U.S. Health Care Is Not Affordable

If a country is the “greatest” in the world, what kind of health care system would we expect at minimum?

I spent 15 minutes with a dermatologist recently. She examined my skin; froze one spot; and scraped another small, suspicious one on my upper back; and sent that to the lab. Fortunately, as per usual (so far), it came back as another basal cell carcinoma. 

I am very fortunate to have health insurance through my employer. I pay a small amount of the monthly premium, but in exchange for that I have a high deductible, and I am limited to docs in my network.

The bill was $1,058. I owe $812. 40% of Americans can’t afford a $400 emergency. So, what are people doing in light of run away health care inflation? In many cases I’m sure, they’re choosing not to seek care. Which, of course, is more costly in the long run.

This case study may shock international readers, but not my U.S. friends who no doubt have their own depressing stories, some I’m sure, that make mine laughable by comparison.

 

 

Weekend Assorted Links

1. Silent book clubs? Introverts of the world unite.

“Locations dot the globe, with congregants meeting monthly in Pakistan, Hong Kong, the Netherlands and many other cities and countries.”

2. Push for Ethnic Studies in Schools Face a Dilemma: Whose Stories to Tell?

“Many educators and policymakers across the country have been pushing for instructional materials that confront race in America, citing instances of racist violence and the divisive and inflammatory language ricocheting in politics, on social media and beyond. California is one of the first three states, alongside Oregon and Vermont, to forge ahead this year with creating K-12 materials in ethnic studies.

The debate in California highlights some of the difficult questions that educators will face: Which groups, and whose histories, should be included? Is the purpose to create young, left-leaning activists, or to give students access to a broad range of opinions? And are teachers, the majority of whom are white, ready to teach a discipline that is unfamiliar to many of them?”

My “Multicultural Perspectives in the Classroom” students will be required to resolve this dilemma at the semester’s end.*

3. We Have Ruined Childhood.  Related, School lunchtime too short Washington State’s Auditor says. My “Schools and Society” students will read and discuss this one.*

“. . . childhood, one long unpaid internship meant to secure a spot in a dwindling middle class.”

4. Tehran Orders Crackdown as Wealthy Use Ambulances to Beat Traffic. The growing divide between rich and poor is not limited to the (dis)United States.

“When the phone rang at a private ambulance center in Tehran, a famous Iranian soccer player was on the line. The operator recognized him instantly and expressed sympathy for the presumed medical emergency in his family.

The soccer star laughed and said nobody was sick. He was requesting a reservation for an ambulance for a day to run errands around the city. He wanted to avoid the choking traffic that can turn a 10-minute ride into a two-hour trek. The money he was offering was equivalent to a teacher’s monthly salary.”

5. Woman Wins 50K Ultra Outright, Trophy Snafu for Male Winner Follows. 

“. . . there was only a trophy for the overall winner, which was predicted to be a man.”

Oops.

6. The highest paid player per second in NBA history. What a redemption story.

* sadly, the sabbatical ends

Tesla-fy What?

Earlier this week I posted a vid about EV West, a California company that installs Tesla like electric technology into really old, but stylish cars nearing the end of their lives.

Makes me wanna go out and find a candidate for a Tesla transplant. And I have the perfect car. One of the best cars ever made in these (dis)United States. Some cars may be a little more reliable, but none more stylish. A car my family was lucky enough to own in the mid 1970s. Drum roll. . .

IMG_5732-762x456.jpgThat’s right an American Motor Corporation Gremlin in powder/purplish blue. Here’s another angle of one with a badass racing stripe.

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This was the zenith of American motor vehicle history. Why Japan’s auto companies didn’t unilaterally surrender, and how AMC didn’t make it, I’ll never know.

One warm sunny day in Cypress, CA, my two older brothers collided while repositioning the Gremlin and another one of our cars in front of our suburban tract home. I thought one of them was going to kill the other. Most funny thing I may have ever witnessed.

Middle Brother always struggled with the ladies, so feeling badly for him, moms gifted him the Gremlin before the “San Bernardino Mountains ski bum” chapter of his illustrious life. Once, while in the mountains, a falling bolder clipped our automotive masterpiece or at least that’s the story he tells.

His love life did improve after taking ownership of the Gremlin. How could it not? Similarly, I suspect I will draw much added attention after finding and Tesla-fying a Gremlin.

 

Everything From This Point Is Extra Credit

I’ve made a lot of bad decisions in my life.

  • Angel Flight pants paired with a silk shirt. Really a two-fer.
  • At age 16, getting shit-faced and hurling in the Disneyland parking lot after trying to sneak in through the employees’ exit. While wearing Angel Flight pants and a silk shirt. Can all of a person’s bad decisions coalesce in a single night?
  • Last Monday at Tumwater Valley golf course, repeatedly hitting gap wedge instead of pitching wedge and coming up short.
  • Weeding amongst poison oak in shorts and t-shirts. A couple of times.
  • Asking my eight year old daughter to help me jump start the car.
  • Running the first half of the Boston Marathon way too fast.
  • Using a clueless, commission-based financial planner.
  • Attempting to put Christmas lights on top of the steep ass roof.
  • Watching the Seahawks throw from the one yard line for a second Super Bowl victory.

Fortunately though, the biggies have gone especially well. I picked excellent parents who provided a loving foundation. I went to the right college because I had to work harder than I ever had to succeed there. And I am a much better person for partnering with The Good Wife.

Also, half way through college, discerning that I wanted to teach. And related to that, earning a doctorate early on opened doors to what has been an extremely fulfilling career in higher education. And while in graduate school, committing to daily exercise which continues to add to the quality of my life.

Recently, I reflected on these life decisions when a friend, the same age as me, late 50’s, opened up about her desire to change the world. It surprised me because she’s contributed a lot to a better world as an especially caring mother and volunteer. In hindsight, she said parenting was fulfilling, but only to a point. She regretted staying home with her son and daughter as long as she did. As she talked excitedly about plans to work outside the home going forward, I couldn’t help but think how different my mindset is.

If I’m honest with myself, I do not want to change the world too terribly much anymore. Why?

I think my spirit is relatively settled because of my decision to teach. The psychic renumeration has run circles around the financial. My soul is satiated with decades and decades of meaningful relationships with numerous students and co-workers. When deciding between vocations, young people don’t factor that in nearly enough. Being in debt certainly doesn’t help.

One huge advantage of working with adult students is after a class is over they often take time to write or say how much they appreciate my teaching efforts. And for all of the downsides to social media, it’s pretty cool to get “friended” by a former student who is flourishing as a teacher or social worker him or herself in some distant corner of the country or world.

If someone tapped me on the shoulder this September and said, “Sorry dude, but we have to go younger, you know, someone with hair,” I’d be cool with it. Absent that shoulder tap, I plan on continuing half-time for the foreseeable future because I think my teaching is mutually beneficial to both my students and me. At minimum, their idealism inspires me and they help me focus on more than baby rabbits.

I do not want to change the world in the manner my more energetic and ambitious friend does, but that doesn’t preclude me from doing so in small, subtle, nuanced ways.

If I don’t want to change the world, what do I want?

I want to invest in old and new friendships by slowing down and making time for others. I want to spend more time in the kitchen. I want to sit on the deck and watch and see if the four baby rabbits cuddling together in the planter survive the eagles’ daily fly-bys. I want to enjoy art, especially excellent literature and independent film. I want to swim, run, and cycle in nature. Mostly though, I want to be present in my marriage and as a father. I want to listen and understand my wife’s and daughters’ dreams and cheer them on as they achieve them.

And I still want to help others take small steps toward thriving families, schools and communities by putting pen to paper or keyboard to screen*.

*awkward phrase, one more bad life decision

 

 

 

Wednesday Assorted Links

1. Why Financial Literacy is So Elusive.

“It is bad enough that most people are not financially literate, but the painful reality is that investor education does not work — at least not much beyond six months. After that, it is like any other abstract subject taught in a classroom, mostly forgotten. . . .

Not that this has stopped states from mandating financial literacy for high schoolers. The Washington Post reported last week that financial-literacy classes are mandated by 19 states in order to graduate from high school, up from 13 states eight years ago. This is well-meaning, but without a radical break from how financial literacy is taught, it is destined to be ineffective.

Why? There are a number of reasons: The subject is abstract and can be complex; specific skills deteriorate fairly soon after graduation from high school; the rote memorization and teach-to-the-test approach used so much in American schools is ineffective for this sort of knowledge.”

2. Japanese office chair racing. Hell yes.

3. Remembering the runner who never gave up.

4. Six places in Europe offering shelter from the crowds.

5. What ever happened to Freddy Adu?

The heart of the matter:

“When he wasn’t scoring, he wasn’t doing much of anything. ‘He saw himself as the luxury player, the skill player,’ Wynalda said. ‘Give me the ball and I’ll make something happen.’ ‘OK, I screwed up, give it to me again.’ ‘OK, again. Just keep giving it to me.’ And eventually it’s like, ‘You know what? I’m going to give it to some other guy.'”

6A. The Surreal End of an American College.

6B. The Anti-College is on the Rise.

. . . a revolt against treating the student as a future wage-earner.