It’s been two months since my expander-implant exchange. I recently heard the term “Drop and Fluff” bandied about on RealSelf.com which is a plastic surgery social media site. I had never heard about this term and it created really weird pictures in my mind. Apparently there is a lot going on behind the scenes in your body. After implant placement there is swelling of the tissues combined with tightening of the chest muscles. This can cause them to look tight with the upper portion of the breast looking somewhat like a hump and then constricting the tissues causing the implant to look smaller than it actually is. It can also make them look a bit further apart and even kind of upside down. As the swelling goes down those tissues loosen and the implants settle into a lower, more natural position which in turn makes them look softer and more rounded. Maybe that’s what mine have to do, I have no idea.
Unless you’ve been under a rock lately, you will have seen talk on the news about repealing and replacing the ACA or “Obamacare.” A few months ago I was concerned there would be no insurance companies in Maricopa County offering individual health plans because they were all pulling out of the market. Well as it turns out there is one company, HealthNet’s Ambetter. It is an HMO and my plan has a $4,000 annual deductible and $7,150 out of pocket maximum. On top of this, my monthly premium is $530 per month which includes a $178 subsidy so my premium would actually be over $700 per month. This is just for me. My husband and daughter each have their own plans which they’ve had since before the ACA went into effect which are much cheaper. In 2013 I reduced my hours to 30 (my choice) and went from employer based coverage to individual which made me subject to the ACA or Obamacare rules (and before you say wait-30 hours-employer has to cover you. Nope they called me into HR and said they needed me to work 29.5 so they didn’t get fined.) One positive thing the ACA did for me was prohibit insurance companies from dropping me or refusing to cover my cancer treatment due to it being a “pre-existing condition.” If I had gotten cancer prior to the ACA I would have had to get a full time job with benefits or be totally screwed. People shouldn’t go bankrupt trying to pay their medical bills and I know firsthand working in bankruptcy and collection law many years ago that it happened. A lot. It happened to wealthy people who became not so wealthy because of a catastrophic medical event. So the idea that individual coverage, like employer based coverage could not be discriminatory against someone with a pre-existing condition was a very good one to me and a no-brainer. The problem was there were way too many one size fits all mandates and regulations piled on the law. I think my plan had to have maternity benefits even though chemotherapy put me into menopause last year. Doctors I know have said that the ACA has made it more difficult and expensive for them to treat their patients and run their practices. Here in Arizona and some other states premiums have more than doubled.
I am dubious of politicians crying about how repealing and replacing Obamacare will “make America sick again.” Let’s face it, promises were broken. I couldn’t keep my plan and I couldn’t keep my doctor. I don’t care whose fault it is, it happened as a result of this law. And if Obamacare was so great why don’t you congressmen and women have it? And why did y’all immediately rush to exempt yourselves from it? They have the gold standard in health insurance that WE pay for. I guess we’ll see what happens in the coming months with the repeal and replace. Okay rant over.