Sunday, October 18, 2009
Happy Birthday, Coach!
Thursday, September 10, 2009
Recent Column in The Journal Standard

The Great Health Care Debate
By
Roland Tolliver
Dan, a small business owner in the Chicago area, conscientiously paid his health insurance premium for over twenty years. Each month the bill would come and each month he would cut a check and forward it to the company. About two summers ago the company received the largest order it had ever had. The company was working almost around the clock and he was right alongside them. Thirty days lapsed and he was notified that his policy was cancelled. A couple of months earlier, he found out that his cholesterol was slightly elevated. He had gone in for a physical prior to running a marathon. Dan offered to send in his check, but the company wouldn’t reinstate him for, yes, you guessed it…a pre-existing condition. Dan cannot get health insurance without paying so much that it would create a major financial hardship for his family and his business. Dan favors the “Public Option” in the health care plan as proposed by the government.
Dan’s story is not unique. We, here in Northwest Illinois, are hearing this type of story almost daily. Businesses are downsizing. People are being “walked to the door” and the ranks of the uninsured or underinsured are growing with each lost job. The emergency rooms are becoming more crowded as people seek health care without the insurance or wherewithal to pay the medical costs. Medicaid ranks are growing, even though the state doesn’t have the money to pay existing bills. The number one reason for bankruptcy in our country is because of health care costs from a catastrophic illness or injury. What is our country to do? How will we be able to afford it? And what cost will there be as a nation becomes sicker, grows older and as the Baby Boomer Generation reaches Medicare age?
I had the opportunity to take part in a Health Care Forum in Chicago on September 1, 2009 at the WTTW studio in Chicago. There were only 24 guests invited to be a part of the audience and the panel included Senator Dick Durbin (D-IL), the Senate Majority Whip; Dr. Jeremy Lazarus of the AMA; Dr. Paul Handel of Health Care Service Corp, the parent company of Blue Cross/ Blue Shield Illinois; and Kevin Scanlan of Metropolitan Chicago Health Council, which represents 140 Chicago area hospitals. The hour long program, which was one of the most civilized I’ve seen, focused on some of the major issues which are currently (and will be) affecting Americans from all walks of life. Those of us in Stephenson County and throughout our region represent a microcosm of what is happening throughout the country and the health care issue is being rabidly debated, but goes much deeper than the rhetoric that is offered on the nightly cable news and on talk radio.
I presented a question to the panel about the problem that rural America faces in recruiting and maintaining physicians. There is currently a shortage of between 7,000-10,000 primary care physicians in America. This number is expected to grow to approximately 50,000 by the year 2020. Whether it is a preference for an urban lifestyle over a rural lifestyle, or whether it is the fact that the average medical student is graduating with a student loan debt load of over $155,000 even before they start in practice, fewer physicians are going into general practice. Another factor in the physician shortage is the cost of malpractice. This is another topic in the national debate, but was not addressed at the forum in Chicago. While the reform of tort laws is certainly an important issue, it is not the only factor for the escalating costs of health care.
The debate will continue to rage on, as it has for many years. Some feel that the current administration is forcing their plan onto the public. There is fear of so-called “death panels” and rationing of health care. In some ways, that is already going on in our country. From experience, however, it is not usually the public insurance, i.e. Medicare, which limits a physician’s ability to practice medicine. Their guidelines are straightforward. It is more often private insurance companies that are making the patients and their physicians “jump through hoops” when it comes to ordering necessary exams, prescribing the best medications for certain conditions as indicated, and being able to perform the procedures needed to allow a patient to live a pain-free or at the least, a more comfortable life.
No matter which side of the health care “debate” that one is on, we cannot deny that something has to be done for coverage of over 46,00,000 uninsured people in America. Neither can we afford to continue driving potential doctors away from the medical profession, because we will have an even greater divide in people receiving health care. We in rural America will suffer the consequences at an even greater percentage than in urban areas. We cannot afford this for our sakes, for the sake of our children and grandchildren and for the sake of our community’s overall well-being.
The questions are difficult and real answers about the cost of health insurance, prescription medications and the cost of poor lifestyle choices affect all of us. Let your voices be heard by writing our Senators and Congressmen. When the President speaks to the joint session of Congress this week, we must remember that it is ultimately up to each of us to make informed choices and take ownership in this issue and in our own health, whenever possible.
To view the Health Care forum, please visit WTTW’s Chicago Tonight website
or go to:http://www.wttw.com/main.taf?
Dr. Roland Tolliver is a podiatrist and freelance writer from Freeport.
Saturday, September 05, 2009
Health Care Forum WTTW
Thursday, July 23, 2009
Health Care Shortage
The problem will only get worse with the proposed healthcare initiative being strong-armed into existence by President Obama. We've had patients that have lived in countries, such as Great Britain, with nationalized health care and they've reported that there was a waiting time for basic services of up to six months or more. Insuring more people will not only overwork existing doctors, but will disinsentivize people from considering going into medicine. If there is change in the cost of going to medical school, it would offer more qualified students a chance to study medicine and create an environment where financial renumeration is not such an overarching issue. Somehow, I don't see the cost of medical school going down anytime soon, though.
Sunday, May 24, 2009
Father and Son
I remember fishing and hunting trips with my father. There weren't club soccer teams or traveling baseball teams when I was my son's age. Now there are both and club volleyball, basketball and other sports where the kids play throughout the year. I don't know which is better, or maybe it is just that things are different. The joy of trying various sports and activities is missing sometimes, but the level of competition seems to be at such a higher level than in previous years. Either way it is fun to be with the children throughout these endeavors, either athletics, dance, music, or speech (as any one of the children have done at one time or another).
Time for some sleep, as the next game comes around early in the morning.
Sunday, May 03, 2009
The Long Weekend
The Twin Cities were the sight of our recent and rare chance to get away for a few days. We are grateful that our daughter and son-in-law are willing to help out with our special-needs daughter, and our other two younger children. This week is special for the fact that my beloved, Irena, will be 50 on Friday. She didn't want a vacation, or a trip to Hawaii, or a "surprise" party. She wanted to go and have an "Oprah Makeover" as was featured on her show. reVamp Salon in Minneapolis is where Christopher Hopkins and his extraordinary staff of designers, estheticians, among others brought out the "new" Irena. Not that I saw anything wrong with the old version. She literally received the royal treatment and the photos do not lie. It is said a picture is worth a thousand words, so I'll stop here...
Wednesday, April 15, 2009
Bird was the Word
Mark made the game fun, not only for those in attendance, but for his teammates, as well. He kept the Tigers in almost every game he pitched that season with a 19-9 record and 2.34 ERA. He pitched 24 complete games that year. That is a career for many of the coddled starters in today's game. Hair flopping, mound grooming, and ball talking were just a few of the styles he brought to the field. None of it would have mattered if he hadn't pitched so well, though. It was a competitive nature and pinpoint accuracy that made him what he was that year.
Unfortunately, fame can be fleeting. He injured his knee jumping over the dugout railing (there was that juvenile streak in the fair-haired boyish charm). He tried to come back too soon and with his mechanics off, he then injured his shoulder. The Bird would only go 10-10 the rest of his career only showing glimpses of the brilliance of 1976.
Just like Mark "The Bird" Fidrych left the game too soon, so did he leave this life too soon. There may be no second acts, but there can definitely be fond memories. Godspeed, Bird, may you fly high, throw straight and bring such joy to the next life.


