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Unless you are married or caring for someone who has a chronic
invisible illness this is something you probably would never hear. Even
on support lists on the net this topic rarely is divulged. Its too personal,
makes you feel very vulnerable and is just too embarrassing for most to
deal with publicly. And yet it is the public how most needs to consider
these things when they form their attitudes or have groups to help the
disabled. I'm talking about finances, money...
It's only logical that having a chronic illness that keeps you from working
equates to loss in wages. I don't need to point that out to anyone. But
it is what comes before and after that realization that is more difficult.
Everyone needs support from some source whether it be self, a spouse or
parent or a government program. Some families losses will have greater
affect than others. The ones hardest hit are those who got ill when they
were young, mother's with young children and women who spent their years
caring for their family. But others whose family budgets were dependent
on two workers many times will feel the crunch too. The most fortunate
had good private disability coverage prior to illness. For some the loss
of income is more than devastating, it results in their having no medical
care and very often no place to live.
| Typical Groups |
Typical Scenario
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Under 30 years old:
(Many things listed here are true of other groups also)
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- He may have finished high school before getting sick but was
too young to have had a career established. If he worked at all
the wages were small and the amount paid into social security
will not be enough to live on, that is IF he can even get social
security disability. They do not always approve every claim, as
a matter of fact it typically takes three tries which takes a
year or so plus a big medic al file (meaning many doctor's visits
and tests) AND a good lawyer. Rarely ever does anyone get approved
the first time. IF he gets approved he has typically gone a full
year already with no income. SS does pay retroactive to the application
date but the person had to live without anything during that year...
meaning they'd better have had a good savings account or rich
parents or friends....
- If he got ill before acquiring the most basic household furnishes
he will not be able to afford to buy them now. This also holds
true for a car even though he may not be able to walk or ride
a bus. (See point below on what happens if he tries to get them
by gift or temporary job)
- He either is forced to move back home or apply for some kind
of assistance. This means SSI or welfare. Welfare does not like
to give assistance to young people that they view as 'able bodied',
and these illnesses are not visible from the outside. This is
especially true for young males, in many states they can not get
any assistance. SSI, IF obtainable is based on the total family
income and is quite low in most cases. So though a family may
not be able to support their grown child they still won't be able
to get assistance. This is also true for medical assistance. Adult
children typically are NOT on their parent's insurance policies.
- If he does get assistance any other money he gets from any source
including gifts and one type jobs will be subtracted from his
allotment and the amounts allowed are generally low... meaning
if he tries to help himself a bit by attempting to work here and
there temporary /part time he most likely will loose whatever
assistance he got.
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| Single Moms: |
Many of the things mentioned in the category above apply here too.
While it is sometimes easier for a mother with small children to
get assistance (once it's acknowledged that she really is disabled
which can be a problem with these kinds of illnesses) the amounts
given are very often too little to pay for basic laving needs let
alone any extras that may have helped her improve her own health.
The main difference is that agencies that lend assistance are often
more sympathetic towards young children. Please keep in mind though
that NO ONE wants to be on welfare or other types of assistance.
Very often the process of getting help is very degrading and upsetting
itself.
- Example of SSI for a single mother of one child in the state
of Arizona. (1999) : The totally family monthly funds must be
under $1000. Child support, gifts and any other income is subtracted
from this number. BUT the remainder is NOT the amount the mom
may actually get. The most that SSI will give is $450 regardless
if there is no other income. Hint: You can not find a place to
rent for $450 in Arizona. But at least she may have some medical.
This medical allows her to go to a doctor who is on her particular
plan. If the doctor she needs to see is a specialist who doesn't
take that plan she may be out of luck.
- Welfare assistance is no better and as well carries a stigma.
Now that she needs assistance she's in the system. She may be
required to go through parenting classes or any other kind of
scrutiny the worker may choose. It seems to be assumed that if
you are poor you are also stupid and often a neglectful parent.
She will be lumped in with those who are drug addicts and alcoholics
as far as anyone is concerned if they discover she is on welfare.
If her children are put in WIC or other programs she may be forced
to feed them iron fortified formulas, be vaccinated and other
things that may be against her better judgment.... but then she's
only a poor mom who needs to be told right?
- If she's a single mom there is often an ex-husband involved.
Too often ex-husbands do not understand these kind of illnesses
and like to make issues out of them in court. They also use them
in fights about child support amounts too. (Note: this also holds
true for single fathers who are ill). Some even have had custody
battles that were solely based on their illness as if being ill
makes her a bad mother. If she was still married when she got
ill chances are unless she had cash reserves or parents able to
supply a good lawyer she probably did not have the energy nor
finances to insure that she got enough child seaport let alone
that nasty word unheard of today "alimony".
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| Older Homeworkers: |
This group is a very sad case as far as I'm concerned. They worked
hard most of their adult lives making a good home for their husband
and children. They cooked and cleaned, were involved at school and
after school activities with their children as well as their church.
They're typically givers who saw being a homemaking a high calling.
They very typically are older women who opted out of the feminist
movement. Many had jobs when they were young but they came secondary
to family and were part-time /temporary and low paying. They did
not amount to much funds in their Social Security account. (What
account?). They may have medical coverage through their husbands
and they may have husband's whose earnings are high enough not to
notice the difference with needing to hire some household help to
replace what "mom" did all those years. So she may be
in a better place than the two groups mentioned above..... unless
she also happens to be a SINGLE older woman. I have met way too
many women whose husband's bailed out on them when they got ill.
These women end up in one of the worst predicament Today its very
rare for a court to grant alimony ("spousal maintenance")
and when they do its usually for a very limited length of time.
If her husband does not continue to pay for her medical coverage
she may not be able to afford any at all. (American system -- most
medical coverage here is about the American Medical System ---or
should I say lack of one?). IF this women was married more than
twenty years she could one day collect Social Security from her
ex's benefits -----unless she remarries.
The reason this group bothers me so much is because this woman
is one who gave so much and we in society today refuse to acknowledge
any of it at least in terms of support.
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| Everyone: |
If you read the sections above you have a little bit better idea
what these people are up against. In this section I have not talked
about the emotional aspects involved in needing to be on assistance,
having to depend on someone else for your support, those things
are mentioned in the Emotional Aspects
section of this site though it is truly difficult to go deeply into
this side of it over the net. But they are big issues and ones that
each and every person who has a chronic debilitating illness goes
through. I really haven't begun to scratch the surface about financial
matters either but perhaps this at least gave you a starting place
to ponder further. Perhaps you will even check out the What
Churches Can Do page to see what your church could do, and the
What You Can Do page to see what you yourself
could do personally. Before you leave this page though I'd like
to give you a little more to think on. Here is a partial list of
what many people who have MCS, CFS, FM also run into....
- The very things that may benefit their condition may be unaffordable
and NOT covered by any type of insurance or assistance. Things
like...
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- a good mattress
- special dietary needs - food allergies and sensitivities,
sugar free etc.
- salves, ointments, OTC medications, elastic wraps, heating
pads etc.
- supplements - vitamins, minerals, herbs etc.
- physical therapy, chiropractic, water therapies
- additional child care help
- housekeeping help
- shopping help
- cotton clothing - for those with sensitivities, clothing
that is easy to put on and doesn't hit trigger points including
good shoes
- toxic free cleaners and household supplies - often which
cost a bit more than 'normal' types
- special heating or air cleaners - purifiers
- water purifiers
- comfortable chair - sometimes a wheelchair for shopping
excursions and bad days
- "sanity savers" - yes, entertainment and things
to keep the mind occupied are necessary too! Things like computers
and online connections, books (for those who can tolerate
them), music, movies, TV, long distance calls to friends and
family, safe excursions from the house, crafts, hobbies or
whatever..... but they all cost a bit and while no one would
admit they have the attitude most people do not believe that
anyone who can not work deserves such 'luxuries"....
unless they got it as a gift.....
There is much more too numerous to mention and too elusive
for my tired brain to recall right now. Perhaps I'll add some
more later as I'm likely to have overlooked the obvious.
- They probably have someone else in their life that they've put
first, a child, a hard working spouse who is supporting them....
they put themselves last tending to go without many of the little
things that may help some symptoms simply because they do not
want to be totally "self" centered. Most likely they
would not tell you that they NEED these things but would tend
to classify them as DESIRES. Yet the worries about budget, monthly
shortages, and yes, sometimes even wondering where the groceries
will come from by the end of the month often has taken a toll
on their already precarious state of health and more than anything
else that could help them a little less financial worry would
be a big one. Bottom line? They won't ask. Many times they won't
even let you know....
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No one, including me, expects society to have all the answers. No one
expects nor asks for 'handouts'. What we want and need is understanding.
What we need is a system that will allow us to try to do what we can to
help ourselves without risking loosing what little security we may have.
I personally do not get disability. I applied once years ago but after
being informed that the amount I would get would not even pay my monthly
utility bills much less rent or food or anything else my daughter may
need I gave up. It was all or nothing. It still pretty much is. It isn't
that we who are chronically ill are unwilling to do anything, it is that
we are UNABLE to. I would love to see more programs that would encourage
and aid those who are chronically ill to work part time from home as they
can, and yes, even supplying the means to be able to do that. What we do
NOT want, need or desire is to be judged as being undeserving of more
than the barest minimal living standards because we can not work. And if
I may be so bold as to add.... neither would Christ.
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