A few days ago, I got drawn into a rather unpleasant online argument on Toytown Germany. Someone had started a thread about how healthcare providers in Germany are dishonest. Lots of people were lamenting about how dentists are crooks, and how privately insured patients get fleeced by physicians. Meanwhile, publicly insured people are treated with apathy.
I haven’t had a lot of experience with German healthcare providers myself, although I do know of some Americans who have chosen to have major illnesses treated by German doctors instead of the American ones at Landstuhl. I know someone whose wife got colon cancer and was treated with relative apathy by the military docs. She contacted doctors in Wiesbaden and they were quick to see and treat her. Now, she’s in remission.
Bill and I love our German dentist in Stuttgart. We haven’t seen him in two years, but he’s still the best dentist either of us has ever had. He is a hybrid, of sorts… Mom was German and Dad was American, so he knows both cultures. We’re hoping to see him soon for cleanings we desperately need, now that we’re vaccinated. But I can understand that some people have had bad experiences with German healthcare providers.
There was one person, though, who was crowing about how great American healthcare is. Frankly, I don’t see it. I mean, if you have access to great health insurance or you have money, sure… but for the rank and file person who isn’t insured or wealthy, I don’t think American healthcare is that great. For one thing, it’s very expensive, and you don’t know what you’ll have to pay, because prices aren’t regulated. I know of a couple of people who have gone bankrupt after having had car accidents or other unexpected medical emergencies, even if they have insurance coverage. There are many horror stories online about people who have faced financial ruin after hospital stays, particularly when the stays were due to emergencies.
Some people have looked abroad for their needs to be met. I know someone who had a whole mouthful of dental implants done in Costa Rica, because she couldn’t afford the six figures she was quoted in the States. I know someone else who went to Mexico for a Lapband procedure for the same reason; she paid a fraction of the cost of what that procedure would have run her in the United States. Of course, going abroad for healthcare can be risky and results differ. My friend who went to Costa Rica is very satisfied with the result. The one who went to Mexico later developed a life threatening infection that her health insurance wouldn’t cover, because she had the Lapband operation done in Mexico by a physician who wasn’t in network. And because the infection, while certainly in need of urgent treatment, was related to an uncovered procedure done in Mexico, my friend had to pay out of pocket to get the necessary antibiotics and related medical care to cure it.
Mental healthcare services in the United States are given very little coverage, even though conditions like depression and anxiety can cause physical health issues and impact the quality of life. They can also cause people to do drastic things that lead to tragedies. But try to get broad coverage for a mental health issue in the States. It’s not easy, particularly if inpatient care is indicated.
For another thing, the United States doesn’t actually rate that highly when compared to systems in other countries. If you look at the United States when compared to, say, France or Italy, or even Germany (which also isn’t that high ranking, but is better than the USA). you’ll find that it isn’t even ranked in the top 30 of 196 countries. A lot goes into determining what makes a great system, of course. Researchers look at factors such as infant mortality, life expectancy, the number of qualified medical providers available, mortality and morbidity, and how long patients manage to avoid being readmitted to hospitals after they’re released. Researchers also look at affordability, accessibility, and availability.
The United States certainly has a lot of excellent hospitals and some great doctors. But there are also many areas where healthcare coverage is poor, such as remote and rural locales. Some of those areas rely on telemedicine in order to help people meet their needs. Some healthcare facilities are also very poor, as are some providers. And then, there’s that pesky issue of people not being able to access healthcare because they simply can’t afford it. Those people are often the ones who end up going to the emergency room for routine care. It’s like doing your grocery shopping at a 7 Eleven.
So anyway, I pointed this out to the American healthcare system cheerleader. She came back to me with a rather nasty tone that didn’t suggest to me that discussing the issue further with her would be productive. So I signed off– inviting her to do her. It was kind of a snarky retort, but I just didn’t have the energy to get into it with a stranger over this subject, even though it’s something I know a little about, having studied it formally. Then, come to find out, she’s not even AMERICAN! She comes from Britain! And she fucking lives in Cologne! Maybe she has real experience with the US system, but I doubt she’s ever had to seek healthcare in a rural area of the United States. I could tell, though, that she wasn’t interested in another perspective, and frankly I just didn’t feel like going around with her. So I fucked off, although I did have a brief private conversation with someone else from that thread. She was kind and civil, so that wasn’t a bad thing.
Lately, I’ve found that I just don’t have the patience to engage with people online, particularly when they’re strangers. Maybe it’s me, but it just seems like a lot of people are just nasty lately. It could have to do with how on edge we’ve been, thanks to COVID-19 and the lifestyle restrictions it’s led to. Or, it could be because people have lost the ability to be civilized, thanks to being behind computer screens too much. It could also be a combination of both conditions. Whatever the issue is, however, I’ve found that I’m just not interested in discussing it anymore. I don’t want to talk or hear about most things related to health… or really, the pandemic.
Actually, now that I think about it, I don’t want to engage with people about other subjects, either. This morning, I ran across an article about Andrew Yang and New York City’s carriage horses and how so many people are divided about it. Personally, I think the people who are claiming the carriage horses are being abused are overstating things a bit. I’ve also realized that most of the people with opinions about the horses don’t actually know anything about horses, or the people who work with them. Here’s a good, balanced read about the issue.
I read so many comments from people saying the carriage horses should just be retired and sent to a farm somewhere. I just want to ask these people how they would feel if, one day, some well-meaning but ignorant person told them that they shouldn’t be doing their job anymore because it’s “cruel”. Suddenly, they lose their purpose… but how many people can afford to keep horses as mere pets? And is a life consigned to being sent out to pasture really as good as it seems? I spent a lot of time with horses earlier in my life. They like having jobs, particularly when they’ve been bred to do something. Also, some people who keep horses shouldn’t be keeping horses… like– I would rather see a horse pulling a carriage in New York City than wind up on a farm owned by a hoarder.
A lot of the folks who complain about the carriage horses don’t realize that unwanted horses are sometimes auctioned off and bought by people who send them to Mexico or Canada to be slaughtered. It’s currently illegal to slaughter horses for meat in the United States. So the kill buyers will send them beyond the borders on long haul trucks, where they don’t get rest, proper food, or water; then they die a horrible death. Since they are companion animals, they aren’t even really suitable to be turned into food, either. I started to write about that this morning, but decided I just didn’t feel like it. I didn’t want to get into it with the uninformed, and frankly it’s a depressing subject. So I clicked off the article and practiced guitar, instead.
It just seems like people aren’t interested in having a civilized discussion. Everyone has opinions, and everyone thinks his or her opinions are correct, and fuck anyone with a different view. Those with an alternative viewpoint are shamed, belittled, berated, and name-called. It’s frustrating and ultimately pointless to engage with those types, so I just let them win… and let the more energetic people deal with them. I’ve got more important things to do, like scrubbing my butt crack.
I was feeling this way last year, too. This was what I posted a year ago on Facebook…
People are getting nastier lately. Three times in the last week, friends of friends who don’t know me at all have jumped down my throat for posting something they take offense to. They don’t even try to understand before they snap. Instead, it’s shoot first, ask questions later. It makes me hesitant to post comments on other people’s posts, because I can get snarky comments from so-called loved ones just as easily. I sure don’t need them from total strangers who don’t even know me.
I think it’s sad, because in my experience, most people truly aren’t bad people. If you take a minute to think before you respond with nastiness, you might end up making a friend instead making someone think you’re an asshole.
A year ago, COVID-19 was new, and there was a lot of rudeness going around on social media. It hasn’t changed much this year, although now that we’ve been vaccinated, maybe I can find something to do besides hang out online. Here’s hoping.