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Health Care Kabuki Theater Deluxe

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Those of us attempting to live on what was a shoestring budget even before the Great Unending Recession/Depression have probably been watching the large insanity of vacationing Congresscritters attempting to hold Town Hall meetings with their constituents back home with some bemusement. It’s no secret that the WingNut Network [a.k.a. Fox] and Hate Radio pundits have been inciting their faithful dummies to riot, since this has been ongoing ever since they lost the election last November in a big way. Between the clueless idiots who can’t believe a black man is a real American citizen (or that exotic Hawaii is actually a state) and the Bermuda shorts and gray hair crowd shouting “Keep the government OUT of my Medicare!” one really does have to wonder if maybe there’s something in the water making people lose what few IQ points they might have had back in kindergarten.

Some of us also know that going to a doctor regularly if you aren’t actually sick is not wise, thus are probably better off if we don’t suffer some chronic condition with our very limited access to the health care system than we might be if we had annual check-ups and the ability to demand whatever drug is advertised on television nightly. While it’s a sad truth that ~50 million Americans have no access to the health care system – and that’s an insurance issue – I haven’t seen anybody talking much lately about the health care system itself, which just happens to be the third leading cause of death in the United States.


Thus they’re fighting about “Health Insurance Reform” while the dismal failure of doctors and hospitals to confront the outrageous error rate, hospital-acquired infection rate, etc. that KILLS at least 195,000 Americans every year. Americans who DO have access to the system! The U.S. pays more per capita of our GDP on health care than any other industrialized nation – most of which have universal, single-payer health care systems – and are at the very bottom of the list on all measures of health care outcome. Life expectancy, infant and maternal mortality (tied to our ridiculous C-section rate and lack of prenatal care), general health, number of chronic diseases, etc., etc.

We’d all like to see universal access to health care. We’d like for insurance companies to be barred from canceling policies if the person gets sick, from refusing to cover those with pre-existing conditions, and from raising the rates at five times the rate of inflation every year just because they can. We’d like for the poor and working poor to be able to get health care even if they don’t work for a company that offers it, or don’t earn enough to participate. We’d really like to get our bones set and our cuts stitched when we need to without going bankrupt, and we’d like to get treatment for our cancers and our other serious ailments instead of simply dying of them because health care is beyond our reach.

But because something must be done about the current situation in this country no matter how loudly the idiots yell about not offering their government health care to others who need health care, we can expect that something minimal will indeed be done. Best advice to those who have managed to get this far in life without being regular users of the health care system or the drug companies’ medicine chest is to approach new access with caution. Nothing is being done to cure the rate of iatrogenic disease and death (iagrogenic means “doctor-caused”) in any of this political maneuvering, so increased access only means that the delivery system will be able to harm or kill even more Americans every year.

Make use of your intelligence and your access to the internet, go looking for reliable information if you or someone you love gets sick. Merck has their entire medical manual on-line, the Physician’s Desk Reference is available as well with good information about drugs and which ones may conflict with others – something too many doctors don’t keep track of, and a large contributor to deaths from prescription errors. There are lots of physician websites offering information about various conditions, as well as patient associations that often have collected information from people who have or have dealt with particular conditions with even better information. Always be careful of information, make sure it’s good and not just another quack selling the magical ‘cure’ for AIDS or cancer or whatever, because those are out there too.

And if you’ve got questions, write them down, collect the good information you’ve gathered, THEN take it to your primary care provider and ask. Don’t tolerate a physician or practitioner who gets his or her nose bent out of shape because you’ve done your homework, and never put up with a doctor who balks if you ask for a second opinion. If you’re in line for surgery or some other serious treatment, go to the website of your state government’s medical regulatory agency and search until you find a list of the physicians and other practitioners who have been disciplined by the agency for gross or repeated malpractice or errors. If your doctor’s on the list, get a new one.

And most of all, keep always in your mind the fact that your personal choices affect your health for the better more acutely than anything an insurance company or doctor or hospital can. No one else can “heal” you – people’s own bodies do the healing, health care providers can only help it along. Best not to get sick in the first place, and we’ve no excuse not to know that our diets greatly affect our health. Eating well, getting exercise, maintaining our environment, etc. will stave off many a nasty illness or condition – avoiding the plagues that come with obesity is much better than treating this plague or that plague after they’ve developed.

Now, sit back and enjoy the street theater spectacle of the ‘haves’ trying most desperately to prevent the ‘have-nots’ from getting anything! It’s black comedy at its most absurd, something we’ll probably never see again in our lifetimes. Laugh, because that’s the best medicine in the world!


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