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August 19, 2009

My Mother's Story

-9 I’m one of the lucky ones. My entire life, I’ve had my health care covered by my mother, then my university’s student health system and later by private insurance carriers partially subsidized by large, corporate employers. My mother, however, was not as lucky. Had previous administrations been able to reform health care, she might possibly still be alive today.

In the summer of 2000, my mother, then not quite 59, was diagnosed with two primary cancers – of the cervix and the colon. At the time she worked as a patient care representative at Cedars Medical Center in Miami.

At first, the hospital’s employee insurance covered her surgeries and radiation therapy. In fact, she was treated like a VIP, because of her years of service as a popular patient rep. She went into remission after a few months, but exactly a year after her diagnosis, her colon cancer returned, and another surgery plus a round of chemo left her too weak to work.


Eventually she recovered enough to return to her job again, but the walking-intensive position became too much to bear. After exhausting all of her vacation and sick days, she realized she had no choice but to resign. This decision, while seemingly the right one for her health, left her without insurance.

When the incredibly costly COBRA ended, my mother was 62 opted to register for widow’s benefits instead of waiting for full retirement at 65. Although she began to receive monthly Social Security checks, she was not entitled to Medicare. She made too much to be considered for Medicaid, however.

For three years, my mother, my siblings and I tried to figure out a way to get her quality health care without going bankrupt. The hospital that once treated her like a VIP could no longer treat her, unless we could pay the prohibitive costs out of pocket (we couldn’t).  Private insurance was out of the question given her “pre-existing condition.” I even tried to get her listed as a dependent on my generous corporate-sponsored insurance but was denied, because my insurance only counted spouses/domestic partners, and children.

Cancer centers around the country would’ve taken Medicare, but without any type of insurance, or vast savings, my mother had to go to a crowded New York City clinic. There, her care was frustratingly inconsistent (a fact my siblings and I still shudder about). By the time she turned 65 and was eligible for Medicare (I remember we did a little celebration dance the day she got her card in the mail), my mother’s health had declined.

Once she was 65, she moved in with my Florida-based siblings to be a patient at Moffitt Cancer Center, one of the top facilities in the country. Her new oncologists were horrified at how poorly my mother’s case had been handled, and told her that the changes in care those three years had been riddled with miscommunication between the doctors. The bottom line, she was told: her inconsistency in care had negatively impacted her prognosis.

My mother died last October, only two years after she started being treated at Moffitt. She ended up only being a patient there for 16 months, and spent her final 8 months in my sister’s home, under excellent Hospice care.

I know that health-care reform would’ve made a difference in my mother’s case. I’m not saying she would’ve been miraculously cured of her cancer, but she would’ve had more options. She could’ve had more consistent care. She could’ve felt empowered instead of defeated by the health care system. And yes, she might still be alive, if even for another few years.

This is an original post to DC Metro Moms Blog. Sandie, a mother of three, writes about being a motherless daughter at Urban Mama.

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