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Medical Costs and Choices
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I’m not a bad father.
Last spring, we noticed my son had a wandering eye. One of his eyes would just drift when he was looking at something. It was happening consistently, so we brought him to the eye doctor. After an exam, we found out that his eyes were 20/100. The doctor said that getting him classes may be enough to fix the wandering eye problem. The theory was that his eye was drifting because his eyes weren’t able to focus. Bringing the world into focus could have let his eyes train themselves to work right.
Nine months with glasses later, the problem hasn’t gone away, so we went back to the eye doctor.
He’s got alternating exotropia. His eyes aren’t working well together. One eye will focus, and the other will drift. So now we’re looking into vision therapists.
A friend went through something similar with his kid, so I asked him for the name of the doctor he used. He gave it to me and told me the clinic was the best in the business, and I would be paying for that. I asked about the cost and was handed the doctor’s spiel about how sad it is that parents focus more on the cost of care than getting the best possible care.
What a load of crap.
First of all, that’s a sales pitch. Of course the doctor is going to defend his prices. If his prices are exorbitant(I don’t have a basis for comparison) and he can’t defend them, people will go elsewhere. $3000 isn’t pocket change. That’s a significant chunk of change. Refusing to look at your options is irresponsible.
Second, price does not equal quality. There are a ton of things that are overpriced garbage. Not only do scam artists abound, but some legitimate things are are horribly overpriced at one location and reasonably priced at others. To stay on the vision theme, my $10 glasses are every bit as high quality as any $400 pair I’ve ever owned. The difference between generic and brand-name drugs? The label and the price. The FDA requires they be chemically identical to be sold. If you insist on the brand name because it’s “better”, you are flushing your money down the toilet. If you live by “you get what you pay for” you are guaranteed to get ripped off.
Third, balancing cost and treatment doesn’t mean I care less. Yes, I am killing my debt as fast as I can right now. Even when I was willing to use a credit card, I wouldn’t drop $3000 without considering my options. I have an entire family to consider, not one problem that my kid doesn’t even notice. Grr. I hate getting told–implicitly or otherwise–that I am a bad parent because I don’t choose to waste my money the way other people do. I’ll check out my options first, thank you.
Now, I will pay for the best when it is warranted. My wife wants Lasik and mentioned some sale some company was having. No. The guy sticking a laser and a scalpel in my eye will not be the lowest bidder. When I left the gene pool, I went to one of the top guys in the state for the procedure. When those things screw up, it’s permanent.
Vision therapy? Not so much. If it comes to surgery, we’ll go with the best. But it’s not there, yet. My kid is going to get a series of eye exercises, no matter where we go. Even if I go to some back alley vision therapist with a degree from a Nigeria U, what’s the worst case scenario? We may have to try someone else. Since I will be doing a bit more research than that, odds are better that my kid will get exactly the same therapy regimen for 1/4 of the cost. That’s the difference between a perfectly competent doctor and a perfectly competent doctor who convinced some trade magazine to write him up as the best in the business.
What do you think? Am I neglecting my kid by wanting to save some money for his braces, too?
6 Ways to Stretch a Meal
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You eat.
Right?
Sometimes, we have more money than month and wonder how we’re going to avoid going hungry at the end of the month. When the grocery budget has run out and the cupboards are almost bare, how do you keep the kids fed?
The secret is to keep some staple stocked all the time. If you have these ingredients, you can stretch $1 of beef into a meal for 10 people. Almost.
Rice
We buy rice 20 pounds at a time. I try to keep a bowl of cooked rice on hand at all times. When we cook a soup, stew, or hotdish, we add a cup or two of rice to the dish. If we’re running late for dinner(a painful situation with a 2-year-old, a 4-year-old, and an 11-year-old who’s about to hit 5′ 7″), we’ll dump a can of soup over the top of a bowl of rice. A quick trip through the microwave, and we’ve got a reasonably healthy meal in 2 minutes. Another trick is to add some to ground beef, whether it’s a meatloaf or sloppy joes.
Beans
This is another ingredient I try to keep on hand, cooked, and in the fridge. We use it like we use the rice. We add a cup to soup, or almost anything else. Throw some barbecue sauce on them, and you’ve got pseudo-baked beans for cheaper than you can buy a can. Mash them with taco seasoning and you have refried beans. Add a cup to scrambled eggs for a filling breakfast.
Potatoes
There are so many ways to use potatoes to stretch a meal. Shred them to cook with eggs or slice them onto a hotdish. Cube them into soup or dice it as a thickener in stew.
Pasta
Yet another item that can go into almost anything. Before I met my wife, I’d make a dish that consisted of nothing more than whatever pasta I had on hand, with a can of soup, cooked until the pasta was done and most of the liquid was absorbed by the noodles. I learned how to wield spices like a crazy Neptunian ninja.
Soup
Whenever we cook, whatever we eat, we make enough for leftovers. When the leftovers are no longer enough to make a meal for anyone, they go in a bag in the freezer. When we have enough, we put them all in a slow-cooker with some water and a ton of seasonings. When we get home from work, we have a delicious soup waiting for us–free soup. If we want stew, we throw in some rice. By the end of the day, the rice has completely dissolved, transforming our delicious freaking soup into yummy dang stew. Everything we make tastes good, so combining a dozen dishes into one soup should also taste good, right? The exception: fish. Never, ever add fish to free soup. Trust me.
Bread
I don’t use bread to cook much, though it’s harder to get much cheaper than a grilled-cheese sandwich. I like to serve a slice of bread with dinner. It just makes the food feel more filling.
That’s how I make a meal for two stretch to feed my family of five, without sacrificing taste or nutrition. How do you make a meal stretch?
Experiences v. Stuff
- Image by hunterseakerhk via Flickr
On Friday, I went to see Evil Dead: The Musical with some friends. The play obviously isn’t a good match for everyone, but we are all horror movie fans, I’m a Bruce Campbell fan, and all of us had seen and enjoyed at least Army of Darkness. It was a good fit for us.
The play, followed by a late dinner and drinks with people I care about, was easily the most money my wife and I have spent on a night out in years. That’s including an overnight trip for my cousin’s wedding.
Now, several days later, I keep thinking about that night, but not with regret about the price. I keep thinking about the fun I had with my wife and some of our closest friends. We saw a great play that had us in stitches. We had a few hours of good conversation. We had a good time. I would happily do it all over again. In fact, I would happily reorganize our budget to make something similar happen every month.
I don’t remember the last time I spent 3 or 4 days happily thinking about something I bought.
I look around my house at the years of accumulated crap we own and I see a big rock tied around my neck. Even after a major purge this spring, we’ve got more stuff than we can effectively store, let alone use. When something new comes in the house, we spend days discussing whether we really need it or if it should get returned. When we plan a big purchase, we debate it, sometimes for weeks.
Getting stuff is all about stress.
My wife and I are both familiar with the addictive endorphin rush that comes with some forms of shopping. I wish the rational recognition of a shopping addiction was enough to make it go away. Buying stuff makes us feel good for a few minutes, while high-quality experiences make us feel good for days or weeks, and gives us things to talk about for years to come.
It’s really not a fair competition between experiences and stuff. Experiences are the hands-down winner for where we should be spending our money.
Why then, does stuff always seem to come out ahead when it comes to where our money actually goes?
Let me check….
A few days ago, I asked a coworker if she wanted to go out for lunch. She said she’d have to check her bank account before she decided.
What?
If you have to check your bank balance to know if you can afford something, you can’t afford it. It really is that simple.
Now, strict budgets aren’t for everyone, but everyone should know how much money they have available to spend. If you don’t know what you have to spare, you need to set up a budget.
Period.
After you’ve done that, you can ignore it, with the exception of knowing how much you have available to blow on groceries, entertainment, and other discretionary purchases.
If you don’t know where your money needs to go, how can you determine how much you can spend on the things you want?
Olivia Wilde is Having a Baby: What are the first-month expenses?
Olivia Wilde recently announced her pregnancy with fiance Jason Sudeikis as she’s due with her first child in the coming year. Although the couple have declined to reveal their due date, they likely are expecting to set aside a budget for their baby, even with their high incomes. With forty percent of moms saying that having a baby is more expensive than they initially assumed, it’s important to look at the overall costs in the first month for plenty of preparation and financial planning.
Food
The first-month’s expenses can slightly range, depending on if the mother is using formula to feed the baby or is breastfeeding.
Breastfeeding is free and will not cost a dime, besides the breastfeeding supplies that cost an average of $15 in the first month due to nursing pads and milk storage bags for freezing.
Name-brand formula can be expensive, an average cost of $25 a week as the baby will be feeding on it several times a day, totaling about $100 in the first month. Generic brands of formula cost half the amount, an average of $12 a week.
Medical
Health insurance is one of the most expensive costs for newborn babies with 39 percent of mothers paying $1,000 with their childbirth. Some even pay at least $5,000. Health insurance will also likely increase to $200 a month for the child with co-pays that range from $30 to $100 per visit. Some health insurance will refuse to cover certain costs, which include vaccines and immunizations.
Daycare
Paid maternity leave is considered a luxury in the U.S. and is often unavailable for mothers who are self-employeed or do freelance work, making daycare a necessity. Daycare for newborns averages to $100 a month, but can be at least $1,000 for celebrities that use an in-home nanny.
General Care
Wipes will cost an average of $13 in the first month with a $5 increase in the water bill for the baby’s laundry and baths.
Diapers are one of the scariest expenses that are priced at $80 for basic Pamper diapers for newborns. Using cloth diapers are a one-time expense, so if provided by a friend or relative at a baby shower, they are free to use consistently and do not require much water or detergent to wash every other day.
Bath soap, detergent, and baby-safe shampoo will cost $30 a month to maintain the hygiene of your baby.
Although Olivia Wilde’s baby will be unique in its feeding habits and the materials for diapers used, the average cost in the first month will likely total $200 and can go as high as $4,000 for a celebrity. Many of the costs simply depend on the baby and are determined by the type of diapers used, the amount of doctor visits, daycare that may be needed, and whether the baby prefers breastfeeding or feeding on formula.
