Borborygmi

Steve Blevins

Steve Blevins
Location
Oklahoma City, Oklahoma, USA
Birthday
November 05
Bio
Steve Blevins teaches medicine at the University of Oklahoma. He enjoys reading, music, and travel. He is interested in American and European history, French literature and culture, and music for piano and chamber ensemble.

AUGUST 14, 2009 11:00AM

In Which I Question My Patients About Obama's Health Plan

Rate: 68 Flag

I'm a general internist. I've been practicing medicine at the OU Health Sciences Center for seventeen years. Readers of my blog know that I support the Obama Health Plan. 

Eager to know if my patients are similarly enthusiastic about the plan, I decided to canvass their opinions. Oklahoma is a conservative state that tends to resist change. It is also a poor state with a high prevalence of uninsured citizens. Thus, social and economic forces push the state in opposite directions. 

To avoid selection bias, I asked ten consecutive patients (singles and couples, insured and uninsured) what they thought of Obama's plan. Here are their responses.

 

newlyweds  

One month into their marriage, the Lassiters have no insurance. Harold works at the car wash and Gretschen waits tables at Bob's Fried Fixings. Both are in good health, but with triplets on the way, they're concerned about obstetrical costs. With an eye toward the future, they support the Obama plan, though they know it won't cover the "special" needs of their soon-to-be "special" children.  


crazy 

Jane Studer has schizophrenia and is covered by Medicaid. When asked about the Obama plan, she says she will support it only if it covers Melodya, an expensive drug that gets rid of hallucinations. When told that Melodya is not a real medicine but a figment of her psychotic mind, she asked if Sotomayor has the authority to bring reruns of Love Boat to NBC.


tattoo 

Bubba Mason, a tattoo artist, contracted hepatitis C "from a dirty toilet" twenty years ago. He supported the Obama plan at first, thinking it would cover a liver transplant, but when told that drinking a gallon of rum daily  would preclude him from surgery under any plan, he became combative and flicked off the nurse.


rich 

Elizabeth Wortham is president of the orchestra league and has "good insurance" through her husband, a vice-president at Bank of Oklahoma. She is stunned that politicians want to change "the greatest health care system in the world." Though she is not opposed to universal coverage "in principle," she's noticed a few "brown faces" in her dermatologist's clinic and is worried that Obama's plan will do nothing to "stem the tide."


glue 

Bobby Matheson is uninsured. He's been hospitalized several times for complications of glue sniffing. When asked about the Obama plan, he said, "My only concern is that..." And before completing the sentence, his head drooped, his eyes rolled, and emergency resuscitation was initiated.


 
librarian
 

Eleanor Whiteglove is a librarian with diabetes and hypertension. A supporter of Fred Thompson during the 2008 presidential primary, she fears a govern-ment takeover of Medicare and Social Security. Though not usually active in politics, she began volunteering at the local GOP office when she learned that Obama wants to bury old people alive and give their belongings to the blacks. 


confederacy  

Roy and Britney Jenkins want the government out of their lives. They despise Obama because he supports racial integration and Adult Protective Services. Though they lost their insurance before Roy's last brush with the law, Britney continues to receive excellent care in the ER every time she injures her eye on the nightstand.


obese 

Jay Marquez, a longtime Hillary supporter, is doing his best to advance the Obama plan. A Medicaid recipient, he has contacted his congressman, written to friends, and vowed to solicit support door-to-door once his "thyroid problem" subsides.


mouth 

Leroy Cooper, the owner and cook at Joe's Cajun Grill, pays "through the nose" for Blue Cross/Blue Shield. When asked about the Obama plan, he replied, "I'd kiss that black muthafucka's ass if he'd give me a mutha-fuckin' dental plan."


gungirl 

Lisa Longview, an attendant at the bowling alley, is currently uninsured. Recently divorced and nearing the end of a complicated pregnancy, she refuses to support a president who hates the unborn. She recently "expressed" her views at a town hall meeting in Ardmore.


gunshot 

Marty Stevenson was caught in the crossfire at the town hall meeting in Ardmore. At first ambivalent about the Obama plan, he has since had a "come to Jesus" moment.


fight 

Marty's wife, horrified at the sight of her disfigured husband, chased an anti-Obama guy into the parking lot, tackled him and, while avulsing his arm, screamed, "Insure THIS, you fascist asshole!"


cat 

Meanwhile, Marty's cat, excited by the violence and disturbed by the lack of provisions for feline health, went ballistic and ended the town hall meeting on a gruesome note.

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obama, health plan

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This was very informative, Dr. Steve. In fact, you may have just conducted the most comprehensive study to date, and I sincerely congratulate you. It does pose it's own series of unanswered questions, however. Mainly, why aren't more flags converted into dresses? Not since the days of Def Leppard's one-armed drummer has a flag been put to better fashion usage.
You're something else, doc. I've been around doctors for 27 years and have never encountered one quite like you. Too bad. The medical filed needs some humor these days.

RATED for Rambo the kitty
Hee!

On a little more serious note, the two concurrent controversies in our town (not the rez town, the border town) this month are a) Obama's dastardly godless communist plan to euthanize our parents and charge us for it, and b) the county health department's dastardly plan to shut down its personal care provider agency as part of budget cuts because four other local agencies (including the tax-supported hospital) provide similar services.

No one sees the irony.
Where do you get these pictures!?
can I borrow Rambo kitty?
HAHAHAHAHA!!!

It's not easy making me laugh 8:23am west coast time, but you did.

I LOVED this piece!! It's one of the funniest you've ever written. Now if the editors don't give you a EP for this, well they're a bunch of pin heads, man.

And I'm glad you support the President's health care reform. You know there are many here on OS who don't have health insurance or have very, very limited coverage.

Oh, could someone please tell those stupid, spineless old people that medicare and social security is government run.

The fear that so many people have is due to the fear of the unknown.

So many are used to being screwed over by the health insurance companies that they don't know anything else.

I want change! I want reform!

An absolutely wonderful, timely piece and I'm so glad I read this, Mr. Blevins.
I didn't know they let cats into the Town Hall meetings.
Cool. But will they be included in the new plan? Nigel wants to know, in case he has to appear in front of the death panel--after all, he is REALLY old.
How did you get photos from our legislator's family photo albums? I just want to know.
Ok, you should warn us about the nose and eye thing, I did not need to see that this morning, I will have PTSD, I am suing OS.

You are demented, can you be my doctor?

What I love about this piece, is that it also makes fun of the liberal/Obama side. We in our ignorance have reduced those people to those images and stereotypes. May whatever god is out there forgive us.
I learn so much from each of your posts, and this is no exception. I very much appreciate the lengths you've gone to in order to bring us this important data. Did any of your patients sign releases in order for their pictures to appear?
I knew it would happen!

someone lost an eye!!
I'm so glad someone here is conducting an in depth questionnaire...I thought I was going to implode from misinformation...you saved me.

Now I am off to battle the healthcare battle at our hospital, where they are holding my husband hostage.

Rated
You're only 2 states away Steve, will you be my doctor too? But please warn me if Bubba's gonna be in the waiting room so I can be prepared in advance.
Okay, I give up. How do you stick a finger through your nose and eye? I keep trying but can't do it. Is it a Jesus thing?

Loved it. Rated.
I hope you have copies of each of these patients HIPPA releases or you're gonna be in a heap of trouble. Rated.
I think you should be the Surgeon General. I want you to give me my next rectal exam just to see what you would write about it. Without pictures, of course.
Have you thought about maybe moving your practice? Or, perhaps, screening your patients better?
A doc with a sense of humor is a rare and fine thing. I know; my GP dad was one. Great piece and thanks for the chuckle. (And, the reality check!)
And...you made my stomach growl in appreciation!
Oh God. There is just so much here that disturbs me.

rated anyway! :)
Dr. Steve, you have done a marvelous bit of ethnography here. Applause.
ugh, I feel nauseous after seeing those photos
So that's what happened to my kitty!

Seriously, though, you should have warned me about the photos. You cannot unwatch something. I've tried.

I am relieved that there is a doctor, somewhere, with a sense of humor. In Oklahoma no less. I have a few still-living relatives there and I assumed they were the last intelligent people within that state. Remind me to send you a thank you note.
How I wish you were my primary care physician; i'd discharge my psychiatrist. rAted!
I hope you're writing under an alias as I think that much of this content could get you censured by the AMA. Most MDs give up their senses of humor when they agree to the Hippocratic Oath. If you lived in Baton Rouge, I'd sign up!

denese
Earthlings must be proud and happy when a random selection of their population is a joke without satire and photoshopping :-)
You are the new and improved "Dr. Demento."
Jesus damn ... this post makes Sheldon's comment make perfect sense ... I need a drink.
It must be frustrating to treat the "What's The Matter With Oklahoma" crowd. Bless your heart.

If you get tired of practicing medicine, you can always practice this

http://imslp.org/wiki/Category:Hanon,_Charles-Louis
The first casualty of an honest open debate on health care reform: doctor/patient confidentiality. I have digged this. (Obamacare has killed my grammar, too.)
Ahhhhhhh.This was just what the doctor ordered after watching the news and reading the paper! When ya moving to Arkansas? Your patients would be similar, ya know!
Here's hoping you become an expert at cleaning out the gene pool! Now, get busy and do us all a favor!
Wow... quite an interesting mix of the "possibily serious" answers, to the sublimely absurd. =o)
Like Denese, I sincerely hope you're posting here under a pseudonym, but I suspect you're not. I imagine you have some interesting exam room chats if your patients read your blog!
Are you taking new patients?
OMG, I haven't laughed so hard in ages. After spending the entire morning emailing the right-wing extremists around me in effort to dispute their talking points, I think I will forward your post as my final comment. Hope you don't mind...:)
I would send this to the White House. They can use a good laugh!
Though not usually active in politics, she began volunteering at the local GOP office when she learned that Obama wants to bury old people alive and give their belongings to "the gays."

thanks for making me spit water all over my monitor with the above comment.

rated.
I can tell you're a good doctor because you definitely know where my funny bone is located. Stevie, those pictures are sooooo sick that now my eyes hurt. Will you make them all better?
If this "debate" continues the way it has been, we're all going to feel like Marty's cat.
You're mean! I did not attack that guy because of my "differently figured" husband Marty! That's my son who tried to take the car keys away! I was SO not drunk.
You better pay us for using Marty's image or else Little Big Marty is coming after you. Pay up, Doc!
ok, now I'm convinced you're not a real doctor...there is no way someone as bright and funny as you would have gotten through the souless stretch that is med school
Did someone digg this...if not, I'm digging this. You know how to go outside the box Steve. And don't think you fooled me this time! Yes, the beginning of your post was a little deceptive, like I started thinking, "Oh I think Steve may be writing a serious post, but I must keep alert and ready for any of his normal shenanigans." Because I don't cheat and scroll down first, I kept an open mind. And yup, there was the rest of your post. This was very very funny on a number of levels, but some of those pictures...WTH??? The nose/eye one...and the guy that needs dental work. Yes, I too, have been permanently traumatized.
I had forgotten what my Hilarity Giggle sounded like! Perfect way to end the week, Steve. Brilliant. However, I could swear some of those folks are my therapy clients, so feel free to tell them to head on back to liberal Massachusetts, where we have mandated health insurance for all . . . well, except maybe Roy and Britney.
And I thought this was going to be a serious post...now I'm going to have nightmares.
Steve,
You have done more for Oklahoma than our Dept. of Tourism.
Here you show America that Oklahoma has the best looking people in the state.
Keep up the good work.
You know Doc, I was beginning to get a little concerned about your patients given how much time you spend in the Salon. Now I'm concerned about you. These are rather unusual situations - not your garden variety general practice. Do you make house calls on them? Bubba Mason looks like my brother.

Another great job!!
Regarding Sotomayor -- yes. She's especially fond of the "Gopher episodes."
oh my god, you are one funny sick SOB!!! i love that in a person. well, if you can also use vituperative properly in a sentence. i forgot who i was reading and was thinkning that it was a serious post. i know, DUH. and then the first photo. you are creating one dark masterpiece after another, man. love love love and gratitude. i maybe have to borrow the picture thing from you and from mr. mustard. we'll see.
That eye picture - Owwwww!
I have to echo the concerns in other comments that you should be writing under an alias. I don't want you to stop, but I do want you to be careful.

You are one funny guy. If I lived in OK, I'd want you to be my doctor for sure!
Oh my but this is good. This is more reflective of the view of the debate we get here in Canada. *runs away shaking head*
That's some good stuff, Doc!
I used the nose/eye picture as a nose picking deterrent with my daughter. It scared the bejeezus out of her and I don't think she'll pick her nose anymore.
Well, this was the first Steve Blevins post I've read...and now you will a "favorite". Very funny, very insightful. We all need to keep our sense of humor as we're losing our minds! Thanks Steve
Hilarious. I laughed and I cried and then I laughed some more.

However, that photo of "Bobby Matheson" is actually a picture of me attempting to watch "The English Patient."
You've got to get off out of that HMO panel.
Well, that was interesting.
I am deeply discerned by the issues that you have brought to light hear.
Thank you for this Dr. Blevins, we are going to have nightmares now.
Do you write or blog for PlaceboJournal.com or the Placebo Chronicles? They had a story about "cash for clunkers", with clunkers being old people who could be turned in by their relatives for $45hundred each, and I think you could maybe turn in some of your patients? You're welcome!
~rocco and rusty, (no health insurance either)
I'm so glad I cancelled my appointment that day...
Glad I was a couple days late finding this so I could read a million comments AND your post. All incredibly funny and wonderful except Elizabeth W., who, sadly for the world, is a real person and has many, many sisters. Get that cat to reproduce, sell the baby kitties and you'll be rolling in money, which could then be used to neuter all the Elizabeths...
LMAO @ "she learned that Obama wants to bury old people alive and give their belongings to the blacks. "

As an owner of four cats, I can tell you that last bit about Marty's feline is quite possible.
Ah! That clears up one mystery: where the members of my family are going to get medical treatment. (Or, as they might say, "is going.") You are both brave and foolhardy to treat them, Dr. Blevins. Some of those genetic diseases are contagious. Have you never heard of "jumping genes?" One jumped into my Aunt Madge from a dog; now all she does is chase cars and bite mailmen. (True story.)

Two words, Doc: Brill. Yunt.
How did I miss this post? FINally, something about the health care debate which makes me laugh harder than I'm crying. It's odd though, after reading this I'm not sure if I need to have my scrip for Melodya renewed or go out and get me some Fried Fixin's.
How did I miss this? Thanks for a refreshingly irreverent and non-PC look at health care. Now can you help me get that image of the finger-nose-eyeball guy out of my head? I'm afraid I might need therapy.
Well, dear doc, if you ever want to leave your practice because you are having some sort of mid-life crisis, you could go into comedy writing that is for sure!
Those pictures and descriptions kill me, and all this before breakfast. I think I may be ill.