Tag: Medicare

Twosda’s Wandering Thoughts

I’m in shock.

I tell my wife, “I’m wearing over eight hundred dollars worth of clothes.”

She looks me over. “Gold-plated underwear?”

“That wouldn’t be comfortable nor practical.” I reconsider the gold-plated undies for a few more seconds. “How would that work?”

“Why are your clothes so pricy?”

“My socks,” I admit.

I’m wearing my compression stockings, as the medical ‘they’ likes to label them. I received a statement about them last night. Review, sign, return. Custom made in Germany to help me cope with lymphedema, the statement reveals that each stocking costs $366.

I explain this to my wife. “Good thing that they’re paid for by Medicare and Tricare for Life. I would have never bought these on my own.”

“No. You’re not comfortable with a pair of shoes that costs over a hundred dollars,” my wife says.

This is true. Fashion doesn’t interest me. I like to be practical. Today’s shoes cost me about sixty. They’re several years old. My jeans are a pre-COVID purchase. Forty dollars. My shirt was bought at an outlet store for $25, I think, over ten years ago. My Columbia fleece is even older. I think I bought it for $40 on sale. Other than the stockings, my undies are the newest things on my person.

Four more stockings are on the way. $366 each. I think about getting a safe to keep them safe.

I begin typing on my computer. Goldplate underwear for men is available at Kohl’s, a search result says. I click on the link. It comes up with gold-plated stainless-steel chains.

Just as well. I don’t think I’m up for gold-plated underwear.

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Saturda’s Wandering Political Thoughts

I caught up on reading several posts by Heather Cox Richardson that I’d missed. I appreciate the historic angle she brings to news about Truskzilla’s destruction of the United States. Reading her, I belatedly realized, gosh, I’ve been normalizing Trump and his supporters.

I thought they cared about the United States and its founding principles. Wrong.

Or that the history and heritage of this nation matters. Nope.

That they worry about the Federal deficit and trade imbalances and the stock market. No way.

That usual barometers such as court rulings, disastrous economic results, or opinion polls would have an impact. No fucking way.

That the usual things like how history will judge them matters. It doesn’t; they believe, winners write history. We’ll be the winners. We will write the history.

I did understand that they didn’t care about democracy or voter rights. I did understand that they’re racist, sexist, misogynists, and reactionary. But that was mostly to unite people and put them in office. They needed racist, sexist, reactionary misogynists as their voting base to get them in through the front door.

Those are all normal terms about the normal course of events. Using them in terms of what Trump and the Trusk Regime is doing is normalizing them.

They are not normal. Nor can what they’re doing be called normal.

The Trusk Regime is interested solely in being in power. This is a coup. They’re interested in remaking the United States as an imperial power under a dictatorship. They suggest to each other, why build that mighty military if you’re not going to use it?

Like many dictatorships, the Trusk Regime and GOTP will put up window dressing as a democracy and a republic. But they are setting up the nation to be a military force. Cutting away the things we depend upon as a society — a working and reliable Federal government, healthcare, a safe and healthy environment, Social Security, Medicare, Medicaid, to point out some — destabilizes us. Growing unemployment increases people’s desperation. Rising prices limits their options and undermines food and shelter security. Sending children back to work breaks family. Ripping apart the education system reduces the nation’s collective intelligence, and with it, its will. All of these actions, taken in blitzkrieg fashion, demoralizes a growing number of people and spreads an increasing sense of helplessness.

That makes the people ripe for propaganda.

With the economy in shambles, other nations can and will be blamed for the growing poverty and starvation. Trade wars and political differences will be magnified and amplified. Trump, a prolific liar, has perfected the arts of projecting, deflecting, and blaming. That’s why he’s been boosted into position as the head of this monster.

They have X to help spread their misinformation. AI bots. Facebook. Threads. A weakening, capitulating media, itself owned by corporations and oligarchs, has already begun joining the effort.

A frustrated, starving population provides ample troops. And just as we saw with the Cheney/Dubya Iraq and Afghanistan wars, marketing can sell false causes. Helpless people hungry for someone to blame other than themselves will be served other nations as targets.

The clock is ticking. And the war drums have already begun beating.

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Sunda’s Wandering Political Thoughts

Mellow and quiet are the best descriptions for Ashlandia today. Turning attention to politics for a bit, I found a few sites with ideas that merit being shared with others.

Lithub presents, What Is Donald Trump Doing? Three Theories for the Madness.

  • Theory 1: Trump is a Russian Asset. This theory isn’t new, but let’s be real: If someone had laid out Trump’s actions over the past several years and presented them without names attached, the conclusion that he’s working to advance Russian interests wouldn’t sound like a wild conspiracy.
  • Theory 2: Trump is Trying to Foment Global Chaos. For a man who ran a campaign on the promise of putting “America First,” Trump sure seems intent on making the world and America a far more unstable place.
  • Theory 3: He’s Just Worse at Presidenting Than Last Time. As shocking as this might sound, it’s possible that Trump’s presidential skillset second term is shaping up to be even less stellar than his first.

‘Less stellar’ made me chuckle. I think the author, Aron Solomon, is being generous.

Over on The Democracy Labs, they’ve provided us with a very useful map. The Trusk Regime is wielding DOGE to curtail leases on thousands of government buildings. This can well mean that people will need to go further and wait longer to reach the Federal office which can assist them. You know, places such as the VA office, FEMA, Social Security, IRS, Medicare, Medicaid, NOAA…

Driving longer distances isn’t good for people or the environment: it came mean longer trips in motor vehicles. If you’re in a gas or diesel powered vehicle, you’ll spew more emissions into the air. And you’ll pay for more vehicle fuel. If you’re worried about inflation, buying more gass can translate into more demand and higher prices.

Driving further and waiting longer will also mean that if you’re a person being paid by the hour or working the gig enonomy, it may well cost you more in your wages. Then there’s the age and handicap issue: traveling longer distance and waiting longer can often be emotionally wearing and physically tiring.

This essentially demonstrates how little the Trusk Regime cares about people.

What this map does is show us what’s being closed where, and importantly, what member of Congress to contact about it. You know what to do with your phones and keyboards, right? That’s right: raise your voice.

Finally, Jill Dennison shares a story of the sublime. Don’t Say That Word!!! covers the growing list that the Trusk Regime forbids to be used in official documents.

What follows is a list of words that are either forbidden or ‘discouraged’ in federal government communications, both formal and informal, under the current regime.  Take a look for yourself … even words like ‘women’, ‘racism’, and ‘pollution‘ are taboo!  And of course ‘Gulf of Mexico’ cannot ever be used in federal communications!  An article in the New York Times provides more information, but do take a glance through this list … it will raise your hackles!  

And that’s always something that I need: something else that the Trusk Regime is doing that raises my hackles.

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Sunda’s Wandering Political Thoughts

This is about me. As my posts often are.

I’ve been undergoing treatment for lymphedema. It’s been going well. As part of that process, after the swelling in my lower legs, ankles, and feet were reduced, tailored-made compression socks to help me maintain my lymph fluid flow were ordered. Because the left side was ordered first, it was received first. I’ve been wearing it, and I’ve been happy with it.

My right side has taken longer. Part of that is because I was recovering from surgery on that side for a ruptured tendon. The surgery area ballooned up and fought against going down. Hence the therapy prescried for me to deal with the lymphedemia.

The right side has responded to it all and is much better after a month of special bandages, strict dieting, and a bevy of special exercises. The surgery is healed. I’m awaiting my special compression sock for it. It was supposed to arrived last week. We thought it’d be here by last Friday at the latest. It still hasn’t arrived.

It occured to me last night that my sock might be trapped somwhere as part of the Great Undoing. See, Medicare A&B cover me, backed up by the insurance from my twenty-year military career, Tricare For Life (TFL). But the socks ordered by my therapist through my hospital go through Medicare and paid for by Medicare and TFL. That’s done through an organization in Portland, Oregon, which outsources the sock production from a Germany company. The German company ships it directly to moi.

It leaves me in limbo at this point. I wonder, why hasn’t the second sock arrived yet?

Has it been affected by the Great Undoing and the PINO Trusk cuts, chaos, freezes, and tariffs?

Is it just standard logistical issues caused by weather and life?

Was or is it just a bureaucratic snafu?

Time will reveal all in the long run. In the meantime, like many Americans, I’m trapped in a loop of ‘wait and see’.

It’s a frustrating place to be.

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Coffee Powr

I’m a retired military veteran and over sixty-five years old. That combo means my health insurance is through a hybrid product that requires me to sign up for Medicare A & B when I turned 65. Mediacare provides primary coverage to me and my wife; TriCare for Life (TFL, officially known on the web as TriCare4Life) gives us secondary coverage. It’s not a bad deal. It isn’t free; my wife and I both pay for Part B.

What made my coffee taste more bitter than usual was a bill from my provider received this month. They said I owed them over a hundred dollars for lab work and that TFL hadn’t paid anything. Egged on by my other, that sent me into a tizzy of indignation. A website I found said, yep, TFL doesn’t pay for preventive lab work. This made no friggin’ sense and only urged me to greater outrage.

I logged into the various systems this week to find answers. Not finding satisfaction there, I was forced to *gag* call them and speak to people. I have nothing against people or talking but I dislike phones and bureaucracies. Girding myself with a mug of stout dark goodness, I called T4L. After providing evidence of who I am and waiting a few minutes, I was connected to Derek.

I explained it all to him and proved who I am to him. Derek began ferreting through the systems for more about my grievance. I logged into my provider portal and dug out more details. Shame on me, but only then did I realize that this bill was for services from May of 2022. That just seemed wild that I’m dealing with that over eighteen months later.

Derek looked into it and discovered that T4L didn’t pay it because Asante, who did the work, didn’t send an EOB for the Medicare part that was paid. “Have more coffee and call the provider,” Derek advised.

Thanking him for his assistance and wishing him a good day and Merry New Year, I did so. After providing evidence about who I am and a short wait, Karen heard my tale. “Interesting,” she said. “We show that T4L denied the claim.”

What?

She went on to tell me it’d been rejected three times and that’s why they were now billing me. “Let me contact the insurance section and confirm they sent the needed EOB,” she went on. “I’m going to email them now.” She typed away while I listened to keyboard clickety-clack. “There,” she said. “Now we’ll see what happens. Your bill is due next week but ignore that. If you get another bill or notice asking for payment, give us a call to check on the status, okay?”

Sure. I thanked Karen, wished her good day and Happy New Year, hung up and wrote up my notes. Now I wait, but I feel optimistic about the outcome. The whole thing only took one hour.

I couldn’t have done it without coffee, though.

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The Cycles of Mail

The cycles of life came in the mail. Credit card invitations when he was young. Cable and Internet deals in his middle age. House and window cleaning services as he aged, followed by landscaping and financial planning, then house-painting and payday loans.

As he reached his mid-fifties, AARP became friendly, as did companies like Prudential, offering planning assistance, worrying if he was saving enough for retirement. Cruise and vacation suggestions came every week. Everyone became concerned about his estate and his will. Hearing-aid flyers were frequently received. Then came funeral and cremation services, with coupons and discounts!

Reaching his mid-sixties brought flyers and letters for Medicare plans. Of course, every two years through it all were pieces from politicians, PACs, and political parties asking for a little money, pleading their cases, railing against one another, and demanding change.

Coming with weekly persistence regardless of the year or his age were advertisements from his local stores, catering to the holidays and time of year.

Fondly he remembered his past mail as he perused the latest offering from an assisted living residence and dropped it into the recycling bin, letting his imagination run wild about what his future mail would bring.

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Where’s The Year Gone?

A fellow blogger and I have wondered, where’s the year gone? I know, that’s not an unusual question in any year. Where’s the time gone, in general, is a diabolical puzzle. Just yesterday, I was twenty-two, something like that. I could eat what I wanted, now I wanted. Snorted doughnuts for mid-morning snacks. Partied until two AM, then went to work at seven. Ate three cheeseburgers at a sitting. Now I’m on Medicare.

A note on the Medicare. I wouldn’t have joined if not forced into it. I retired from the military. Had Tricare. Can’t elaborate on which Tricare. There are two thousand known variations of Tricare. Others are constantly being found by health professionals in computer systems. To stay on Tricare, once I ‘turned’* 65, as I did at the beginning of July, I had to join Medicare Parts A & B. Where I was paying nothing except co-pay a year ago, I was required to start paying $25 a month for my Tricare. Now I’m required to pay about $117 a month for Medicare Part B (A is free) to keep my Tricare. It’s a different form of Tricare, though. I’ll figure it out later.

Part of the year was spent on determining which Medicare parts I required. That included timing. You can’t just join Medicare at any time, you know. You have windows. You miss your window, you wait for the next window. For me, though, missing the window meant that I’d also lose my Tricare. That covers my wife, too. It’s becoming more necessary as we’ve moved toward being the oldest people on the planet. Other parts of the year were spent on questions about masking, COVID-19 vaccinations, variants, and shopping hours. But those were side ventures. Most of my time was spent wondering what I was going to eat.

In additional to a pantry and a refrigerator/freezer combo, we have a small garden. Tomatoes, squash, green peppers, kale, lettuce. It’s been a hard gardening year. Drought, you know. Hot sun, too. We covered plants up. They still weren’t happy with the heat, suggesting, let’s move to somewhere cooler, like hell.

We also have a chest freezer and additional food supplies in the guest room closet. It seems like I’m always wondering, what do we have to eat? What can I eat now? I can bore you to death with all the food we have on hand. I’m always thinking about more. It’s a joint decision that’s made. My wife and I have to agree on what to eat. That usually involves a discussion of what food is on hand. Then, if we don’t immediately have the answer (“Do we have any brown rice left?” “Go fish.”), one of us must leave our chairs and books or computers, go to the supply sources and determine if we have the needed ingredient.

After we decide, okay, we can make this, we discuss who will make what. “I made dinner last night.” “We had pizza. You got it from the pizza place.” “Still counts.”

A large part of the forces driving our discussion and my angst is that we just can’t go out and get what we want. One, restaurants have reduced hours or shut down. Two, which store will have what we need? How much do we trust them and their clientele to be COVID-19 safe? Is getting Ben & Jerry Ice Cream really worth the risk.

Yes, I say, masking up, and driving there.

What we want isn’t always in stores. If this pandemic has shown nothing else to me, it’s shown how completely dependent I am on our systems to provide me with food to buy. Whether it’s organic or processed, cooked in a restaurant or baked in a bakery, I want others doing it for me. This embarrasses part of me. That part says that I should be more self-reliant. More independent. I can fix computers but I can’t hunt meat. Or won’t.

The other part of me says shut up if you want me to go out and get a snack. Which I might do. Thinking about food has made me hungry, and there’s still a little bit of July to kill.

Where’s my mask?

*That expression of ‘turning’ an age always embellishes my brain with an image of me on a baking tray and someone using a giant spatula to flip me over.

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Further Friday Frustrations

  1. Besides COVID-19, the drought and the threat of wildfires, we’re wondering about how the crazy worms will affect us.
  2. I’m also concerned that I’m not cheugy.
  3. Well, not that concerned.
  4. I’ve been accepted by Medicare. As a military retiree of a certain era, I’m covered by Tricare. Tricare requires me to get Medicare A and B when I turn 65. That happens in July. I applied when I became eligible. A few days later, I was accepted. Meanwhile, I receive phone calls, emails, and snail mail from individuals and companies offering to help me navigate making my Medicare choices. It’s another industry. Everything becomes an industry, and as you reach certain milestones, they make you aware of it. It used to be that my junk mail was all about buying a new car, shopping for clothes, or taking vacations. Now it’s about hearing aids, funeral services, Medicare, reverse mortgages, and Viagra.
  5. Of course, there’s a few new industries afflicting all of us who own a home or car. We receive regular phone calls about our car and home warranties. In our house, we don’t answer the phone unless we recognize the number. The other industry that’s aggressively chasing us is insurance against our water pipes bursting in our yard. A WaPo article says, in essence, yeah, it’s another scam.
  6. I think one of my cats has short-term memory issues. Whenever Boo encounters our other cats, Papi and Tucker, he reacts like, “OMG, who the hell are you?”
  7. To mitigate the fire threat in our town, a ‘firewise’ program has been established. Basically, don’t use any bark mulch on the ground. Don’t grow any flammable plants within five feet of the house. Store wood products that you might have at east thirty feet from the house. Trim back all branches so they’re not touching the house or close enough for flames to leap from the tree to the roof. Get rid of wooden decks, wooden fences, conifers and blackberries. Walking around Ashland, I can see that the program has made little progress. We were affected by a fire last year. There were actually three fires on the same very windy day. All three were started by individuals. The firewise program can’t address the wind or deliberate fires.
  8. They also tell us to keep your plants watered so they don’t dry out and become fuel, but we’re in an extreme drought, so hey, there’s little water to water plants. The only option appears to be to pull out all your plants except those of a desert variety and put small stones or pebbles in your yard to help reduce moisture. Of course, I’m also exploring polymers that are supposed to help the soil retain moisture.
  9. Delivering decorative bark (or mulch) had become a growing industry. Go to any hardware store’s garden area and there’s bags and bags of variations. Blower trucks will load up and come to your house and spread it for you with a giant reverse vacuum cleaner. Now, I suspect a new industry, to vacuum it all back up, will begin taking root.
  10. I thought that killer bees and murder hornets were bad. Now we can add crazy worms to the list of things nature has devised to make the world more interesting. The MSN story says, “Pick one up, and you’ll see why, as the creepy-crawly jerks, writhes and springs out of your hand. (It may even leave its tail behind, as a grim souvenir.) And now, scientists are finding the wrigglers have spread to at least 15 states across the U.S.” They resemble regular worms and are bad for the soil.
  11. I have a crazy cat. I really don’t want crazy worms.
  12. My wife is on her weekly coffee clatch call. Pre-COVID-19, they’d meet after exercise class every M-W-F. Their pandemic compromise is to meet every Friday after exercise class. They have a good time. Lots of laughing. I hear her now talking about her sagging breasts and my drooping scrotum. I’d told her that my sack hung in the water in the hotel toilet during our visit last week. Disgusting, right? Once you feel and know it, you can take action by not sitting all the way down. This is another reason why I prefer to stand and pee, even though I’m cursed with a forked stream. Aging. There’s always something.
  13. Haven’t smelled any skunk for over thirty days, yeah, knock on wood. I’m superstitious that way. Haven’t smelled the skunk, or sighted one, but my wife reports that she heard a thump last night for the first time in weeks. Time to block the entry (again) and see what happens. I would mount my camera but it has quit working. I’ve not been able to reset it and connect it nor receive any images from it. I don’t want to buy a new one because, waste. We’re such a throw-away consuming society. It’s frustrating.
  14. Being cheugy doesn’t offend me. And, from what I understand, I am cheugy. Apparently emerging from TikTok, cheugy is the new ‘square’, a way of saying something is passé, or out of it. Tres important, right? I’m bothered by too many other things, like crazy worms and skunks under the house, to think about being trendy.
  15. Got my coffee. Time to go write like crazy at least one more time. Before the crazy worms get here. We’re already full up on crazy. Even bought a warranty. It was offered on the phone.
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Friday Laments

More first world blues…I’m just cryin’ in my coffee.

  1. One problem with the local C-19 vaccination plan: teachers are a high priority. Great! Many agree with this. But, boo, the shots are being administered during school hours. It’s not a dash and do, either.
  2. Our biggest issue in Oregon is as it is elsewhere, just not enough C-19 vaccine to do the job. People are generally accepting and patient, because that’s how it goes for now.
  3. I went for years without a doctor. Then I had trouble in Peckerville and ended up with a urologist. The trials exposed my hypertension, so I ended up with a GP. Each prescribed medications for conditions – BHP and BP – that I’ll probably take for the rest of my life. Less than three years later, both of these medical professionals are gone. They’d moved into the area, it didn’t work out, and they moved away. I liked both and they did a good job, but I’ll need to find someone new when my prescriptions expire this year.
  4. The healthcare insurance front grows more expensive for me. As a veteran and military retiree after twenty years, I had good healthcare insurance via Tri-Care. There were no premiums. That went on for years. Now, starting this year, I must pay $25 per month premiums. Not bad. But, since I’m turning 65, I’m required to get Medicare Parts A and B in order to keep my Tri-Care. A is free; B is about $150 per month. Guess this is all due to that wonderful ‘support the troops’ rhetoric that I often hear. As it so often happened, big promises were made with great patriotic fanfare and furor. Then, when the bill came, everything changed.
  5. I’ve ordered meals online from restaurants three times in the last three months. Each was to give us breaks from what’s in our larder and breaks from cooking. It’s a treat. But each time, they’ve offered a coupon, and then, each time, there’s no place to enter the coupon code when the order is processed. Small matter, but irritating: like a lot of modern life, it seems like a false promise.
  6. What I’m watching: “Baptiste” on PBS via Prime — terrific series; “His Dark Materials” on HBOMax, very strong, good production values and acting, faithful to the trilogy; “Doom Patrol” on HBOMax but it’s falling in our appreciation as the characters become sillier and seem to take forever to come to grip with matters; “All Creatures Great and Small”, a remake of the first series of that name, based on the books, and it’s almost as entertaining and charming as the first go-around. We’re not watching “The Undoing” which just seemed too insipid in too many ways after three episodes; we prefer more dynamic and intelligent characters. Just recommended to us is Portait of A Lady on Fire and Mary Shelley, so they’ve been added to the list. Still working through the last of “Vera” and “The Wire” during late night down time.
  7. Hulu manages to continue to irk me. Their system often seems to think we’ve watched an episode that we haven’t and wants to jump us ahead. It’s happened enough times that I don’t just click and go, but make mental notes: what’s the season, episode number, and title that I’m watching now? What was the last one watched? What’s the summary? Did we see this? No. I saw others experienced this. The fix is the digital equivalent of a hard reboot or a hammer to an appliance: sign out and sign back in. That works most of the time, it’s claimed. Guess I’ll try it. Haven’t done so yet because logging in with a remote is a pain, you know? I’m such a whiner.
  8. Meanwhile, Prime Video, the service previously known as Amazon Prime Video, has the opposite issue, insisting that I haven’t watched an episode when I’ve already watched it.
  9. Got my coffee. Time once again to write like crazy. Meeting Text for the first time today. She’s the late Zipper’s daughter. Looking forward to what she has to say.
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