"This is what keeps me
alive," says 13-year-old Toni Bethea, as she picks a tiny glass bottle off
the kitchen counter of her home in Washington, D.C. The clear liquid inside is
insulin. Toni has Type 1 diabetes.
"Your health is obviously not
anything that you should play around with," says Toni, a high-school
freshman. She's pretty, smiling and stylish from her bangs angled across her
forehead to her sparkly red fingernails.
"You should take it very
seriously and when you have a chronic illness like what I have and other kids
have, it's very important that we take care of ourselves because there's a lot
of preventable stuff that can happen to us."
It helps that her mother, Rhonda
Dorsey, has good insurance, which she gets as a federal employee. She's covered
by the Federal Employees Health Benefits Program, or FEHBP. It insures 8
million federal workers, retirees and their families and members of Congress.
That federal health insurance program has been held up by the President,
lawmakers and other players in the health care debate as a model of the kind
of good insurance that should be available to all Americans.
Dorsey and others who are covered
under FEHBP do report high levels of satisfaction, but it's not some kind of
super insurance. It's pretty much like most insurance people get through their
jobs. Federal workers, too, sometimes complain about the rising costs of their
premiums and co-payments and about the hassles of getting care.