Being Seen and Being Ready for A Revelation: Healthcare USA, 2026

It took 16 months before I could get an appointment with a specialist that I needed for a complex and unusual medical condition. 16 months of increasing symptoms and of not-knowing– or of knowing there’s something living inside me whose face I could not see. 8 months to get the test I needed. Then 8 more months before I could see the doctor to explain the results and formulate treatment plans. Is this an example of a humane and well-functioning health care system in the supposedly richest nation in the world?

 

And there are so many inequities. I have good insurance. I am white and middle class. What might others who are not so privileged face? And so much paperwork, steps to slough through, high insurance payments.

 

The clinic I went to, the Cleveland Clinic, was wonderful. Like the care people report at the Mayo Clinic, the Langone Center at New York University, UCLA Medical Center, or Massachusetts General Hospital, these places are associated with teaching institutions; the doctors see a wide variety of patients and get to learn from a wide variety of fellow practitioners. Each doctor I saw showed not only care but competence. They were also wonderful human beings. Many local doctors are also tremendously compassionate, but they didn’t know what to do with me. As some said, I was a mystery. I did not fit in any of the usual categories. It’s good to stand out, they said, but not this way.

 

And what we can’t understand, we often reject or hide from. When I never got better from any treatments the local doctors offered; and after test after test revealed only peripheral problems, but never the core, some acted as if I, my personality maybe, was the problem. These doctors could think, and think well, but they were limited by their training and experience to only a narrow area of concern. Instead of doing everything they could to truly explore the symptoms wherever they led, many focused on simply checking off a checklist. And they often recognized this. They asked that when I did get a diagnosis, I should share it with them.

 

I know many people complain about doctors and dread going to see them, which I deeply understand. They feel vulnerable, in pain, and don’t like it. But for me, even after all the disappointments, I was still ready for a revelation. Going to the doctor meant there was a possibility of insight and a reduction of pain. So, for each appointment, I was excited. I prepared; I tried to make the visit count. I researched symptoms and possible treatments, wrote out questions and a list of medications. Before entering the office, I focused on my breath, the feel of my feet on the ground, or on the quality of my awareness right then. And finally, at the Clinic, one doctor said he had seen other people with what I had. I had a diagnosis. I felt redeemed.

 

Yet even at the Cleveland and the other Clinics, problems are increasing. They used to employ a multidisciplinary team approach to treating complex illnesses. No longer; they just don’t have the staff. And here, after being hospitalized last year, a local doctor promised they’d form a team to work to diagnose and treat my condition. Never happened.

 

What we in the U. S. are now facing under DT is the seemingly intentional undermining of healthcare. This administration is not only attacking MEDICAID and the Affordable Care Act or any federal health insurance assistance. They’re also attacking our healthcare from multiple directions. For example, there just aren’t enough doctors. This shortage has been getting worse for years, with the pandemic accentuating the problem. Yet DT has cut funding for universities, including medical training. Over a quarter of our doctors are now from other countries, many “third world” countries. Two of the five doctors I saw at the clinic were not born in the U. S.

 

Much of our health care, not only doctors but nurses, technicians, etc. is by immigrants….

 

*To read the whole post, please go to The Good Men Project.

Corona Shock: Getting Perspective and Taking Action to Protect Ourselves and Our Nation

Besides keeping ourselves mentally clear and calm and physically healthy, and helping others do the same, we have to stay informed about what DT is doing to further undermine the health, any remnants of democracy and the security and stability of our nation. After three years of shocks to  our personal emotions, our collective mental health and our political and legal system, almost two months of the coronavirus has changed almost every aspect of our society. So many changes that we can barely digest it.

 

DT did not cause the coronavirus. And our health care system was inequitable, too expensive, cumbersome, etc. even before DT. But so much has been revealed about how his lack of judgement, incompetence and greed has made the crisis even worse.

 

Let’s go back to January 13, 2017, 7 days before DT took office. As Politico reports, DT’s aides, future cabinet members, even a future press secretary, were briefed by President Obama’s aides as part of the transition of power, on topics like preparing for a possible pandemic, and securing funding from Congress to improve our health care system, prepare antivirals, masks, etc. Besides the fact of the instability of the DT administration that has led to about two-thirds of those officials no longer being in their position, there is little evidence that DT took any of the briefing to heart. Susan Rice, who was at the meeting said: “Rather than heed the warnings, embrace the planning and preserve the structures and budgets that had been bequeathed to him, the president ignored the risk of a pandemic.”

 

He further set up this crisis with his tax cuts to the rich passed in 2017. This reduced government income and increased the national debt, thus making the nation more vulnerable and  less able to respond to a crisis such as the one we are in now. He proposed to help pay for these huge handouts to the rich by cutting programs that serve and protect the majority of us, including Medicare, Medicaid, and Social Security.

 

DT and the GOP in general have made us all more vulnerable to a pandemic by wasting government time and resources with their attacks on the Affordable Care Act (Obama-Care) and proposing legislation that helps insurance companies more than the insured. If people cannot afford health care, they might not go for treatment when they feel ill, and thus spread the illness to others.

 

DT’s attitude toward public health could at best be called short-sighted and at worst idiotic and cruel. He proposed cuts to the 2020 and 2021 budgets for the CDC. Cuts to the CDC began in 2018 or earlier, when Obama-era health security funding was cut and the agency ran out of money. According to Fortune Magazine, “Overall in 2018, Trump called for $15 billion in reduced health spending that had previously been approved, …cutting the global disease-fighting budgets of the CDC, National Security Council (NSC), Department of Homeland Security (DHS), and Health and Human Services (HHS) in the process.” He dismantled the entire White House team in charge of global health security that was also created by Obama. Later, he denied knowing about this cut, but video of his talking about the cut shows that is clearly untrue. He proposed Medicaid cuts to nursing facilities for the elderly.

 

In fact, The Atlantic ran an article about how DT’s response to the Coronavirus insured the worst possible outcome. As the New York Times reports, DT has continuously minimized the scale of the coronavirus crisis, treating it as a foreign threat that could be eliminated by building a wall to keep it out. He has contradicted his own public health officials, by talking about going to work when sick, shaking hands with people on his travels (as if the warning by health officials to wash one’s hands was nonsense), and claiming a vaccine will be available soon when it will take a year or more to produce. He has politicized the crisis while blaming the Democrats for doing so, blaming Obama (again), making false statements about how our previous President handled the swine flu epidemic, implementing rules that made testing more difficult (but never happened).

 

DT claimed that the media coverage is part of a political conspiracy to destroy his presidency. He focused more on creating his wall against the “foreign virus” then getting out the test kits that are needed to actually stem this crisis and find out who and how many people actually have the disease.  In fact, the US is clearly far behind other nations in terms of the numbers of those tested.

 

It is good that DT relatively quickly stopped travel to and from China. It is good that this week he is trying to actually, finally, listen to scientists and speak more moderately in his briefings. But some of his proposals to reduce the crisis and help those of us who are sick or have lost jobs or businesses due to the illness, will make things worse. For example, his proposal to cut Medicare and suspend the payroll tax will further hurt those most vulnerable in this crisis. Suspending the payroll tax could undermine SSI while doing nothing to help people who have lost their jobs or businesses due to the virus. If you have no paycheck, a suspension of the tax does nothing for you. It predominantly helps the wealthy. Also, his cuts in the food stamp program and proposed cuts in sick leave will only worsen the situation.

 

And his constant lies, not only about the coronavirus but almost everything, the disinformation campaign propagated by his followers, and his attempts to gag health officials, scientists and others, makes the crisis worse because we can’t trust anything he says.

 

And remember: this crisis began just after DT interfered in the Roger Stone sentencing, fired the former acting Director of National Intelligence Joseph Maguire (after he had his aides brief Congress on Russia’s threat to our next election), and replaced him with a DT loyalist. He is clearly trying to turn the intelligence community into an agency to serve his personal political interest, not the nation’s, as he already did at the DOJ. We could go on and on describing his attempts to undermine the rule of law and what’s left of democracy in this nation.

 

We need, once again, to make calls to Congress. We can’t have big protests, due to the virus, only persistent little ones. But we can call and demand investment in health and other infrastructure⎼ we need health care for all, better and free testing, money targeted to assist those most in need, not further entitlements for the rich. A check for a thousand dollars might be nice, helpful for many of us, but will be a bitter pill to swallow by those who lose their food stamps, Medicare, Social Security, hospital bed, or life.

 

 

Here are a few phone numbers of Democratic Senators: NY Dems: Schumer: 202-224-6542 & 212-486-4430, Gillibrand: 202-224-4451. Others: Doug Jones, Al. 202-224-4124; Joe Manchin, W. VA. 202-224-3954; Krysten Sinema, AR: 202-224-4521.

GOP: Lamar Alexander: 202-224-4944, Cory Gardner: 202-224-5941, Mitt Romney: 202-224-5251, Susan Collins: 202-224-2523, Lisa Murkowski: 202-224-6665, Portman: 202-224-3353, Ben Sasse: 202-224-4224, Mike Lee: 202-224-5444.

Dem House: Nancy Pelosi: 202-225-4965

Steny Hoyer: 202-225-4131