Op-ed:
ObamaCare Gets Personal
By:
Diane Sori / The Patriot Factor / Right Side Patriots on
americanpbn.com

ObamaCare…the nightmare that hangs over us all. Promises
made, promises not kept…escalating premiums and services not rendered. And we
all have heard stories of people losing insurance they were happy with
while men are now covered for pregnancy and women can get prostrate exams at no
cost. Now add in the fact that cancer patients are being denied much needed
chemo and radiation treatment, heart attack patients are mired down in
paperwork as they sit in waiting rooms overrun with illegals who get better and
faster treatment than they do, and you just know that America’s health care
system has been dealt a devastating blow.
But the reality for many of us is that until this
monstrosity affects someone you personally know it becomes someone else’s
problem…not yours. So now let me tell you a story about someone many of us
know, but before I reveal his name it must be understood that his story is
indeed ‘everyman’s’ story now that ObamaCare is the law of the land.

Let’s start by imagining a medical emergency hitting you out
of the blue…no warning whatsoever…as you go to bed feeling fine and a few hours
later you wake up in agonizing, blood curdling pain. Nothing you do relieves
the pain…a pain that increases with each breath you take. Finally an ambulance
is called and you are transported to your local hospital where you are loaded
with pain killing drugs…which barely touch your pain…while the doctors run
various ‘basic’ tests in an effort to determine the cause of your pain. Now add
in that the pain is so bad that your blood pressure soars to such heights that
you are on the verge of stroking out, but low and behold in walks the bearer of
paperwork which must be filled out before treatment can be started...after all
the hospital must be assured that a withering in agony patient…a legal citizen
of these United States…has insurance and that they will be paid.
And so with this particular patient being in the ObamaCare
system…something he never wanted or intended to be in but which circumstances
forced him into…the paper work nightmare begins and continues unabated to this
day as the hospital is threatening to sue for monies owed...as the patient and
his wife are being evicted from their home because they cannot pay their rent
due to the fact that hospital creditors incessantly hound them for the monies
owed. But wait…this patient like I said has ObamaCare so why the hounding…why
the threats to sue…why isn’t his ObamaCare coverage paying out what they should
be paying…and why is this family facing likely bankruptcy…why… simply because
ObamaCare does not work as one hand has no idea what the other hand is doing.

And when you add into the ObamaCare mix IRS involvement…and
yes…the IRS plays a very large part in ObamaCare…you just know you are in
trouble if you dare to get sick.
People pay their ObamaCare premiums month after month…like
this patient did…into a system riddled with so many flaws that when said
insurance is needed and should kick-in it simply doesn’t. And with it not
kicking in comes a multitude of excuses all coming from the ObamaCare end.
Excuses from the ObamaCare end what with it’s web sites that
still do not work…from telephone operators who do not know answers to simple questions
and who cannot be understood as their English…if they even speak it…is
fractured at best. And for this man that many of us know…whose name I will
shortly reveal…a man in so much pain he thought he was dying…and even begged to
do so as he could not take much more…while he had a diagnosis made and
treatment rendered complications set in that within a few months led him into
emergency surgery…emergency surgery that was a success yet emergency surgery
that came with a hefty price tag and mountains of paperwork from an insurance
company that had no intention of following through with the insurance he paid
for.

Insurance he paid for starting in March 2015 but by early
April of the same year he was told that he and his wife’s policy had been
cancelled due to a lack of payment. But payment had most assuredly been made…and
made on time in fact…but ObamaCare had failed to send their subsidy to their insurance
carrier, Coventry.
And after much back and forth Coventry reinstated their
insurance policy but now instead of being billed for one policy…the one and
only policy he had originally signed them up for…they were being billed for two
policies. And so once again it was bantering back and forth with Coventry, who
while they said they understood that they needed and had signed up for only one
policy, they now in their misguided wisdom cancelled both policies.
Finally getting reinstated again in early May 2015, by the
end of May it was back to arguing with Coventry because they were now informed again
that their policy been cancelled due to a lack of payments they were actually
making...and making on time…exactly as had happened a few months prior and with
the same excuse that ObamaCare wasn’t paying the subsidy to Coventry as they
were supposed to.

And downhill it goes from here when in July 2015, the wife
of he who many of us know lost her job leaving this family with no income at all for a
bit of time until she found another job. Now fast forward to January 2016 when
the man many of us know…when The National Patriot’s and my Right Side Patriots
partner and friend Craig Andresen and his wife Susan...were supposed to get
their much needed 1095 forms so they could file their taxes...but as expected
with the monstrosity known as ObamaCare, they did not receive the much needed
forms.
And so the phone bantering took on a new dimension as they now
were battling both their carrier Coventry and once again the clueless at
ObamaCare at the same time. Finally they were told they would have in their
possession the needed 1095 forms in no later than 30 days, but true to
ObamaCare’s ineptitude, 30 days came and went and no forms appeared. And so
calls…many calls…were again placed and this time both Craig and Susan were told
they could neither find nor send them the much needed forms as they were not…according
to their records…covered under ObamaCare. After much hair-pulling and yelling
it was suddenly discovered that they were indeed covered and again were told it
would be another 30 days until they received said forms.

Flash forward and its 30 days later and only about half the
needed 1095 forms had arrived. And again Susan called Coventry where they transferred
her to the so-called
“network” who informed her that for several months they hadn’t been covered and who then transferred her back
to Coventry, who got back to her a week or so later to tell her that they had
found the rest of the 1095 forms but that it would take yet another 30 days to
get them delivered.
Craig and Susan were now faced with a total of 90 days of waiting
with little to no results, and were forced to file for an extension on their
taxes, delaying the $2000+ they would have received in a refund…$2000+ they desperately
needed to not only pay their back rent but to keep the hospital hounds at bay
who were ‘barking’ and demanding their monies due as Coventry…as ObamaCare…was
not reimbursing them for services rendered.

Finally, early last month Craig received one more of the
much needed 1095 forms, but at this point in time is still missing two critical
parts so once again Coventry was called and once again he and Susan were given
the same runaround and were transferred back and forth and forth again until
finally...at the middle of this June...they received one of the still missing
two 1095 forms but were still unable to file their taxes as one form was still
missing, and very little monies were coming in as Susan’s job is based on
commissions only, with the result being that their rent is now four months
overdue, and the hospital still wants...still demands… payment be made now.
It was at this point that an independent insurance
agent...not with Coventry...did manage to get the missing numbers needed and a
promise that the last of the 1095 forms would be mailed to Crag post-haste. Happily
they were, and Craig and Susan filed their long overdue taxes just a week or so
ago.
But even that little bit of happiness was short-lived…and
here is where you can see Craig as ‘everyman’…’everyman’ caught between a rock
and a hard place due to no fault of their own. Because of the runarounds
received by both ObamaCare and Coventry…because of all the ‘you are covered’...no
‘you are not covered’...oh, and by the way because we made a major boo-boo we
cancelled both of your policies when you actually had only one policy…and then reinstated
you and then undid so...Craig and Susan continued to face hospitals and clinics suing them
for payments that their ‘wonderful’ ObamaCare insurance was supposed to be
making but wasn’t.

Now having to take out a loan to cover their out-of-pocket
expenses to keep the attorneys at bay and with Susan’s commission-only job paying
only enough to keep up their payments on the loan...there was literally no
monies left to pay household bills, to buy food except for the basics, or to pay
the rent. This forced Susan to ‘make a deal’ with their landlords to pay the back
rent as soon as they got their tax return, and with their landlords being the
parents of a long-time friend…and extremely wealthy to boot…told Susan it was no
problem as they understood the direness of the situation.
Well guess what…they lied.
And it all boils down to this…had Craig and Susan gotten
their 1095 forms on time they would have filed ahead of the tax deadline and
had their $2000+ tax return by mid-April of this year...thus paying in-full the
back rent they owed. And while the landlords knew the intricate details of the
their situation…while they had given Susan both their word and reassurance that
they would wait until the tax return came in no matter how long it took…they
instead, via their attorney, sent an eviction notice over to Craig and Susan just
three days before they were finally able to file their taxes just a week or so
ago…giving them but one month to get out or else…and we all know what that legalize
of ‘or else’ means.

So now with but one month to get out and with literally no
money to move anywhere, my dear friends Craig and Susan Andresen will be
homeless come August 1st and will be forced to live in one of their
two old…decades old…cars, and it’s all do to the ineptitude of the monstrosity
known as ObamaCare and their not paying on hospital bills Craig was indeed
covered for, coupled with friends who turned out to be anything but friends.
And to make this situation even more
heartbreaking is that once they are homeless Craig and Susan will be forced to
give up their three pets…Bella the dog and Merlot and Mallory the cats…all of whom
they have had since they were little. These are their ‘children’ so to speak
and this will be like a knife through their hearts.
So what is there left for them to do…what would ‘everyman’
do in a situation such as this…they look to their true friends for help and in
this case it’s money that is needed…money not to splurge on fluff…but money
needed just to survive, to find a small place to live, to keep their family
intact, and to continue their fight to get ObamaCare to pay the ever-mounting
hospital bills.

And to that affect my dear friends Craig and Susan had to humble themselves
and allow me to tell you their story… for their story could be any one of our
story if one has ObamaCare as their insurance. And so a ‘GoFundMe’ account…here
is the link to it:
https://www.gofundme.com/Craig-Andresen…has been set up in
their name and they ask all their fb friends, National Patriot followers, and
followers of both Craig and my Right Side Patriots radio show, to please if you
can help them get back on their feet by donating whatever amount you deem
possible as their situation is indeed desperate with an August 1st eviction
date being just a few weeks away.
In this day and age of ObamaCare so many of us could be
Craig and Susan Andresen…we need to help each other out in these most difficult
of times…it’s just the right thing to do. Here’s the ‘GoFundMe’ account link
again:
https://www.gofundme.com/Craig-Andresen
for all who wish to donate.