Again, Mr Romney, you are speaking from your gilded gated "every need met" world.  Allow me to introduce you to mine.

I am almost 60, an SLE patient who has no insurance coverage.  I was hospitalized in May 2011 with low platelets (~37,000 when normal is !50,000-400,000+.  I was in danger of bleeding to death internally.  I went to the county charity clinic, where I met with the most incredible incompetence.  Mostly, they just don't treat the poor patients with the same kind of respect and concern I got/get from doctors I pay.  I have retained my private rheumatologist, although I didn't go for a year, and that's why we didn't catch the platelet issue until it was so severe. 

Now I cannot take the medication that was keeping my lupus at bay because it destroys platelets.  I also cannot take aspirin or NSAIDs such as Ibuprofen for the pain in my joints.  Nor can I afford the medication I need, Ben Lysta.  Why?  It's $2000-$3000 a pop, and the first three doses are to be taken 2 weeks apart and then once a month after that.  I am still taking prednisone, which isn't really controlling my lupus, and my doctor estimates will take 5 years off my life.

I have been turned repeatedly for SSDI, despite the fact I cannot walk more than about 100', suffer from exhaustion so badly that I often require 12-14 hours of sleep, and suffer pain in my joints on a daily basis.  Right now I am taking 50 mg of Tramadol 4 times a day to get through the days. I'm not old enough for SS & Medicare, and if Congress raises the age requirement, I won't live long enough to collect.  Even if they don't, I might not live long enough to collect.

My husband has high blood pressure, and he is not covered either.  We lost our insurance when your friends the Koch brothers outsourced his job to India in 2009.  He has not found a job.  The first year, he didn't even get a nibble at anything suitable.  So he took care of my late 80s mother and me, the house and the yard, the shopping, the laundry, theerrands.  Mother died 21 November 10, and in the midst of her final days and the funeral, he got a call from a headhunter, which he missed because he was ferrying me around and sitting with my mother in ICU, and taking care of my needs.  By the time he got the message, it was too late.  

My brother is an attorney, and he has been paying all our bills, including house maintenance and some modifications for my condition, and supplying all our basic needs.  I have a computer because he believes, that since I am often housebound, I need the intellectual stimulation. We also have a television because we never go to movies unless we get free tickets.   He has also been paying for my medical care.  He is 62 and about to retire from the law.

I had a friend who died from a curable cancer in 2009.  He had no insurance, and could not pay for the ongoing treatment.  So he got a pain prescription and died a long slow death.

My cousin, who is bipolar, has a heart condition, and is in charge of her 58 year old mentally challenged sister, had a breakdown not long before their Alzheimer's patient mother died.  She had no insurance, and despite her pleas, the EMS took her to the NEAREST hospital instead of the charity one.  They said that was their policy.   She now has a $25,000 bill from that NEAREST hospital, an income under $20,000 a year, and goes to the charity clinic run by the county.  If she has a heart attack, the EMS will take her to the NEAREST hospital, where she will once again incur charges she cannot afford. The NEAREST hospital to her house is about 5 blocks away and a for-profit institution.  It's also the nearest one to my home.  So guess where the EMS would take my husband or myself if we have a medical crisis at home?

We have elected to die rather than have that happen.  If we were eligible for medical care under your plan, we would not be able to afford the premiums.  the only quote I have gotten is close to $2000 a month.  So yes, Mr Romney, people ARE dying for lack of insurance, and it is not because we have "chosen" not to be covered.  You simply do not have any concept of the realities of live for the unemployed, the disabled, the underemployed, the working poor, or anyone in the REAL middle class (which, statistically is about $30,000 to $80,000, NOT those making $150K - $500K., as you seem to think.

Look through my posts.  I invited your equally clueless wife to come viist me some montjhs ago.  I promise you, we could give an education you've never had.
 
If you have been reading my blog, or any of my pages, or my Facebook page, you know that I have SLE (Systemic Lupus Erythmatosis).   What you may not realize is that this is primarily "a woman's disease," as 90% of the patients are women.  Most of them are 15 -45, the childbearing years.  For some enlightening information about pregnancy and lupus, please read this study in Japan about pregnancy outcomes and lupus  .

Women of color, across the board have higher rates than white women.  I once had a former Texas benefits evaluator tell me that "lupus is a made up disease by people who are too lazy to work."  To me, it was clear he was referring to Black women.  Black women have higher death rates from breast and cervical cancer, higher rates of STD's and teen pregnancies, higher infant mortanlity.  SOURCE:  Debunking the myth.  Black women, Hispanic women, Native American women all have higher rates of lupus.  Black women have more severe outcomes more often.  Poor women without health insurance have a harder time getting the help they need to treat lupus.  SOURCE:  Lupus Fact sheet

For some information about lupus symptoms in general, please read this article about two lupus patients.  

My diagnosis was originally made by a gynecologist to whom I had gone for a simple pap smear.  At the time, I had health insurance.  I no longer have health insurance, and my best option for pap smears is Planned Parenthood.  Read one woman's story about not affording to go anywhere but Planned Parenthood.    

Please make yourself aware of two FACTS:
1.  NOT ONE TAXPAYER DOLLAR GOES TO ABORTION.  That has been prohibited since the 1970s.
2.  Abortions are only 3% of their services  FACT SHEET HERE

Finally, let's talk about SOCIAL SECURITY and Disability and Social Security Supplemental Income.  I worked from age 15 until about 40.  I've been fighting to get SSDI so I can get Medicare to cover my lupus medications.  First they told me I ought to be able to work (in 1995) because I am educated.  Know many employers who want employees who fall asleep on the job, or who miss work frequently because they cannot drag themselves out of bed and stay awake long enough to bathe, dress, and get to work?  Or who catch the flu and the miss weeks because the immunosuppressant drugs they take for lupus don't fight the flu well and leave them with bronchitism pneumonia and a lupus flare in which their joints swell and cause agonizing pain?  If so, please send those employers my way!  I'd love to work, use my brain again for pay.  Of course, it has to be low stress and pretty free of deadlines, because stress makes my lupus worse, and I never know which day I'm going to wake up and be unable to stay awake -- which makes it difficult to meet those deadlines.  See this blog for another person's perspective.

The next time I applied for SSI/SSDI  they told me my $3000+ savings account made me ineligible for  SSI and I no longer had enough qualifying quarters for SSDI.  I appealled and they told me I wasn't disabled!  NOIT DISABLED?  I cannot shop without either my husband pushing me in the wheelchair or an electric cart.  Some days my knees hurt so badly the 8' from my bed to the toilet  has me in tears.    I cannot stand in lines for more than 30 seconds without the knees and hips begging me to sit down. That's not disabled?

Now their story is that we cannot prove I was disabled WHILE I STILL HAD ENOUGH QUALIFYING QUARTERS.  THEY have the 1995 records with the doctors names, but OOPS  I can no longer get those records because the doctors who made the disagnosis, and who treated me, destroyed the records 10 years after my last visit.  I'm SURE those records are in the SS records;  they just demand that I produce them, knowing I can't.  

So now I'm still 5 years too young for SS and Medicare.  What if they raise the retirement age?  First how will we tap into our retirement accounts without penalty to pay for medical expenses?  I will NEVER see my SS money that I paid into the system all those years I worked (sometimes at 2-3 jobs at a time!).  I WILL NOT LIVE LONG ENOUGH!

Let me repeat that  I WILL NOT LIVE LONG ENOUGH!  I can no longer take Methotrexate because my platelet levels drop too low and I am in danger of bleeding to death internally.  The prednisone I have been on for over a year now will, according to my rheumatologist "take five years off your life."  It also induced Type II diabetes, which is implicated in heart disease, even if I didn't have the extra clotting factor from lupus.   The Hydorxychloroquine (Plaquanil) no longer controls the disease by itself.  I also cannot take aspirin, NSAIDs like ibuprofen.  So I take ginger and turmeric for the constant pain.  Some days it works, some days it doesn't work so well.  I need Ben Lysta, according to my rheumatologist, but she's not going to administer it.  It's about $2000-$3000 a pop.  I think it's once a month.  I tried to get onto a drug trial, but the diagnoses (both of which I think are wrong) the county hospital gave me of non-alcoholic cirrhosis and heart failure keep me out of the trial.  I need a liver biopsy to rule out the cirrhosis, and an echocarcdogram for the heart failure.

My only hope is Obama's health care plan, because I could not be denied coverage for pre-existing conditions.  If I cannot afford the private health insurance or the high risk pool insurance, I could, as I understand it, get Medicare without having to be on SS, SSI, or SSDI.  So think twice before you pull the lever for someone who wants to repeal Obamacare;  that lever pull will be a death sentence for me and many others with my illness or others like it.  Of course, it you want to be a good, compassionate Christian, you can send me money at PayPal to help with my medical expenses. Leave a comment on this website and I'll send you my email.  They are. or would, if I were seeing the doctors I need to see and taking the meds I need to take run from $3000 in a good year for routine meds and visits and tests to upwards of $24,000 if I had to be hospitalized.  My brother is currently supporting us and paying our medical expenses.  He's nearing retirement age.  He spent years paying for our mother's needs because her SS didn't cover the utilities, food, out of pocket medical expenses.  Now he has us, and his own family.

SO please look into your heart and see if you want to pull my plug by voting to kill "Obamacare
 
After 8 hours of sleep, I feel like road kill that still has a working brain and all six senses.  Don't get the wrong impression!  I'm not screaming in pain. It's not "sprain your ankle" pain.   It's not "someone keeps sticking huge knives into my joints" pain. It's more "someone bruised every muscle in my body with a nerf bat" pain.  All my joints are stiff.  Frankenstein is more graceful than I am today.  I'm not complaining;  I'm deeply grateful it is NOT "sprain your ankle pain" in every joint in my body.  I've had those days.  They made me lay in bed and cry.  

Nor am I having a pity party.  I'm sitting in front of a space heater, despite a warm day, because the heat seems to "melt" the stiffness.  I have things I want to do today.  As long as I am alive, I will fight back., fight on.

What I am doing is trying to help people understand SLE.   Yesterday I spent at Lowe's and Michael's, shopping for items for my bathroom renovation and a crafts project. Then I closed the daylight down by raking leaves and using them to layout my front garden.  These I covered with heavier mulch from my dead pine trees pile, to keep them from blowing back over the yard.  Mulch is a wonderful thing.  It holds water in droughts, keeps roots warmer in cold snaps, and eventually breaks down and feeds the soil.  Also, for me, it's an easy way to weed.  A 3-5" layer will actually kill off the weeds and Bermuda grass.  So it's a labor-saving technique as well.  I need that kind of help.

Undoubtedly, due to my photosensitivity, part of what is behind my aches today is having been out in the sun, even though my raking was done late in the day when most of the area I was working on was in shade.  Just the drive to Lowe's and Michael's in the bright sun was enough to set off the fatigue and aches.  Lupus is like this.  One has good days, not so good days, bad days, and awful days. 

Everyday tasks like getting dressed, taking a shower, even getting out of bed take longer almost every day.  When I stand up from my bed or chair, I have to just stand there for awhile, sometimes as long as a minute or two, because the joints simply don't want to bend.  In case you haven't noticed, they gotta move to walk.  The 10' or so from my bed to the bathroom can take nearly a minute once I do start to move.  Going to the kitchen to fix a bowl of cold cereal takes 3-4 minutes sometimes.

So why do I care whether other people understand my illness?  It is not just me.  It's a million Americans with lupus.  Most of us don't "look sick."  90% of us are women.  African-American women are 3 times more likely to develop lupus.  They have an earlier onset, on the average, and more severe symptoms.  Many people who do not understand the disease take us for being lazy or unwilling to work.  Others expect us to perform at the same level as people without illness.  A Social Sedcurity paid doctor I was sent to see in about 1995 during the application for SSDI said I should be able to work because I was "educated."  OK, he had a point in that nothing was wrong with my mind.  Still isn't anything wrong with my mind (although some lupus patients do suffer from brain involvement).  What he ignored were the following facts:                                                                         

1.  Sudden, overwhelming fatigue made me prone to falling asleep at work, even after a full night of sleep.  Employers love 
      that SOOOOOOO much!  Another thing they love is employees who run out of steam, regularly, after anywhere from 2 hrs 
     after starting the work day to 6 hours.  I haven't seen many workplaces with nap rooms, have you?  Driving is hazardous 
     when you fall asleep abruptly too.  Then there were the days I made it through the workday, only to walk to my car and fall 
     asleep as soon as I sat down, too tired to drive home.
2.  Unpredictability about when the really bad days will happen.  I worked as a programmer for IBM.  One thing programmers 
     live with is deadlines, as do many other occupations.  So naturally employers are just wild about having employees who
     might have to cancel the last day before a deadline due to the inability to get out of bed, get dressed and get to work 
     because of pain and fatigue.  What do you do when all those little joints in your feet are so swollen that you cannot put 
     shoes on your feet?  
3.  IBM was also big on meetings.  The facility I worked in was huge, and the meetings were often at the other end of the 
     building.  How do I get there when I don't have a motorized wheelchair and I cannot propel myself because my shoulders 
    are aching, and the effort wears me out?  Even on days I could walk to the meeting, by the time I walk there, I was 
    exhausted, making focussing difficult and sometimes resulting falling asleep during the meeting.  The little twerp who was 
    my supervisor (and he was a twerp) was sitting beside me once when this happened.  I think his assumption was that I had 
    been up late the night before drinking or doing drugs.  Not that he ever asked.  Not that I could have told him either because
    at the time of this incident, my lupus wasn't diagnosed yet.  I knew SOMETHING was wrong with me, as I have always been 
    in tune with what was happening in my body, but not WHAT.
4.  The onset of the fatigue, the pain is sudden and unpredictable.  I would go to work feeling fine, in those early days, and 
      suddenly I would be too pooped to pop, or in such agonizing pain all I wanted was to get home, take some ibuprofen and 
      go to sleep until the pain stopped.  I certainly was no longer capable of productive work.  Employers don't like that.  
5.  Other people were dangers to me, especially people with children.  Shocking to say, but there are those who go to work 
     with the flu, or whose children have the flu, and they are carrying the virus.  Exposure to them was dangerous to me. A flu 
     episode could set off days, or weeks or even months of fatigue and/or pain beyond the level I had learned to live with.  Every 
     flu episode had the potential to develop into chronic bronchitis or pneumonia.  Employers don't like people who are out sick 
     often.  These days, they don't like people whose healthcare costs are high.

I actually had a former welfare department worker (in charge of assessments of eligibility) tell me in an AOL chat room that he thought "lupus was a made up illness used by lazy people as an excuse not to work."  This was around 2004, and it was clear to me that he was speaking primarily about Black applicants.  He never met the beautiful sister of my friend Theola Petteway, diagnosed with lupus at 14 and dead from it at 26.  He never saw her, as I did, laying in her bed sobbing from pain, with both her sister and I helpless to ease the pain.  He never saw her struggling to work as long as she could, as often as she could.  He never saw her applying for welfare either, because when she could no longer earn enough to support herself, her family, in  particular Theola, supported her.  He never saw me as an applicant either, because my family supported and continues to support me.  However, for every Black woman who found herself with no other resources to care for her child(ren) after being diagnosed with lupus and had to sit before him listening to him spout his ignorant, racist crap, I hope he rots in hell on earth and then in Hell after death.

The hardest part of SLE sometimes is not the illness itself.  It is the incomprehension of others.  The expectations.  The assumptions about our character.  The humiliation they seem to expect us to accept in order to get healthcare, disability, employment, financial support.  The hardest part is having a world that neither understands and acce