Boiling over Healthcare

Yesterday, the signature legislative achievement of the Obama Administration – the Healthcare Reform (also called Obamacare) was upheld by the Supreme Court in a 5-4 vote. Among other things, it prevents insurance companies from dropping people from insurance who have a pre-existing condition. It keeps children on their parents’ healthcare plan until they are twenty-six. It basically fundamentally changes the way healthcare has been provided in the United States – a success that has eluded many presidents for many years.

I spied a few newspaper headlines today to see how the people on the ground relate to the ruling. I was only in Iowa, so my perspective is limited to a swing midwestern state. The USA today as well as an Iowa newspaper were basically optimistic, cautiously celebratory while advising that rather than repeal it as Republicans and other conservative groups have sworn, they should work to improve on the parts of the law that they find objectionable. Returning to the chatter on cable news tonight, what I find is that this is going to be an uphill task.

I’m only a foreigner anyway, with just a little knowledge of the country’s history spanning a few generations. I know however that the divisiveness and polarization of the nation’s politics is as old as Lincoln and as young as Monica Lewinsky. What is most stunning however is that this much of a fight is going to be waged over the right of people to have access to affordable and patient-oriented healthcare like the rest of other developed countries. In a hundred years from now, no matter who wins the final battle to be waged on election day in November, those alive in the world would be able to look back and see how – like the time of slavery – a group of privileged people were willing to stake the future of the country for a chance to get their way and keep the status quo.

On the one hand, I’m now confident of the historical place for the president for his fortitude and perseverance, on the other hand, I fear for a country in which this kind of fight becomes elevated to national attention. America, you fascinate me.

Health in the City

My left arm hurts from a TD immunization injection. I’m resolved to blogging about it only because all those darlings I’ve approached for petting the said hand to health have turned it down or have kept quiet and I’ve been left to my own devices: rest, and vulnerability, like a little boy returning from his first hospital visit 🙁 .

The only memorable thing to say was that I paid $6 for said shot, and I have become the last person to do so. As from tomorrow, people approaching the University Health centre to take the shots would pay up to $39. For the first time in over a decade, the State of Illinois is withdrawing subsidies on this service to students and the University Health Centre, as they told me yesterday, will now have to buy the medication by themselves at market value, and sell to students at market price.

It’s the economy, stupid. I’m sure that students won’t be smiling from the Health Centre anytime soon. Not international students at least, many of whom are studying on very limited personal funds. Neither does it help that this mandatory expense is not covered by the $500 per semester compulsory students Health Insurance policies.

Yesterday…

…I drove to St. Louis.

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I will save the details of the journey for my memoirs, but I can tell you that it is (one of) my most memorable experience so far in the United States, one that I will not forget in a hurry – except I lose my mind, of course. Thinking about that, no pun intended, maybe I should insure my memory. Now, the vehicle that I drove was an automatic with a very sound engine. I always preferred the shift gear vehicles, but I can’t complain when someone offers me a car to drive for free,  and it turns out to be automatic. I have noticed that many cars in America are automatic, even the trucks and trailers. The passenger was female – a painter, and the road was clear because it was night.  We set off at around 11pm to the Emergency Room at a certain “Barnes Jewish” Hospital, and we returned around 4am, tired and exhausted. I’ve never felt so alive, plying the many veins that make up the American road network.

Well, let me be a little less cryptic. The female passenger was my friend the artist, and she had broken her ankle earlier in the day while descending a flight of stairs. She twisted her ankle, tripped and fell on her back. I didn’t know how serious it was until she drove into campus and I saw it, all swollen and sore. It surely was an emergency. How she managed to drive to me, I had no idea. When I asked why she could not go to a nearby government hospital, she told me that the healthcare system of the US does not allow her adequate healthcare in a government hospital without having to pay more than she cold afford. A simple visit to the hospital for an x-ray scan might cost up to $1500 in bills. I couldn’t believe  my ears. This piece of  information only brought home the realitites of the national healthcare reform debate that has rocked American politics for a while now. In Nigeria, you could get a scan for $5 at any standard laboratory, and the government hospital will treat a patient immediately for any emergencies. And one doesn’t need a health insurance. America has the costliest healthcare system in the developed world, it seems. According to Holly Ruff, this is a country where people actually declare bankruptcy after recovering from a major illness, even when they have insurance.

“Barnes Jewish” is a charitable but well equipped hospital in St. Louis which sometimes allows its patients to pay according to their own plan, or not at all, depending on the state of their finances – according to what I hear. The foot was scanned, and the doctor found that my friend had only sprained her ankle, and would need to stay at home for a few more days. The leg was stablized, bandaged and braced, and we headed home. It was my first time of carrying my international driver’s license on me after the wine debacle, and it turned out to be a very good decision.

140920091274Healthcare is important to everyone, and no one, no one should have to die because they’re poor,, and no one should have to go broke because they fall sick. A society with as many rich citizens like America should be able to take care of it’s poor. This is not Obama’s policy. It is only common sense. The same goes for Nigeria. As I sat in the lobby waiting for Holly to emerge from the emergency room where she was being attended to, I began to think about the number of people who were rushed into the emergency room while I was there. I thought about all the sick people I know, and how much they already suffer, without worrying about having money to pay for it. I have a close family member diagnosed with cancer, and my heart goes out to her. A close friend of mine that I last saw in about 2008 in good health has now been diagnosed with a bone disease. He’s also sickle celler. One of the families here that has been very nice to me has a cancer patient in it. Patrick Swayze, the actor famous for his role in Point Break and Ghost has been announced dead after a long struggle with cancer. Just a few days ago, we had mourned the passing of Senator Edward Kennedy of the USA, and Gani Fawehinmi of Nigeria, both favourite public figures whose lives were cut short by old age, and a terminal disease. It is a world filled with sickness that we live in. We should not make it worse by restricting care and support to only the ones that can pay for it. Helping the weak and taking care of the sick may just be the most noblest act we could perform as conscious human beings, or the sanest reason of our existence.

This post is dedicated to healthcare reform, in the United States where it’s long overdue, and in my country still in need of much more infrastructural and human capital development.