Archived Story

A real story behind Obamacare

Published 10:46am Wednesday, April 2, 2014

I sat across the table from her and her husband in my Chesapeake District Office, her eyes frustrated, determined, and yet hopeful still as she shared her story with me. It was 2005 when Chesapeake resident Ms. Catherine Blackwood was diagnosed with carcinoid cancer, a slow-growing and terminal disease that, if there can be a fortunate side to cancer, responds well to treatment. Over the past several years, with the support of her family and the consistency of stable health insurance, Ms. Blackwood has undergone regular treatments. Her survival is due in part to what her son calls an “indomitable will,” and in part due to the availability of a semi-monthly cancer medication that slows her disease. For years, her insurance covered the cancer drug at 100 percent for a premium affordable for the Blackwoods.

But last year, Ms. Blackwood’s experience changed. This time, it was not because of a change in her cancer or other cancer-related health issues. In November last year, around the point in time when health insurance exchanges opened to Americans, Ms. Blackwood lost the health insurance plan she had held for nearly 20 years. This left her fighting to figure out how she could afford the cancer medication that arguably had helped keep her alive all of these years. Without coverage, the treatment would cost upwards of $14,000 a month.

So she turned to Obamacare. When she tried to enroll, Ms. Blackwood found an exchange website that did not work. She spent hours on the phone with enrollment agents, and she received competing information. Agents told her she would be covered at 100 percent. After buying a plan, however, the insurance company later told her it would not cover her medication at all. In a fight for her lifeline, and perhaps under pressure from reports in the news media, the insurance company agreed to cover Ms. Blackwood’s treatments for the remainder of this year, but not beyond that.

Ms. Blackwood’s son went to the Wall Street Journal with her story, a piece that the newspaper ran and that several other media outlets subsequently published. Ms. Blackwood herself is a family medical practice administrator with knowledge of healthcare management issues. Her husband is a physician. All of these things certainly worked to Ms. Blackwood’s advantage in fighting for coverage. But what if you didn’t have a story in the Wall Street Journal to call attention to your situation? Or a background in medicine to help make sense of the complex maze of Obamacare? It is very possible that the circumstances could have turned out differently for someone else. Even still, at the end of this year, Ms. Blackwood will find herself once again fighting for a lifeline that just months ago was readily available and affordable for her. Therein lies the harsh irony of the Affordable Care Act.

Obamacare has been mired in problems from the beginning. The poorly planned roll out of exchange websites left citizens frustrated and confused. In fact, as of February, 22,000 Americans have filed requests to fix errors in their health insurance coverage that occurred because of website glitches. A report by the Obama Administration said at least 11 million people will see their premiums increase. Earlier this month, the Administration extended the March 31 deadline for enrolling (for those who tried to enroll during the open enrollment period, but did not complete the process) in Obamacare to be sometime mid-April on a date yet to be determined. According to news reports, since the law’s enactment in 2010, the Administration has acted at least 18 times to delay or alter various parts of the law. It’s no wonder that six in 10 uninsured adults are not aware of the enrollment deadline, according to a Kaiser Family Foundation poll.

While the computer mishaps, the delays, and the errors can appear ironic, annoying, comical, or frustrating, they are so much more than that. There are real people like Ms. Blackwood whose lives have been shaken because of Obamacare. The percentages, the numbers, and the figures represent individuals’ health, their family budgets, and their livelihoods. In some cases, they represent situations of life or death. For Ms. Blackwood, Obamacare isn’t a problem. It’s a barrier to a healthy life.

Access to affordable healthcare should not come at such a high price. Citizens should not live in the fear that their lives will become unhinged because of new complexities in the healthcare system.

Sitting across from Ms. Blackwood in my Chesapeake Office, I thanked her for her will to fight, and I shared with her my resolute commitment to repeal or defund and replace Obamacare. I will not give up the fight. As Ms. Blackwood reminds us, there is simply too much at stake.

U.S. Rep. RANDY FORBES, R-Va., represents Western Tidewater in the U.S. House of Representatives. He can be emailed at http://forbes.house.gov/contact/zipauth.htm.

  • Sinoptik

    1st amendment, I was coming to the comments to allude to the same thing about the VA lawmakers not setting up a state site. I usually go into a Randy Forbes piece with mental hip-waders anyways, but glad you pointed to this article.

    I’m dumbfounded that they were paying $5000 a month for insurance on their old plan. No wonder the medicine was covered. Hey Randy, how is the average voter in Virginia supposed to handle those insurance premiums if they are afflicted with the same disease as Mrs. Blackwood but forgot to marry a doctor? (A bit of irony there considering the whole reason for skyrocketing insurance as well)

    It’s interesting how, in states that didn’t posture and thump their chests about refusing any and all things ACA related, many states rolled out successful sites and actually helped their residents. It’s a shame we are stuck with Randy “So help me god” Forbes and his ilk as our representatives.

    I’d be gone to a successful state myself if I hadn’t already gotten too far along and invested in the VRS. Let’s see how our sad little group of con men, I mean lawmakers, screw that up.

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    • employee2

      Where in the article did it say they were paying $5000 per month? I went back and read the article again to see where I missed that. Didn’t find it.
      As to the state making it’s own website happen, see the state of Oregon & Maryland.

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      • Sinoptik

        Like I said, I don’t take ol’ Randy’s word for much, I read other articles. Try the one 1st linked to. Shame she had to appeal trying to get her overpriced anti-diarrheal medicine.

        You mention two and skip another twelve states. See Washington, Minnesota, Rhode Island, California, Connecticut, etc.

        Are you saying Virginia can’t hang with the other states? Well with Randy in the works, I guess I would be doubtful also.

        Anything else?

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      • employee2

        What link? I see no link. You also missed my point referencing Maryland & Oregon. The point was that having a state run exchange is no guarantee of no problems. Also it stated that she was using the phone also. I don’t think the phone lines were down only “manned” by poorly trained navigators.

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  • 1stAmendment

    Mr. Forbes, a large part of the Blackwood’s issue is Virginia’s refusal to set up an enrollment site for the Affordable Care Act. Many of those computer mishaps could have been avoided if Mrs. Blackwood had not been forced to go to the already overloaded federal website.

    I suggest readers check out this article on this same case, a follow up by the Los Angeles Times:

    http://www.latimes.com/business/hiltzik/la-fi-mh-cancer-medicine-20140224,0,4157578.story#axzz2xk2RThu7

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