Tuesday, October 14, 2008

- The Hot Seat

OK, so my Welfare Sterilization Incentive post ("Get Smart") from a few posts back is getting interesting. You can click on that link to read the original story, my post, and the comments. I'm made a new thread to respond to everyone's comments.

Annie: While I definitely agree with you - having kids you can't afford is a stressor on the system - I disagree with out and out mandatory permanent sterilization. What if the $1000 (permanent sterilization) offer was kept on the table with no strings attached and the rules were changed to mandatory Depo shots or something like that necessary so that for those who are using this as a stopgap measure aren't permanently sterilized because they needed help (ie, Tony's situation).

Bernice: Good idea. We'd save on the tax breaks those potential children would be providing, as well. More money would stay in the system to go to other stuff. But I think the incentive should remain in place for those on welfare, and we could make it free for everyone else. What do you think?

DetailMedic
: What if it was simply free with no incentive? Also I've asked around - it seems they are reluctant to sterilize someone with no kids (on the idea you might change your mind later) - I don't believe you have any. Would you still go for the procedure?

Elizabeth Bryant Alexander: I agree. There seems to be a lot of support for this from the people who work in public services and health care. Even if that's $400/year for each person on that, if it keeps the individual from having one kid they cannot support, it pays for itself.

ChuckR44 - from what I can determine in my state you lose your medicaid if you test positive for drugs - but no one really does any testing (most of the time it's in the ER - the doc can contact the state about yanking the person's medicaid, but nothing comes of it)!

NewGradNurse: I'm not suggesting we go all the way and make it so that you are permanently sterilized while on public assistance. What do you think about temporary sterilization?

And where does race play into the picture? No one has made this a racial issue or mentioned race (georgeh said I might be called racist, but that's it) except...you.

Bianca: Thank you for commenting. I may be making some awful deductions, but I'm interested in hearing what you think about the proposal :)

Alright! Fuel on the Fire! Thanks to everyone for participating!

-MM

7 comments:

Loving Annie said...

MM,
Good moderation of my orginal idea. More reasonable for those who really can and do get back on their feet and become self-sufficient/stay that way. I agree :)

Bernice said...

The hard part is when you start playing with people's bodies it is always a, well slippery slope. Where do you draw the line once you start heading down that road.

I am loving the dialogue on this whole topic.

ArkieRN said...

In medicaid mothers, the program will pay for placement of a hormone implanted IUD at the mom's post-partum visit. These IUDs have a 99.9% effective rate for up to five years.

But hardly anyone comes right out and tells them this is available.

I think OB doctors and nurses really need to talk this option up to very young and poor mothers.

ArkieRN said...

Whoops, meant to say hormone impregnated.

NewGradNurse said...

gotta say my dear, I still disagree.

while i hate to subject my own life to the firing squad, i have no choice but to do so.

i am thankful for the services received and believe this system is already in place.

perhaps, ambulance boy, you should retire your seat on the bus and spend your days roaming the streets with educational information. i will go with you.

better yet, get mr. politician off his leather chair and out of his leather shoes to walk a mile or two to do some real patient care where it is needed most.

this is why lawyers and judges pay nurses and "medical consultants" for cases-beause they don't know what they are talking about.

chuckr44 said...

"What if the $1000 (permanent sterilization) offer was kept on the table with no strings attached and the rules were changed to mandatory Depo shots or something like that necessary so that for those who are using this as a stopgap measure aren't permanently sterilized because they needed help"

Actually, Michigan does something like that. My uncle is mentally ill. When he's on meds, he's fine and can hold a job. He's actually a genius in electronics. So, in order to get his Soc Sec check each month (for disability, plus he works a job) he needs to get a shot of meds, which lasts 4 weeks. No shot = no check.

chuckr44 said...

In medicaid mothers, the program will pay for placement of a hormone implanted IUD at the mom's post-partum visit. These IUDs have a 99.9% effective rate for up to five years.


Aha. I have been seeing a lot of TV ads for just this thing this past week.