SOUTH BRONX SCHOOL: Medicare (Dis)Advantage
Showing posts with label Medicare (Dis)Advantage. Show all posts
Showing posts with label Medicare (Dis)Advantage. Show all posts

Sunday, April 16, 2023

Springtime for Mulgrew: Mike Mulgrew Stars in Mulgrewcare Version of The Producers

 Many don't know that Mike Mulgrew is an avid theater fan. And still many are unaware that Mulgrew leads a theater company known as "Mulgrew & Company." In fact, Mulgrew must always have the lead part. It's written into his contract. This has caused some issues when the theater company put on "The
Miracle Worker."

Anyhoo, the theater company is now in rehearsals of their version of "The Producers." But for some curious reason, instead of Mulgrew playing Max Bialystock, the character's name is actually Mike Mulgrew. And instead of a play about a conman ripping off little old ladies for a musical, it's now a musical about a conman ripping off little old ladies and little old men. 

Members of The Crack Team snuck into some of the rehearsals without audio but took copious notes of what they witnessed and we here at SBSB are sharing for the first time.

The Overture:

New York City was having trouble, what a sad, sad story 

Needed a man to save a lot of money 

Where, Oh where was he? 

Where could that man be? 

We looked around and then we found 

The man for Mayor Adams. And now it's..

Springtime for Mulgrew and Tom Murphy

Adams is happy and and won't say nay

We're marching to retirees to a faster death

Look out, there goes master health

Springtime for Mulgrew and the MLC

Winter for retirees and and in service

Springtime for Mulgrew and the MLC

Come on, New Yorkers, go into your dance

Don't be stupid, be a smarty, come and join the Unity party

Scene in Mulgrew's Office:

Don't you see, darling Bloom, glorious Bloom? It's so simple. STEP ONE: We claim  that the city is $600 million  in the hole and don't tell any of the rank and file about it.. STEP TWO: I tell lots of little old ladies, little old men, all retirees teachers, DC 37, the MLC, all the unions mayors . STEP THREE: You go back to work on the books, two of them - one for the retirees, one for us. You can do it, Bloom; you're a wizard! STEP FOUR: We set up with Aetna for Medicare Advantage plan. STEP FIVE, We act like we care, like we really believe the crap we're laying on the retirees and in- service members.And before you can say STEP SIX we watch more retirees drop dead and/or get denied and save the city big bucks !!! STEP SEVEN: We take our million bucks in kickbacks from Aetna and fly to *Rio!*

Tom Murphy (As Leo Bloom): My blanket! My blue blanket! Give me my blue blanket!

Sunday, March 12, 2023

Dear Mike Mulgrew: Will I Die, Become Physically Disabled, or Go Insane?

 Dear el Presidenté Mulgrew:

Since you have unilaterally decided that those retirees 65 and over will be forced to into Mulgrewcare for their golden years, I have several questions and concerns that I would like you to answer. I turn 59 in April and soon to retire. I will be eligible for your plan in six short years. 

I have type 2 Diabetes. Fortunately for me my A1c is pretty darn good. What keeps it good is a sensor that I wear on my arm. This, and the app on my phone, monitors my blood sugar. It is expensive. Currently, thanks to Emblem I pay nothing for a 3 month supply. I can pay $35 for a three month supply but I like freebies. This is a much better way to check blood sugar than pricking my fingers. There are those that are not so fortunate. My endocrinologist (Castle Connolly ranked her among the top in Westchester County) shared with me how fortunate I am. She told me that many health plans won't cover this sensor unless one is taking at least three shots of Insulin a day. As of now, no insulin for me. Will I still be covered for this under your plan? Will my doctor be on your plan? Diabetes is a progressive disease. Will I die? 

One of the medications I take is a name brand. Not only has it helped me manage my diabetes I have lost a lot of weight (It's not Ozempic!). I pay $35 for a three month script. Will this medication still be covered?

In 2019 I had my right shoulder replaced. I did not need to go through a gatekeeper. I just went to the doctor, he said my shoulder is fucked, and I need to replace it. I scheduled the surgery and that was that. Another person I know, not with the DOE, had their shoulder replacement turned down. Why? The reason their insurance gave was, "PT has not been tried." Some hack on a phone made that decision? You can't fix bone on bone. Will this be something Mulgrewcare will do? Plus, as my surgeon told me I was somewhat on the young side for a shoulder replacement. Shoulders last 10-15 years. Will I be able to get a another shoulder? Will my shoulder surgeon be part of Mulgrewcare? Will NYU Langone be part of Mulgrewcare? 

I had a inch and a half tear of the meniscus of my right knee in 2009. The surgeon told me that down the road I will need a knee replacement. My left hip has been acting up of late. I can foresee a new hip in my future. Will Mulgrewcare be there for my knee and hip? Will I become physically disabled?

As we know Emblem has horrible mental health care. Luckily, I have a good therapist. I have anxiety issues and ADHD. Hopefully, Mulgrewcare will do better than Emblem. I doubt it. Imagine retiring from the DOE and needing and looking for mental health care and Mulgrewcare doesn't deliver. What to do with all those teachers suffering with personality disorders, PTSD, etc...? Will I go insane? 

But I will put it to you succinctly and directly mi presidenté. Which doctors, hospitals, providers, medications, etc... are on Mulgrewcare? What is the hold up in sharing? We should be told post haste.

We all want to know. Not sometime soon, but now.



Saturday, February 25, 2023

Look, What GHI is Doing to my Hand

I just can't wait to get on Medicare (Dis)advantage with the issues I've been having with Emblem GHI the last month or so. BTW, that was sarcasm.

About a year ago I was waking up, as well as recurring throughout the day, with pins and needles in my left (dominant) hand and fingers. I assumed it was because of a pinched nerve in my neck and went to a chiropractor (Didn't need a referral and I recall when chiropractors weren't covered). I went for about a month and stopped due to it was getting better and I didn't have time anymore. 

But around late October, early November,  the symptoms came back. Worse. There was pain with the pins and needles. It would wake me up in the middle of the night. The numbness would take an hour to go away. So this time I went to a spine surgeon that I know of, Dr Jonathan Oren (The ABSOLUTE best! If you have spine issues, he can work miracles. Mention me to him and get a free glass of wine compliments of Lenox Hill Hospital) (He deals with. REAL spine issues, not fantastical spine issues. And, his office isn't in a storefront or a strip mall). Again, no referral was necessary. Good.

I was examined and x-rayed. Dr Oren not being some gonoff doctor saw nothing abnormal in my spine and suggested I see a hand specialist and also to have an EMG. Since I already have a hand surgeon due to an arthritis issue my left thumb that part was taken care of. I also made an appointment for the EMG.

So far so good. Notice I am in control of my healthcare. 

I went to the hand doctor. He gave me a diagnosis of Carpal Tunnel and Cubital Tunnel Syndromes. I was also directed to start PT at once. Better, I knew the place where I wanted to go! The same PT where I went when I had my shoulder replaced three years ago. 

I called and was told that they don't take GHI for hand therapy. Say what? Yep, that was true. In fact when I looked closer at the script, the doctor wrote I was referred for "occupational therapy." I found out a few days later that anything from the elbow to the hand is considered occupational, not physical, therapy. 

Reluctantly I reached out to several other PT centers and heard the same. None took GHI for occupational therapy.

But I got a surprise with my last phone call. 

It was not that PT centers did not wish to take GHI. They couldn't. Why? Because GHI does not cover occupational therapy. Yeah. It doesn't. I found out after speaking with the hand therapists where I am going now that GHI is the only plan they know of which doesn't cover occupational therapy. 

How am I rehabbing the hand? I was told by a hand therapist where I am now to have the doctor  re-write the script to "physical therapy." Instead of a hand (occupational) therapist working on me it will be a physical therapist. The PT I have now is fantastic and he gets his instructions for the hand people. How does this make sense?

I understand how complicated the hand is. I nearly sliced my thumb off cutting open a roll at Grand Union in 1984. I severed the tendon and nerve in my thumb and hand therapy helped quite a bit. It is proven science. But who knows how the powers that be think at GHI. I mean, who do we even bring this up or complain to?

Overall I have been happy with GHI. This story is like a gnat flying in front of my face at a picnic. But with Mulgrewcare it won't be a little gnat fucking around with our healthcare. It'll be a flying Mulgrewsosaurus right in front of us with it's hairy and pimply ass right in our faces.

I'm grateful that at no point have I had to get clearance to see a specialist, receive a test, or go to PT (though with PT one needs to re-certify after 16 visits). I am grateful that I spoke with someone who told me how to get around the system. 

But to deny occupational therapy for whatever reason is mind boggling! What happens is someone else didn't have the resourcefulness, guile, or perseverance I have? That person just might wind up with an atrophied, useless hand. This is one of the inherent dangers of Mulgrewcare. How many will be told "no" and just accept that? 

Seven months after total shoulder replacement I was swinging a golf club again. Eight months after I was playing a round of golf. Will I, or anyone else, be able to have access to world class physical therapy on Mulgrewcare? Or even the surgeon who operated on me?

If I have to have surgery on my hand, I'll be damned if I won't be out of a golf course no more than six weeks after surgery. Again, I'll have top notch PT and a surgeon.

Fix the healthcare. Give us occupational therapy. Give us what we want. Don't fix what is broken. 

Monday, December 26, 2022

Mulgrewcare Thoughts

 I got to give Mike Mulgrew credit for one thing. This passion he is showing to get his way with taking away the rights (and eventually the lives) of retired teachers shows that he can be passionate about something. That he can fight for something when he decides to. That in he does have a set. 

It would sure have been swell if Mulgrew showed the same passion for the last fifteen years as teacher upon teacher has been unceremoniously been dumped on and shat upon. Teachers hit up with trumped up letters to the file, accusations, hearings, and terminations while Mulgrew was silent.

However, Mulgrew is making a mess of this push to Mulgrewcare and he's going to take as many retirees down with him. Either to his level or to their graves. 

But I have been meaning for some time to share what's on my mind about Mulgrewcare. Not to the level of the experts, such as Jonathan, Arthur, James, and Norm. All four of them deal into the nitty gritty as well as numbers and background that I can only dream of doing. 

So just some pertinent thoughts from me concerning this healthcare mess. Let's see if he makes any big purchases in the future. 

1. Why is Mulgrewcare being created from the top down? Why not have all the ducks in a row and then present it to the retirees? Have a list of all the providers, hospitals, pharmacies, et. al. show what's available and at the very least retirees, and future retirees, can see there is a plan (mind you. I am not in favor of Mulgrewcare). 

2. To add on the above, would it not be advantageous to also let retirees know where other than Florida and the Northeast where coverage would be provided? What happens if a retiree moves to California or Montana? Will there still be coverage available? 

A 68 year old family member of mine moved from California to  the middle of nowhere Maine last year. He's on Medicare Advantage. For some reason his policy is still being written out of California. Sadly, he lacks common sense and is having trouble find doctors in Maine to treat his maladies. 

3. To save money why not extend HIP coverage to all employees under 30? Or under 30 and single? Or employees with less than five years in the system? 

Rookies in the NFL and NBA used to get huge contracts until there was a rookie wage scale negotiated. There is precedence. 

4. Combine all the welfare plans into one. Yes, the number of patronage jobs will be affected but I'm sure there are savings to be found. 

5. Look look for savings. For instance, did you know that if an NYPD cop gets injured off the job, be it playing football with the guys, ice skating, heart attack, whatever, that that cop will be paid IN FULL. Yeah, paid in full until healthy and returns to the job. Is this fair? Why can't teachers have this? Sanitation workers? FIX THIS NOW!

6. Demand that Mayor Adams opens the books to the unions. Let's see for sure if the city is hurting.

7. I have heard the uniformed services are against Mulgrewcare. Why have their union leaders been silent thus far? Patrick Lynch has a big mouth and opinion about everything and anything. Why has he been so silent on this?

And last but not least, what is in this for Mulgrew? 

Saturday, November 5, 2022

Mulgrew's Latest BS

My two cents on this health care thingy. Yes, it has been a while since I have last blogged, but I have

been doing a lot of contemplation. 

 Here's my two cents: Mulgrew is full of shit and we are being played. 

Let me explain.

On October 29 we all received a shrill email from Uncle Mike  telling us that the health care premiums sky is falling...

"The city has dropped a bombshell that puts our premium-free health care in jeopardy. The city’s Office of Labor Relations sent a letter to the head of the Municipal Labor Committee giving the unions notice of its intent to enroll all Medicare‑eligible city retirees in a NYC Medicare Advantage plan and eliminate all other retiree health plans, including GHI SeniorCare. If the unions don’t go along with it, the city has threatened annual health care premiums of roughly $1,500 for all in‑service municipal employees."

Seems like blackmail.

In fact, official UFT Spokesperson Brian Gibbons has shared Mulgrew's the sky is falling shrillery (Which he has been doing ad nauseam on Twitter) (Click photo to enlarge)) ..

The city code that the city wants changed in which Mulgrew is the lead enabler is 12-126. I am not going to go into the details of it. Jonathan Halabi has a great analysis of it on his blog. Check it out here

What I will do is opine about Mulgrew's email. 

Mulgrew is full of shit.Trust me, the city did not threaten $1,500 premiums in a vacuum. Mulgrew is in on it. They (The City, Mulgrew, and DC 37) know they are fighting a losing battle to change the code. What better way for the Three Stooges, er, I meant the the three most powerful representatives of the MLC to get the code changed? Fear. Real fear. They know they can't fight the retirees, but now the in service members are being threatened with higher premiums. Members who have 20, 30, 40 years until retirement. Members who can't think that far down the road. 

Our union president who is supposed to be there for the rank and file through thick and thin. Who is supposed to have OUR INTERESTS at the forefront, is yet again is selling us out. Yeah, I know I am preaching to the choir. But this time he is conspiring with the City to use deception, lies, and subterfuge. There is no way, no how Mulgrew and the UFT should be trusted right now with our health care.

What he does not understand is that actually putting the lives of each and every UFT member, and all union members of New York City is serious jeopardy. 

It's once thing to consistently sell us out with our careers. But to toy with peoples lives. Deciding who will live and who will die. Mulgrew went to far this time.

Saturday, May 21, 2022

What the Coalition Can Do Going Forward

The amazing UFT election season is over. Unity got 66 percent of the vote. Will there be a coup at the top of Unity? It remains to be seen. What should happen next?

A former groupie (Oh well. There are many more groupies out there) told me just before the election that if Unity were to win  the Coalition must not only stay together but must--and I am paraphrasing here--act as a shadow union and respond to each and every move by Unity as well be a de facto "shadow government."

So what can, as well as should, the Coalition do as the loyal opposition? 

The First DA in September

Resolution to make all Delegate Assembly meetings open to the rank and file through online and/or through the phone. It is time for the all dues paying members to see how Unity controls the DA and clamps down on issues that do not toe the party line. 

Second, a resolution to make all voting at the DA to make voting secret. The technology is there. It's been used to for those voting by phone. Time for the same for in person voting. Get a few kids from Stuyvesant to create an app or add to the UFT app and let all vote their conscience. Update 5/22 It has come to my attention that the DA now has secret voting. My apologies for being incorrect.

Executive Board

Same goes with the executive board. It's time that all members can see and hear what is going on there. Plus, for those that wish to speak before board and unable to schlep to 52 Broadway phone and/or video must be codiciled within the UFT constitution.

A Long Campaign

The campaign for 2025 begins today. The Coalition did a great job with only very little time as a coalition. Yes, 2025 is three years away but it will be here before we know it. 

Stay on the Offensive

Fuck pissing of Unity and the UFT. Do it to them before they do it to you. Make everything public that the coalition is doing and thinking. Put them back on their heels.

Raise Money

This will be hard but there needs to be money in the coffers. A source of funds. Find a celebrity sugar daddy. Why...?

Because We Are About to Get Screwed

On the next contract. Yep, we are. We need to get the word out there how crappy it will be. The work that the Coalition put into the election will be needed to share with the rank and file how crappy the new contract will be. Flyers and Happy Hours will be needed.

Medicare (Dis)Advantage

Shackles are now off of Mulgrew. See above.

Don't Give Up

Be persistent. Be a thorn in the buttocks of Unity/UFT. Think steps ahead. Make Unity/UFT be reactive to the Coalition. 

 Yard Signs!!! 

I know I sound like a broken record... But while I am on the point let's visit some things I have said in the past:

Speak to one teacher ask them to speak to ten teachers. Give them enough leaflets, information, websites, emails, to share with their colleagues. United for Change must think of itself as Amway or Mary Kay.

I've said it before, and I will say it again. I have a friend who is in direct mail. Let's see what he can do for UFC. 

But don't go inside. The UFT represents nurses at (I forget how many) city hospitals. Don't go in the operating room but rather linger outside and follow some of the above ideas. And go to other non education places that the UFT represents. 

Unless we try we will never know if any of the above will work. 



Sunday, March 20, 2022

UFT Unity The Smell of Fear

 Smell that? It's fear. Desperation. It's exuding from 52 Broadway.

This is my fifth go round of being involved one way or the other with these union elections. What I've seen from the UFT Unity caucus this year is unprecedented.


The Crack Team assembled this afternoon to see if my hypothesis is correct. They crunched the data and looked back at the last two election cycles, 2016 and 2019, to use as a control group. They decided not to use 2010 because it was too far back and social media was still in its infancy and 2013 was excluded due to it being MORE was still in its infancy (I'm not trying to disparage MORE here, in fact I forget if MORE ran anyone in this election).

If we look at 2016 MORE was building up steam and was well organized. But there was also Solidarity which, if memory serves, was running in its first election. 

Both opposition groups were pretty much at loggerheads then and one could reasonably say they split ticket, however MORE did win the high school seats. But, could be seen as a wake up call for UFT Unity, but it wasn't. In the past, the opposition had won high school seats and in my opinion UFT Unity just dealt with it.

In 2019, was a real hullabaloo. MORE was in disarray and not really trying (Again, I am not disparaging MORE) and Solidarity was trying to pick up the pieces from... how do I say this? Shit happening. Yet, with all this Solidarity made a surprise second place showing. 

So this is the extreme brief take as well as history on the previous two elections. I am sure there are many who can fill in the missing pieces in the comments section and I welcome them to.

Social media started to "take off" as well in the previous two elections. Even on the UFT Unity side. The Crack Team did a search on Twitter for January 1-May 15 for both years. In both those election cycles the UFT Unity Twitter account was basically used to tout Unity and to get out the vote (Click here and here for search of UFT Unity tweets for those years). As you can see, nothing even mentioning opposition groups. 

This year, things apparently have changed. The UFT Unity twitter account seems to be mirroring the same type of tweets by United for Change in which executive board members and other candidates are introduced. Usage of Unity's "blog" and/or website to dig at the opposition. Mayhem at the Delegate Assemblies. UFT officers attacking the rank and file. Claiming others are not doing the work when others are not in power to. 

Even a plethora of disingenuous blog posts.

Why is UFT Unity running scared? Two reasons I have noticed. 

Anecdotally, in speaking with in service members I personally (Again this is from my personal experience. There is nothing scientific about this data ) am hearing from many disaffected members of the rank and file. Members are done with the lack of leadership from COVID, to constant abuse by administrators, to bogus AARP ratings, to justs a general mistrust of the union leadership in particular how out of touch Mike Mulgrew is. 

But that is not UFT Unity's biggest problem. Like a boil on the buttocks of the UFT that needs to be either lanced or popped the faction that was most loyal and actually votes is fed up. Care to guess? 

The retirees.

How the gosh darn does one turn against their most loyal votes as Mulgrew has by shoving Medicare (Dis)Advantage down retirees throats? Where is the logic? Why is this done without ANY input from retirees? Why is this done with nothing but, "Trust us, it'll be great," when there is nothing but a blank paper to show?

How can Mulgrew force retirees into Medicare (Dis)Advantage buy claiming, "You will be able to continue with your own medical providers," when there is no list of doctors, therapists, hospitals, that are on the plan! How does this make any sense? 

What does Mulgrew have to say to an 85 year old retiree who lives on a fixed income, as several medical ailments and is being forced to choose between Medicare (Dis)Advantage in which the retiree has no idea what to expect or paying $190 a month to keep their Medicare.

Yeah, I know a judge just sided with the retirees. But does anyone really trust Mulgrew? I know I don't. 

UFT Unity is in a lose lose situation. If the percentage of their vote dips below 65 percent there will be a bloodletting in Unity and if not we will have a hobbled union when contract negotiations start in earnest.


Saturday, March 12, 2022

Unity UFT Claims it's the "Social Justice" Caucus!

 I'm not going to get into a debate regarding what is and what isn't social justice. I have shared my own ideas on these pages how social justice should be handled. But as to paraphrase Justice Potter Stewart "I know social justice when I see it." UFT Unity's attempt at claiming it is the true social justice party is quite laughable.

While the opposition caucuses seem to think that tweeting is how you do political action, they couldn’t find it in themselves to contribute a single tweet to the work of passing the paraprofessional pension legislation. Reading their social media, one would not even know that paraprofessionals existed.

It’s easy to ‘talk the talk’ of social justice unionism.

This not social justice. This should be called, "Doing what you should be doing and because it is the right thing to do and putting members dues to good work justice." 

The definition of Social Justice is as follows...

"justice in terms of the distribution of wealth, opportunities, and privileges within a society."

Yes, I will give kudos and props to the UFT increasing the rights, pay, and working conditions of paras. Paras are underrated and overworked. They deserve so much more. I have worked with some fantastic paras over the years and they make life so much easier. I hope they get more in the next contract and continue to for years. But this is not social justice.  

But let's use UFT Unity's skewed logic on social justice and see what they should do since UFT Unity is the "true blue social justice" caucus.

Medicare (Dis)Advantage aka Mulgrewcare

Explain how throwing thousands upon thousands of retirees into MAP is social justice? These are retirees with years of relationships with their current doctors. Many retirees who live on an extremely fixed income. Retirees who are scared and anxious of this sudden and illegal change. How is this social justice?

Teacher Harassment

Teachers are being harassed left and right by abusive administrators. Still. There was supposed to be an avenue on the latest contract on how to fight back against abusive administrators. Has the UFT ever successfully, let alone brought a case to either a chancellor's hearing or arbitration against a abusive administrator? I mean just for one individual teacher, not an entire chapter (While we here at SBSB to applaud this). How is this social justice?

Better yet, if Unity UFT really wants to show how social justicey they really are why are there not workshops at UFT borough offices on how to document and fight back against abusive administrators? 

One SBSB groupie is still fighting back against years of abuse

ATRs

Do I need to elaborate? Is this social justice. Oh wait, how much time and energy did the "true blue social justice" caucus of the UFT put into blocking an ATR chapter from forming? How is this social justice?

Retro Pay

Bad enough that teachers had to wait 11 years to get what was owed them. But to pour salt into the wound of teachers that were terminated, quit, or died without their well deserved as well earned back pay was just wrong. How is this social justice?

Concierge Service

I freaking hate it!  How is this social justice?

Abuse of Camille Eterno

How is defaming Camille Eterno, a proud unionist and mommy to two wonderful children social justice?  

Lack of Democracy and Transparency

The DA's are nothing more than propaganda. Rules aren't followed. There is no real debate. For some perverse reason I as an elementary teacher must vote for VP of High Schools. District Leader s are anointed. Those that suckle on the colon are rewarded. How is this social justice? 

I can go on and on, but the above is what popped into my head. I am sure there will be more in the comments. 

But please, Unity UFT is not, nor will ever be, the social justice caucus.  

And lastly....

The UFT election is right around the corner!


United for Change is running in this year's UFT Elections against Unity Caucus and independents. Come learn more about us, meet the candidates, and ask questions.  

✅ Our informational meeting is happening TOMORROW at 4pm over Zoom!

 

Saturday, January 29, 2022

Mulgrew's Big Mistake With Retirees Will Hurt Him

 One does much thinking when one is snowed in. For some reason, yesterday's blog post (for whatever reason), kept popping into my head. Something is in the air I haven't seen in the twelve years I have been participating in elections. What could it be and why has it happened?

The answer is simple. Mulgrew and Mulgrew. It comes down to his hubris and tone deafness. There are many examples, in fact too many, over the years. But one example stands out among all others. 

To me it boils down to how Medicare (Dis)advantage has been handled by him. Of course, his handling of COVID has left a lot to desire. But at least in 2020 and through last school year I was giving him the benefit of the doubt. I saw something different coming from him, though it turned out to be fleeting. But I want to focus on the handling of Medicare (Dis)advantage and how this is just a continuation of how he is clueless.

In my opinion and I am going to be a retired soon, retirees simply don't want their pensions and health care fucked with (pardon my french). They don't want surprises. How simple can it be? I am thinking ahead to my retirement. All will care about from the UFT is my pension and my health care. 

There are many types of retirees. Some are quite wealthy. Some are living check to check. Some are healthy. Some aren't. What Mulgrew has done is bring all those with many different agendas and lives together and they have banded together to oppose this joke Medicare and Mulgrew. 

If Medicare (Dis)advantage was inevitable as Mulgrew has claimed, why then was there a lack of transparency. Were retirees kept up to date during negotiations? Was the input of a diverse group of retirees, including those that opposed Mulgrew asked for? If not, how come? If so, how much input was asked for and received?

Does Mulgrew realize the tsuris he has laid on the retirees? Seriously, does he? 

If Medicare (Dis)advantage was inevitable as Mulgrew has claimed, why was there a rush to have retirees sign up by January 1, sight unseen? I wouldn't sign my name to anything without reading it first, how could Mulgrew have accepted this without a complete list of providers? Shouldn't one want to know what they are signing up for? Heck, why wasn't Medicare (Dis)advantage rolled out over a period of time?

Did Mulgrew try to lead in finding serious savings in the traditional Medicare coverage? From what was explained to me, Medicare pays 80 percent and Emblem 20 percent. There weren't any savings to be had? 

The big question to Mulgrew is why there was ZERO transparency. Give an answer!

We have lacked transparency coming from 52 Broadway time and time again. Mulgrew might just have finally touched the proverbial third rail.

Trust me. Free Fitbits, food delivered to hospitals, and rides to providers is not enough to sell Medicare (Dis)advantage. This might not be Joe Namath Medicare (Dis)advantage as Mulgrew claims, but it is at the very least Al Woodall's version. 

Retirees vote. Retirees are pissed.



Sunday, January 23, 2022

Unity/UFT Created Drama™

 This is definitely a "can't help but looking while driving by a car accident moment." Unity/UFT has a blog. I hadn't known that, and I will welcome their blog to my blog roll. But we here at SBSB are disappointed, yet wonder why, the Unity/UFT blog has yet to enable the ability for one to leave comments. Would this not be a lively venue to debate the issues of the day? A place for Unity/UFT to have unfettered access into the minds of the rank and file?

The Crack Team has come across this most recent blog post of Unity/UFT entitled; "UNITY/UFT: Doing the Work Without the Drama!" Really? For real? Are you kidding? 

¡Uno momento por favor!

This blog post is so easy to take apart line by line, idea by idea. But let's just focuson two points being propagandized by Unity/UFT for now.

No drama? Let's just take a look at the first sentence of the blog post...

We have said it before and we will say it again – we sincerely believe in working together in UNITY. 

Where was this so called "working together" that the blog post espouses in switching retirees who were expecting Medicare when they were to retire over to the Medicare (Dis)advantage

There are tens of thousands of retirees right now that are scared shitless of what is about to happen. There are retirees with serious health issues that are extremely scared that the doctors and medical providers that will no longer be available to them. And don't forget their spouses as well.   They are being forced to blindly sign up for this abomination of a health plan, whilst those that control the union can only say, "Trust us."

What about those retirees who are fixed incomes? Living month to month by the seat of their pants, now must pay hundreds of dollars a month to keep their Medicare as they knew it? That they must choose between eating or dying. 

What of the retired teacher who dreamed of retiring to Wyoming? Think there will be doctors there that will be on NYC's Medicare (Dis)advantage? Doubtful, very doubtful.

There is no working together with retirees. There is only, "This is the plan. You can like it or lump it." That is not working together. That is not we teach our students. Why does Unity/UFT act in such a manner? Unity/UFT has created drama and perpetuated drama. 

Unity/UFT is taking it's most loyal voting bloc and who just happen to be the most vulnerable members and throwing them under the bus. Why would retirees wish to vote for Unity? 

Yet another contradictory and tone deaf statement from the blog...

No drama or theatre of the absurd. No spreading of misinformation. We speak to facts and facts only.

Really, Gracie? No theater of the absurd? No spreading of misinformation? Facts only? 

Then explain this Twitter troll:



I know, I know. The profile for the trolls says, "views are my own." But there is a pretty good idea who this person might be. This blog has been trolled by this person troll. So has another blog. But I enjoy his tweets and the comments. Keeps me and others laughing. 

Unity/UFT is projecting the drama they claim to hate.

Sunday, December 5, 2021

The Possible Upcoming UFT Election Surprise

 I think there is going to be a big surprise just before the UFT elections. Call me jaded, call me a cynic, but the UFT never does anything without a reason. 

Think about this. We lost our spring vacation almost two years ago. April 2020. Twenty months ago. At the October 2020 town hall Mulgrew said...

When arbitration is back up, we will move forward on Spring Break. Medical accommodations are based on a medical condition. We would have to do another one in Jan. Same documentation and everything.

The September 2020 town hall Mulgrew sayeth to the masses...

Dealing with the craziness that included Spring break which still needs to be dealt with.

I asked this almost a year ago on December 27, 2020...

For the answer President Mulgrew gave at the town hall of October 15, again, it seems that arbitration is now back up. Where in the pipeline is our monies? How long does the process take?  

We were told not too long ago that the final arbitration on our spring break pay will come this month, December 2021. 

But a question remains. If the arbitration is a victory, when will we get the money? 

The Crack Team has been trying to crack this mystery. There were many a late night session in which there was bickering and disagreement. Many a late night were had. Finally, a member of The Crack Team decided to go the computer. The algorithm was fed and the results were spat out.

Some might say The Crack Team's computer and/or the algorithm is skewed. Or, the information fed to the computer was jaded and cynical.

We will get the monies owed in our direct deposits week or two before the UFT election. And of course who gets to call the date for the election? Of course. UFT/Unity.

The computer must be right. Think about it. Why wouldn't it be?

Thousands of teachers get thousands of dollars they are owed for almost two years. Guess who will puff out his chest and say, "See what I did? I fought for you! I made you whole again!" 

And UFT/Unity will be like Justin Trudeau and call for early elections in just a few weeks. Or, and this is even more cynical, the election date will be already called and the checks will be mailed out just before the election starts. But either way, teachers will vote while having several thousand dollars more in their accounts and the great many of unwashed will thank UFT/Unity. And then vote Unity.  

But when these teachers vote for those that blessed them with money, what will they say when they want to see Dr Vinnie Boombotz for a prostate issue and find out he doesn't accept any Medicare (Dis)Advantage  patients?

I hope the computer is wrong. We shouldn't need to feel jaded and cynical when it comes to our union. We should feel we are partners with our union. We shouldn't have waited almost two years for A HEARING for our monies. 

But watch. The spring break money and the election will be intertwined.



Thursday, December 2, 2021

My Own Story Why I am Wary of Medicare Advantage

 I'm 57. I will be 58 in April. I am getting thisclose to retiring, or at least contemplating it. One thing I was looking forward to was continuing to have a great health plan when I turned 65. But this Medicare (Dis)Advantage that might be awaiting be is making me nervous.

I have two concerns how Medicare (Dis)Advantage can affect me if and when it comes into effect.

The photo on the right is my right shoulder. Actually, my new right shoulder. 

In 1987 I fell hard on it and tore the labrum. Bad. My shoulder was unstable for years. Arthritis set in. Pain. It was bad. I didn't have insurance when I hurt it and I suffered the consequences. In 2002 I had it scoped out but all it did was put off the inevitable.

In 2019 the pain was the worse it had ever been. I was popping Aleve like M&M's. I went to a shoulder surgeon. He said I needed a new shoulder but want to give physical therapy I try. I had bone on bone. How the hell was PT going to help?

I went to a second doctor. He said PT was a waste of time, but agreed I needed a new shoulder. However, I just didn't feel right with him.

I went to a third doctor, Dr Young Kwon at NYU (Yes, a shameless plug, but he is the best shoulder surgeon!). He saved me. He made me feel whole. 

Here's my issue. Artificial shoulders last from 10-15 years. I'm lucky, I'm a lefty. The artificial joint is in my non dominant arm, but you never know. Dr Kwon even told me that I was a bit too young for shoulder replacement.

What happens when I am between 65 and 70, on Medicare (Dis)Advantage and need another shoulder? I will need to get pre-approval? Will I be considered too old to get a replacement? I might be told since it is my right shoulder and that being left handed, a new joint is not a priority. Heck, will I be allowed to see Dr Kwon again? 

My dad had his hip replaced at Special Surgery at the age of 74 in 2005. My step mom was retired from DOE and everything copacetic. No fuss, no muss. 

Will Medicare (Dis)Advantage let me visit three doctors? I doubt it. 

My other concern is I am Type 2 diabetic. My numbers are great. My A1C is very close to where it should be. My weight is the best since high school. I go to the gym three times a week. I eat better than I have, but of course I can do better. But I am on several medications. I'm not on insulin and don't plan on it. I see the eye doctor every year. I don't want anything chopped off or to go blind.

But what happens if  insulin is needed? Will I be sufficiently covered? Will my medications be covered? Even if I am covered what out of pocket charges will I face? I see my endocrinologist every three months. Will I be able to continue this? Like Dr Kwon, my diabetes doctor is one of the top in her field. Under Medicare (Dis)Advantage will I still be able to see my doctors or still be able to choose from the best physicians? Or will I be left to choose between Dr Nick and Dr Hartman?

I don't like what I have read or heard of Medicare (Dis)Advantage. Someone, somewhere is getting rich over this being forced upon us and it's not someone at Emblem/Blue Cross or Joe Namath. 

I have a fantasy of moving to Corning NY, for a year after I retire. How many providers will I find there? One? None? Or maybe Hudson NY. There might be three providers in Hudson.

I don't need nor want a Fitbit. I don't need or want rides to and fro. I don't want meals sent to me. There is one thing I want with my health insurance when I am 65. 

I want certainty. And I want myself and my health professional to make the decisions what is best .