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General Interest => General Discussion => Topic started by: DougRich on May 13, 2019, 11:57:54 PM

Title: A Cautionary Tale
Post by: DougRich on May 13, 2019, 11:57:54 PM
If you also post over at tPF, you've probably already read this story. For those who haven't, my reason for posting it here will become evident toward the end.

It was the first week in January, and after several days of bad coughing and being short of breath, I went to a hospital emergency room - my own family physician having no time to see me - where I was given some drugs and sent home. The next day, I went to an urgent care clinic, where they gave me different drugs and again sent me home. On January 7th, I went back to the emergency room, where my body shut down halfway across the lobby. I remember being put in a wheelchair and pushed rapidly down a hallway, and my next memory is of being in the hospital. At some point later on they told me that I'd been fully sedated with a tube down my throat for ten days. Bilateral pneumonia with sepsis. While I was out, the doctors were uncertain as to which way it/I would go.

After regaining consciousness, I spent a couple of weeks in the ICU, unable to eat or drink and with a "trach" or tube inserted in my throat to supply me with oxygen and another in my stomach to provide me with nutrition. I lost forty pounds in the first three weeks - a diet I most definitely do not recommend.

One phenomenon noted by many serious pneumonia victims is the bizarre dreams - many of them extended, detailed nightmares of the ugliest kind. I can still recall many of the ones I experienced. The difference between those nightmares and the ones we have when we're healthy is that your brain is so scrambled that when you wake up, what happened in the nightmares and other dreams is automatically incorporated into your memories; it is literally impossible for you to differentiate what you know as reality and what was done or said to you in the dreams. I spent about a week-and-a-half convinced that I'd been the target of an assassination plot. Other of the dreams were so bizarre and ugly that I will probably never relate them to anyone.

A couple of weeks out of the ICU, I was released to a rehab facility. My muscle strength, particularly in my legs, was negligible. I was finally allowed to eat, but my brain and throat didn't want to at that point. The whole business of eating seemed strange, and it took me some time to re-learn how to do it. With physical therapy, I was finally able to stand, then walk with a walker, and then a cane. The "trach" came out the first week of March, and the feeding tube two days later. I was finally discharged, with a bag full of pills, on March 15th. It took me another month to get fairly steady on my feet, and then to get back into driving. (My son, who'd been chauffeuring me around, was concerned about that. I told him, "James, I've been driving for half a century. I think it'll come back to me.")

Fortunately, I had (and have) a great support system - a 5'2" Scots-Irish dynamo of a wife who eats bureaucracies and red tape for breakfast, an adult son who has made himself immediately available to me for assistance 24/7, etc. The wife got me registered for Medicare while I was still pretty much out of it in the hospital.  Oh, yes, and my dog Gemma, the six-year-old brown and brindle pit-shepherd I raised from a 10-week-old puppy, went insane when she saw her Daddy after I'd been gone for 67 days. That, and the fact that I lost a shirt size and a net 35 pounds, made the whole thing almost worthwhile.

I have a new doctor now, and the first time we met and he'd looked over my record he shook his head and said, "And you're still here".

Now the point of all this is not to bore you with the story of my illness, as some are fond of doing, nor to elicit your sympathy; nor would I be fishing for your admiration for "how bravely I fought through" my medical adversity. I could go into much more gory and unpleasant detail...like how for many weeks I was unable to clean up after myself and had to be regularly cleaned up by strangers, not always in an expeditious manner, or how they almost killed me a couple of weeks before I got out of rehab with an antibiotic to which it appears I am violently allergic...but the point is simply this: if you have not gotten a pneumonia vaccination, you are gambling with your life, your health, and innumerable other valuable and beyond valuable things.

Yes, I was a few weeks short of my 65th birthday when I was struck down, but it isn't just old people and babies who get pneumonia. In fact, fully half of those who are afflicted with serious, life-threatening pneumonia attacks - not counting those with autoimmune problems - are aged 18-57. You can be a 22-year-old and run marathons and still be at risk.

Do yourself what might be the greatest favor ever, and get that pneumonia vaccine as soon as humanly possible. While you are at it, insist that those you love get one, too. This is a medical condition the effects of which will be with me for the rest of my life. Trust me - you don't want it. Don't gamble with your life, as I did. It really is beyond stupid.
Title: Re: A Cautionary Tale
Post by: RealityHasALiberalBias on May 14, 2019, 08:34:06 AM
Whom, exactly,  do you feel the need to advise here?
Title: Re: A Cautionary Tale
Post by: DougRich on May 14, 2019, 08:47:17 AM
Whom, exactly,  do you feel the need to advise here?

I thought I made that pretty clear. Anybody who hasn't gotten a pneumonia vaccination. I essentially lost a couple of months out of my life and am lucky to be alive. If I can prevent someone else, even a stranger, from having to go through that, that's a good thing. Wouldn't you agree?
Title: Re: A Cautionary Tale
Post by: RealityHasALiberalBias on May 14, 2019, 08:47:22 AM
I just visited your tPF and was treated to a thread where some lovely authoritarians were whining about people whom they referred to as Democrats allegedly fleeing Democratic states and cities, which they call "takers" and moving to red states but bringing, allegedly, their Democratic politics.

They offer no facts, of course.

Even you, oh great master of the fallacy of the golden mean, can't split that baby. I know you hate to face that fact but as Werner Twertzog said America is waking up to the fact, as Germany once did, that a third of the population would murder another third while the rest stood by and did nothing.

You sit by. Am I right?
Title: Re: A Cautionary Tale
Post by: RealityHasALiberalBias on May 14, 2019, 08:50:34 AM
I thought I made that pretty clear. Anybody who hasn't gotten a pneumonia vaccination. I essentially lost a couple of months out of my life and am lucky to be alive. If I can prevent someone else, even a stranger, from having to go through that, that's a good thing. Wouldn't you agree?

My comment wasn't directed so much at you.

If you can reach cult followers then I applaud you. I don't think you can.

Sorry for your illness.

By the way you don't have to take my posts personally. You can. But you don't have to.
Title: Re: A Cautionary Tale
Post by: Calypso Jones on May 14, 2019, 09:13:13 AM
I thought I made that pretty clear. Anybody who hasn't gotten a pneumonia vaccination. I essentially lost a couple of months out of my life and am lucky to be alive. If I can prevent someone else, even a stranger, from having to go through that, that's a good thing. Wouldn't you agree?

well.  congratulations you just met Mr. Obtuse. (rhalb)     

On a more serious note @DougRich.  I'm glad you recovered.  that was an horrendous situation.   I was immediately stopped by your stating that your physician didn't have the time to see you.   THIS, doug rich is part of the rich legacy left to us by Mr. Obama.  Haven't you noticed a 'difference' in the medical profession?   and hospital protocols?   I have.   I am going through something vaguely similar to what you've just experienced, with The Captain, my husband.    I will take into consideration your serious recommendation of getting the pneumonia vaccine.     If it do, it will be a major concession because I have become very, make that VERY suspicious of the medical profession, who they report to (government) and to a lesser degree the turncoat health insurance companies.

Glad you're doing better and I applaud your wife for her activism on your behalf. 
Title: Re: A Cautionary Tale
Post by: Calypso Jones on May 14, 2019, 09:18:59 AM
I just visited your tPF and was treated to a thread where some lovely authoritarians were whining about people whom they referred to as Democrats allegedly fleeing Democratic states and cities, which they call "takers" and moving to red states but bringing, allegedly, their Democratic politics.

They offer no facts, of course.

Even you, oh great master of the fallacy of the golden mean, can't split that baby. I know you hate to face that fact but as Werner Twertzog said America is waking up to the fact, as Germany once did, that a third of the population would murder another third while the rest stood by and did nothing.

You sit by. Am I right?

Well.  if you've lived with the fact of liberal exodus TO your state you know what the deal is.     Apparently you don't.

Secondly.  If the more radical wings of the democrat party think they'll get away with murdering another third of the population as they did in Germany, they've got another think coming.  I know they consider it, plan it, with this muslim/muslima congressmuslim/muslima  allies spouting anti-Semitism and anti white remarks...  you should watch your back shouldn't you?
Title: Re: A Cautionary Tale
Post by: Calypso Jones on May 14, 2019, 09:19:59 AM
My comment wasn't directed so much at you.

If you can reach cult followers then I applaud you. I don't think you can.

Sorry for your illness.

By the way you don't have to take my posts personally. You can. But you don't have to.

good recovery.   it almost got away from you again didn't it.
Title: Re: A Cautionary Tale
Post by: DougRich on May 14, 2019, 09:48:08 AM
I just visited your tPF and was treated to a thread where some lovely authoritarians were whining about people whom they referred to as Democrats allegedly fleeing Democratic states and cities, which they call "takers" and moving to red states but bringing, allegedly, their Democratic politics.

They offer no facts, of course.

Even you, oh great master of the fallacy of the golden mean, can't split that baby. I know you hate to face that fact but as Werner Twertzog said America is waking up to the fact, as Germany once did, that a third of the population would murder another third while the rest stood by and did nothing.

You sit by. Am I right?

Um...I get the feeling that one of two things is going on here. Either you popped over to that other site and assumed that I am somehow responsible for the fact that it has largely become a Right Wing echo chamber; or, you have had some run-ins with the poster who assumed my identity over on this forum - the individual now known as 'NotDougRich' - and you've gotten the two of us confused.

At that other site, I am one of those who are regularly excoriated and insulted for being too Liberal by half, even though I mostly agree (within reason) with the Conservatives on certain issues, like the Second Amendment. I actually don't read 90% of the threads over there because they mainly consist of RW reactionaries - some of them dumber than a bag of hammers - slapping one another on the back and vying to be the most conservative guy on the board.

I haven't read more than a handful of 'NotDougRich's posts, so I don't really know (or particularly care) where he stands on anything, nor what he could have possibly said to make you jump on ME.

Anyway, I am really sorry that what was intended to be a good deed - this thread - has so quickly turned into a goat f*ck. Interesting that on that other forum, the one you seem to think that I'm responsible for in its entirety, this story was greeted by thanks, kudos and well wishes by, among others, some of the most radically RW members - ones with whom I agree on practically nothing.
Title: Re: A Cautionary Tale
Post by: RealityHasALiberalBias on May 14, 2019, 10:02:56 AM
Um...I get the feeling that one of two things is going on here. Either you popped over to that other site and assumed that I am somehow responsible for the fact that it has largely become a Right Wing echo chamber; or, you have had some run-ins with the poster who assumed my identity over on this forum - the individual now known as 'NotDougRich' - and you've gotten the two of us confused.

At that other site, I am one of those who are regularly excoriated and insulted for being too Liberal by half, even though I mostly agree (within reason) with the Conservatives on certain issues, like the Second Amendment. I actually don't read 90% of the threads over there because they mainly consist of RW reactionaries - some of them dumber than a bag of hammers - slapping one another on the back and vying to be the most conservative guy on the board.

I haven't read more than a handful of 'NotDougRich's posts, so I don't really know (or particularly care) where he stands on anything, nor what he could have possibly said to make you jump on ME.

Anyway, I am really sorry that what was intended to be a good deed - this thread - has so quickly turned into a goat f*ck. Interesting that on that other forum, the one you seem to think that I'm responsible for in its entirety, this story was greeted by thanks, kudos and well wishes by, among others, some of the most radically RW members - ones with whom I agree on practically nothing.

Again you make it about you. You're the one who brought up tPF.

If I blamed you I would have said that I blame you.

My point here is that your advice is lost on people like Mornac or Holly. My secondary point is that trying to negotiate with authoritarians, or worse yet trying to compromise with.them, is a mistake.

You can agree or disagree. You can be in the third that sit by while authoritarians commit atrocities. That is up to you.

I don't talk to people like Holly or Mornac or Caroline any more but I do talk to you. I have them on ignore. You are worth talking to in my opinion. You do have something to offer.

Those are facts Doug. You are smart enough to draw from them the correct conclusions instead of what you write above. We don't have to agree in order to respect each other's reasoning.
Title: Re: A Cautionary Tale
Post by: RealityHasALiberalBias on May 14, 2019, 10:05:20 AM
FTR I never thought that was you. And I assure you, it isn't me. I don't interact with the fascists. I have enough of them on Facebook, although they are dwindling there too.

Old white guys have an expiration date.
Title: Re: A Cautionary Tale
Post by: RealityHasALiberalBias on May 14, 2019, 10:12:49 AM
Of course I can reject you too. Keep up the petty ego plays and I assure you that I will.

You aren't any good at it.
Title: Re: A Cautionary Tale
Post by: Calypso Jones on May 14, 2019, 10:48:21 AM
FTR I never thought that was you. And I assure you, it isn't me. I don't interact with the fascists. I have enough of them on Facebook, although they are dwindling there too.

Old white guys have an expiration date.

doesn't that apply to you too?
Title: Re: A Cautionary Tale
Post by: Pepsi on May 14, 2019, 12:38:42 PM
I'll ask my doctor next checkup, thanks Doug.    My mom keeps telling me I need to get shingles vaccination, don't want that either..
Title: Re: A Cautionary Tale
Post by: Observer on May 14, 2019, 01:29:17 PM

Anyway, I am really sorry that what was intended to be a good deed - this thread - has so quickly turned into a goat f*ck. Interesting that on that other forum, the one you seem to think that I'm responsible for in its entirety, this story was greeted by thanks, kudos and well wishes by, among others, some of the most radically RW members - ones with whom I agree on practically nothing.

You know Velleity. You can't have a decent discussion going without him coming along to defecate all over it. I was actually surprised to see him show up. I kind of half expected him to hang himself after the Mueller report was released.

Your advice is good and people should take note and consult with their physician about it. Pneumonia is a major killer. It claimed my mother in 1972. If there is a simple and effective way to ward it off, people need to know about it. It is good to see you back.

Regarding that other forum... It is interesting to see how perspectives differ. The voices that I think are the loudest there are those coming from the Left, which is 180 degrees from what you see. I think it is possible we are both sort of correct in that we pay the most attention to those who oppose us politically and don't necessarily always notice those who echo our own thoughts.
Title: Re: A Cautionary Tale
Post by: DougRich on May 14, 2019, 02:10:15 PM
I'll ask my doctor next checkup, thanks Doug.    My mom keeps telling me I need to get shingles vaccination, don't want that either..

I got a complete physical this morning, and my Nurse Practitioner convinced me to get a shingles vaccination and a tetanus shot, which I'll be doing in the next day or two.  However I draw the line at a colonoscopy.  Bad enough that there was a student nurse sitting in today and I ended up getting "the finger" not once, but twice.   :o
Title: Re: A Cautionary Tale
Post by: Pepsi on May 14, 2019, 03:16:22 PM
I got a complete physical this morning, and my Nurse Practitioner convinced me to get a shingles vaccination and a tetanus shot, which I'll be doing in the next day or two.  However I draw the line at a colonoscopy.  Bad enough that there was a student nurse sitting in today and I ended up getting "the finger" not once, but twice.   :o

I've got a father in law in very bad shape with colon cancer right now.. an earlier colonoscopy would have been good for him.   
Title: Re: A Cautionary Tale
Post by: Calypso Jones on May 14, 2019, 04:05:18 PM
I'll ask my doctor next checkup, thanks Doug.    My mom keeps telling me I need to get shingles vaccination, don't want that either..

wow...look here.  I think we've found something we agree on.  What's your thinking behind your refusal to get them?
Title: Re: A Cautionary Tale
Post by: Pepsi on May 14, 2019, 04:21:22 PM
wow...look here.  I think we've found something we agree on.  What's your thinking behind your refusal to get them?

Its more an oversight than something I refused, my doc has not mentioned it so I didn't do it.   
Title: Re: A Cautionary Tale
Post by: Calypso Jones on May 14, 2019, 04:52:02 PM
Its more an oversight than something I refused, my doc has not mentioned it so I didn't do it.

LoL   okay.
Title: Re: A Cautionary Tale
Post by: DougRich on May 14, 2019, 08:08:18 PM
...Regarding that other forum... It is interesting to see how perspectives differ. The voices that I think are the loudest there are those coming from the Left, which is 180 degrees from what you see. I think it is possible we are both sort of correct in that we pay the most attention to those who oppose us politically and don't necessarily always notice those who echo our own thoughts.

I tend to avoid altogether, let alone participate in, those threads that are obviously just red meat - "bait" threads, if you will - regardless of who posts them. Why I say that the forum has become a RW echo chamber is not because of the number of threads started by which side, or even the number of posters who identify as one thing or the other. It is the attitude of the self-identified conservative members who refuse to argue or discuss virtually any topic in good faith - choosing instead to publicly question the truthfulness, motives, general honesty and/or mental health of any member who disagrees with them or who posts something they're unable to knock down with reason or logic (most don't even try). Most threads, regardless of who started them, very quickly degenerate into one RW poster after another "piling on" - vying, it often appears, to see which one can come with the most outrageous insult for "libs" in general.

I've seen it done by the "other side", too - I was banned from a Democratic Party support site for suggesting that all gun owners were not overweight, beer-swilling White supremacists named 'Bubba' - but on the forum in question it feels like the RW members, many of them anyway, just aren't interested in hearing or honestly trying to counter any opposing views.

Anyway, here I am derailing my own thread.   ;D  Take care, Obs.  I've got a box for you that I've been meaning to put in the mail since before I was taken ill. Take care!
Title: Re: A Cautionary Tale
Post by: hurricanehook on May 14, 2019, 09:06:23 PM
I'll ask my doctor next checkup, thanks Doug.    My mom keeps telling me I need to get shingles vaccination, don't want that either..
Shingles are definitely a bad condition. My wife contracted shingles
this year. Fortunately she had a mild case compared to many.
I have not received a vaccine for either shingles or pneumonia.
It sounds like it might be a good idea to get both.
Title: Re: A Cautionary Tale
Post by: hurricanehook on May 14, 2019, 09:18:34 PM
I got a complete physical this morning, and my Nurse Practitioner convinced me to get a shingles vaccination and a tetanus shot, which I'll be doing in the next day or two.  However I draw the line at a colonoscopy.  Bad enough that there was a student nurse sitting in today and I ended up getting "the finger" not once, but twice.   :o
Doug,
You should definitely get the colonoscopy. The hardest part
is the prep. The actual examination is a piece of cake.
It could have saved the life of a close friend of mine.
He was 65 and refused for years to get the procedure.
Unfortunately he was diagnosed with colon cancer and died 8 months later.
Title: Re: A Cautionary Tale
Post by: DougRich on May 14, 2019, 09:54:32 PM
Doug,
You should definitely get the colonoscopy. The hardest part
is the prep. The actual examination is a piece of cake.
It could have saved the life of a close friend of mine.
He was 65 and refused for years to get the procedure.
Unfortunately he was diagnosed with colon cancer and died 8 months later.

Well, I'll think about it. I know my youngest son had one when he was in his mid-twenties - he's a bit of a hypochondriac. Maybe I'll ask him what it was like.
Title: Re: A Cautionary Tale
Post by: RealityHasALiberalBias on May 14, 2019, 09:59:46 PM
I tend to avoid altogether, let alone participate in, those threads that are obviously just red meat - "bait" threads, if you will - regardless of who posts them. Why I say that the forum has become a RW echo chamber is not because of the number of threads started by which side, or even the number of posters who identify as one thing or the other. It is the attitude of the self-identified conservative members who refuse to argue or discuss virtually any topic in good faith - choosing instead to publicly question the truthfulness, motives, general honesty and/or mental health of any member who disagrees with them or who posts something they're unable to knock down with reason or logic (most don't even try). Most threads, regardless of who started them, very quickly degenerate into one RW poster after another "piling on" - vying, it often appears, to see which one can come with the most outrageous insult for "libs" in general.

I've seen it done by the "other side", too - I was banned from a Democratic Party support site for suggesting that all gun owners were not overweight, beer-swilling White supremacists named 'Bubba' - but on the forum in question it feels like the RW members, many of them anyway, just aren't interested in hearing or honestly trying to counter any opposing views.

Anyway, here I am derailing my own thread.   ;D  Take care, Obs.  I've got a box for you that I've been meaning to put in the mail since before I was taken ill. Take care!

There are few right leaning moderates.

I didn't come up with the idea that you are thin-skinned. I got that from radical right wingers.

And a radical lefty called you a chin stroker.

See O'DougWulfAxe? I can split babies too.
Title: Re: A Cautionary Tale
Post by: Mornac on May 15, 2019, 04:07:21 PM
If you also post over at tPF, you've probably already read this story. For those who haven't, my reason for posting it here will become evident toward the end....
--Sorry to hear about all that Doug and I'm glad you made it through in mostly good shape. Your story is a ravishing tribute to free-enterprise based health care. It would undoubtedly cause severe envy in those trapped in national health care scams in countries where they've ceded control of such things to government.
Title: Re: A Cautionary Tale
Post by: Pepsi on May 15, 2019, 04:37:51 PM
--Sorry to hear about all that Doug and I'm glad you made it through in mostly good shape. Your story is a ravishing tribute to free-enterprise based health care. It would undoubtedly cause severe envy in those trapped in national health care scams in countries where they've ceded control of such things to government.

i'm sure they are quite envious of the health care bills, since we pay more than any other nation in the world for health care, and are the only country in the world where going bankrupt due to health bills is a normal situation. 

Title: Re: A Cautionary Tale
Post by: Observer on May 16, 2019, 03:42:16 AM
i'm sure they are quite envious of the health care bills, since we pay more than any other nation in the world for health care, and are the only country in the world where going bankrupt due to health bills is a normal situation.

You do understand that much of the cost of medical treatment today is because of the ties to the insurance industry, right? Get the insurance companies out of the equation and health care costs would drop dramatically.
Title: Re: A Cautionary Tale
Post by: Pepsi on May 16, 2019, 09:35:08 AM
You do understand that much of the cost of medical treatment today is because of the ties to the insurance industry, right? Get the insurance companies out of the equation and health care costs would drop dramatically.

Yes, and agree..
Title: Re: A Cautionary Tale
Post by: Hollybaere on May 16, 2019, 06:45:13 PM
You do understand that much of the cost of medical treatment today is because of the ties to the insurance industry, right? Get the insurance companies out of the equation and health care costs would drop dramatically.

Just as an example, a medication that I have been taking for 45 years has been $10.00 for a 90 refill at Walmart for the past 19 years I have lived in Florida. Last time I refilled it, my Insurance paid out to Walmart $52.47 from my HSA. It is the same exact dosage, and it is a generic version. I called the health insurance company to find out why. He claimed it was "contracted amount" and if I had paid for it out of pocket it would have cost $10.00.

Also, when my last Doctor found out I had new insurance, all of a sudden he detected a heart murmur, that I never had before. He started wanting me to do all these tests and see a Cardiologist. When I quit him and saw a new Doctor, there has been no mention of any heart murmur in over 2 years.
Title: Re: A Cautionary Tale
Post by: RealityHasALiberalBias on May 16, 2019, 06:57:57 PM
Yes, and agree..

Cue the Ayn Rand blather.
Title: Re: A Cautionary Tale
Post by: DougRich on May 19, 2019, 12:03:52 AM
Just as an example, a medication that I have been taking for 45 years has been $10.00 for a 90 refill at Walmart for the past 19 years I have lived in Florida. Last time I refilled it, my Insurance paid out to Walmart $52.47 from my HSA. It is the same exact dosage, and it is a generic version. I called the health insurance company to find out why. He claimed it was "contracted amount" and if I had paid for it out of pocket it would have cost $10.00.

Also, when my last Doctor found out I had new insurance, all of a sudden he detected a heart murmur, that I never had before. He started wanting me to do all these tests and see a Cardiologist. When I quit him and saw a new Doctor, there has been no mention of any heart murmur in over 2 years.

Reminds me of my former doctor - the one who didn't have time to see me right before I collapsed with bilateral pneumonia. He was our family physician, had his office just a few blocks from my house, and generally did a pretty good job of taking care of our medical needs...although if he spent even five minutes with one of us, we felt like he thought he was doing us a favor.

About two years ago, he joined a "medical group" - and suddenly I could not call his office directly, but had to go through a central group office with any questions or to make an appointment. More telling, if I mentioned virtually any medical issue that I was having, instead of treating it himself he would want to refer me to a specialist. This is absolutely true: during one of my last appointments with him, he referred me to three different specialists in the span of about five minutes. (Itching in one ear - to an ENT specialist. Pain in my lower back - to a pain specialist. Trouble sleeping - to a sleep specialist.) Here's the punchline: All three complaints were ones for which he had treated me before, in some cases for years. That was, of course, before he joined a medical group.
Title: Re: A Cautionary Tale
Post by: Hollybaere on May 19, 2019, 09:43:06 AM
It’s a total cheat.  It was bad enough before Obamacare, but now the health insurance companies are running the medical field. Now that they are assured of getting money they convince people that they need all kinds of tests and that they need to see all kinds of specialists.

We are being played. That is also why they fight cannibus  treatments and push chemo, even though they know it kills.

But, they use scare tactics to convince us that “people will lose insurance coverage” if Obamacare is replaced.