Wednesday, April 13, 2022

Life's Little Injustices (Take XVII): Medicine As A Business (You Gotta Love It)

 


<i.>
I'm often bemused at what people see as good news. As I write, I'm preparing for a surgical procedure that was supposed to happen last fall. 

Thanks to COVID, it got pushed back to February 1, and while the news didn't thrill me -- I'm not in agony, but of course, I'd like to get this over with, at some point -- I accepted the situation, and pushed it out of my mind.

But Lady Luck deserted me, as usual, of course. Just as the new date loomed, so did Old Man Winter, who sent in a storm that dumped one to two feet of snow in our area, plus sheets of freezing rain that made travel "hazardous or impossible," as our local news gravely reminded us.

Hence, the Squawker and myself spent much of the previous day (January 31) glued to the TV set, tracking the storm as it hovered closer and closer to our neck of the woods. Sure enough, the clinic called. They told me to wait for another call in the morning, and they'd let me know what they planned on doing.

I didn't expect much, as ever-increasing lists of business, event and school closings and cancellations rolled across the TV scream, in a never-ending stream. We went to bed, holding our collective breaths, wondering what Old Man Winter would bring.

Sure enough, we didn't have to wait long. The phone rang at 8:30 a.m., but neither of us dived for it in time. So I had to call back. "This is it," I told myself. "My surgery's pushed back, yet again. This is what I'm waiting for, right?"

Not exactly, though. The receptionist began asking how I planned on paying for my procedure, since I wasn't insured at the time we booked it. "Let me connect you with our Finance Department," the woman chirped. "I'm sure that they can..."

Yes, boys and girls, Hell had frozen over -- literally and figuratively -- but the bean counters were proudly in session.

"Excuse me, ma'am," I cut in, "have you looked outside your window?"

"Well, yes, but..."

"Don't get out much, I take it?"

"What do you mean?" 

Guess I'll have to spell it out, in capital letters, I thought. "Don't you think we have more pressing problems? Like the surreal hellscape outside, that's turning into a skating rink, with all the ice and snow getting dumped on it?" I said.

"Oh, right."

"Surely, that seems like a more pressing problem, doesn't it?" I ventured. "Because I don't think I'll be keeping that appointment today."

"Let me connect you to the people who can help you with that." Just like that, her professional front returned, and quick as a flash, I got transferred to the relevant office, who gave me a new rain date (4/22). The countdown continues as we speak.


<Ivan Julian played on this punk classic:
Interesting format variation.
Blue cassettes? 
Now I've seen it all!>

<Reddit/cassette culture:
https://www.reddit.com/r/cassetteculture/comments/fxtp4p/richard_hell_and_the_voidoids_blank_generation/>

<ii.>
Experiences like that one? A dime a dozen, sadly, unless you're insured, which I am now -- for eight more months, at least, through my current job. My last one happened in January, when I went in for a chest X-ray, and the receptionist also kept harassing me: "Is there anything you can pay today?"

I pulled out $15, all I had that day, and tossed it on her desk. "This is it! Not trying to be difficult, but I can't program any kind of payment -- without some kind of a heads up."

We eventually came to a grudging compromise, of sorts. She simply found a medical code that essentially put the $229 bill in suspended animation, but I had to pay it shortly afterwards, which I did, in three chunks. 

Ivan Julian, former guitarist of Richard Hell & The Voidoids, also learned a thing or two about sticker shock after getting diagnosed with cancer, as he told Billboard's readers in November 2016:

A handful of doctors offered him preliminary exams, "but they said, ‘We cannot go any further, not even with a biopsy, until you get health insurance,’ ” recalls Julian. “I said, ‘Well, how much could it possibly be? I can maybe pay for it.’ They said, ‘Well, the anesthesiologist alone is something like $750 an hour.’"

The article ("Crowdfunding For His Life: How GoFundMe Helped Save A Punk Legend's Life") makes some really interesting reading, since the disconnect between rhetoric and reality still looms large -- especially for readers who may not understand why Obama's signature achievement, the Affordable Care Act (ACA), still has a ways to go, in terms of realizing its ambition to cover everyone at a reasonable cost. Or how a punk legend like Julian ended up among the nine percent who still remain uninsured, even after the law's passage.

The article date makes me chuckle, because -- as I've detailed here previously -- I spent the morning after Trump's election waiting, with half a dozen or so other miserable sods, for a tooth extraction at my community health clinic, simply because A) the tooth was too far gone to save, but B) even it wasn't, anything more elaborate was out of the question. I didn't have the juice to pull it off, and without that commodity, nobody will touch you. End of story.

And, of course, there is the other issue that progressives still raise -- namely, that the ACA remains a flawed work in progress, since it accepts the idea of allowing ever-growing entities to continue profiting off our illnesses. Flawed or not, without that premise, it probably wouldn't have passed. Even then, it took a mighty effort.

At any rate, I'm fine for now, but until we finally pry the monied interests' fingers off our healthcare, their bedside mannerisms have a long way to go. LIke I always say, "Medicine as a business? You gotta love it" (not). Stay tuned, as they say. --The Reckoner


Links To Go (Hurry, Hurry,
Sharpen Your Fundraising Skills
While You Undergo That BIllfold Biopsy)

Billboard
Crowdfunding For His Life:
How GoFundMe Saved A Punk Legend's Life:

Sunday, April 10, 2022

My Corona Diary (Take XXXVII): Defund The Police (No More FOP Phone Scammin' & Slammin')

 

<"Can I Cont On Your Contribution?":
The Reckoner>

<i.>
Junk phone calls seem like an inescapable fact of life, wherever you go. Having said that, though, they seem particularly pesky and persistent in our area. I can't recall a time when I've had to screen out so many unwanted phone calls, but one persistent pest stands head and shoulders above them all -- the FOP (Fraternal Order of Police). Or so they claim, anyway.

If you've gotten these types of calls, you know what kind of scam they're running. The caller claims that they're raising money for firefighters or police, with the words "fallen" or "wounded" sprinkled liberally throughout the pitch, so, "Can I count on you today for a $15 or $20 pledge?"

As you imagine, there are endless variations along these lines, limited only by the caller's brass balls, lack of tact, or vivid imagination (take your pick). Apparently, the national FOP doesn't rely on telemarketing to raise money, but some local or state chapters do. Given this muddying of the waters, I can see why dropping those FOP initials might get some unwary targets to part with their money.

They've gotten a bit more creative, as well. The Squawker and I rely on our answering machine to screen out those offending calls, but lately, I'm not always hearing it spit out a phone number as the call comes through. As a result, you end up grabbing it, for fear of missing a call that you're expecting.

Then you'll get an opening line that sounds like this: "Hello, is Darren there?" Pause. Silence. At this point, I might say something like, "Going once, going twice, going..."  And before you know it, they've started on their pitch, and they're off to the races.

"Look," you tell them, "quit calling here! I'm not interested!"

But the verbal static flies thick and past, like some angry, giant buzzing insect, on and on and on and on in your ear, unforgiving and unrelenting...


"Bzzz-Bzzz-Bzzz... Good afternoon, sir... Blah,blah,blah... Every day, police officers... Bzzz-Bzzz-Bzzz.. Put themselves on the line... Blah, blah, blah ... Can I put you down for... for Bzzz-Bzz-Bzz... Can I count on your... Blah, blah, blah... Give us money, give us money, give us money... Bzzz-Bzz-Bzzz...”


<Salvation from an unlikely source:
Metal Machine Music (1975): Eight-track tape>
<https://thriftyvinyl.wordpress.com>


<ii.>
At this point, my aggravation overwhelms my patience, and I end up sending the phone receiver southward toward its cradle...

Ka-Bang!! 

Ka-Bang!! 

Ka-Bang!! 

And that, as the cliche goes, is all she wrote. Or he wrote, in this case, since the caller is usually a he (as is their boss, typically). The whole exercise, like so many of these "reach out and put the touch on someone" sorts of hustles, leaves you feeling deflated and frustrated, at the same time. 

Why'd I argue with them in the first place? That's why the giant buzzing insect kicks into gear, because it all cares about is getting you to pry open your wallet. If you hang up instead, so what? They've raised your blood pressure, and they can just move on, a few seconds faster, to the next sucker.

Trust me, it's all enough to make say: "Defund the police, if it means not getting anymore of their scam phone calls!" Whether critics should give in to that infamous American tendency of reducing everything to a three-word slogan, or a 30-second ad, is an altogether different matter entirely. However...

Police unions have long been regarded as organized labor's outliers, for many, many good reasons, as Teen Vogue notes (see link below): "For one thing, no other union members hold the legal ability to straight-up kill another human being while on the job."

One other key distinction is worth noting. Historically, labor unions have traditionally focused on organizing particular groups of workers, focused on the idea of, "We're all in this together, to organize Company ABC, to achieve XYZ." Police unions, seem to see themselves as largely standing apart from these goals -- because their objectives (protecting property, stopping the "bad guys," however you define them) are different. It's the nature of the job, as author Kristian Williams states: "The police are clearly part of the managerial machinery of capitalism. Their status as 'workers' is therefore problematic."

And that's before we get to the other aspects, whether it's their penchant for straight up reactionary politics, or an unblinking institutional culture -- they don't call it "the thin blue" for nothin', right? -- that fiercely, vigorously and unabashedly resists any kind of change, no matter how desperately needed. As many critics noted, after George Floyd's murder, a system that allowed his chief killer, Derek Chauvin, to remain on the job -- after a record of 18 complaints, and three fatal shootings -- is beyond broken or dysfunctional.

Of course, these problems haven't prevented the likes of President Biden, or House Speaker Nancy Pelosi, from continuing to push the dangerously flawed, if downright delusionary, "bad apple" narrative, the one that reads like this: "It's just a few bad apples that spoil the whole bunch. If we could just get rid of them, the system will correct itself."

I understand the logic, as hypocritical as it sounds. Police and corrections unions wield enormous political capital, greased mainly by America's natural oldest profession -- the one that consists of buying and selling of politicians who don't mind dropping their drawers, then spreading their legs, and "doing the business." I assume it's the real reason why the FOP and the National Council of Border Patrol Officers became Donald Trump's only union endorsements in 2016; as my late father often said, "One crow doesn't peck another."

The latter fact, in my eyes, is enough reason to avoid giving the FOP and its ilk a nickel, even without all the other drama surrounding their bogus telemarketing scams. Thankfully, more and more people are pushing back harder against the "bad apple" narrative, as the "Drop The Cops" campaign demonstrates (see link below).


<Coda>
As for me? I'm looking into a more drastic remedy.
The next time one of these so-called phone cop fundraisers calls, I'll sit there, armed and ready, with Metal Machine Music on the CD player. For those who don't know, it's the double album that Lou Reed dropped in 1975, consisting solely of guitar and amplifier feedback, repeating into infinity after each side. It's inspired an equally endless discussion of its merits (and demerits), but that's another discussion for another day.

Imagine the fun, when I tell the phone creep, "Sure, Darren's right here. Just give him a chance to reach for his checkbook." Cue the "track," one, two, three, or four, it doesn't make any difference, followed by a blast of:


SCREEEEEEE-EEEEEEH-EEEEEEEEEH-SCREEEE-EEEEEEEHHHHH-EEEEEH-
OOW-WOW-OOO-
WOW-OH-WOW-SCREEEEEEEEEEEEE....


Now, that should do it, right? Five seconds of ear-splitting feedback from Metal Machine, and I'll probably never hear from any of the creeps again. I'm looking forward to the results of the experiment. Or, as Lou says in the classically crotechy liner notes that he whipped up, to justify the whole scam: "My week beats your year." What do you say, FOP? Darren and I are waiting. We look forward to your next call. --The Reckoner


Links To Go (Hurry, Hurry,
Before The Nightstick Cracks Your Skull)*:

Action Network
Tell The AFL-CIO: Drop The Cops:
https://actionnetwork.org/petitions/afl-cio-stop-representing-cops

In These Times
Early Draft Of AFL-CIO's Report On Police Reform
Shows A Commitment To Defending Police Unions:

https://inthesetimes.com/article/afl-cio-police-reform-unions-black-lives-matter

Politico.com
Local Unions Defy AFL-CIO
In Push To Oust Police Unions
:
https://www.politico.com/news/2020/06/30/police-union-ouster-346249

The Guardian
It's Time To Kick Police Unions Out Of The Labor Movement:
https://www.theguardian.com/commentisfree/2020/jun/13/police-unions-afl-cio-labor-movement

Teen Vogue
Police Unions: What To Know And Why:
https://www.teenvogue.com/story/what-to-know-police-unions-labor-movement

The New York Times
How Police Unions
Became Such Powerful Opponents To Reform Efforts:

https://www.nytimes.com/2020/06/06/us/police-unions-minneapolis-kroll.html

(Reckoner's Note: All these links popped up after I typed in, "time to kick police unions out of labor movement." Make of that whatever you like.)