Here Comes Trouble: Stories from My Life

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Donna Smith

Donna Smith, American SiCKO, is executive director of the Health Care for All Colorado Foundation

September 2nd, 2013 3:03 PM

When Our Neighbors Wish Us Dead or Broke, We're in Trouble with More Than Our Health Care System

Selfishness in Society, Health Care Justice, Single-Payer reforms, Improved and Expanded Medicare for All for Life

His eyes were clear and his stare intense as one young man who stopped at our booth at the Colorado State Fair argued with me about whether or not health care is a right or a privilege in this country. Actually, he wasn't arguing with as much as he was lecturing me. He fired questions at me as fast as he could and then didn't wait for me to respond before shrugging his shoulders and gritting his teeth.

His questions were all the typical ones that many of us who try to educate around the issue of an improved and expanded Medicare for all for life system hear over and over again. "How will you pay for it? Why should someone who doesn't work as hard as I have get the same health care that I do? Hasn't Communism been tried already and failed? " This young man also told me he works for the Federal prison system and he knows what he is talking about. He sees lazy people whose loved ones are in prison sit on welfare, he said, and then these lazy people load their welfare dollars on their inmate's prison spending accounts. Those welfare dollars, he continued, that he has paid for with his hard work and taxes, then go to buy candy bars and other junk food for the inmates. He then said he doesn't think giving people the same health care benefits that he has had to work so hard to provide for his family is fair.

Finally, I got in a question. "What do you think is right to do then? When someone gets sick or hurt and lacks insurance or cash to pay for care, should they just die?" He didn't answer in words, just shrugged his shoulders again and smiled.

The conversation haunts me. Not only was I lectured to about the conditions in society that one public servant feels so strongly about that he would berate a volunteer organizer for health care justice, but I also heard and saw very clearly that if this man had his way, people like me and my husband would indeed just go broke and/or die when the insurance premiums and other out-of-pocket costs got too high for us to pay. I have heard that before, so that wasn't the haunting for me. It was the internalizing later of the knowledge that there are people in my own family who feel the same way. There are neighbors on my block too who just think people "like me" are expendable. I could argue from now until forever that I have worked hard since I was 12 years old and babysitting four or five nights a week, and worked through my husband's open heart surgeries, slept in my car to be near him in the hospital, worked with cancer so I could keep our benefits paid, put up with abusive bosses and discrimination and worse to try to stay financially afloat, and it wouldn't matter. It hurts to my core today, this Labor Day.

Our health care system is unjust, that much I think I have established over and over again. Our health care system wastes our health care dollars on some of the most inefficient and costly ways of providing care and keeps people from seeking care when it would be the most sensible and affordable. Our health care system is simply a reflection of our societal values. Our health care system values money over life, and values arrogance over compassion.

I also wondered for this young man who argued with me at the State Fair what would happen if his dreams came true and all who are lazy (from his point of view) were just to suffer and die. Surely our numbers of health care dead and broke would soar even higher. But who would do his grunt work? Who would serve up his fast food meals or ring up his WalMart purchases? Who would be left that lived up to his standards and was worthy to be as blessed as he has been in life? Does he really think these people work less hard than he does? Sadly, he probably does.

Tomorrow or whenever the haunting feeling of being so reviled by my some of my own family members and neighbors subsides, I'll rise up again. But for today, I think I'll consider my options. Death will come someday. And today I think that sounds pretty OK. That's what a selfish society looks like, folks. People lose hope and blame themselves. Then maybe they get angry and rise up or maybe they just die. Is that what we really want for one another?

Happy Labor Day, all.


September 2, 2013 -- Today's count of the health care dead and broke for profit in the U.S.:

The 2013, to date, U.S. medical-financial-
industrial -complex system dead: 30,022
The 2013, to date, U.S. health care system
bankrupt: 481,637

** These figures are calculated based on the Harvard University studies on excess deaths in the U.S. due to lack of insurance coverage or the ability to pay for needed health care, and the Harvard University study that calculated the high percentage of personal bankruptcies attributable to medical crisis and debt in the U.S. 123 people die daily due to lack of coverage or cash to pay for care; 1,978 go bankrupt every day due to medical crisis and debt though the majority had insurance at the time their illness or injury occurred. This statistic is also based on the 1.2 million bankruptcies in the U.S. in 2012, according to the U.S. Bankruptcy Court, and calculating those medically-related bankruptcies from that number.

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