jabmyeyes.com

I was in a conversation with a physician I work with the other night at the hospital.  He described me as “ubber liberal” and decided I needed to be reformed and informed.  He started printing up things for me to read from his Fox network and I told him I don’t care for Fox or MSNBC.  I mostly get my news from PBS and sometimes I like to listen to Wolf Blitzer.

This Physician is very very afraid of our government running anything.  I, on the other hand, feel that if you leave the government out of our lives then you end up with a place like Haiti.  Haiti is a graphic example of a  weak government.  Us worker bees need to be protected from corporate interests.  We aren’t the mover shaker money makers we’re the ones out here in the trenches doing the work.  We don’t mind, we’re happy.  I have amazing respect for our founding fathers’ plan for checks and balances and equal rights.  They were a bit hypocritical about equal rights, writing and signing the constitution while their slaves tended to their farms, but, their ultimate plan was ingenious.

The Physician and I are an example of check and balance.  His check is the need to be compensated for all the patients he fights hard to save.  Many of them are self abusers, over-eaters, smokers, alcoholics, prescription drug abusers.  They vary from uninsured, medicaid, Medicare as well as the insured.  Patients get better then try to sue him for some anomaly that is most often a result of their own self abuse.  Or they don’t get better and the family tries to sue.  The litigation involved is extremely expensive and is driving up healthcare costs.  Tort reform is his primary concern to improve our health care system.   I definitely get his point and I also am angry at the folks making a living out of being sick.

My balance is the waitress with a kidney stone, the restaurant owner with chest pain, the guy that builds kayaks by hand with diabetes, the lady with a shop full of locally made art.   To them insurance is a gamble; those without are gambling they won’t need it,  those with individual insurance pay dearly for a catastrophic plan.  How can we remain innovative Americans if we can’t leave Wal-mart to try our hand at Tilapia farming or growing bamboo or opening a breakfast joint.  We aren’t really free as long as we are locked in to a job because we need the insurance?

What angers me is the minds that sit around figuring out ways to make money off of our misfortunes.  There are boardrooms full of people trying to figure out how to pocket some cash.  I call them clipboard carriers.  Administrators are rewarded for making money rather than  for providing amazing results for the health of a community.  I worked with an occupational therapist who was so inspiring to me and others as we watched her bring smiles to the depressed and life to those ready to give up.  She was let go because she didn’t generate enough income for the little rural hospital.  Hospitals are not factories.  They don’t have assembly lines.  Hospitals are full of real people with real problems and sometimes fixing those problems just doesn’t make anyone any money.

Dr. William D. wrote a blog that made me think,  then again maybe they are factories?…

“. . . the life of the pig has moved out of view; when’s the last time you saw a pig in person? Meat comes from the grocery store, where it is cut and packaged to look as little like parts of animals as possible. The disappearance of animals from our lives has opened a space in which there’s no reality check on the sentiment or the brutality. . .”

The same disconnect has occurred in healthcare for the heart. The emotional distance thrust between the hospital-employed primary care physician, the procedure-driven cardiologist, the crammed-into-a-niche electrophysiologist (heart rhythm specialist) or cardiothoracic surgeon whose principal concerns are procedures—with an eye always towards litigation risk—mimics factory farms that now litter the landscape of the Midwest. The hospitals and doctors who deliver the process see us less as human beings and more as the next profit opportunity.

The “factory hospital” has allowed the subjugation of humans into the service of procedural volume, all in the name of fattening revenues. Never mind that people are not (usually) killed outright but subjected to a succession of life-disrupting procedures over many years. But whether livestock in a factory farm or humans in a factory hospital, the net result to the people controlling the process is identical: increased profits.

The system doesn’t grow to meet market demand, but to grow profits. The myth that allows this growth is perpetuated by the participants who stand to gain from that growth.

See hospitals for what they are: businesses. Despite most hospitals retaining “Saint” in their name, there is no longer anything saintly or charitable about these commercial operations. They are every bit as profit-seeking as GE, Enron, or Mobil.

http://www.wellsphere.com/heart-health-article/factory-hospitals/472314

I think most of us really do care about people and their individual health.  We just need to care less about profits.

Can you imagine living in rural America almost your entire life and then someone knocks on your door and tells you you have to go live in Guatemala.  My friend (I’ll call her Maria) and co-worker had that very thing happen to her.  She grew up in a small southern town after her mother came here from Guatemala to work in a chicken factory.  The chicken factory paid for her mother to get here with her two kids, Maria and her little brother.

Ok, so Maria goes to school, graduates and gets a job in a hospital while trying to put herself through nursing school.  Maria falls in love with the wrong man and has two children. (it happens)  Going to school is even more difficult, so she just concentrates on working to provide for her little ones and buys a house and a car and pays taxes on all of it and she marries an American boy.

Now, I think I need to add, that I had no idea that Maria wasn’t American, she looks American, talks American and puts ketchup on her french fries and ranch dressing on her salad.

The hospital loves her because she is able to wear many hats.  Nurses aide, unit secretary and pharmaceutical tech as well as Spanish language  interpreter.  When the hospital finds out that they are going to lose their beloved Maria, they write letters, and raise money and call Senators and Congressman.  None of this seems to help.  Lawyers have taken her money and the Senators and Congressmen say they can’t interfere with the deportation “process”.  The hospital has lost a wonderful employee and a wonderful, kind person.  I lost my Spanish teacher.

Maria told me she didn’t even know where Guatemala was and we looked it up on the internet.  I exclaimed, Guatemala is beautiful!  Why would you want to stay in a chicken factory town when you could live on the beach?  She said, “because this is my home, I’ve never been anywhere else.”  So many American kids would give anything to get out of their chicken factory towns.  But — would they really give anything?

http://www.trekearth.com/gallery/photo538621.htm

http://www.trekearth.com/gallery/photo575092.htm

So I guess my idea is.  Why don’t we go to Guatemala and open hospitals and resorts  so Maria will want to live there  and she won’t even miss the chicken factory town.   Americans will be able to work in the chicken factory instead of Maria’s mother.  Maria will be working at a posh American resort in Guatemala on the beach and we can have our chicken factory jobs back.  Then everyone is happy right?

Everyone in the United States gets educated whether or not they want to be, by law, and by the generosity of U. S.  taxpayers.  We aren’t always happy with public education so some of us pay for private education or we educate our kids ourselves with home schooling.  The folks who participate in private education and home schooling still pay in to the public system.  Should it be abolished?  Because it is socialized education?

I guess I feel the same way about health care.  I think everyone should have access to public health care.  I think that when I was a poor single mom raising my two gorgeous and healthy children that I should have been rewarded with some health care (at least).  I thank God that I never broke a bone or had a kidney stone.  My kids and I would have suffered as many do when a health tragedy strikes.  If I had not been able to work and go to school because of an illness or accident, I would have lost my jobs and been kicked out of the nursing program. I was really, really lucky and that is all.

This is America.  Many claim we are the most powerful and wealthy country in the world and yet we have “indigents”.  We set up free clinics for them because they don’t have insurance and their children are hungry.  Other countries ie: England, Japan, France, Switzerland, Germany; have systems where there are no health care indigents.  Everyone qualifies for health care.  Why are we so opposed to this? — the cost?

OK, so, lets define “indigent” deficient in what is requisite.  Lacking food, clothing, and other necessities of life because of poverty; needy; poor; impoverished.  (I looked it up on dictionary.reference.com)

They are really, really unlucky.  I wasn’t exactly indigent, but, damn close and if any kind of physical anomaly had befallen me, believe me, I’d have fit the description.  My nursing program required us to volunteer.  I chose the Salvation Army. We provided health care for the homeless with a retired cardiac surgeon.  We did good things for a lot of people and sometimes they were grateful and sometimes they were just wanting the free socks we gave them.  Some of these people were alcoholics or drug abusers and some were just really, really unlucky.  One fellow had a broken ankle.  We gave him a prescription to get an x-ray and have an orthopedic surgeon look at it at the county hospital ER.  He had no way of getting to the hospital to get this done.  I’m not sure the hospital would have done it after he got there.  Free clinics can only do so much.

So, then we have to define “requisite” essential, necessity, requirement.

What are the essential requirements of an American life? Food, shelter, clothing, good health and an education.  Some might add a car that runs vs. a sweet ride, a cell phone vs. an I-phone, a PC vs. a Mac — well, you see what I’m getting at.  Some of us think that access to health care is as essential as access to an education.  Some do not.

I’m doing OK now, I am able to afford insurance, and my children are insured.  I have a lovely home, a nice car, my children are adults and still gorgeous and healthy, and I have an income that provides for essential needs.

(Aren’t they gorgeous kids?  The best thing I’ve ever done in this life)

I whine like everyone else that the more I make the more they take. Who are they?  What are they doing with my money after they take it?  Isn’t that what we all piss and moan about?  What is this going to cost me?  I do not like it that my money was  spent killing Iraqi people, some don’t like the idea of their money being spent on a revised American health care system.  I believe that health care and the health of this planet is more important that killing people in other countries.  Our current President seems to agree.   I feel a little better about where my hard earned money is going.

The current health care system isn’t a system; it is a cluster –.  Don’t get me wrong the people at the bedside and sitting on the stools checking us out are (for the most part) wonderful, caring and smart.  I work with them, I know them, most of them care and educate themselves to be better.

What angers me is the corporate minds that sit around figuring out ways to make money off of our misfortunes.  There are boardrooms full of people trying to figure out how to pocket some cash.  I call them clipboard carriers.  Administrators are rewarded for making money rather than  for providing amazing results for the health of a community.

I worked with an occupational therapist who was so inspiring to me and others as we watched her bring smiles to the depressed and life to those ready to give up.  She was let go because she didn’t generate enough income for the little rural hospital.  Hospitals are not factories.  They don’t have assembly lines.  Hospitals are full of real people with real problems and sometimes fixing those problems just doesn’t make anyone any money.