Yesterday, I went to the doctor's office again to talk about my headaches again, but this is not a story about that. This is a story about what happened afterward.
Armed with a handful of prescriptions that would all supposedly do their parts to ameliorate pain that has plagued my life for three years, I went to my local Target, where they have been filling my prescriptions since they opened, where everyone knows my name, and where, frequently, as I come in for something "heavy duty" for the pain, someone will sympathetically say across the counter, "those headaches are bad again, huh?"
Yesterday, a few people milled about. I had dropped off my scripts, and wandered through the mall, incredulous that just a few days after Christmas, people still felt the need to buy themselves something. It's funny how we can build up in our minds that Christmas, like our birthdays, or like losing 10 pounds, or like getting a new job, or like the "geographic cure, i.e., moving across the country" will solve the basic problem that lies at the heart of ourselves. Our inability to make peace with who we are, what we are. To simply be. And, so, as I walked through the mall, I was feeling attuned to a lot of frantic misery as people shopped feverishly, and a lot of overtired toddlers voiced their complaints in the only ways they know how--whining, crying, tantrums--while their parents screamed at them that they were being naughty.
I retreated back into Target. I figured it was better to sit and wait for my prescriptions rather than to observe the bile of human misery.
My prescriptions were almost ready, they assured me. The woman ahead of me--an older woman, who looked harried, and worried, and whose hands flew this way and that--as if this were her reaction to life that had not treated her all that well, was asked if she could be helped. "We have to wait until my daughter comes out of the restroom," she said.
A few moments later, the daughter emerged. Despite the heat in the store, she was wrapped up in her coat. It didn't look as if she had showered in a few days. The first thing I noticed, though, was that she had her hand protectively placed over her lower belly. "Bladder infection," I thought to myself. "Damn, those hurt."
The mother began waving as soon as her daughter approached. "She's here!"
The pharmacy rep stepped forward. "How much are these drugs going to cost," the young woman asked through gritted teeth."
"The first is $14.97 and the second is $74.55."
"Could you ask the pharmacist which one I really need to take?"
The young woman came back in a minute. The conversation took place in hushed tones, but there's not a lot of privacy in the crowded area near the pharmacy stand. "She said this one will take care of the infection, and the other one will help with all the nausea and vomiting."
Take them both, I was thinking. Even if you have to give something else up, you can't get better without them. I've had friends whose bladder infections have turned into kidney infections and then you're in the hospital. It's nothing to mess around with.
The daughter was clearly angry. Her mother did nothing, just fluttered her hands around. It was clear that neither of them had the money to pay for either.
I started thinking about my checking account. I got paid last week, but it's the first of the month coming up, and I've got rent, and a whole series of bills that are on automatic repayment. If I paid for her pills, I'd bounce something. I wanted to step forward, save the day, pay for her pills. She looked awful.
"I'm not going to take either of them," she said, in a disgusted voice. Clearly she was mad at the pharmacist. Oh honey. It's not the pharmacist's fault. It's the fucked up system we live in. The people who run this country don't give a shit that you're suffering. But this was not the time for political speeches.
I watched her and her mother walk down the aisle, the younger woman limping in pain. I had no idea how she was going to make it through the night.
I do have insurance. I stepped forward, to pick up my four new drugs. "That'll be $16.27" the clerk said. "Really? That's all?"
I felt guilty, and mad, and thought, once again, about how fucking obscene this system is.
I wonder if that woman is in the hospital yet?


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Comments
(And I hope the drugs knock down the headaches for you.)
Sorry. This makes me angry.
Our system will not change until we (the people who elected those insurance-lobby-money-grabbers) organize. Maybe we should be writing their stories?
This is powerful work, Lorraine--just like everything you write. I know your head is the pits but you've got such a good heart. And that counts. A lot. Thanks for this. Rated. D
If/when people who don't get the simplest care go into the hospital, we all pay for this somehow. If she can't pay prescriptions, she can't pay a hospital bill, and it will get passed down to all of us in increased costs or more taxes needed to fund public facilities. No man is an island, and your neighbor's healthcare problems are yours.
But, most of us here know that. The rest are finding out the hard way.
R`
Now for the rest of you, who are you talking to?
~R
I see this at my pharmacy. It saddens me that people must suffer or pick and choose meds due to pricing. It disgusts me that the majority of we americans voted for this to change.
Oh, and a hearty FUCK YOU to all you heartless bastards who are against single payer "real" health care. Here's hoping that that was your sister or daughter that was suffering, you assholes!
So, yes, this system is screwed up.
I hope your headaches go away soon .... they're no fun!
~sigh~
A system could not be better designed - even intentionally - to add insult to injury, shame to the already vulnerable, and pain to the terribly suffering.
Sometimes I feel awful finding hope in the narratives of how you’ve suffered with this migraine malady for so long. I feel guilty drawing inspiration from your continued fight - but you chronicle it so damned well and with consummate grace.
Rated and appreciated.
Have a healthy new year, Lorraine.
As long as they can vote themselves pay raises by NOT voting on pay raises, as long as they continue to stuff well-intentioned legislation with home-town-pork, we will lose. Corporatocracy has come to the forefront in this country.
"Hello darkness, my old friend
I've come to talk with you again,
Because a vision softly creeping
Left its seed while I was sleeping,
And the vision that was planted in my brain
Still remains
Within the sound of silence."
Even though I told her I had active Lupus she turned me down for Medicaid. She said that Social Security had to rule before I qualified for any help. So here I sit.
I have seen what you describe happen nearly everytime I do go to the pharmacy. It really bothers me. Sometimes there are no generics to replace the needed scripts.
I am sorry for your headaches and do hope you get relief. But living in a BROKEN system is hard for us all.
Glad you share this Lorraine. Must have been really frustrating for you. Hope the headaches ease!
R
And I hope you get some relief from pain.
thanks for bringing this to our attention, sad as it might be. and happy '10 to you. and thanks for giving me hope that if we pull together this woman's situation doesn't have to be the norm any more in this country. we don't currently have a political party to save us (since there isn't a political party out there that values voters over corporate money and lobbyists), but we do have (and we need to preserve) our sanity. we need to remind people and ourselves of what it means to have a civic sense of responsibility and to move outside of the increasingly narrow politics of greed & me me me.
The obsenity feeds on itself and then grows. Your "cheap" prescriptions? They go straight to a data base where they can be accessed by any insurance company in their tireless quest to deny you insurance. In order to keep your privacy, you have to go to an independent (try finding one) and pay the same prices as that poor, poor woman. So SOMEBODY is always getting screwed---and you found the woman getting hit hardest.
I can't imagine a more important story.
Thanks for illustrating beautifully the complicated mess of our health care system.
This is so wrong. And written so perfectly.
@Bill S. ~ perfect verse for this issue!
The mutual health care Insurance may be one way to fight the system from outside legislation. See sagemerlin's blog for people putting in the effort as a "think tank" for truly creative solutions and to see what resources are available now. Sometimes it is really finding what is out there, and sometimes new solutions can be forged.
My comments there point to truly non-profit entities being the only answer to taking health care back into our own hands without truly reformative legislation. I believe we can be our own answer, we have already awoken to the problem and realize we are all in this together. I vote on the side of hope!
The problem, it seems to me, is that the little person like that girl has no idea where to turn, what to do or who can help. So the ones who are the most disenfranchised, the least likely to even understand the system, the ones whose pain is so bad that they cannot even think --- those are the ones whom the system abuses the most. It has always been that way and likely always will be, if not on health care on a million other issues.
But we cannot give up the fight!
The irony is I have excellent health care insurance, superb drug coverage, and some conservative "friends" think I am nuts to push for a change from the mess we now have. They cannot fathom how I would be willing to take a little less, pay a little more, so that others like that girl can share in what we all would get.
Excellent post, Lorraine.
I'm haunted by her. And the hundreds of thousands that i know are just like her, maybe even right now trying to figure out: prescriptions or food?
P.S. Hope your headaches are better.
When I went to see my doc (and snag some samples if I could but they were maxed out as well) I showed my updated list of medicines and told her: You know unless you can provide me a compelling reason to try any thing new and fancy then let's drop back 2 generations on five of the drugs that I've sketched out. So those five drugs' equivalents for older but effective scripts are available under the $4 plan at Walmart and I've been able to make it without cutting out anything except the heart and lung drugs. But for all those out there who don't have a healthcare background and know enough to figure this out, they are getting it in the neck, as Lorraine points out. I counted out my drugs and I have enough to get to January 1st when the new year kicks in! Yippee! Of course the monthly payment has gone up a third.