President Requires Insurance Coverage for Mental Illness and Addiction

 

President Obama has used his mighty law-making pen to require all insurance carriers to provide coverage for mental health treatment and addiction in the same manner as they do physical illnesses.

This is part of a package of regulations designed to stop the mass shootings this country has experienced. The proponents of this action say that it will not result in a large increase in the cost of health care coverage. I do not believe that. I think it will cost a huge amount.

I have unhappy family experience with addiction, and I don’t have much hope that this measure will curb the plague of drug addiction and alcoholism that is warping our society. I’ve seen what happens when people are sentenced to drug treatment by the courts. I’ve also seen what happens when their family persuades them to go to an expensive treatment program.

The drug treatment plan my family member attended because of court order was a scam. The family member was supposed to be in residence 24/7 as part of their treatment, but they came and went as they chose. There was no effort to enforce the rules or kick this person out. The treatment facility was raking in government money and not even enforcing its own rules with people that were sentenced to it by the courts.

I’ve also had unhappy experience with an expensive (very expensive) private treatment program. I went to meetings for family members and did the whole nine yards. The place was full of doctors, police, and others who had been sent there in order to keep their professional standing. They were not sorry. About anything.

The viewpoint expressed in meetings was that their families, friends and colleagues were … I can’t repeat the language … for being angry with them for the things they’d done in their addictions. These were privileged people, doing the doh-si-doh required for them to keep their license.

My family member went through the program and then got out and went right back to using.

On the other hand, I have seen people stop using and rebuild their lives and reclaim their souls just by going to the entirely free and voluntary Alcoholics Anonymous program.

No drug treatment program will help people who don’t want to be helped, and if someone really wants to stop, the expensive programs aren’t necessary. Also, the ones I’ve seen are overpriced — massively overpriced — and catering to their clientele more than they are treating them. Many of them are just raking in government money and processing people with no real concern about treating them.

I am concerned that the mental health care that will come about as a result of this ruling will be somewhat the same.

We have taken the idea of “treatment” as a panacea for ghastly behavior to the max. I have read that some of the young men who have killed large numbers of people in these mass murders were mentally ill. However, most of them were also from privileged well-to-do families with access to any care they needed. In fact, at least one of them that I’ve read about was under treatment at the time he committed the murders.

I am not opposed to mental health care for mentally ill people. In fact, I support it.

But I think that using this treatment as a catch-all cure for what are much deeper social ills will not and can not work. I think it is dodging the real issues, which are complex and require more of us as a society than just paying for some “expert” to fix people for us. I also think that simply handing over the money without stringent requirements about the quality of care is a mistake.

Drug addiction treatment, in particular, is, at least in my experience, over-priced and under-effective unless the person receiving the treatment truly wants to change and is motivated to endure what it takes to do that. In that case, free programs such as Narcotics Anonymous or Alcoholics Anonymous are effective. In fact, from what I’ve seen, Alcoholics Anonymous is actually far more effective and beneficial than expensive treatment programs.

I realize that desperate family members who drain their life savings to send their loved ones to treatment for their addictions are doing it because the person they love will not go to meetings, do the work and endure the suffering required to heal from their addiction. They are losing someone they love and they are willing to do anything — including destroy themselves financially — to save them.

I have felt the same desperation and grieved the same grief over someone I love who is caught in the living death of addiction.

However, I speak from experience with the tragedy of addiction when I say that it’s up to the addicted person to want to change. If they ever reach the point that they are motivated to get help because they want to change for themselves, then AA or AN will do a fine job of helping them heal. Otherwise, bankrupting yourself will not help them.

By the same token, forcing insurance companies to open their coffers to pay for these outrageously expensive drug treatment programs will not help people who do not want to change, either. Statements that this will not raise the cost of health care are nonsense. These programs are massively expensive.

Since health insurance is now on the government dole, it will almost certainly end up contributing to our burgeoning national debt.

I wish there was a magic cure for these problems, but there isn’t.

From the New York Times:

WASHINGTON — The Obama administration on Friday will complete a generation-long effort to require insurers to cover care for mental health and addiction just like physical illnesses when it issues long-awaited regulations defining parity in benefits and treatment.

The rules, which will apply to almost all forms of insurance, will have far-reaching consequences for many Americans. In the White House, the regulations are also seen as critical to President Obama’s program for curbing gun violence by addressing an issue on which there is bipartisan agreement: Making treatment more available to those with mental illness could reduce killings, including mass murders.

In issuing the regulations, senior officials said, the administration will have acted on all 23 executive actions that the president and Vice President Joseph R. Biden Jr. announced early this year to reduce gun crimes after the Newtown, Conn., school massacre. In planning those actions, the administration anticipated that gun control legislation would fail in Congress as pressure from the gun lobby proved longer-lasting than the national trauma over the killings of first graders and their caretakers last Dec. 14.

“We feel actually like we’ve made a lot of progress on mental health as a result in this year, and this is kind of the big one,” said a senior administration official, one of several who described the outlines of the regulations that Kathleen Sebelius, the secretary of health and human services, will announce at a mental health conference on Friday in Atlanta with the former first lady Rosalynn Carter.


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