Tag Archives: insurance

Did You Know Medicare Doesn’t Cover Dental?

Oral & Heart Health

Be Good to Your Teeth and They’ll Never be False to You.
~ Soupy Sales

Are you aware of just how important your dental health is to your overall health? The two are far more closely related than you may realize. It’s been almost 10 years since my mother’s death, but her oral health played a major role in what brought her life to a close. She had been admitted to the hospital and was awaiting a triple bypass. Coronary bypass surgery has become pretty routine nowadays and the operation she was facing wasn’t all that dangerous, although at her age (81) recovery would have been somewhat lengthy.

However, the real problem was her teeth. The surgeons would not operate before she had eleven teeth pulled. My mother was not one who faced pain all that stoically and she had neglected her oral health. This was, of course, exacerbated by an inability to afford good, useful dental insurance. She was on Medicare, through Kaiser Permanente, and there is no dental coverage offered as part of the overall plan. The reason they wanted to pull her teeth is the very real danger of Endocarditis, an infection of the inner lining of your heart (endocardium). According to the Mayo Clinic, “Endocarditis typically occurs when bacteria or other germs from another part of your body, such as your mouth, spread through your bloodstream and attach to damaged areas in your heart.”

I will never forget the look on her face when she told me about their plans. She made an expression I had come to recognize over the years that said “I don’t like it, but I have no control so I’m giving up.” Give up is what she did. Within two days she lost consciousness and quickly died. I can still see her expression and it breaks my heart.

Yesterday, I created a petition at “We the People“, a part of Whitehouse.gov. As someone who is currently on Medicare and who has a difficult time affording a good dental plan, and as someone who recognizes the importance of good dental health to overall health (not to mention someone who does need a little work) I am appalled that Medicare doesn’t cover — at the very least — routine examinations and bi-annual cleaning. I know of no studies, but I have a feeling offering such coverage might actually bring down the overall cost of Medicare.

I know there are some issues with whether or not this kind of thing works, or if the Obama administration is either taking it seriously or paying much attention at all. However, I’m bound and determined to do what I can to bring attention to this problem. It only takes a moment of your time to sign and I think it’s worth raising awareness.

Below is the text of the petition. Please take a moment and sign it. Here’s the link. If you have a moment, you can also share through the Facebook and Twitter buttons just below it. Surely you have family who may benefit from this expansion of coverage and, whether you like it or not, you’re going to get old yourself. Will you be able to afford a dental plan? In the long run, I’m in favor of universal health care. However, in the meantime, let’s ensure our older population has the means to remain as healthy as possible. Maybe we’ll all die of less expensive diseases. ;)

“Recognizing the role oral health plays in the overall health of our citizens, as pointed out by such organizations as The Mayo Clinic, the Office of Disease Prevention and Health promotion, and the Surgeon General’s Report on Oral Health in America, we believe it is prudent and economically imperative to provide coverage for Dental Services to all recipients of Medicare. Many of those who have reached the age of eligibility are healthy and desirous of continuing to contribute to our country’s well-being. Ensuring their dental health is important to ensuring their overall health as well. Many people who have reached the age of eligibility for Medicare are unable to afford separate coverage for dental health. We ask the administration to work toward achieving this goal.”

Thanks from the bottom of my heart . . . and my mouth.


Say What? When Did That Happen?

The Long Slide

Don’t get me wrong. Most of the time it’s like this.

Aging is an interesting subject to write about. After all, it happens to all of us and, as a Baby Boomer, my cohort is a rather large one. My experiences aren’t exactly unique . . . at least not in the grand scheme of things. However, I do bring a few wrinkles to the table. Perhaps the thing that stands out for me the most is the fact I still have rather young children.

If you read my blog or follow me elsewhere you should know by now my wife and I adopted our oldest child shortly after I turned 55. Not finding that enough of a challenge, we went and did it again when I was 59. I should point out my wife is younger than I am; not by a huge number of years, but the difference isn’t insignificant. It means when my oldest graduates high school I will be in my early seventies. Not unheard of, but surely a bit unusual.

Lately, I’ve found myself wondering if our journey wasn’t a little selfish. It’s all related to aging and my fear I will soon leave my children without a father, which will be the third (and probably most traumatic) time it’s happened to them. The first was losing their biological parents; the second their foster parents. I realize most of their memories of those two losses are pre-verbal and visceral, but I don’t think that makes them any less real and I don’t want to leave them until they’re full-grown and capable of taking care of themselves. I owe that to them.

Right now there is a confluence of events that’s causing me to think about my mortality a little more than I normally do. My retirement is far more devastating to my self-esteem than I anticipated. I’ve written about the separation I’ve felt and it hasn’t become any easier in the interim. It’s a bit difficult to feel competent when you don’t have the opportunity to test your skills and, given my propensity to continuously question my capabilities, I find myself struggling to find relevance.

Then there are the physical things. Oy! When I was a young man the only thing I was really interested in was wisdom. I wished to one day be seen as a wise person. I knew that would take time and that I would not be the one to determine when I had reached whatever level that might be. You don’t, after all, hang out a shingle advertising “Wise One Here”! For that reason I looked forward to getting older. Not that I wanted to rush anything, but the aging process was a necessary precondition to attaining my goal.

When I hit about forty it suddenly dawned on me I had not considered the physical consequences of aging. I was not pleased with knowing how naive I had been. Clearly, wisdom was still a long way off. Each year now brings new challenges: Essential tremors, deteriorating vision, and a host of other areas in which I experience physical deterioration, the inexorable acceleration of my downhill slide. They all seem to be converging on the next big milestone – my 65th birthday, now a mere four weeks away.

I’m not sure it would affect me as much as it has were it not for the end of my COBRA health insurance six weeks prior to Medicare kicking in. Actually, I planned on it and I’m not really all that worried about bridging the gap. However, I don’t recall ever being uninsured in my life . . . so it’s a bit weird to realize I am totally uncovered right now. I’ve suggested to my friends I might spend the six week transition entirely in bed, but I’m sure that would just give me a heart attack.

I’m not entirely certain what I’m writing now is all that coherent, as I sometimes feel I’ve lost a few of my cognitive faculties. Normal driving can be cause for concern on occasion, as I don’t seem capable of anticipating three steps ahead like I used to do so effortlessly. I suspect, at times, it’s all relative and what I’m experiencing isn’t objectively as bad as I feel it is, but how do I know? Again – Oy!

So . . . I promised I would write a little about how I’m dealing with the aging process. This is it. I believe I’ll have more to say but, in the interest of getting something out there (a skill I am still struggling mightily with) I want to post this. Please don’t hold me to anything. Clearly, these are the ravings of an old man who, having awakened one morning to find his youth behind him, is seeking to understand what the fuck just happened.

Tomorrow I’m going to address why I chose to incorporate professional and personal posts into the same blog. TTFN :)


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