Commentary: Why I Support Medicaid Expansion
As the Virginia General Assembly continues to discuss the expansion of Medicaid, the benefits and consequences of doing so have received a great deal of attention. Debates rage in the media, among businesses and around the kitchen tables of ordinary Virginians throughout the state. At our board meeting of March 25 my colleagues and I reiterated, in a bi-partisan vote, our strong support for Medicaid expansion in Virginia.
Opinion: Maintaining a Viable, Diverse Community in Fairfax County
While need for housing, childcare, healthcare and other human services have grown, these programs have faced significant cuts over past few years.
The following open letter to the Fairfax County Board of Supervisors concerns housing and human services budget recommendations from the Fairfax Budget Advocacy Coalition for Housing and Human Services.
Letter: Toxic Debate on School Budget
To the Editor: Supporting the public schools is Fairfax County’s number one priority. Proof of that lies in the fact that over 50 percent of the county’s budget supports school programs. This large expense has generated considerable debate among county taxpayers over the years. However, this year the discussion has become toxic and personal.
Editorial: Challenging Budgets
Local Government should be able to access income taxes to give relief on real estate taxes.
Northern Virginia governments are facing shortfalls in the classic budget sense: projected revenues are less than last year’s expenditures plus increases in costs.
Another Milestone
March 30, 2014. My age 59 and a half (9/30/54 is my date of birth). The age at which money deposited into an Individual Retirement Account (IRA) can be withdrawn without incurring a 10 percent early-withdrawal penalty from the Internal Revenue Service (IRS). Not that I’m retiring. I am remembering though when this cancer-centric life of mine began.
Editorial: Income Gap Alive and Well
Statistics make life in the area sound idyllic, but many families are left out in the land of plenty.
Northern Virginia is a place of wonder and plenty. So says the New York Times this past week in, "Income Gap Meet the Longevity Gap," (March 15, 2014).
Editorial: Voting Against Virginia?
Local proponents of expanding health coverage for poor people have a point about those in the General Assembly voting against it.
When Delegates Scott Surovell, Charniele Herring and Rob Krupicka, along with Sen. Adam Ebbin got together to make the case for expanding Medicaid in Virginia, they brought slide presentations, charts, spreadsheets, poll results and more.
Whew!
Originally, this column was to be a discussion about the communication process between my doctor and this patient. Specifically, the time lag between when tests are performed/completed and when those results are communicated to the doctor who in turn – per this patient’s request, e-mails them to me. In the olden days, results were most likely offered up in person; in the post-olden days, more likely a phone call was made; presently, at least in my experience, results most likely will be e-mailed. I imagine an enduring problem for the patient – during all three "days," has been the time waiting for test results and hearing about them from your doctor. Excruciating is one of the most accurate characterizations of that delay, combined with an unhealthy dose of helplessness. Eventually, if you live long enough, you sort of become accustomed to the process and learn to roll with the punches, both figuratively and literally. Nevertheless, the patience and experience you learn can’t totally stop the rampant speculation that keeps you up at night and sleepy during the day.
Editorial: Take the Money
No downside to gaining health care for 200,000 or more; 30,000 jobs and millions of dollars for hospitals from expansion of Medicaid.
Gov. Terry McAuliffe is right to make expansion of health coverage part of the budget process.
Not Yet, Really
While we’re exchanging pleasantries here, in semi real time – although this column will not be most read until March 6th (I need to submit it on Monday, March 3rd as we go to press on Tuesday, March 5th), I feel the obligation, given how last week’s column ended, to update you on the results from my February 26th CT Scan. Presumably, by the title you all have determined that as of this writing, Saturday, March 1st, I have not heard back from my oncologist. Typically, I would have already heard from him, electronically. But so far, not a peep, electronic or otherwise and believe me, I’ve been checking, as you might imagine.
High Five
I made it. It’s five years after receiving a terminal diagnosis on February 27, 2009 from my oncologist: stage IV non-small cell lung cancer, accompanied by a "13-month to two-year" prognosis. Let’s be honest, medical professionals don’t toss around the word "terminal" because you’re going to be treated at an airport. Presumably, they know their facts and figures as well as the patient’s present condition, confirmed by a variety of diagnostic results from X-Rays, CT Scans, P.E.T. Scans, lab work and of course the ever-popular biopsy, so their diagnosis/prognosis is a bit more than an educated guess. Nevertheless, there are exceptions to every rule and until proven otherwise, I was not about to succumb to their statistics. Still, based on the best medical knowledge available at the time, this patient (yours truly) was given a limited life expectancy and encouraged to take the vacation I had always dreamed of – for obvious you’re-life-is-now-shorter-than-you-ever-imagined-type reasons, and yet, five years hence, here I am.
Editorial: Fundamental Freedom To Choose To Marry
Virginia is historically slow in extending rights.
In 1967, Virginia was one of 16 states that banned interracial marriage and had criminal penalties for violators. Mildred Jeter, an African-American woman, and Richard Loving a white man, married in 1958, were convicted and banished from living in Virginia for 25 years to avoid serving a one-year prison sentence. On June 12, 1967, the U.S. Supreme Court, in Loving v. Virginia, overturned the convictions of Mildred and Richard Loving, declaring the ban on interracial marriage unconstitutional.
Until Further Notice
Not to state the obvious (which I readily admit I do), but to be given a terminal diagnosis: stage IV, non-small cell lung cancer, along with a rather disappointing prognosis: "13 months to two years" is a challenging set of extremely unexpected (given my immediate family’s medical history) circumstances. I don’t want to say that I live under a dark cloud – because I don’t like the negative implication or reaction it conjures, but I definitely feel as if I have a metaphorical sword of Damocles hanging over my head; which I only refer to as an-out-of-context Three Stooges reference wherein a non-Stooge was innocently standing under a pie which Moe had thrown to the ceiling and there it stuck, hanging precariously over the character’s head. Now I still don’t know the proper historical context of the sword of Damocles, I only know the Three Stooges version, but there was some imminent danger involved (not death, mind you), but rather a falling pie which ultimately landed flush on the character’s face as she looked up to make further inquiries. Nevertheless, pie issues/references notwithstanding, having seen my oncologist today while being infused and receiving a big smile/ "you’re going great"/thumbs-up set of gestures/reactions while reclining in my Barcalounger with a chemotherapy I.V. dripping medicine into my right arm, is the kind of super-positive feedback with which I can live. Along with my every-three-week pre-chemotherapy lab work and my every-three-month CT Scan followed by my every-three-month face-to-face appointment with my oncologist, this is how I roll. Worrying about upcoming tests, waiting anxiously for results, trying not to anticipate good, bad or indifferent; living day to day and trying to appreciate my good fortune and the unexpected above-average quality of life with which I’ve been blessed – for a terminal cancer patient, that is.
Editorial: Fundamental Freedom To Choose To Marry
Virginia is historically slow in extending rights.
In 1967, Virginia was one of 16 states that banned interracial marriage and had criminal penalties for violators. Mildred Jeter, an African-American woman, and Richard Loving a white man, married in 1958, were convicted and banished from living in Virginia for 25 years to avoid serving a one-year prison sentence
Letter: Correcting Error on Mental Health Services
Fairfax County serving more people now.
A Feb. 11 editorial by Mary Kimm, referencing reporting by Michael Pope, makes an incorrect assertion that our services to people with mental illness in Fairfax County have been “dramatically cut back.”