“Thank you, sir! May I have another!?”™, Day 12: Look, Ma! No coverage!!
This is Day 12 of a 21-day effort to see the good in what might, at first, look like an irredeemable drag. Its name comes from a classic bit of dialogue uttered by actor Kevin Bacon in a classic film of my generation, Animal House.
I have already alluded to the sorry state of my teeth, gums, cancer resistance and internal chemical management systems. May I now bring up the fact that in another seven and a half months, barring some sort of miracle from on high, I will join the ranks of those unable to pay for the regular maintenance and catastrophic repair of same?
I never thought it would come to this. Really. Had I known, I would have bought private insurance years ago, and not depended on what I now see are the vagaries of the employer-paid group insurance system.
The thing is, when I started out, in my 20s, all pluck and vinegar and walking ball of parentally-induced obligation complexes, I was 100% sure I’d be working for The Man the rest of my life, and that he’d pay for all the digestive disorders and other stress-induced diseases he was responsible for. That and a 401K? More than a fair trade, as far as I was concerned.
When I left my full-time ad gig in 1992, reality struck in the form of COBRA: expensive and time-limited, I quickly realized that the most important thing about being on COBRA was using the time to figure out how to get off COBRA. Fortunately, the ex-husband was healthy as a horse and whatever weird lady-surgeries I’d had were distant enough to be paying just an arm, not an arm and a leg. We scored some insurance with a deductible my younger, pre-preexisting conditioned self found outrageous. You know—the kind I’d crawl through hepatitis-infected glass to have today.
Still, it was enough of a drain on the household finances that I finally begged my dad to help me find some menial job with one of his beneficent corporate pals so that the Chief Atheist and I would qualify for coverage. I wanted to act, which required me to actually be available for auditions when asked (however seldom). But the cost was a wash—cheaper to work for slightly above minimum wage than to pull down $500/day and buy private.
All that came to a glorious halt with the SAG years. Sweet baby Jesus, the SAG years: coverage the likes of which I’d not seen ever, even in the fatcat, go-go, Madison Avenue years. For eight years, I never thought twice about going to the doctor. Not that it was anything I, you know, looked forward to; it was just that I wouldn’t worry about how I was going to pay for something that happened out of the blue.
No more. Today I’m on COBRA again, and clinging for dear life. I’ve already informed all my providers that I’ll most likely be entering the High Risk Pool next July, which means that I’ll pay roughly $600/month for coverage that doesn’t kick in for thousands and thousands of dollars I hope I never need to ask for. All of which means that anything needing to be probed, sampled or excised must happen now, or possibly never.
There is not much good in this. I am not thankful for the way our country treats its citizens when it comes to medical care. I am not thankful that I will join the ranks of the barely cared for, and pay an enormous price for doing so.
But I am also considering what a great gift it is to finally find out how most people live. For one reason or another, my whole life I’ve been sheltered from what I once saw as a petty concern, though it shames me to say it. I’m also thinking about creative solutions to the problem: of opting out, perhaps. Of taking the almost-$600 monthly and sticking it in some sort of investment account. Of letting my poor, old body crap out when its time. Of not fixing it, but—and really, heaven forfend—should the occasion rise, using myself as an example. Liveblogging my demise. Morbid? Perhaps. Perhaps not. Maybe a bunch of us have to throw ourselves under a bus to get Congress to get our legislative and executive branches of government to take notice.
Or maybe I’ll join the ranks of the Starbucks unrevolution—work for The Man pulling espressos for my coverage. Maybe it’s time for a little wax-on, wax-off. I’m not averse to a job-job if it doesn’t mean selling my soul.
Whatever winds up happening seven months from now, I’m thankful that, for whatever reason, I’m not worried about it anymore. Me with my bad teeth and diseased gut and cancer-prone tissue. Maybe it would not be such a shame for my voice to get loud one last time over the indignities too many have had to suffer getting to this state of crisis.
I’ll be truthful: I’d rather stay. But if it comes to it, it might be the noblest way to go.
And I am truly, truly thankful that I no longer consider living out this one particular life in some particular way to be a must-do. There are bigger things in life than this old bag of cells. I am glad that, at some point before I must go—and again, I hope it’s a long, long time from now—that I finally realized it.
xxx
c
Image by Gary Henderson via Flickr, used under a Creative Commons license.
TOPICS: 21 day salutes, thank you sir may i have another.






13 Comments, Comment or Ping
Jeremy
What is it with the US and health care? Those of us who are the beneficiaries of commie-pinko medicine, warts and all, find it hard to understand why a healthy citizenry is such a no-no for you guys. Same with the Farm Bill. We just don’t get it.
Can I recommend a recent post of my pal Neddie’s?
Nov 14th, 2007
jamy
If you get poor enough, or sick enough, there IS state sponsored health insurance in the US: Medicaid. You are savvy enough to figure out how to access it–and you have seven months to learn the details. Certainly not an ideal solution, and you may not qualify, but it’s something.
Nov 14th, 2007
Dave G
“But I am also considering what a great gift it is to finally find out how most people live. For one reason or another, my whole life I’ve been sheltered from what I once saw as a petty concern, though it shames me to say it.”
Same here. For years I wondered what people were railing about when they talked about the high cost of health care. This is back when I worked for a company that provided it. Now that I am paying $12,000 a year for health insurance, I get what they were talking about.
Hello, politicians? Are you listening? Please do something? When people are doing things like getting married just for the health insurance or trying to finangle themselves through loopholes, something is wrong.
Nov 14th, 2007
Neil
Dave G — Because Sophia has pre-existing breast cancer, we’re not sure we can even split up if we wanted to — we pay for our own coverage. What happens to our family coverage if we go on our own? Do they have to cover her? How much more would it cost?
Nov 14th, 2007
communicatrix
Jeremy - Honestly, I think it goes back to this Puritan work ethic thing. As in, “If you don’t know enough to get yourself a job and health insurance blah blah blah, *I’m* certainly not going to be responsible for you!”
And that’s a great post, thanks! I just Stumbled it.
jamy - You’re right, of course. That’s what my friend, Uma (or rather, her loved ones) had to rely on when she got sick.
Aside from the ferocious patient advocacy needed to get good care within that system (a topic for another post), even if my income was low enough (and, despite how little I actually live on, I doubt it), I’d have to liquidate all my savings to qualify.
I’m not saying it’s not great that it’s there; I’m saying (a), it’s not there for everyone and (b) it’s woefully inadequate.
How fucked up is it that I have to cash in everything I have (in other words, put myself in a prime position to request more aid from the government just to live) in order to get medical care? Very fucked up.
For the record, if someone out there wants to marry me and they have great health coverage, I’ll consider an offer. Of course, you’ll have to be cool with me continuing to date The BF.
Dave G - It’s a shock, ain’t it? You’re even younger than I am, but perhaps you also grew up in a world where the idea that employers would take care of you was a fixed given.
Neil - I emailed you already, but I’d check with an indy agent. I was denied b/c of two preexistings, even though neither is active. Crohn’s is chronic, so it’ll always be on the record. The fibroids were within a three-year window, so I have to wait until they fall off my chart.
Nov 14th, 2007
Mary Ellen
I worry about this constantly. I actually took my husband on as an employee so we’d qualify for “group coverage” (yes, in the insurance industry a group is more than one person) but just got word that my premiums are going up from $598/mo to $700/mo–and that’s with only one claim filed, my routine annual gyne visit. I paid for my ultrasound on my fibroid out of pocket to avoid this very sort of premium gouging. You say it right, sister, when you talk about taking corporate healthcare for granted. At the same time you surely have considered that to have stayed in that industry for the healthcare would likely have put you in an early grave…which may be what the insurance companies hope for. Dead people are the cheapest lives to cover. Federal employees have the best insurance coverage in the country. They, like you and me, are not seeing the problem because they’re not living with it. This is definitely a cause worth fighting for. Michael Moore is waiting for someone to pass the baton to…why not you and a tribe you assemble? (count me in!)
Nov 14th, 2007
Bon
Well, if you end up joining me in the land of the uninsured, I’ll welcome you with open arms. Whenever I needed major medical, I just went back to school (’95-’98). No, it’s not an ideal system, but it’s the closest thing we’ve got to decent healthcare ’round here. (Otherwise uninsured since 1992.)
Nov 14th, 2007
communicatrix
ME - Holy crap, that’s scary!
Did your gyne ever put down any mention of possible fibroids? That’s enough to raise a red flag. Evil evil evil.
I know that advertising would have killed (or crippled/maimed) me as sure as I know I’m out of it now.
But the visibility thing is crazy–how much more visible does it have to get than 47 million uninsured? That’s a lot of bodies.
Bon - Thanks, but I don’t care to be welcomed there. And how are you not covered under Keith’s SAG insurance? I thought he was working like a maniac!
Anyway, I guess count yourself lucky that overall, your health has been good. 1992. Crikey!
Nov 14th, 2007
jamy
Yes, our system is fucked up. It’s a crime that you’d have to liquidate your assets to use Medicaid. Good health insurance is certainly one of the things that keeps me in my job–and I have no chronic illnesses.
Nov 14th, 2007
Angie
OK C, I’ll marry you……….HA!
I’m sure you’ll be just fine, you’re a strong woman and if anyone can find a way to make it, I’m sure it’s you!
Until I had my first child eleven years ago, I used to bitch and complain about how much was deducted from my check for health/dental insurance, I don’t complain anymore! Even though I’m at a job that takes its toll on me everyday (office supervisor of 30) and I’ve been there for like 90 years, I’ve come to appreciate that at least this job is providing me with coverage. I can agree to a ten dollar co-pay for a dental cleaning, an eye exam or a doctor’s visit.
What gets me is the fact that we have people that come her illegally, have no job and are able to take advantage of the same benefits that I have…BUT I’m paying my dues, many of them are not.
We need to take care of the people that are working for a living, supporting themselves/families and make sure they don’t have to sell the house to get medical attention. I know so many self employeed people that can not afford health coverage and are living from day to day hoping that their families don’t get seriously ill because they don’t have the money to pay the bills…….HOW CAN THIS BE RIGHT? Why is the US so behind on health coverage?!
Nov 14th, 2007
bf
“What gets me is the fact that we have people that come her illegally, have no job and are able to take advantage of the same benefits that I have…BUT I’m paying my dues, many of them are not.” [sic]
Huh? I thought you said you had employer sponsored health insurance? There are illegal aliens who have company sponsored health insurance? That sounds about as likely as illegal aliens with company sponsored 401k’s!
Oh well. This is America, after all. Instead of solving a problem, just blame the {irish-poles-germans-swedes-italians-jews-puerto ricans-mexicans-fill in the blank}.
Ah, America! Land of the Affable Racists!
Personally, I blame the Norwegians.
bf
Nov 14th, 2007
Bon
*fingers crossed* This *should* be the year of the good SAG insurance for Keith. Keep those vibes flowin’ for one more significant booking this year, so’s we can live like the rich folk. ;) (At least in terms of med and whatnot. We’re a top of show guest or two away from bein’ highfalutin, y’know.) Hee!
Nov 14th, 2007
communicatrix
jamy - Yeah. That stocking job at the Pavilions is starting to look real nice. And I could walk to work!
Angie - Weeeell, they’re not exactly getting the same benefits. And christ, I heard this harrowing story on NPR about a really smart girl who basically can’t go to college and take this super-awesome lab job she’s perfect for b/c she’s illegal. Not to say that we don’t have a bit of a stress overload on the infrastructure (remember, I live in L.A.!!), the problem is extremely complex and it’s kind of unfair to reduce it to an argument that really isn’t even accurate.
bf - Time for the half-assed buddhist to launch, already!
Bon - Fingers crossed. Eyes, too, if that helps :-)
Nov 16th, 2007