Foolin’ the People About America. Better Off Than Fifty Years Ago? Part Four: But Do You Get a Doctor?

And Do You Get a Doctor?

Do you get a doctor, though? Not in this decade you don’t. When I was a child we went to the doctor’s office and paid $7 for a doctor’s visit. Even on my Dad’s $50 a week, that was affordable; and that was the least he made. When you now have doctor’s visits that cost a hundred to three hundred dollars if you pay out of pocket (or more), do you realize how much you’d have to make for it to be as affordable as it was for my Dad? Figure $700 to 2 to 3 thousand a week. Some people make that nowadays, but not the poor. Remember, my father was dirt poor, getting by on $50 a week with six kids.

House Calls in the Past; “Pretend” Doctors Today

But we got to see a real doctor. We even got a doctor who made house calls. Today? Well you get a pretend doctor who confers, along with a gaggle of other pretend doctors, with an actual physician, then gets back to you as you wait…and wait some more.

And You Wait

Recently, it took four hours for the visit and another four hours to get the prescriptions at the same hospital in another place…and the prescriptions didn’t all come through until after two weeks and a number of phone calls, as at one point they had to order a common prescription and then lost the order (had no record that it had ever been made; though on several phone calls they referred to it) and had to make it again. And this experience has been common. I’ve experienced it a number of times. I’m trying to acquire health care elsewhere, believe me.

You Get an “Assumed” Doctor

Did I get a doctor? No. Oh, they call themselves doctors. The last one was more honest and announced when he came in that he was so and so who was a “student doctor.” I didn’t hear him correctly. My mind scanned thousands of files in an instant and what it came up with I just had to ask. I said, “Did you say you are an ‘assumed doctor’”?

And You Like It

And being “processed” like a piece of meat this way, you get a different “assumed doctor” every time. There is no continuity. You don’t bother to keep track of their names, for it doesn’t matter. You start all over on every visit. The only thing they know of you is what has been electronically recorded from previous visits; nothing human or relational is carried forward. They will tell you it is because all the “assumed doctors” are equally competent and qualified, so it doesn’t matter. Of course that is a rationalization for a system so “starved” of funding the personal touch has long ago been squeezed out in favor of assembly-line efficiency.

Or You Choose to Die

So what is the upshot of all this. It is that many folks have to weigh getting health care in America—which is claimed to be “available”—against the complications and time of getting it. I don’t have a job, so I was able to persevere. What of folks who have to work full time or more? I was well enough to stand around and coherent enough to make notes and make phone calls. What of folks who are sicker than that?

The Unspoken Costs of Health Care

The upshot is that many folks are weighing THESE costs of health care when choosing whether or not to seek help. And their decision is leaving many of these folks dead. I know of a number of people who have made such a decision; many of you also do.

Some Are Choosing a “Soylent Green” Escape

I know of one instance where it was even done consciously, for the person did not want to spend what might be her last time on Earth struggling with an insensitive and mean-spirited medical system, so she just opted to let her cancer take her in the serenity of her home and surrounded by loved ones. (Why am I thinking of that movie Soylent Green again? Well, maybe you remember that scene as well.)

Others Are Risking It

I know I myself weigh these costs in time and suffering and inconvenience whenever I feel I might need to be looked at for something. And very often…most of the time actually…I put off being looked at. I postpone doing tests that are made more time consuming and painful for poor folks (don’t get me started on that); and I often give up in pursuing the treatments and medications that I am prescribed…figuring that putting up with the suffering of the ailment is better than the suffering incurred in its cure. And I am not alone. Will it cost me my life? Perhaps.

Universal health care in America? Don’t make me laugh..

America—Best Health Care in the World
…Before Them

Now, compare all this with the way it was fifty years ago. A friend of mine on Facebook shared how her brother was treated when he had a life threatening injury. This was that long ago and she relates they were poor. She says, they flew in a specialist from Australia to perform the delicate operation. I repeat, they were poor. But then this was all before Reagan…and Nixon. I’m getting to that.