Last Week Tonight - MeNtal Health Care

Homerboy

Lifer
Mar 1, 2000
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I'm not sure if you've watched the latest John Oliver from 7/31 where he covers Mental Health and the industry around it, but I can not tell you how accurate everything he says is. My family has had lots of mental health issues to deal with, over the past 10 or so years and virtually everything he says about insurance companies is dead on and true - if not worse. The state of mental health coverage is in shambles and it's not getting better. And due to the coverage being in shambles, the doctors and practitioners are suffering and just decreasing in numbers as well.

Here's the segment covering it.

 

[DHT]Osiris

Lifer
Dec 15, 2015
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'Lil secret we all agreed to keep from each other, virtually everyone is suffering from mental health issues sourced from a deep well of emotional trauma, generational trauma, PTSD in one form or another, and a myriad other issues that should probably be addressed.
 

vi edit

Elite Member
Super Moderator
Oct 28, 1999
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I think we've covered almost half the DSM-V in my house in the last 3 years and it's just escalating the more into the teen ages my kids get. Access to care in Oregon is abysmal and we've just accepted we're going to be spending thousands of dollars a year out of pocket since nothing is covered by insurance.

Watched his segment last night and it just hit home hard. Our country is on a death march towards a cliff of anxiety, depression and suicide.
 
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Homerboy

Lifer
Mar 1, 2000
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I think we've covered almost half the DSM-V in my house in the last 3 years and it's just escalating the more into the teen ages my kids get. Access to care in Oregon is abysmal and we've just accepted we're going to be spending thousands of dollars a year out of pocket since nothing is covered by insurance.

Watched his segment last night and it just hit home hard. Our country is on a death march towards a cliff of anxiety, depression and suicide.

yeap - pretty much the same thing here. My wife cried while watching it. I just got angry and nodding in agreement.

we currently pay OOP for 2 visits a week for our youngest. It is not cheap.
The one thing John Oliver didn't cover (though touched on) is that doctors just refuse to even deal with insurance anymore because of all the reasons he pointed out. They take cash and cut out the middle man becuase the middleman kept screwing over the doctors. It's disgusting and in a complete spiral
 
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vi edit

Elite Member
Super Moderator
Oct 28, 1999
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My wife's sister got divorced a while back. Niece was staying with Dad in Upper Michigan with his parents. Grandpa "took a walk" into the woods and never came back. They are die hard trumpers and fall into that same sort of demographic as Wyoming. Wyoming has some of the worse suicide rates in the country.

On my end I've got a teenage daughter that is just a weekly stream of "what new hell can we find this week".

It's just...too much.
 

VashHT

Platinum Member
Feb 1, 2007
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Yeah despite people constantly claiming there's a mental health crisis in this country it feels like nothing has been done to support treatment for it. I've been doing therapy for OCD and it's not covered by BCBS so I've been paying OOP, not sure why people in this country put up with being shafted so much on healthcare.
 
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Fenixgoon

Lifer
Jun 30, 2003
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Yeah despite people constantly claiming there's a mental health crisis in this country it feels like nothing has been done to support treatment for it. I've been doing therapy for OCD and it's not covered by BCBS so I've been paying OOP, not sure why people in this country put up with being shafted so much on healthcare.
Cause we don't know any different? And because America is "great"?
 

vi edit

Elite Member
Super Moderator
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One thing I can say about the outcome of Covid is that telehealth has taken off. Most therapists, especially for kids never had office hours outside of school/work so it was always like a 3 hour process of leave work, pickup kid, go to session, get kid back to school, then go back to work and try and find a parking spot...all for an hour long session. At least with telehealth a lot are moving to more non-traditional hours and can do it from home. So that's a plus.
 

Homerboy

Lifer
Mar 1, 2000
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One thing I can say about the outcome of Covid is that telehealth has taken off. Most therapists, especially for kids never had office hours outside of school/work so it was always like a 3 hour process of leave work, pickup kid, go to session, get kid back to school, then go back to work and try and find a parking spot...all for an hour long session. At least with telehealth a lot are moving to more non-traditional hours and can do it from home. So that's a plus.

yeap - 100% agree. My kid's therapist is about a 45min drive one way (closest one that even did the type of therapy they needed and was a "reasonable" OOP rate). Doing telehealth calls once and even sometimes twice a week saves A LOT of time to say the least. Not to mention, when it's just a "bad day" for my kid, it's a lot easier for them to pop on their PC versus get ready and sit in a car for an hour.
 
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vi edit

Elite Member
Super Moderator
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Voting down expanded Medicaid in rural areas and just looking at this map...


1659380347810.png
 

vi edit

Elite Member
Super Moderator
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Slightly different look...same general concept...the more rural the more severe.

1659380925072.png
 

nakedfrog

No Lifer
Apr 3, 2001
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Goes hand in hand with forced birth, gotta replace all those people somehow. Easier than doing anything positive to improve life for the living, y'know.
 
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Moonbeam

Elite Member
Nov 24, 1999
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This thread makes me sad. There is nothing wrong with anybody except they were made to feel there is. And once you have been made to feel it you never want to know you do. Mental illness is the fear of finding out that negative feelings are lies because we are believers. Nobody really wants to be cured. That is the first thing you need to know. That's why therapy is all about building up the ego so you can feel better about yourself when it is the ego that is there to protect you from the horror of realization. Our egos were what saved us as children and keep us sick as adults.

Post #2 'Lil secret we all agreed to keep from each other, virtually everyone is suffering from mental health issues sourced from a deep well of emotional trauma, generational trauma, PTSD in one form or another, and a myriad other issues that should probably be addressed.

You will really know this if we had a available environment is which we could safely get in touch with it. To feel ones pain deeply and to the core is to relive it and remember. Then you can deal with how you bought into the lie. Knowledge is power, self knowledge is the knowledge that matters, knowing what you really feel is how you get there. But even just knowing these facts, I think, should help one to realize that when everybody feels like the worst in the world only one person in the world isn't lying.

The ting is that there is nothing to fear but fear itself, the fear that we will remember, that what we remember is true and not the lie it really is. Meyer Baba says, I am the divinely beloved who loves you more than you can ever love yourselves. Relax and be happy. :) Jesus says we are forgiven. We can all use some input, I think, from time to time, to remind us we are not who we really believe ourselves to be, but something far far better depending on how well you know it to be so.

There is only love.
 

Aikouka

Lifer
Nov 27, 2001
30,383
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I've always been the person that asked "why?" when it came to things. It taught me two things... you won't always get an answer, and sometimes, people don't like being asked. :p (The latter is especially true as a kid.) I bring this up because when I see what seems like a rise in mental health issues, I wonder why that is. Another thing that I've learned over the years is that when something is a large scale, there usually isn't one, easy answer, and that's one thing that drives my curiosity. Along those lines, I'm assuming there's more than the simple answer of "we're just more aware and are testing more". One thing that I've wondered is if we're seeing more issues (both mentally and physically) due to environmental abuse from corporations. I believe it was also on Last Week Tonight where Oliver talked about how pretty much everyone that has been tested has shown levels of Teflon in their blood. The only sample they found that didn't have it happened to be one that was kept from a soldier during the Korean War. How do these chemicals affect us?

I've dealt with my own set of problems over the years. I know people really hate this answer when it comes to mental health, but fortunately, being positive has largely been the most helpful thing for me. I do emphasize "fortunately", because I know it isn't always that easy. It's also worth noting that I'm not "fixing" my problem(s); I'm just quelling them. Just like a dam can reduce the water level in a downstream area, it doesn't do it by making the water disappear... it just holds it back. Although, I've also come to accept that I can't fix my issues, but rather, I have to learn to live with them.

I never really had any help with this sort of thing growing up, so I had to figure out a lot of it on my own. My mom did have me see a therapist once while growing up after I admitted to having issues with depression. (I think I was a junior in college at that point.) Honestly, it seemed useless to me. I realize that therapy isn't a quick process and it requires building some rapport, but the session seemed so generic. I never went back after that first session. Sadly, it probably took well over 10 years after that attempt to really get to a place where I felt "better".

In being in more of a step-parent role over the past couple of years, I've noticed a few things that... honestly... make me feel like I'm looking into a mirror of the past. The issues that I see in the kids are pretty much the exact same things that I dealt with, and I think I can sum it up with three interconnected issues:

1. Self-loathing
2. Failure
3. Lack of Self

Self-loathing likely doesn't need much explanation; it's a lack of self-esteem. What I think really is important is that it doesn't matter how much good or decent things exist in your life, you will focus so heavily on the negative, and worst of all, you usually blame yourself for it. Failure is somewhat of a simplistic issue, but it's more about the inability to accept failure. Lack of self is a bit of a weird one, but I look at it as the ability to define who you are without just giving me physical characteristics. I see people try something new with the hope that they're good at it, but they end up failing. There isn't this desire to improve, but rather, they fall back on #1 and just wallow in self-pity/hatred.

Even though I've dealt with and have a decent understanding of these issues, I don't know if I have a great answer on how to address them. I can say that it wasn't even until the last few years that I felt like I've mostly gotten over a fear of failure. I know a good bit of that came down to being willing to accept that I wasn't good at something, and most importantly, that's okay. In the end, I would push myself to work on it more. Amusingly, one thing that I found helpful for this was one type of game that I had sworn off in the past... Rogue-Likes/Lites. Also, I've gotten back into doing karate after last doing it about 17 years ago. In the past, I'd get frustrated if I felt like I wasn't doing well or choking under pressure. (Performing a kata by yourself in front of ~200 people will do that to you.) Needless to say, it's a lot different now. Unsurprisingly, after 17 years, my body isn't nearly as young and spry. :p Also, I don't really get frustrated anymore. My only wish is that I could pause class to write down things that I'd like to work on when I notice that I might not be doing as well.

One area that I've noticed some problems in is the lack of responsibility placed onto children -- especially as they get older -- and how some end up with a poor work ethic as a result. Work ethic also doesn't even need to specifically refer to school or a job, but even taking care of things at home whether they be your messes (cleaning your room, etc.) or helping out (dishes, pets, etc.). Rewards need to be properly tied into the responsibilities. In my mind, this ties into #3 (Lack of Self) from above. It's kind of a weird concept, but it's just that we feel good when we know that there were fruits to our labor. We also generally don't feel the same when we get something for nothing.
 

interchange

Diamond Member
Oct 10, 1999
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I saw it. Pretty well done overall. That insurance reviewer gave me the cringes. Most are not like that, but I've run into it. Once, very explicitly (although we were able to get coverage) where the insurance's answer to why they were not providing coverage was basically them saying "we think you're lying".
 

Homerboy

Lifer
Mar 1, 2000
30,835
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I saw it. Pretty well done overall. That insurance reviewer gave me the cringes. Most are not like that, but I've run into it. Once, very explicitly (although we were able to get coverage) where the insurance's answer to why they were not providing coverage was basically them saying "we think you're lying".

Not mental health related, but my kid just went in to their GP for a checkup etc and he suggested they have some tests run, so we did.
The insurance refused to cover one of the tests sighting it "medically unnecessary" (akin to what was said in the Last Week Tonight clip). So if a doctor prescribes XYZ, the insurance company can overrule the doctor AFTER the fact and just leave you holding the full bill? That is INSANE.

On a similar note, a few years back, my son needed spinal fusion surgery. It was required by his doctor,. a back specialist and the surgeon . We happened to get an opening in the surgeon's schedule so everything was a little "rushed". The day before the surgery, insurance called up and had a million questions, and were refusing to cover until things could be discussed etc (we're talking a $300,000+ surgery) There was no time for further discussion etc, surgery was 7am the next morning. But they left us hanging.

We explained it all to the surgeon (whom we loved, and know many people who have had him and speak nothing but praise) and he was like "they do this EVERY time, it's easy to fix, but they do it every time... We'll just prep your son, get him wheeled into surgery and before I scrub up I will call them and explain that we're little in the room etc and they will cave and approve it."

and sure as shit that's what happened - exactly as he laid it out. It's disgusting that that's how it has to happen. AND apparently, happen often.

Sorry, I got off the Mental Health Care topic, but it's all related.
 

brycejones

Lifer
Oct 18, 2005
24,714
21,419
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Not mental health related, but my kid just went in to their GP for a checkup etc and he suggested they have some tests run, so we did.
The insurance refused to cover one of the tests sighting it "medically unnecessary" (akin to what was said in the Last Week Tonight clip). So if a doctor prescribes XYZ, the insurance company can overrule the doctor AFTER the fact and just leave you holding the full bill? That is INSANE.

On a similar note, a few years back, my son needed spinal fusion surgery. It was required by his doctor,. a back specialist and the surgeon . We happened to get an opening in the surgeon's schedule so everything was a little "rushed". The day before the surgery, insurance called up and had a million questions, and were refusing to cover until things could be discussed etc (we're talking a $300,000+ surgery) There was no time for further discussion etc, surgery was 7am the next morning. But they left us hanging.

We explained it all to the surgeon (whom we loved, and know many people who have had him and speak nothing but praise) and he was like "they do this EVERY time, it's easy to fix, but they do it every time... We'll just prep your son, get him wheeled into surgery and before I scrub up I will call them and explain that we're little in the room etc and they will cave and approve it."

and sure as shit that's what happened - exactly as he laid it out. It's disgusting that that's how it has to happen. AND apparently, happen often.

Sorry, I got off the Mental Health Care topic, but it's all related.
But single payer means care will be rationed by government bureaucrats.

/s
 
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vi edit

Elite Member
Super Moderator
Oct 28, 1999
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Yeah I work with Medicare frequently for work. They are some of the worst when it comes to documentation and weird ass requirements.

Moving to single payor will be a shit show if it operates under that same model. There's major revisions required there before expanding it further.
 

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