which probably will be for the rest of your miserable lifetime.

And if you can’t cover your own care, if you don’t have a credit card or a checking account or a friend or relative who’ll lend you tens of thousands of dollars to fork over to a hospital or the victims of your negligence, will the taxpayer take pity on you? Hell, no. If you can’t pay, you can go to meet your maker, removing one fleck of blight from the face of this planet.

Harsh?

Well, yeah.

But doesn’t it seem just the slightest bit harsh to you that normal human beings can’t get a bottle of the only cough nostrum that actually works because a few nitwits decide to spike their soft drinks with it? Doesn’t it seem just a bit harsh that all of us are underwriting the medical bills and the prison-cell rental for hare-brains who get in cars and pick up weapons while they’re spaced out on dope?

We’re too damn kind to these fools. We need to let them suffer the consequences of their behavior, and make them pay the bills for it.