FREE POSTER: Mean wile, on Planet Portman, the “independent” Republican senator quickly draws closer to a final solution to the problem of health care in America

Even after several catastrophic versions of the Senate Republican health care bill died, Sen. Rob Portman (R-OH) is still courting disaster, considering even worse options, such as a sweeping repeal of Obamacare without any replacement.  Why is Sen. Portman even considering bills that are worse than versions he has come out against earlier.  Albeit, his previous opposition has been lagging, only coming out against a bill after enough other Republican senators have come out to kill the bill.  Where is Sen. Portman’s leadership?  Sen. Portman has the ability to end this health care deconstruction by just saying he will not support either anything resembling the previous version he opposed or a sweeping Obamacare repeal, particularly without any replacement!  As the senate Republican health care bill only gets worse, what is he waiting for?  Sen. Portman like to call himself an “independent” senator, willing to do the right thing even if it requires him to buck party lines.  Well, Mr. Senator, here is your chance.  Get to it!

In honor of Sen. Portman’s reckless waffling, I have created the below free poster: “Mean wile, on Planet Portman, the ‘independent’ Republican senator quickly draws closer to a final solution to the problem of health care in America.”  Sen. Portman, either stay on whatever planet you are living on, and resign as one of Ohio’s senators, or come back to Ohio and listen to your constituents.  End this madness of crashing our health care system!

FREE POSTER: Mean wile, on Planet Portman, the "independent" Republican senator quickly draws closer to a final solution to the problem of health care in America

This is another one of my free posters in my “Parity or Parody in democracy” series.  There will be more before the end of it all.

Bee Sting Allergic Reaction Health Care Experience Number Three

On Monday, July 17, 2017, I was stung by a yellow jacket. I am allergic to bee stings and the like. This is the third time I had been stung by a bee since I found out that I was allergic to bee stings [see here for account and poem about previous bee sting]. If untreated, a bee sting would cause anaphylactic shock and probably death. The first line of treatment for bee stings in people who are allergic to bee stings is an injection of epinephrine. This can prevent the onset of anaphylactic shock.

Fortunately, I had an epinephrine autoinjector. Unfortunately, this autoinjector had been expired for two years. I had not refilled a prescription for a new epinephrine autoinjector, since the most common brand, Epipen, which has 95% of the United States market, has in recent years been price gouging consumers who rely on such a life-saving device and insurance companies who may pay for it. I could not bring myself to be held hostage to a price gouging pharmaceutical company, even though my insurance would pay 100% of the cost. Since acquiring the company that manufactured EpiPens, the new company (Mylan) kept raising the price until it was 600% more than the original price. Such entrepreneurial genius was rewarded even more by granting the CEO of the new company a 700% pay increase. Not being a complete fool, I had researched if expired epinephrine autoinjectors retained their effectiveness past their expiration date. I found that given reasonable storage temperatures, the bulk of their effectiveness was maintained even years past the expiration date. Thus, I decided to wait until alternative products were available or until the offending price gouging company made their price reasonable.

So, back to the story. After being stung, I looked quickly in the neighbors driveways to see if a car was there and somebody might be home who might be able to drive me to the emergency room. No such luck. So, I injected myself with the epinephrine autoinjector. Since I don’t have a car, I rode my bike to the emergency room at St. Vincent Hospital about a mile and a third from my home where I was stung. It was a nice sunny day in the low 80s. I rode there vigorously on my bike. I was feeling pretty well and had no welts blooming like in my two previous bee sting occurrences.

When I walked into the emergency room, there were two people at the desk and one clerk. After waiting a few seconds after receiving no greeting or acknowledgement of my presence, I asked if somebody was available to provide medical triage for me. I indicated that I had been stung by a bee, that I was allergic, and that I was in danger of going into anaphylactic shock. The clerk called for another person. This person turned out to be another billing clerk. This person took my personal and health insurance information and asked no information about my current emergency. This person walked me through two big double doors into a hallway where I was told to sit on a gurney and wait for help. I was left unsupervised. I was in partial line of sight of the emergency room nurses station. After sitting there for a few minutes, a man in scrubs moved into my view. I asked him if I could get some help, and asked him somewhat facetiously if this was an “emergency” room. He very nonchalantly said that he would see if somebody could assist me. Some minutes later, someone came to ask me questions. They took me into an emergency room examining room. This was about 10 minutes after I had walked through the front door.

They immediately hooked me up to many of the usual devices, such as a finger oxygen monitor, a blood pressure monitor, and EKG leads. Eventually, they gave me an IV. Apparently, my heart was racing, not too surprising since I was having a serious allergic reaction, had an epinephrine injection and a vigorous bike ride. However, the EKG showed abnormalities, which they diagnosed as atrial fibrillation. Atrial fibrillation is where the upper chambers of the heart send signals sporadically so smooth, coordinated, regular blood flow is impaired. My heart rate was moving back and forth from about 80 or 90 up to about 160, which is my maximal heart rate. To my knowledge, I had never previously experienced atrial fibrillation. They were concerned that this may be an underlying condition, triggered by the stress of the sting allergic reaction, and/or the epinephrine, possibly in conjunction with vigorous exercise. I indicated to the nurse that if I should die that they should throw my dead body on the lawn of the corporate headquarters of the pharmaceutical company practicing price gouging for epinephrine autoinjectors, i.e., EpiPen made by Mylan pharmaceuticals.

While they were monitoring the atrial fibrillation situation, they asked if I wanted an ice pack for the bee sting site on the back of my hand which was red and swollen. I said “sure.” They brought in an elongated icepack about 3 inches wide and 15 inches long. Oddly, the covering seem to be somewhat insulated so the cold didn’t seem very cold. The physician noted that this device was meant for another purpose — though she did not indicate what purpose. My hand wasn’t suffering too badly so I didn’t worry about it much. It just struck me oddly that’s some ice in a plastic bag would have done nicely at probably a thousandth of the cost.

At about 50 minutes after arriving in the emergency room, I was given prednisone, a steroid to keep the swelling down and fight back the allergic reaction. Fortunately, I was not blooming in welts as in my two earlier experiences with bee sting reactions, both of which were not initially treated immediately with epinephrine.

Their primary concern seemed to be the atrial fibrillation, which they continued to monitor. I half-jokingly submitted that the atrial fibrillation may simply be due to my broken heart over the Senate Republican health care bill. The doctor did not disagree. The supervising physician first recommended that I’d be admitted for further testing and observation. After some questioning about the nature of this, I pushed back somewhat, partially based on my two previous experiences at the same ER and hospital where I was hospitalized for further testing and observation and my experience proved that this was not useful and perhaps even hampered by treatment and recovery. I have recorded one of these bee sting experiences elsewhere in my blog.

Eventually, after the atrial fibrillation did not resolve on its own, they gave me some heart medicine, and within five minutes or so, my heart settled down. While this atrial fibrillation event lasted for quite a while, perhaps an hour and a half or so, I was feeling pretty well physically and mentally, with only one five or 10 second bout of heart racing where I felt moderately distressed — but, then again, I don’t get distressed too easily.

The doctor indicated that my thyroid stimulating hormone test was high normal, that is, 4.75 in a normal range of 0.5 to 5.0. They thought that this might be a possible indicator for low thyroid activity which could contribute to an atrial fibrillation condition. They asked that I be retested in three months. They were encouraged by the fact that I had no other risk factors and was in excellent general health.

They ended up discharging me without any additional request for my hospitalization. This pleased me. I was glad to be saved a day locked up in a hospital. I was glad to have likely saved the health care system another few thousand dollars. Plus, I was planning to attend a health-care protest the following day at noon, where I had planned to read a poem I composed specifically for that event, dedicated to our own Sen. Rob Portman, who has been equivocating over how many millions of Americans losing their health insurance is acceptable.

In the discharge process, I requested a refill prescription of my epinephrine autoinjector, given that it was a generic or less expensive competitor than from the EpiPen manufacturers. I indicated that I had done some research on this before, and that if they wrote the prescription more generically such as epinephrine autoinjector rather than by a brand name, then a less expensive version may be available. They researched this and discovered that only one local pharmacy chain carried a less expensive version. This wasn’t my usual pharmacy, but it was about the same distance from my home. The less expensive version was $109 versus the up to $600 for the EpiPen.

I am very grateful that this bee sting occurrence ended up being less serious as far as the allergic reaction than in my two previous occurrences.  Apparently, my two-year expired epinephrine autoinjector worked just fine. I’ll have to wait and see if this atrial fibrillation occurrence is due to an underlying condition or simply brought on by the very stressful conditions of an allergic reaction, epinephrine and vigorous exercise. I am still aghast that in none of the three times I’ve gone to this same emergency room have I received prompt medical triage. It seems to me that without prompt medical triage, it is somewhat difficult to actually consider your emergency room an actual “emergency” room. Sadly, they are quite efficient at getting your billing information promptly, but it as to dealing quickly with whatever emergency you are presenting with, that is another and another and another story.

POEM: Cruel After Math — Owed to Sen. Rob Portman’s Health Care Vote

What kind?
Of cruel after-math
Is Sen. Portman working up
The American people
Facing death
Bye the tens of thousands
Buy the tens of billions
For tax cuts
For the richest Americans
For loaded corporations drunk on power
What is owed
To the flush and the flushed
To the affluent and the effluent
How does this add up?
What is the take away?
Is this the American will?
The right to health care
Or merely the extreme right of congress
Into an afterlife
Leaving loved wons behind
And nothing else
A cruel after-math
It’s your cull
A nation divided
Halves and halve nots
And what might
You be culpable of
Americans may ever no
Of a partisan’s last will and testament
Sow telling
In the ends
And the means
Of congress
And its reverse
Progress

This is the poem that I read at today’s health care protest outside of Sen. Rob.Portman’s Toledo office (see video of poetry reading).  A large laminated version of the above poem was delivered to his office.  There were an estimated 45-45,000 protesters.  In the photo below, I am pictured in the center next to “Flat Rob,” a cutout of Sen. Portman that we use to conduct our own town hall meetings on the street, since Sen. Portman does not see it fit to hold official town hall meetings with his constituents.

Sen. Rob Portman Health Care Protest

FREE POSTER: Sen. Rob Portman teams up with The Trump Company to solve the problem of the sick and the sick economy by bringing back Soylent Green

Please enjoy this surreal health care commentary brought to US by senate Republicans and a president who wants to win a legislative victory at any cost: “Sen. Rob Portman teams up with The Trump Company to solve the problem of the sick and the sick economy by bringing back Soylent Green.” This free poster is the next in my continuing series of free posters called “Parity or Parody in democracy.”  Sen. Rob Portman is seriously considering offering tens of millions of sick and poor Americans to feed the greed of the richest Americans.  Normally, such a horrific endeavor would be reserved for a slasher film or science fiction movie.  The Republicans are well practiced at slashing, but are now honing their skills at science fiction, now better known as “alternative” facts.  In a typical misreading of the American public, Republicans have come up with a Soylent Green solution to the people’s unified chorus of “Eat me!”FREE  POSTER: Sen. Rob Portman teams up with The Trump Company to solve the problem of the sick and the sick economy by bringing back Soylent Green

FREE POSTER: Sen. Rob “Lincoln” Portman – The Grate Emancipator – “And you shall be emancipated from your health insurance, and the good Lord will grant you your ultimate freedom”

In the continuing health care debacle known as senate Republicans trying to “repeal and replace” Obamacare, please enjoy my latest take with this free poster: Sen. Rob “Lincoln” Portman – The Grate Emancipator – “And you shall be emancipated from your health insurance, and the good Lord will grant you your ultimate freedom.”

Just when you thought the senate Republican so-called health care bill couldn’t get any worse, along comes Sen. Ted Cruz, who was successful in getting a lethal change in the new version — which allows unregulated insurance plans, essentially making it impossible for Obamacare insurance exchange to function as designed.  As succinctly put,”The new Senate health bill is terrible for anyone who is sick, has been sick, or will be sick.”

Sen. Rob Portman (R-OH) may be against this new worse bill but he is being obtuse, still trying to play both sides and be “independent.”  I’ve got news for you Mr. Portman, when there is a civil war over health care, threatening each year to kill tens of thousands of Americans, you can’t carve out neutrality — even famously neutral Switzerland has universal health care!

Feel free to share or print out this poster in your efforts to stop Republican meddling with America’s health care!

FREE POSTER: Sen. Rob "Lincoln" Portman - The Grate Emancipator - "And you shall be emancipated from your health insurance, and the good Lord will grant you your ultimate freedom"

This is the latest addition to my “Parity or Parody in democracy” series of free posters.  I won’t stop my parody until we have parity!

FREE POSTER: Sen. Rob Portman’s closest health care ally, DEATH, making a critical point regarding his constituents: “I WANT YOU!”

This free poster reveals Sen. Rob Portman’s closest health care ally, DEATH, making a critical point regarding his constituents: “I WANT YOU!”  Sen. Portman is showing cruel ambivalence toward the senate Republican killer health care bill.  Tens of thousands of dead Americans each year still seems to be in the ballpark of acceptable for Sen. Portman.  Sen. Rob Portman, kill the bill, not your constituents!

Feel free to share or print out this free political poster.FREE POSTER: Sen. Rob Portman's closest health care ally makes a critical point regarding his constituentsThis is yet another in my “Parity or Parody in democracy” series of free posters.  Many more to come, so stay tuned…

FREE POSTER: Sen. Rob Portman meets with his Russian lawyer and campaign consultant on how to safely blow up Medicaid

When Sen. Rob Portman (R-OH) is busy not meeting with his constituents, he is seeking expert advice from cartoonish consultants.  Please feel free to share or print out this free political poster, “Sen. Rob Portman meets with his Russian lawyer and campaign consultant on how to safely blow up Medicaid.”  Sen Portman does not shy away from trying to do the impossible, however absurd or recklessly dangerous.  Fear not, Sen. Portman got nothing of real value from this Russian agent, so know harm know foul.Sen. Rob Portman meets with his Russian lawyer and campaign consultant on how to safely blow up MedicaidThe installments of my “Parity or Parody in democracy” poster series just keep on coming — stay tuned for more!  Plus, check out other funny political and free posters from TopPun.com

FREE POSTER: Senator Rob Portman as The High Priest Caiaphas, Starring In That Christian Damn Nation

This free poster takes Sen. Rob Portman (R-OH) to church over his brutally un-Christian vacillation over the senate Republican health care bill.  This satirical poster is yet another installation in my “Parity or parody in democracy” series.  Wile Sen. Portman is considering the gutting of Medicaid, costing about $800 billion, he may be bought off with $46 billion in funds to treat opioid addiction, and perhaps a similar amount thrown at, or into, the gaping hole in Medicaid.  This poster uses the lethal logic that the high priest Caiaphas used to justify crucifying Jesus, that is, killing a portion of the nation to save the hole nation.  Here is the scriptural text from the poster (in Republican-ease):

If we let Obamacare go on like this, everyone will believe in him, and then democracy will come and take away both our Party and our Christian damn nation. Then one of them, named Caiaphas, who was high priest that year, spoke up, “You know nothing at all! You do not realize that it is better hundreds of thousands die enriching the rich than that the whole Christian damn nation perish.” John 11:48-50 (Republican Jesus inversion)

Let’s stop this damnable vision of so-called health care, a health care bill paid for by poor, sick, and elderly Americans as Republicans mirrorly enrich the richest Americans and powerful corporate campaign donors.

FREE POSTER: Health Care Warrior – Sen. Rob Portman Flamethrowing Medicaid

This free poster, Sen. Rob Portman (R-OH), health care warrior, graphically depicts the futility of flamethrowing Medicaid and hoping that some extra money for opioid treatment will adequately address the opioid epidemic. Health for All: Anti-Terrorism that Works - POLITICAL BUTTONHealth Care is a Right, Not a Product POLITICAL BUTTONWhile Sen Portman counts his pennies for health care and hurls bags of cash for wealth care, his flamethrower should be directed squarely on the Republican so-called “health care” bill, which is actually a tax bill paid for directly by Americans’ health and very lives.  Sen. Rob Portman, vote this bill down.  Refuse to vote for any health care bill, unless it actually improves our health.  Anything else is malpractice.

Please feel free to print out or share this free poster with your friends and enemies.

FREE POSTER: Flamethrower Senator Rob Portman Medicaid Opioid Treatment

POSTER: Partisan Man – Senator Rob Portman – Mitch McConnell Made Me Do It!

This free poster is another installment in my “Parity or Parody in Democracy” series.  This poster features Sen. Rob Portman as Partisan Man, yet another white man.  This political cartoon was inspired by Sen. Portman, white man among white men, in the exclusive group of Republican senators appointed by Mitch McConnell, Senate Majority Leader, all of whom are white men.

Sen. Portman, an alleged moderate, has recently weakened his role as a critic of the profoundly ironically named Better Care Reconciliation Act.  Sen. Portman was handed his shorts over his pet advocacy project, preserving opioid treatment while decimating overall health care for the poor, addicts, and mentally ill; they included less than 5% of what he asked for!  Despite this insulting result, Sen. Portman has weakened rather than strengthened his opposition to the bill.  He missed the opportunity of joining other Senate Republicans in challenging the rushed process without adequate legislator review or public hearings.  Sen. Portman appears ready to collapse into whimpering partisanship, neither demanding a transparent, democratic process nor a bill that even resembles improving the health of Americans.  Single-Payer Health Care - Everybody In, Nobody OutWe Can't Fix The Economy Until We Fix Health Care POLITICAL BUTTONOhio’s elected so-called representative is looking more and more like a compliant minion of Senate Republican bosses.  He can blame it on Mitch McConnell with a proverbial “Mitch McConnell made me do it,” but Ohioans did not elect Mitch McConnell as their representative.  His hiding behind is another version of covering one’s ass.  The Republicans, led by their megalomaniacal president, can’t hide behind their big PP, Partisan Politics, in this presumptive Trumpcare debacle.  You may note that the American flag in this poster is upside down; this is because and upside down flag is a distress call.  Let’s up right this topsy turvy nation of ours and reject the pathetic machinations of Republican health care so-called reform.  It is time for health care for all — everybody in, nobody out!  It doesn’t get any less partisan than that!!

PARTISAN MAN - Senator Rob Portman