Tuesday, June 10, 2014

Capitalism and Health


Until a few years ago, I didn’t know it wasn’t normal to have headaches every day.  I knew I had “severe, lay down in complete darkness or I might actually die” headaches more often than most, but I attributed that to the level of stress in my life and to the fact that I tend to have really bad luck.  I figured other people also got headaches pretty frequently, but just not as bad as I did.

I’ve had headaches forever.  I don’t remember them being daily before high school, but I’ve always gotten them fairly often.  I’m still not sure what causes them.  What I do know, though, is that I couldn’t see a doctor for them.  In high school I didn’t have good insurance and in college I didn’t have any insurance.  So I’d load up on ibuprofen and try to function.  Some days it was too much, and I’d have to stay in bed.  I’d cap the ibuprofen at eight pills at once, and if it was painful enough that eight pills wouldn’t do it, I’d try to sleep. 

There were maybe ten times throughout college that I needed to just drive myself to the emergency room because of it.  Since I didn’t have insurance, I tried to not do that unless I started to lose portions of my vision and/or feel dizzy.  Every time I went, they’d prescribe pain pills.  The first few times, I was content with that.  Anything that gave me some relief was welcome.  But after a while, I worried that I would become addicted to the pills.  I was also concerned that we’d never figure out why I was having headaches if all they ever did was give me pain meds.  So I started to beg them to run tests.  Any kind of tests.  I asked them to hold off on the pain meds and just figure out what was causing the problem.  I remember one time, a resident at the ER was really nice, and was going over various causes of headaches that were accompanied by my other symptoms (dizziness, lightheadedness, nausea, sometimes numbness).  He told me a few different tests they’d run, listing them from least invasive (CAT scans) to most invasive (something about sticking a needle in my back, which sounded really awful).  No one likes being poked and prodded, so I wasn’t exactly giddy about all this, but I was at least thankful that maybe we could finally figure this out.

About an hour later, the resident came back to tell me the attending doctor said they wouldn’t do the tests, to write me a prescription, and to send me home.  I straight up started crying.  

I haven’t gone back to the hospital for headaches since then because really, what’s the point?

Now I’ve had insurance for the last several months, and I haven’t been turned away once. 

I understand hospitals and doctors need to be paid, but it’s absurd that people don’t get treated because they can’t afford the (astronomical) prices of healthcare. 

(Maybe instead of spending a ton of money on weapons we don’t need and tax breaks the ultra-wealthy don’t need, the government could fully reimburse doctors and hospitals when they provide treatment for poor people/people on Medicaid.  But I suppose that would be akin to the big, bad socialism monster.)

My point, I guess, is that I’m kind of pissed off that my life expectancy is lower because I’m poor.  That I’ve been in pain for YEARS because I’m poor.  That even as a kid, I couldn’t get proper treatment because I didn’t have a ton of money.  

(I said this to someone once, and they responded with something along the lines of, “Well, you’ll go when God wants you to go.”  And sure.  That’s fine.  If it’s in God’s will that I die tomorrow, though I hope it’s not, I’ll die tomorrow and I won’t be pissed off at God.  But if I die before I should have because I spent the first 23 years of my life living in poverty, you’re damn straight I’d be pissed off.  Not at God, but at the people who think it’s okay.  At the people who think money is everything.  At the capitalist class.)   

Those headaches I mentioned have brought a plethora of other problems both health related and unrelated to health.  Ulcers from taking too much ibuprofen.  Horrible grades in school from missing class so often.  A generally bad attitude, because it’s hard and tiring and frustrating to wake up every day in pain, knowing you’re very likely not going to get better.  This may sound like one big complaint, and that may make some eyes roll, but I don’t care.  Until you’ve lived it, please don’t tell me to pull myself up by my bootstraps, or that if I work hard enough, this will all go away.  Because I do work hard.  My friends who are also poor do work hard.  And we’re all in the same boat of having health issues that will never go away, regardless of how hard we work. 

Because we were born poor. 

If you can’t see how that’s wrong, nothing I say will convince you.  And getting out of poverty – getting a relatively well paying job, having good health insurance – isn’t going to change the fact that we’re sicker than our wealthier counterparts or that we’re dying sooner than our wealthier counterparts.  Living in poverty for such a long period of time makes its mark and doesn’t leave.  Being stressed out every. single. day.  Takes a mental and physical toll.  My body is more worn than it would have been if I wasn’t living in poverty for so long.  My mentality, my perseverance, is stretched thinner than it would have been if I wasn’t living in poverty for so long.  Are there exceptions to this?  Are there people who find a way out and manage to have smiles on their faces despite a rough start?  Yes.  Of course.  Power to them.  But the fact that there are exceptions doesn’t mean we should expect every poor person to overcome.  The vast majority don’t.  We live in an economy that was built to keep us that way. 

Am I mad at middle class or affluent people for having insurance and a longer life expectancy?  No.  But I’m mad at the system and I’m mad at the people who create it and do everything they can to maintain it.

I’m not Gilgamesh, I’m not on some ridiculous quest to find immortality.  But dying five years sooner that I would if I had money?  That’s something I don’t want.  Five years isn’t a tremendous amount of time.  But at 70-75?  Do you know how many grandkids can be born in five years?  How many places you can visit?  Life is precious and every life – even the lives of poor people – should be valued by society.   

People can say capitalism is good all they want.  They’re wrong.  A system that preys on people, that literally lets people die, that lets people wither away in pain and despair, is wrong.  It’s just wrong.  I don’t want a system where everyone has exactly the same amount of money and the same healthcare policies.  But after dealing with a system where money determines everything, I definitely want a system where everyone has ENOUGH money and access to good healthcare.  Capitalism will never, ever be that system.   

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Charlotte

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