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NASA Space Science

It's About Time Astronauts Got Healthcare For Life (mashable.com) 283

Miriam Kramer, reporting for Mashable: NASA astronaut Michael Lopez-Alegria flew to space four times for the space agency between 1995 and 2007. While in space, his eyesight deteriorated, a well-documented medical issue NASA's known about for years, and one that many astronauts have experienced first-hand. For many astronauts, their eyesight readjusts once they get back to Earth. That wasn't the case for Lopez-Alegria, though. His eyesight got significantly worse during his time in orbit, and NASA isn't paying for his contacts or doctor visits today, years after his retirement from the agency. However, he still travels to Houston, Texas once per year to allow the agency to gather data about his health, without any expectation that NASA will offer treatment for any conditions that may have developed because of his time in space. In other words, while Lopez-Alegria's eyesight deteriorates, NASA benefits from the data he provides to the American space program, without medical recompense to him today. The lack of health care for former astronauts has long been a sore spot at NASA, but now it threatens the agency's future. Deep space missions beyond the moon, like a mission to Mars, require a better understanding of how extended spaceflight affects the human body.
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It's About Time Astronauts Got Healthcare For Life

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  • by Anonymous Coward

    just because you flew into space. You're one of the plebs, capisce? Now, resume your shopping and stop complaining. Everything is fine.

    • by geekmux ( 1040042 ) on Monday March 13, 2017 @02:39PM (#54031479)

      just because you flew into space. You're one of the plebs, capisce? Now, resume your shopping and stop complaining. Everything is fine.

      "...he still travels to Houston, Texas once per year to allow the agency to gather data about his health...

      Just because we few into space doesn't mean we're gonna be your guinea pig for life. You want something from us space plebs? Then fucking pay for it.

      • by Gorobei ( 127755 ) on Monday March 13, 2017 @03:28PM (#54031917)

        The market solution is to give you a $10 off coupon on healthcare for your service in Houston.

        As Paul Ryan explained, if you want cheap healthcare you should have made better life decisions, like becoming a congressman rather than an astronaut.

      • And you continue to sell unfiltered access to reverse engineering your brain to Facebook every single fucking day for zero payback. So what?

        This is the 21st century. You don't own your data, your body, or your mind. Get over it already.

        Not that I don't think astronauts shouldn't get free health care. You just picked the wrong argument.

        • And you continue to sell unfiltered access to reverse engineering your brain to Facebook every single fucking day for zero payback. So what?

          This is the 21st century. You don't own your data, your body, or your mind. Get over it already.

          Not that I don't think astronauts shouldn't get free health care. You just picked the wrong argument.

          Did you just compare voluntary participation in the global narcissist experiment (a.k.a. social media) to a highly-trained astronaut who continues to suffer from injuries sustained while risking life and limb to further our understanding of space?

          Give me a fucking break. You accuse me of picking the wrong argument when you can't even make one.

    • by Roger W Moore ( 538166 ) on Monday March 13, 2017 @05:09PM (#54032701) Journal
      Actually if you had a national health system like just about every other developed nation on the planet you would not need any special treatment for astronauts because just like everyone else they would get free health care. The statement should not be that it's about time astronauts get healthcare for life it should be that it's about time everyone gets healthcare for life.
      • Re: (Score:3, Interesting)

        by fahrbot-bot ( 874524 )

        ... they would get free health care.

        Well... "free" as in "tax payer funded".

        Personally, I would like to see some level of tax-funded national/universal "basic" (or catastrophic) health care/insurance with additional coverage available via the private insurance market.

        • I believe most places with universal coverage allow a secondary private market, if that's what you mean. I don't really care if Jobs was able to afford a private doctor (or team) at the end of his life - I care if other people cannot get cancer treatment because of we preserve that as an option.

  • by SuperKendall ( 25149 ) on Monday March 13, 2017 @02:25PM (#54031381)

    I totally agree that NASA should pay for the most top-notch healthcare for life for all astronauts. There are not many and they deserve it for the risks they take and the benefits we all gain...

    However this line is absurd:

    "now it threatens the agency's future"

    No, no it does not. Even if NASA shot all astronauts on retirement there would still be a healthy supply of overqualified candidates for flying in space.

    I wish people would stop weakening perfectly good arguments by trying to lace them with drama.

  • ObamaCare (Score:2, Insightful)

    by Major Blud ( 789630 )

    Wasn't the ACA supposed to fix this?

    • Re:ObamaCare (Score:5, Insightful)

      by sl3xd ( 111641 ) on Monday March 13, 2017 @02:43PM (#54031517) Journal

      No. It was largely an attempt to get everybody in America on a health care plan, the idea being to grow the size of the pool of people paying into health plans, and distributing the costs across all Americans.

      It's had a vigorous effort to repeal it before it was passed, and the alternative is shaping up to be right out of a Christmas Carol: "If he be like to die, he had better do it, and decrease the surplus population."

      • It was largely an attempt to get everybody in America on a health care plan

        It was only an attempt to do that if that was a likely outcome. It wasn't. The likely outcome was the working poor paying a tax penalty while still not having health insurance, which is what they are now doing.

        It was predicted what would happen. The predictions came true. I guess you will say they were just "misguided" but leave out the fact that they were "misguided" by their biggest corporate donors, the insurance companies that benefited.

        • Back here in the real world, the ACA resulted in tens of millions more people getting health insurance than before... because the working poor get it cheap or free and the middle class and wealthy who pretend to be poor only threaten to drop it and pay penalties, they don't actually do it in measurable numbers.

    • I jest, but Lopez-Alegria is already a veteran, so he receives health care benefits. I'm not sure how Miriam Kramer is trying to spin this, because if the U.S. had a single payer system, Lopez-Alegria would still be receiving the same level of care as the general population; nothing better or worse than he already receives.

    • by hey! ( 33014 )

      Wasn't the ACA supposed to fix this?

      Yes. His vision care should be covered by his insurance which in turn should be federally subsidized if he doesn't have enough income -- unless his income is very low, he's too young for Medicare and he lives in a state that has refused Medicaid expansion. The issue presumably isn't that he doesn't have coverage, it's that he has to pay for it.

    • Yes. But in the batshit crazy American government people are too concerned about making sure someone else fails than to bring a nation forward.

  • Don't alot of them have the VA?

    We just need to make it so that all astronauts get VA.

    • by Jack9 ( 11421 )

      This would be the correct course of action I would believe.
      However, that might put NASA bureaucratically under the military, which looks bad (space militarization step 1).

    • There's an old saying about the VA: It gives America's veterans another chance to die for their country.

      It's not something I would imagine them wanting whether they qualify for it or not.
  • by Anonymous Coward on Monday March 13, 2017 @02:32PM (#54031423)

    This is just a small example of how the US healthcare system is a failure.

    Every other Western democracy has universal healthcare coverage. Most alongside private coverage, and some (at least Canada) purely public.

    The US system is harmful on so many levels. This includes poor outcomes, 2x to 3x higher cost per-capita than any other system, transferring the cost of healthcare to employers and consequently acting as a strong deterrent to recruiting Americans and an inducement to offshoring work, etc.

    But Americans *love* their private health insurance, so it's not politically viable to discuss a real solution. Only crappy band-aids, like ACA (which the Republicans successfully rebranded "Obamacare") and - soon - a watered down version we'll be calling Trumpcare.

    Americans object to mandating the purchase of health insurance, but they forget that treating people who present at a hospital is mandatory. Making health insurance mandatory is symmetrical. If it's optional, hospitals should be allowed - and perhaps required - to turn away patients without the ability to pay. Don't like that outcome? OK, drop the objection to mandatory coverage then.

    OK, rant off. :-)

    • by Cimexus ( 1355033 ) on Monday March 13, 2017 @02:41PM (#54031503)

      I have to admit, just when I thought facts about US healthcare couldn't surprise me anymore, I learn that astronauts - one of the toughest and highest profile government jobs you could have - don't have guaranteed healthcare later in life? That seems insane, especially given there's really not that many astronauts out there to begin with.

      I'm from a country with public universal health care, with a private option (i.e. you can pay for private health insurance on top of the public system if you think it's worth it - it covers extras like dental, cosmetic surgery, etc.) But private insurance isn't tied to employment. You just buy it from a company like you would car insurance or home insurance. Having said that, the public system is good quality (you'll probably be treated by the same doctors either way), so there's no need to worry if you can't afford it. It's not a perfect system but it's gotta be better than what's happening in the US.

    • If years ago US healthcare was not tied to jobs and was not year to year. Then it would not gotten to the point that it is at now.

      • A Democrat did that too, working closely with Unions and Corporations to keep workers working in spite of wage fixing.

        It was at this moment that it stopped being real insurance and started being the bullshit "maintenance package" that we have today.

        You know, health insurance originally covered shit like hospital stays completely. Thats what it was for. You paid a small fee now because you couldn't deal with the small but real risk of running into something you couldnt afford.


        Fast forward to Obama, Pe
    • But Americans *love* their private health insurance,

      Well, except they don't. Most people hate their health insurance company.

  • by sl3xd ( 111641 ) on Monday March 13, 2017 @02:38PM (#54031477) Journal

    How about we give everybody the privilege, instead of limiting it to Astronauts?

    Or at least expand the offering to everybody who's ever wanted to be an astronaut?

    • Don't be crazy this is America. Land of the free to get financially crippled due to preventable illnesses.

    • The first question is great, a right and proper way to respond to any entitlement program aimed at improving the healthcare outcomes of a subset of Americans. The second question gives up on the promise of the first and is all too typical of the weak US Left.

      Right now those who were really unhappy that Donald Trump became US President are letting Pres. Trump set the agenda for how US healthcare ought to work while pointlessly going on about preserving ObamaCare. ObamaCare (nee RomneyCare) was a gift to the

  • by sdinfoserv ( 1793266 ) on Monday March 13, 2017 @02:42PM (#54031509)
    Most, if not all astronauts have military backgrounds. Mostly due to requirement #2 " At least 1,000 hours pilot-in-command time in jet aircraft. Flight test experience is highly desirable." see: https://www.nasa.gov/audience/... [nasa.gov]
    It is true they do not have "access to the doctor of his choice", all former military have access to VA benefits for life.
    Which is more than can be said for 99% of US born citizens.
    • Re: (Score:3, Informative)

      by Vulch ( 221502 )

      Note that the jet hours requirement in that document is from 2004 and applied to Commanders and Pilots only, not Mission Specialists.

      • Even Mission Specialists are Civil Servants though and, as such, should be covered under both federal health benefits during employment and FEHB under retirement unless they quit and go to a non-governmental job following their service and never come back. If he was disabled during service, he should be able to get disability compensation (unless he didn't elect disability, which would be silly).

    • That is not guaranteed. I'm a veteran and have been ruled ineligible for any health benefits because I "make too much money". I'm a regular-old software developer, if you're curious how much "too much" income is.
  • TFS should be posted at https://www.change.org./ [www.change.org]
  • by netsavior ( 627338 ) on Monday March 13, 2017 @02:58PM (#54031675)
    It's weird that 32 out of the 33 developed countries in the world consider healthcare to be an important right of citizenship. But that 33rd country, they don't even believe in it for national heroes, soldiers, or public servants.

    It's almost like the cognitive dissonance exists at a fundamental level such that no progress can be made.
    • People in jails / prisons get better then the ER at little to cost. And it's costs us a lot just to keep them locked up.

  • All sides of the politics making points. How about just focus on the realities: We're talking a few dozen people, and longitudinal study is of continued value, so how much money can we possibly be talking about?
    • All sides of the politics making points. How about just focus on the realities: We're talking a few dozen people, and longitudinal study is of continued value, so how much money can we possibly be talking about?

      Not only that, but it's actually rather amazing that they're not covering the treatment as part of the agreement to study his eyes. I was pretty much told to expect to have to have on the table at least partial coverage if I wanted to do this sort of research on human subjects--as part of getting permission to do it at all. (Compensation of research subjects is a standard outright requirement. You don't have it in there somewhere, even if it's just a shiny gold star sticker, and the only real question ou

  • Americans pay far more for worse outcomes and care than any other nation. Socialization is not only stigmatized (ewww giving a shit about others) but the cost is presented in the most psychologically unacceptable way with forced manual opt ins. Far more money is spent on government wastebut there is little outrage because it's hidden in your taxes. If Americans were forced to send in a manual payment or get fined for overpriced barely functioning millitary hardware for billions of dollars there would be
  • There may be some misconceptions about what military benefits are available to veterans depending on the circumstances of their separation (talking about anything other than dishonorable discharge). Disclaimer: I'm an Army brat running down some seriously second-hand and peripheral knowledge of the subject. But as I understand it, VA benefits are applied to all veterans -- which generally requires you to go to a VA hospital for treatment; and there are other restrictions and constant eligibility reviews.
    • But as I understand it, VA benefits are applied to all veterans -- which generally requires you to go to a VA hospital for treatment; and there are other restrictions and constant eligibility reviews.

      For the most part, you're right. If your income is low enough, there's no copay. If you have a service-connected disability, any treatments, medications or equipment needed to treat that condition are free, regardless of your income. (My hearing loss is 0%, but my hearing aids and batteries are provided a
  • I have Altered the Deal. Pray I do not .alter it further.

    The health issues of space travel are well documented. He agreed to the salary and benefits in exchange for the work and risk involved. If he wants medical care, when he can give back the percentage of his salary that would of went towards that.

    • by JustNiz ( 692889 )

      > The health issues of space travel are well documented.

      So are those from being sent into a warzone while in the forces, yet for whatever reason the government cover the costs of any injury incurred while doing one, but not the other.
      It seems like an odd double-standard to me.

  • > However, he still travels to Houston, Texas once per year to allow the agency to gather data about his health,

    If it was me, I'd stop doing that and offer to resume on the condition that NASA also pay for the necessary health care.

  • The last A in NASA is for "Assholes" ?

  • So, the guy was flown into space on a gigantic bomb at a cost roughly measurable as a year's salary per pound transported several times... and the only real injury he seemed to get from it was bad eyesight.

    Ask him if he would change his mind and become a desk jockey or lab jockey if he could do it all over again knowing he would have to pay for contacts and eye exams.

    Personally, I'd submit myself to annual proctology exams with a not so gentle handed doctor and then pay double for them if it would get me in

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