Skip to content
  • About
  • Contact
  • Contribute
  • Book
  • Careers
  • Podcast
  • Recommended
  • Speaking
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking

Fund this: Policies can fill medical funding gaps for all

Amanda LaMonica-Weier, DNP
Policy
December 11, 2021
Share
Tweet
Share

Ellen DeGeneres is ending her popular TV talk show next year after 19 seasons. The need for the type of celebrity and crowdsourcing donations she is known for to assuage an individual’s health care needs to end as well.

This accepted norm is gaslighting at its finest.

As a fan of The Ellen Show, I don’t feel warm and fuzzy after seeing a patient facing cancer with a large medical bill moved to tears because a company just gave them $10,000 towards their debt.

The average American can also take on the same hero role via GoFundMe or other applications to help move the bar for the amount raised a little closer to the goal for a person who needs a kidney transplant. Many fundraising options are available to help the families of victims of the recent Waukesha Christmas parade tragedy, which left five people dead and more than 60 injured, including children.

On the surface, these seem like good things, but they are a band-aid for a perpetual problem. These funding gaps can be filled with better systems and processes on the local and federal levels from the government as well as public and private institutions, companies, and organizations. Then there may be the true impact on these stories that so often move us to tears.

My cousin was born nine years ago with several chronic health conditions that require him to regularly see specialists all around the country, including a neurosurgeon in Texas and a cardiologist in Wisconsin.

Because of this necessary care, he gets to be a normal child who loves to play video games and soccer. His quality of life is only possible with the medical care that he receives. His condition is chronic but managed. Unfortunately, the medical financial burden is chronic as well.

Early on in his life, friends and family had an in-person fundraiser event for him because the bills were piling up despite the insurance coverage. Many people gave generously.

However, he required several more procedures since then and the bills quickly out-paced the amount raised.

After submitting his story several times to producers of The Ellen Show for help on his behalf, I envisioned him sitting on the couch across from DeGeneres with a check bigger than his body, pictures of him in the hospital with a bandage wrapped around his head on the jumbo screen behind them, and tears of gratitude rolling down his parents’ cheeks.

The invitation to the show never came.

As a nurse practitioner and a registered nurse, I know that I cannot refer the great number of patients I have worked with who are struggling to pay for health care to talk shows or GoFundMe even though they have equally heart-wrenching stories.

But does this common private and out-of-pocket spending in the U.S. improve outcomes anyway? The data says it does not.

ADVERTISEMENT

In a report comparing the U.S. to 10 other high-income counties, researchers found that the U.S. spent almost twice as much on health care with the difference mostly attributed to private and out-of-pocket spending. The result: the lowest life expectancy of the group.

For those who are enduring health struggles, patients and health care professionals need consistent systems in place that can meet these needs.  Local, state, and federal legislation needs to expand health care coverage and access that has a comprehensive impact rather than elevating a few of many stories.

The United States has a long way to go to make this shift, but surprising players recognize the problem.

According to GoFundMe’s website, more than 250,000 medical fundraisers raise $650 million per year. Not only are these individual fundraisers difficult to regulate, including cases involving fraud, but the CEO of GoFundMe also recognizes that comprehensive health care is a right, and the solutions lay at the local, state, and federal levels of government.

This is because while 250,000 is a substantial number of lives, legislation like the Affordable Care Act (ACA) has increased the amount of people insured by almost 20 million people, according to a 2021 U.S. Human & Health Services report.

Organizations seeking to improve specific health outcomes also target changes at the legislative level. The American Cancer Society offers individual involvement through programs like Relay for Life and Making Strides Against Breast Cancer that have raised $8 billion dollars since 1985.

However, the first fact they highlight on their “Get Involved” tab is that the federal government is the nation’s largest funder of cancer research. Likely due to this, they have a separate advocacy affiliate, the American Cancer Society Cancer Action Network. ACS CAN advocated for and helped pass laws that required insurance companies to cover cancer screenings like mammograms, colonoscopies, and Pap tests.

To be sure, popular initiatives like the 2014 Ice Bucket Challenge that raised $115 million for the ALS Association increased awareness and made advancements for specific diseases.  However, there shouldn’t need to be a trend for adequate investment to occur toward a devastating disease. Instead, there should be consistent funding through legislative policies.

In addition to policy shifts, perhaps an active shift in how to think about these funding gaps is necessary. The next time a story about a child who has debt-crippling medical care before they have had a chance to start school appears on social media or TV, consider a strategic plan of action.

Instead of trying to earn a spot on a talk show to help a person dealing with costly treatments for illness, perhaps it is best to lobby policymakers to pass legislation that impacts big numbers of patients dealing with the high costs of treatment, ultimately including that person. Perhaps encouraging businesses, institutions, and organizations to allot funds for health care programs is a more salient idea.

Talk shows end. The need to close the gap in medical funding does not.

Amanda LaMonica-Weier is a nurse practitioner.

Image credit: Shutterstock.com

Prev

Tired of the dying: Finding parallels in COVID-19 and HIV

December 11, 2021 Kevin 0
…
Next

"Take it or leave it" is not negotiation but coercion [PODCAST]

December 11, 2021 Kevin 0
…

Tagged as: Neurology

Post navigation

< Previous Post
Tired of the dying: Finding parallels in COVID-19 and HIV
Next Post >
"Take it or leave it" is not negotiation but coercion [PODCAST]

ADVERTISEMENT

ADVERTISEMENT

ADVERTISEMENT

Related Posts

  • Digital advances in the medical aid in dying movement

    Jennifer Lynn
  • How the COVID-19 pandemic highlights the need for social media training in medical education 

    Oscar Chen, Sera Choi, and Clara Seong
  • America’s inadequate LGBTQ medical education

    Haidn Foster
  • A cancer survivor embraces the light of going to medical school

    Shekinah N. Elmore, MD
  • End medical school grades

    Adam Lieber
  • What inspires this medical student

    Jamie Katuna

More in Policy

  • Why physician voices matter in the fight against anti-LGBTQ+ laws

    BJ Ferguson
  • The silent toll of ICE raids on U.S. patient care

    Carlin Lockwood
  • What Adam Smith would say about America’s for-profit health care

    M. Bennet Broner, PhD
  • The lab behind the lens: Equity begins with diagnosis

    Michael Misialek, MD
  • Conflicts of interest are eroding trust in U.S. health agencies

    Martha Rosenberg
  • When America sneezes, the world catches a cold: Trump’s freeze on HIV/AIDS funding

    Koketso Masenya
  • Most Popular

  • Past Week

    • The silent toll of ICE raids on U.S. patient care

      Carlin Lockwood | Policy
    • Addressing the physician shortage: How AI can help, not replace

      Amelia Mercado | Tech
    • Why medical students are trading empathy for publications

      Vijay Rajput, MD | Education
    • Physician patriots: the forgotten founders who lit the torch of liberty

      Muhamad Aly Rifai, MD | Physician
    • Why does rifaximin cost 95 percent more in the U.S. than in Asia?

      Jai Kumar, MD, Brian Nohomovich, DO, PhD and Leonid Shamban, DO | Meds
    • Why physicians deserve more than an oxygen mask

      Jessie Mahoney, MD | Physician
  • Past 6 Months

    • What’s driving medical students away from primary care?

      ​​Vineeth Amba, MPH, Archita Goyal, and Wayne Altman, MD | Education
    • How dismantling DEI endangers the future of medical care

      Shashank Madhu and Christian Tallo | Education
    • How scales of justice saved a doctor-patient relationship

      Neil Baum, MD | Physician
    • A faster path to becoming a doctor is possible—here’s how

      Ankit Jain | Education
    • Make cognitive testing as routine as a blood pressure check

      Joshua Baker and James Jackson, PsyD | Conditions
    • The broken health care system doesn’t have to break you

      Jessie Mahoney, MD | Physician
  • Recent Posts

    • Physician patriots: the forgotten founders who lit the torch of liberty

      Muhamad Aly Rifai, MD | Physician
    • The child within: a grown woman’s quiet grief

      Dr. Damane Zehra | Physician
    • Avarie’s story: Confronting the deadly gaps in food allergy education and emergency response [PODCAST]

      The Podcast by KevinMD | Podcast
    • Why the physician shortage may be our last line of defense

      Yuri Aronov, MD | Physician
    • 5 years later: Doctors reveal the untold truths of COVID-19

      Arthur Lazarus, MD, MBA | Physician
    • The hidden cost of health care: burnout, disillusionment, and systemic betrayal

      Nivedita U. Jerath, MD | Physician

Subscribe to KevinMD and never miss a story!

Get free updates delivered free to your inbox.


Find jobs at
Careers by KevinMD.com

Search thousands of physician, PA, NP, and CRNA jobs now.

Learn more

Leave a Comment

Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories.

Social

  • Like on Facebook
  • Follow on Twitter
  • Connect on Linkedin
  • Subscribe on Youtube
  • Instagram

ADVERTISEMENT

ADVERTISEMENT

ADVERTISEMENT

ADVERTISEMENT

  • Most Popular

  • Past Week

    • The silent toll of ICE raids on U.S. patient care

      Carlin Lockwood | Policy
    • Addressing the physician shortage: How AI can help, not replace

      Amelia Mercado | Tech
    • Why medical students are trading empathy for publications

      Vijay Rajput, MD | Education
    • Physician patriots: the forgotten founders who lit the torch of liberty

      Muhamad Aly Rifai, MD | Physician
    • Why does rifaximin cost 95 percent more in the U.S. than in Asia?

      Jai Kumar, MD, Brian Nohomovich, DO, PhD and Leonid Shamban, DO | Meds
    • Why physicians deserve more than an oxygen mask

      Jessie Mahoney, MD | Physician
  • Past 6 Months

    • What’s driving medical students away from primary care?

      ​​Vineeth Amba, MPH, Archita Goyal, and Wayne Altman, MD | Education
    • How dismantling DEI endangers the future of medical care

      Shashank Madhu and Christian Tallo | Education
    • How scales of justice saved a doctor-patient relationship

      Neil Baum, MD | Physician
    • A faster path to becoming a doctor is possible—here’s how

      Ankit Jain | Education
    • Make cognitive testing as routine as a blood pressure check

      Joshua Baker and James Jackson, PsyD | Conditions
    • The broken health care system doesn’t have to break you

      Jessie Mahoney, MD | Physician
  • Recent Posts

    • Physician patriots: the forgotten founders who lit the torch of liberty

      Muhamad Aly Rifai, MD | Physician
    • The child within: a grown woman’s quiet grief

      Dr. Damane Zehra | Physician
    • Avarie’s story: Confronting the deadly gaps in food allergy education and emergency response [PODCAST]

      The Podcast by KevinMD | Podcast
    • Why the physician shortage may be our last line of defense

      Yuri Aronov, MD | Physician
    • 5 years later: Doctors reveal the untold truths of COVID-19

      Arthur Lazarus, MD, MBA | Physician
    • The hidden cost of health care: burnout, disillusionment, and systemic betrayal

      Nivedita U. Jerath, MD | Physician

MedPage Today Professional

An Everyday Health Property Medpage Today
  • Terms of Use | Disclaimer
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

Leave a Comment

Comments are moderated before they are published. Please read the comment policy.

Loading Comments...