To whom it may concern:
I have recently read an article this morning on June 22nd, 2017 about the Senate's latest version of the “American Health Care Act”, and from what I read, it disgusts me.
I don't know if you understand the true measure of living with a pre-existing condition, a disability of any kind, or have medical issues at all that are considered chronic, but as a recipient of both Medicare and Medicaid, reading that funding may be deeply cut in both programs in favor of “tax cuts” for wealthy Americans while forcing many low income or poor Americans to pay for their own health care when they can't afford to do so is appalling, and we have not even touched on the idea that many insurance companies, without the existing ACA (Affordable Care Act) aka “ObamaCare”, would deny coverage to individuals like myself who have multiple disabilities and preexisting conditions.
I'm going to be 38 years old this August, but I have been a disabled individual my whole life. I was born with congenital rubella syndrome as a result of my mother coming into contact with a child who had rubella while she was pregnant with me. As a result of that birth disease, I was born blind in one of my eyes, also lower back problems, and had problems in other areas I will not mention here. Needless to say, doctors at the time did not know how to treat children like myself born with Congenital Rubella Syndrome, and of course at the time I was born, the birth disease was almost unheard of, and was not very much at all common. So, finding doctors to treat me was difficult for my parents.
Getting through public school was equally difficult as I experienced major harassment from both students and faculty regularly. From Kindergarten all the way through to my high school graduation day. My therapist (a mental health professional) believes that as a result of being both harassed and bullied at school, and being in an abusive home while coping with doctor visits and hospital visits extremely frequently, I had developed symptoms of chronic lifelong depression, anxiety, and have expressed symptoms that could be diagnosed as PTSD, or Post Traumatic Stress Disorder. It's not just for military vets anymore.
And because my late father didn't believe in going to doctors or having health insurance, my mother, while being repeatedly physically and verbally abused by my late father, had to work upwards of two or even three jobs just so I could get treated for problems related to my vision impairment. Eventually, we (my family and I) got help from the states that we had lived in, primarily California, Colorado, and then Nevada where our family was given financial assistance to help pay for my doctor visits, my 25+ surgeries, mostly on my blind eye to salvage it, and of course counseling to help cope with all of my problems at school, which I can say with experience that it didn't help.
I'm still dealing with many of these issues as an adult. I still have that vision impairment, being blind in one eye. There is no treatment available to correct that, except for prosthetics. And if cuts are made to Medicare and Medicaid as a result of this new Senate repeal of the Affordable Care Act (aka "ObamaCare"), I may not ever get that prosthetic implant and cover. There are no charities to help pay for a prosthetic cover implant, and my mental health services would be severely impacted, which I feel are important in helping me cope with the reality that I will never have full sight out of my eyes. I'll never have my dream come true, and with the idea of funding being cut from Medicare and Medicaid will almost assuredly kill my lifelong dream of having at least my two eyes look normal.
I don't know what I would have done without having access to mental health services. But I'm thankful that, for the time being, I can go see a therapist without being heavily billed for it. And that brings up my next point.
I consider myself lucky to be a recipient of SSDI, Social Security Disability Income, but as you may or may not know, I get only a small cost of living monthly payment from SSDI, and in my case just a little over $1k, which covers my bills barely like my phone service in case I need to call a friend for help or call 911 in an emergency, and then there is my vehicle insurance to pay for plus gas and maintenance, as well as other food, supplies, and medicines. Yes, I can legally drive, which I am thankful for, but in the winter months this is a hazard for me. Because of it being hazardous, I opt for the Access a Ride bus service, which can take me to and from my doctor appointments, and to and from college. I'll get to my comment about college in a little while.
So out of that $1k, I pay my regular monthly bills, and then I pay maybe two or three of my doctors in partial payments, because paying their bills in full (sometimes in excess of over $100 or even $250) is not possible without sacrificing either my food, supplies, or my prescription medications (some of which are for chronic pain). And when I have to use the Access a Ride bus service regularly in the winter, on top of my vehicle insurance, I could easily spend another $50 to $100 on transportation. That may not sound like a lot, but it could mean sacrificing paying one doctor bill, or my going without some of my medications, etc.
I know, there are many Americans who feel that Social Security Disability Income recipients are “fakers”, people who abuse the system to get “free stuff”. Well, that may be true for some folks, but not myself. I tried working both a part time and full time job, and it only made matters worse for my disabilities and preexisting conditions. I once worked as an “usher” for two movie theaters, doing mostly cleaning, which didn't help my lower back problems. I also worked as a “Courtesy Clerk”, or more commonly known as a bagboy, which also didn't help my lower back problems, plus plantar fasciitis issues in my feet. Yes, a teen working in a part time job can have preexisting lower back problems stemming from birth, as I was told. Cracks in my lower back plus a slipping disc. And the pre-existing plantar fasciitis in both my feet also didn't help my lower back problems at both of those jobs.
So, I traded in working as an usher and a “bagboy” to work in a call center in a technical support capacity. I wanted to really try to work in mainstream working environments. This later turned out to be a terrible idea. I developed massive migraines, anxiety from the stressful work environments, and still having mental health issues stemming from my time in grade school, middle / junior high school, and then of course high school, and then having to cope with my newfound medical problems with painful migraines that just never seemed to go away.
Upon starting work in a call center capacity from 2001 to 2008, I paid the price of excessive chronic pain, and I lost not one, but two jobs as a result of frequent time off without having any “paid leave” or vacation time left to cover it. It wouldn't be until as recently as 2016 that I would find out that the excessive pain was the result of multiple eye surgeries causing excessive scar tissue, and I found out that my glaucoma implants installed onto my blind left eye by an ophthalmologist in Las Vegas, NV, were found to be too big for the eye, and because of that, my doctors believed (in their reports) that I had suffered chronic and acute hemorrhaging of the eye, which could explain the extreme chronic pain I felt for many years following my eye surgeries in Las Vegas, NV from 1998 to 1999ish.
To say I was extremely upset would be an understatement. And then the idea of trying to obtain a job again also made me very upset and angry, because as a result of being terminated from at least two employers, neither of whom will say in whole honesty why I was dismissed, I cannot get good references. It would be my word against two former employers who have made it clear that I was unable to work in their company, even though I have a valid reason now for why.
So, when I hear some folks say “If you'd just get a job, you could have health insurance and get stuff paid for.”, as though it's just that easy to get on the phone and try again. I have to consider what it would mean to be off SSDI, which for now barely gives me money for food, supplies, and payments to doctors and treatments for my aforementioned problems that are both preexisting conditions and disabilities, paying the bills that Medicare and Medicaid could not cover the cost of. I have to consider what my prospective employer might hear from a former employer, such as:
Prospective employer: “Yes, I would like to verify the employment dates of one Jeffrey Kuntzelman?”
Former employer 1: “Yes, he worked here from [start date] to [finish date], but we had to let him go due to attendance problems.”
Without asking why the attendance problems,
Prospective employer: “Is he rehireable at your company?”
Former employer 1: “No, he would be ineligible to be rehired for any reason.”
And again, they would not ask the why, but assume I was just a completely lazy, poor work ethic individual with no cause for attendance problems.
As I mentioned, I am going to college, but even that has its problems ranging from missing classes, to sometimes being unable to complete the work involved in assignments. I have even considered dropping out of college until my health problems, preexisting and otherwise, are under a better measure of control. It has become almost as difficult as working a job, and I'm only doing two or three classes per semester, because going full time would just be incredibly dumb on my part. I have to say, though, that due to having such health issues interfering with my education and possible future career goals are becoming valid reasons to say, “Enough is enough! I'm tired of trying, and eventually getting sucker punched by my life and setting me back as a result.
With all of this talk of cutting Medicare and Medicaid, talk about abolishing the Department of Education, and other insane ideas, I don't know whether to continue my higher education goals, or discontinue them because where would I be able to get funding for it? Someone might say, “If you had a job, you could pay for it.” No, I would be incapable of paying for it unless I give over every paycheck without regards to my health and medical needs, my food, my supplies, and more importantly, how would I be able to pay for my doctor visits and treatments? And who is to say that being employed now would not be as difficult as what it was like during 2000 to 2008?
Sometimes, I get the feeling that many Americans, and even some of our elected representatives in the House of Representatives and the Senate, the President and Vice President, and any other elected official at the federal, state, or even local level truly do not understand the difficulties in life that those of us not having been born into riches have to deal with, what hardships are in our way, the obstacles in our collective path to get where we are now in our lives.
Those of us not lucky in our lives to be born into vast wealth are unable to attain wealth when born with preexisting conditions and disabilities. In fact, being born with those problems right out of the gate only makes life that much more difficult to achieve any measure of success.
I want to succeed in life, but my health issues stemming from birth are interfering with that quest. My dream, aside from having a normal vision left eye, is to be one of the best computer technicians out there in the field, a network security expert, and on the side being a hobbyist musician. I want to play the drums like my musical role model, Phil Collins, and I have taken lessons on the piano to learn to play some of my favorite songs of Phil Collins. I have also a guitar that I would someday like to learn to play, but unlike my abusive late father, I'm not what one might consider a “self taught” individual when it comes to instruments. I need music lessons with instructors, but that costs money, and if I cannot have the kind of career I dream of having due to my medical preexisting conditions and disabilities, I won't have my side hobby become a reality. And in turn, all of my hopes and dreams will be lost.
I'm tired of being a reclusive introvert. I don't like my picture being taken, I don't like being around a room full of people I don't know (that's part of the PTSD that my therapist believes I have), and I do not enjoy having a cramped space to live in by being confined to an apartment. Part of that dream of being in information technology and network/cyber security is to have a modest size house. Nothing big and fancy, but enough room to be able to do my work in, and also partake in my musical hobbies and ambitions.
Though I can't do it if I can't pay for things like my doctor bills, my treatments and exams, tests, and of course my medications. I can't do those things if I'm not able to afford a house, or have the kind of career my talents are suited for.
Even social programs designed to get people like myself into therapeutic treatments to relieve anxiety are often out of reach when I am constantly playing catch up with my aforementioned expenses both personal and for my medical treatments with my numerous doctors working with me.
I would love to be able to pay for a physical trainer to help coach me on how best to approach exercise to alleviate some of the chronic pain I experience regularly, but again, paying for doctor bills must come first. And by the time I'm done paying even partial payments, I have often little left over for food, supplies, medications, and the occasional entertainment indulgence. Because being stuck inside is terrible on its own, but having entertainment to help cope with my chronic pain, my disabilities, and even my preexisting conditions is better than being stir crazy and unable to express my emotions as I deal with all of what I have mentioned.
I hope this helps people like you to understand that not everyone can hold a job, especially when their disabilities and preexisting conditions are not “fake”, and interfere with being able to work and hold a job at all.
Sincerely,
~Jeffrey R. Kuntzelman 2017 “Your bark is only as good as your bite. BITE HARD!” ~JRK 2004







