What do those without insurance do?

December 15, 2009

Today’s health care debates have made me very aware of the stability I’ve had in my own health care for a long, very long, time. And for that I’m grateful.

I’ve also noticed that an attitude of  selfish indifference for what others may experience in health care tends to yield few ideas for reform. Although, I can most assuredly state from observation, that it does yield much spirited opposition to any attempts to make things better, for oneself or anyone else.

Anyway, the internist I had since the 70s retired a few years ago. I needed to find another, as did my wife. Her ob/gyn gave her a list for us to consider. A little online research (yes, I have online access as well as health care insurance) gave us a few promising prospects, those who were also “in-network,” so we began making initial appointments.

My choice wasn’t a complete failure, and I stayed with him for a couple of years. In the end, however, he seemed more interested in asserting his office hours than attending to those who might need his professional assistance. An excruciating headache accompanied by red blotches all over my legs elicited a question about  why I was calling after 4:30 since the office was open all day.

Well, I don’t need a doctor to make me feel disrespected when I was already scared with a headache reminiscent of my meningitis of ’92. So, I asked my cardiologist for a couple of names. My favorite on the list spoke my language … also a  meningitis survivor  … and upon hearing about my headache, ordered a scan to dismiss a “sentinel bleed” as a potential cause. He had asked, “Was it the worst headache you’ve ever had?”, rather than “Why are you calling after hours?”

A year later he left the group and established himself beyond a 15-mile non-compete radius. His new location wasn’t what I would call convenient, at least for the long term. I signed up with the new guy in the same group, an internist from Iraq. He left for family or other personal reasons before I could see him more than once.

I again signed up with the new guy in the group. This one is from Pakistan. I have seen him once, and he seems to be a good fit. He also listens.

What am I trying to say? After more than 30 years with the same internist, I am now on my 4th replacement. But I’m not concerned. The hospital system I have aligned myself with has incredible bench strength. My insurer has an online resource for quick and easy assessment of credentials when I’m given a list of names.

What do those without insurance do?

I’ve had my ophthalmologist since ’85, my cardiologist and electro-cardiologist since ’06, my ENT since ’07, a retinologist since ’07, my dermatologist since the early 90s, and a 2009 model internist.

But something may be of interest, I’m actually in very good health, run regularly, am very active in whatever I wish to do. Feel good, not over-weight. Pacemaker gets good battery life, and if they ever make one which is rechargeable based on exercise, they’d really be on to something … something of a hybrid, I suppose.

None of this is by accident. As I’ve said, I’ve had great stability in my heath care for a very long time … the same length of time I’ve had health care insurance.

It’s time to grow up

December 10, 2009

As I read the last paragraph of an article in this morning’s St. Louis Post-Dispatch on the single-drug method for execution in Ohio, I was reminded of a line in the Gethsemane song,  I only want to say, from the Rock Opera, Jesus Christ Superstar:

Show me there’s a reason
For your wanting me to die
You’re far too keen on where and how
But not so hot on why

The writer of the article says at the end, “A milestone has passed. Now maybe the long death penalty debate on ‘how’ can return to ‘whether.'”

Those are my sentiments as well. For the past few years, as suit after suit was heard in the courts, the focus has been on the three-drug protocol for execution used in most states. Is it unconstitutional? Does it amount to cruel and unusual punishment? I figured, Why not? Anything that holds any part of the process up to the light is bound to pay off in the long run. I also believe that anything not founded on truth will eventually collapse under its own weight.

But now, I’m afraid, the Ohio result will open the flood gates. Attorneys general in several states will feel a need (for some unknown reason) to clear death row backlogs. It’s as though their constituents have any idea who is on death row or what their crimes may have been. The AGs must picture an angry crowd, with flickering torches, milling about the jailhouse door.

The facts of the matter are these: Walk up to anyone on any street in Missouri and ask, 1.) How many men are on death row?, 2.) Who is the next person likely to be executed?, 3.) Who was the last person executed (as recently as May 20)?, 4.) What did that person do? 5.) Where are death row prisoners housed?, 6.) Where do executions take place? After six shrugs, or six I dunnos, you’d certainly wonder what the point is.

But, our state (and our society in general) is big on revenge … even when people don’t know who is being executed or why. There is an irrational fear of, and a need to get rid of, people who pose no threat, are defenseless, couldn’t afford good legal representation. There is a persistent myth that an execution gives a victim’s family closure. All this in the face of the fact that the United States is the only developed western nation that executes its own citizens. Isn’t that nice?

Should capital offenders ever go free? No. I feel they have forfeited their right to live freely among us.

Is an alternative sentence of life without parole a piece of cake? No. Visit a maximum security prison sometime.

Is it more expensive to house a capital offender for the rest of his life than to execute him? No. It is a mere fraction of the execution costs to house an offender until he dies.

Is the death penalty a common sentence for murder? No. Less that 2% of murders result in a death sentence.

Getting back to the beginning, “whether” rather than “how,” I  hope that our country will mature out of our wild west temperament. It’s time to grow up and realize when we have adequately defended ourselves against dangerous criminals.

There is little justification for depriving another family of a loved one if losing a loved one is so hurtful. Vengeance doesn’t bring anyone back. The pangs of loneliness for and the sense of loss of a loved one who was a victim of murder won’t go away because another’s life was snuffed out.

What did we have to offer?

December 8, 2009

What he should’ve known
What he could’ve known
It’s too late now

I really don’t think he knew
But his handlers did
That foolish and arrogant man
His understanding was meager
Wisdom completely absent
Heels dug in with inexplicable certitude
Instincts abundant
Poorly formed in pampered privilege

Trying to outdo a parent
Ready fodder for manipulators
Playing upon uninformed passion
Vengeful unleashing of unwarranted invasion
Naïve occupation and reckless governance
Torture

Damage done far exceeds
Oppression replaced
Security gone
Hundreds of thousands killed
Millions displaced or injured

Unemployment and frustration
Humiliation and broken families
An ancient civilization
Modern indifference
Now, seething rage looking for an outlet
Self-destruction; self-hatred.

What did we have to offer?

We’ve gained a fully functional room

December 7, 2009

A 60s vintage quad-level house is a lot of fun to live in. Good noise separation. Constant exercise since where you wish to go is seldom on the same floor you may find yourself.

Heat control is interesting with the thermostat on the bedroom (upper) level. A setting of 71 degrees assures that the family room … where the TV is … will run about 61 degrees. There is a fireplace, but I grew tired of the wood mess and lack of freedom to come and go several years ago.

Enter gas logs. We enjoyed them for 15 years. Taking the chill off was nice, but if the temperature rose more than two or three degrees, it was a miracle.

A couple of weeks ago, we had a sealed gas insert installed. What a difference! On the high setting, the room must be evacuated after a half hour or so. But the low setting is a sheer delight. Technology gives good efficiency. No cold outside air is dragged through the house while losing all the heat up the chimney as with conventional fireplaces. The remote has a timer which I use regularly. With my memory there is no sense coming down the following morning to a blazing fire enjoyed by no one. As I write this, my toes are toasty, and we’ve gained a fully functional room … after 24 years.

Disoriented in time

December 7, 2009

On the Friday following Thanksgiving, we went to a small gathering in the neighborhood where our first house is located. We moved from there more than 32 years ago. It’s a small street of story and a half Cape Cod homes. At one point during the afternoon, as dusk was setting in, I found myself looking out the front window. Across the street, and two houses down, stood our old house. For a brief moment I was disoriented, certainly disoriented in time.

My wife later reported experiencing a similar feeling as she sat talking between two of our old neighbors. A little light-headed and momentarily lost.

An hour or two later we were back in our home eating pulled-pork sandwiches with our grown children and all three grandchildren. All was well.

Odds and ends as I resume for the winter

November 17, 2009

The Palin book tour is fascinating. Can’t help but wonder if her supporters and apologists will continue to gleefully run all the red lights should she decide to run in 2012. Oh well, it’s not as though a Trojan horse candidate hasn’t worked before for the highest office in the land.

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Trying to find some of my favorite foods without high fructose corn syrup. For the moment, my carbon footprint isn’t shrinking as I scurry about seeing who has what. Whole Foods came through today on yogurt that doesn’t taste dreadful.

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Yesterday’s prison visit was beyond anything I expected. I’m trying to adjust my frequency so I don’t lose touch with the guys. Turnover in “solitary” can be brisk enough such that it is very easy to get out of phase. If I can see each wing once per month, there may be a chance to establish some credibility and trust. Visiting men ranging from 18 to 55, all races, all religions and denominations, sure keeps me on my toes.

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Winding up a five-year stint as board chair for a sheltered workshop. The current economy doesn’t help an industry which depends other companies’ outsourcing of the kind of work our employees are capable of performing. Citizens with developmental disabilities don’t have too many options for meaningful employment within a stable workforce filled with good friends and steady, long-term employment. Companies will pull the work back inside to keep their own folks busy.