Tuesday, July 3, 2007

Ipods and Benefit Cards

There’s this guy in my neighborhood with those arm crutches. He reeks of garlic and listens to NPR on some portable radio headphones. The few times I’ve overheard him he’s speaking about politics—maybe a Dennis Kucinich supporter. He has no observable handicap I can see—in fact he seems rather robust-- works out, no hint of a limp, often carries the crutches on one arm, gives me the eye and I give it back—that two dogs passing thing—the quick growl, slight rise of the lip-- just letting the other know…don’t even think about it. A bitter radical. Just over the hill…waiting for Medicare…maybe even pulling a disability scam on the MTA with those crutches, for the satisfaction of the half-price thing, sticking it to the system…yeah, that’s it, you cheap bastard.

Why does this guy bug me? Lately Writerless is acquiring this edge. A crust. Getting old-- crisping. Rarely accepting anything at face value. Maybe a good pint of American redblood replaced by something nasty.

I had to go to the ER last weekend…test the system which at its most shining is nothing less than rotten. I actually broke my foot, although the triage and admission staff relegated me to whiney white-bitch status immediately. I could tell. So I sat-- a little miserable. Huge families on welfare with the benefit cards—babies in strollers, aunts, uncles—like a party—all laughing, trading ipods, abusing the vending machines, filing in and out while I sat. No one even offered an ice-pack. I saw the diagnosis on the computer-screen: Sprained ankle. You go girl. You could sit all weekend with that one.

My hospital co-pay will be $50 if I’m lucky, and if I watch every move, I won’t owe more than a couple of hundred all told. For this --and the privilege of being last, I actually pay out-of-pocket $700 a month. Just for myself. Kids—with my musician’s income, get some state program-- great care, no money.

But for these families— those of the 400 pound aunt who forgot her albuterol, the fat girl who stubbed her toe, the baby with a slight fever--not a cent of co-pay. They each racked up maybe $3,000 for the State of New York while the unsick of them partied, consumed snacks and beverages, talked on their cellphones, told jokes and enjoyed a rent-free air-conditioned living-room for the night. There's even a decent film on the HD monitors. Kids running everywhere, screaming, jumping around, watching cartoons and playing completely unsupervised in the Pediatric ER waiting room. Heck, if one of them has an accident, they’re home-free here. And the women behind the glass-- the ones moving at 2 RPMs-- they ignored it all.

After 9 hours I somehow bypassed the front desk and went in. They claimed they’d called me hours ago….anyway, looked surprised when they saw the clean fracture on the film…and sent me home with another referral. Seems my insurance, unlike the free variety, doesn’t cover actual treatment in the ER. I’ll have to beg and plead and get additional electronic referrals to another free clinic which is the only place in this day that accepts my health insurance for which I pay maybe 1/3 of my annual income. 1/3. And I am just one slim asset away from the free kind. But I struggle and skimp and save and wear old clothes for this privilege. My kids hate me, I can barely afford basic cable, have no ipod or cell, and of course my $50 co-pay does not include use of the hospital phones to call someone to help me home because in my state of acute pain, I didn’t think to bring quarters. Vending machines are not an option for the likes of me. While the woman behind the glass is dispensing get-out-of-work-free notes to the families, because they were in the ER.

So on this eve of American Independence Day, I am looking for the meaning of a true American holiday. My teenager will be jet-skiing with his friends, dressed like a rich person and sipping lemonade on the South Hampton veranda of a brand-new mansion with a French name. Macy’s will be spending mega-millions on a fireworks display which could have fed the entire African continent. New York City will be spending more than the GNP of an average state on overtime for the beefed-up police force. I’ll be hobbling onto a stairless stage, docked $20 for making someone else set up my amplifier, going home on the train with my $100, thinking about freedom and independence. Thinking about these fat American families barbecuing steak they purchased with benefit cards, listening to their ipods and cellphones and enjoying the other fruits of their credit card debt, free American health insurance and instant disability payments because maybe they were too lazy to refill their free albuterol prescription.

Incidentally, the therapeutic boot-thing my foot requires is not covered and costs more than Prada, so I’ll rig up some old stiff-sole arrangement and hobble painfully on.

God Bless America. And Michael Moore.

1 comment:

guy ker said...

I feel really bad about that experience. I had a similar one in the UK: Marcus broke his face and the snot-nosed kid gets the attenmtion whilst we get sent home oh it's only a brusie. That was a few years ago however and things have improved. Things could improve but i don't believe enough people in America want change.