There are a lot of ways for families to be
“fractured.” In fact what I had in mind, from personal experience,
was a 19 year old whose parents were alcoholic and who had thrown him out.
Judith Andre,
Ph.D. [log in to unmask]
Professor
(517)355-7553
Center for
Ethics fax: 353-3829
C-208 E Fee Hall
From:
Sent: Monday, November 10, 2008
9:07 PM
To: [log in to unmask]
Subject: Re: health insurance -
kids etc
Folks:
I’ll note that
Judy is usually very careful in her phrasing, and that she said parents in fractured
families often have trouble getting their actS together.
I interpreted that
as follows: parent A may have act together, parent B may have act
together. But parents A and B cannot get their paper work in line with
the state such that red flags don’t go off when one or the other (or
both) apply for aid for their children.
I will note that
this is another way in which parent-dependent healthcare, even when not
employer-provided, favors intact heteronormative families. In this case,
I think it’s largely bureaucratic rather than deliberate: all paperwork
is more difficult with parents living in separate households as any child of
divorce can attest who has had to fill out a FAFSA (for college financial aid)
or other parental-income assessment tied to federal and state aid.
What’s more, state aid privileges people who know the system: a friend of
mine who has just applied for social security disability is a lawyer who has
been on the other side of advocacy and aid applications for a very long time; she
has said many times that if she didn’t know exactly how it worked, she
would never have known to keep copies of all correspondence (an expense she
could barely afford), take notes on phone conversations, get the names of case
managers, call the case manager’s supervisor when nothing was moving,
follow-up even after the length of in action would make a normal person think
the application had been rejected, etc. Only through her intimate
knowledge of the system, she thinks, did she eventually make sure her
application was fully considered, and then was able to feel confident pushing
even further when the checks did not start arriving as they should have.
At any rate, perhaps
I am now misinterpreting Judy’s comment. But I thought the
‘s’ in “get their acts together” to be significant in
avoiding the interpretation Rebecca took from it, which would indeed be
objectionable. And the point about the difficulty of applying for state
aid for dependent children is well-taken, I think, from both Rebecca and Judy.
Best,
Alison
Alison
Reiheld
History,
Philosophy, & Sociology of Science
Co-editor, Questions: Philosophy for Young People
From:
Sent: Monday, November 10, 2008
3:07 PM
To: [log in to unmask]
Subject: Re: health insurance -
kids etc
Yes, Judy, this is all true - except the part about
Also, I am a bit troubled by the language of parents 'not being able to
get their act together' in your message. I am not sure we want to assume
that adults in 'fractured families' are less responsible or on top of things,
rather than that they are facing larger obstacles, more legal and regulatory
ambiguity, and huger piles of red tape.
Having lived most of my life in
Rebecca
On 11/10/08, Judy
Andre <[log in to unmask]>
wrote:
In
Of course another problem is that many, possibly most,
doctors and dentists don't take Medicaid, because the reimbursement is so low
that it does not even cover their overhead, and – I believe –
taking just a few Medicaid patients is not allowed. You either take all
who apply, or none.
Judith Andre,
Ph.D.
[log in to unmask]
Professor
(517)355-7553
Center for
Ethics
fax: 353-3829
C-208 E Fee Hall
From:
Sent: Saturday, November 08, 2008
4:17 PM
To: [log in to unmask]
Subject: health
insurance - kids etc
As a
Canadian I have followed this discussion with fascination. Marilyn
observes that kids have no other way to have health insurance than via their
parents' employer. On the contrary, if there is universal public health
care, all kids (and adults) are automatically entitled to health care
regardless of their caregiver situation. I imagine many of you (and most
likely Marilyn as well) share my hope that Barack Obama will be successful in
his plan to create health care for all U.S. Americans. Best, Lynda
Lynda Lange
Department of Humanities (Philosophy)
1265 Military Trail