By: Revanche

Living in the time of pandemic: COVID-19 (284)

November 10, 2025

Year 4 of COVID in the Bay Area

Year 6, Day 196: Number crunching: I keep going back to the drawing board to reevaluate whether we can/should try to do the HDHP/HSA plan again. I swore it off after the one year we tried it because of sticker shock. I’m talking myself around again because PiC’s company will contribute $2000 to the HSA, reducing our contributions to $6750. I can swallow the idea if we know we’re not going to get more than 50% of the way to the OOP Max ($6800) but it gets a lot harder to accept the math if we do spend that much. Looking at 2025’s rates for our actual healthcare usage, we’d have spent $5700 of the $6800 cap already thanks to me. Under our current plan, I’ve only spent $550 this year. My emergency room visit cost us $250. On our Explanation of Benefits, the list of charges for that visit was well over $10k. Our coverage is really good. (Everyone should have this coverage, I will always believe that everyone deserves this level of access to healthcare as a minimum.)

If we have to pay up to our OOP max with the HDHP, then we’ll spend $12,500. On the plain HMO (which I love), we’d spend $10,500 – but, even in a year with an ER visit or a baby labor and delivery, on this plan we’d have a hard time hitting even $1000 in OOP.

If we only use about $2000 worth of coverage (roughly what we would have spent this year if I didn’t land myself in the ER), then we’d spend $8000 and keep $4500 in federally tax advantaged funds to invest.

Or we could stay on our current plan and spend $8250 on premiums and copays and not have any tax advantaged savings at all.

The math is if we’re lucky and if the HDHP actually does cover lab work and all immunizations, we’ll sock away some future savings for health expenses. I worry about that luck bit.

Year 6, Day 197: Election Day was unexpectedly positive. CA’s Prop 50 was passed. No one thinks it’s GOOD, but (most) everyone thinks we have to do something to stop the Republicans from turning this into a fascist police state and this is our something.

I’m thrilled for NYC voting in Mamdani decisively. I’ve watched the energy of his campaign – the intelligence, timing and welcoming open arms – and yearn for more of that nationwide. All of us need someone willing to do the work in a open and inclusive way. I know he has his work cut out for him. I hope his staffing for the transition and going forward is as smart and strong as it was for the campaign.

It was insulting that Cuomo, the sex pest who was horrible in office on so many levels, insisted on running as an independent, that establishment Democrats still supported Cuomo after he lost the primary, and that all kinds of money was spent on his campaign. I’m especially glad he lost. I hope that sends a stinging message to the establishment that their way doesn’t work and we don’t want it. We want someone willing to try and willing to fight.

Year 6, Day 198: For $6, we can get one loaf of rustic Italian bread at Costco OR a bag of usually 2 large or medium loaves and 4 small rolls from the Too Good To Go app (referral link if you want to try it) now that a large local bakery has joined the program. Some days we pick Costco, more days we pick the TGTG app, it just depends on if a Costco trip is already in the cards.

SmolAc thinks it’s deeply unfair that sometimes PiC brings me leftovers from meetings for my lunch the next day.

Gee, I dunno kid, what’s better: 3 catered meals (lunch and two snacks) a day guaranteed or sometimes I get to eat lunch if I have time and I remember and if I don’t have so many meetings it’s impossible? Of course we don’t expect them to understand, this is my internal dialogue.

My doc thinks these shoulder pains I’ve been experiencing periodically are rotator cuff impingement. Ha, I’ve been dealing with it for years assuming it was just a fibro symptom and never mentioned it to her. Whoops. She’s set me up with a PT referral and thinks it’s very PTable.

She’s pretty great. We’ve had some good conversations in these past few years, she’s been my primary care for going on 12?, but we’ve gotten to know each other better in the past few. She doesn’t have a lot of answers for my weird problems but she has a lot of compassion and is really supportive of most anything I might want to do or try for my health. None of my earlier doctors up til I was 30 was worth a damn so I appreciate her a lot.

Year 6, Day 199: PiC and I have been married 13 years and together … Uh. 20? Something like that. I’ve always said if I were alone again, whether because of divorce or worse, I’d never date again. This one marriage has been good and I have no patience for nonsense. I think my contentment is that we chose this. We built this life and we chose it with each other. I never thought that marriage was important or necessary, and I was always willing to walk away if lines were crossed, so when we chose marriage, that had little to do with societal expectations.

I say this with a bit of amusement that while I’m juggling the Big Job and family and all that, I’m comfortable with my relationship choice being stable and boring. Well, not boring to me but probably boring from the outside. At the same time, I’ve got three friends experimenting with poly relationships and they’re all from very conservative traditional backgrounds (we grew up together) so they were a little hesitant to share their exploration with me. They very quickly learned that I’m glad to support them. As long as they’re being true to themselves and not harming others, go forth, enjoy! I never want to have any part of it and I’m perfectly happy hearing them out. It’s a nice place to be in.

Year 6, Day 200: A few new poppies are sprouting outside, good job, poppies. The counter green onions really love water. I was being so careful trying not to drown them but figured out they only shoot up when they get twice as much water.

Work is even more intense now, this time with personnel issues! *fake unenthused jazz hands* I had my problem staff issue earlier this year and now I have to teach someone how to handle theirs. It’s taking up half my time every day and I do not appreciate it. It absolutely has to be done, no question. Morale for the rest of the team is really low. Directly dealing with The Problem who is making messes and can’t be trusted is the only way we keep the rot from spreading. Absolutely miserable job to do but I absolutely won’t allow TP to break the team with their arrogance and selfishness. Wish me luck next week, lots coming down the pike for this particular problem all week long. Unfortunately that means half my weeks have been borked all to hell and I sit down on this Friday night to realize ALL the balls I’ve been dropping these past few weeks. Taking some deep breaths. Nothing irretrievably broken, just a wave of stress over the tribbles of my to do list. But the first step is making sure everything gets ON that list so I can then start checking them off. Always love that part of the to do!

2 Responses to “Living in the time of pandemic: COVID-19 (284)”

  1. Bethany D says:

    HDHP/HSA plans are usually a ‘win’ for us, and there’s only twice we gambled and ‘lost’. Being able to do prior-year HSA contributions is nice, since it gives us more timing flexibility. And being able to use it for braces is nice too. $800 a month now that all three spawnlings have them! 😣 But their mouths are visibly improving so at least it will be worth it in the long run. My parents always have to go for the gold-level plans though because my mom’s health is basically a house of cards…that’s on fire. So I hope your analysis gives you a clear answer what will be best for your family.

    • Revanche says:

      Oh my gosh three sets of braces at once! It’s a worthwhile expenditure, especially if they actually stick with the retainers afterwards (I still feel terrible that my teeth moved enough in adulthood to need another round) but that’s a lot all at once.

      How many years have you been doing the HDHP/HSA? I didn’t know about prior year contributions so that’s a nice bit of info to save.

      Definitely feel your mom’s health experience – mine is similar and it’s tiresome

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