Image descriptions below the cut.
[Images (8) Description 1: A Twitter thread/twitlonger by Sayed Tabatabai, MD..
It reads: ""Why do you want to be a doctor?"
I answer without hesitation, "I want to help people."
"There are many ways to help people."
"I want to save lives."
"There are many ways to do that too.
So l'll ask you again, why do you want to be a doctor?"
"Because I believe in it."
I think about that exchange now and then, some times more than others.
Why do we do the things we do?
What do we really believe in?
My next clinic patient is one l've known for many years. He is visiting me today via Zoom.
I always look forward to talking to him.
As soon as the visit begins, I notice that his camera is angled off-center so I can't get a clear look at his face.
I ask if he can adjust it, but he says he's having technical issues.
No problem. I can adapt.
It isn't just the camera though.
Something feels off today.
Almost immediately I can tell that he sounds subdued. He isn't cracking his usual jokes.
I'm comfortable with silence, even in the heart of a busy clinic day.
Silence is often where the healing happens.
After asking how he's doing, I let the silence between us grow.
The question, when he asks it, is one I don't expect.
"Doc, which kills you faster? Blood pressure you don't control, or blood sugar you don't control?"
The surprise on my face must register, because he explains further.
"I just can't afford all these medications anymore."
He continues.
"The way I see it, doc, I only need to stick around 4 or 5 more years. That's how long my pet dog has left, then I ain't got no more family and it's me all on my own. So I figure maybe take the diabetes ones and skip the blood pressure? Or every other day?"
As I review his meds and start discussing our options with him, he adds one last remark.
"And I'm real sorry doc. I know we go back a ways, but I can't afford my co-pay. I'll pay you later. Promise."
And just like that, I understand why his camera is angled.
And just like that, I'm again struck by the cruel illusion of what I do.
The system I'm part of.
This patient did everything right; got insurance, paid his taxes. And he still has to barter years of his life.
And he can't bring himself to look me in the eyes as he does so.
Our healthcare system is too often unethical, immoral, unsustainable.
The insurance paradigm is focused on revenue generation. It strips the basic human dignity from patients, to the point where they can't even make eye contact anymore.
I know that I'm part of this system.
He's old enough to be my father. Some part of me imagines that he is my father.
Tears threaten my vision, as a hot anger floods me.
Now I wish I could angle my camera away.
I ask him if I can write about him.
Because people need to know.
His response lingers with me.
"Sure you can doc. But people already know. Lots of people deal with this. It ain't that people don't know. It's just that nobody cares. Nobody gives enough of a damn to change anything. Nobody... cares"
The visit ends.
My Zoom window closes.
His window closes too.
I feel it.
There's something insidious here.
A casual cruelty we're all complicit in.
" can't go to rehab, insurance won't cover it."
"Insurance won't pay for that medication."
"I can't afford any of this."
"I'm uninsured."
This isn't right. None of this is right.
Twenty years ago, I gave a medical school interview.
I wore my best suit. I sat up straight.
I said I believed in medicine. I meant it.
Some part of me once burned brightly, but that fire is down to flickering embers.
Our lives mean more than this.
More than this.]
[ ID 2: Tweet by Albert Lee reading,
"In America, you and your doctor can both agree that you need a surgery but you have to get permission from a third-party for-profit insurance company or it can't be paid for. It's called freedom."]
[ID 3: an image of a rating site for charities, specifically for R.I.P. Medical debt. It reads, "Rating Information" (four stars depicted below)
"Great."
"This charity's score is 100%, earning it a Four-Star rating. If this organization aligns with your passions and values, you can give with confidence."
"This overall score is calculated from multiple beacon scores, weighted as follows: 32% Accountability & Finance, 50% Impact & Results, 7% Leadership & Adaptability, 10% Culture & Community. Learn more about our criteria and methodology."]
Our system is broken. It is cruel. It is dehumanizing, degrading, and it’s vile nature is so, so unnecessary.
We need universal healthcare today in America. We needed it 40 years ago. It’s cheaper, it’s simpler, it’s more efficient, it’s more effective and it is so, so, so much less cruel than what we have.
Additional sources/references:
Universal Healthcare Cost in America would be cheaper by trillions of dollars
The US has worse life expectancies than socialized healthcare countries
We have worse generalized healthcare results
We have the most expensive care
Our system is so cruel and unique that doctors from other countries literally can’t believe what happens here
I can’t tell you where or how to activate to help solve this. There are politicians, groups, and activists pushing for this in so many ways. I can tell you when, though.
Now.
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[ID: an article headline reading:
" One Tasmanian's 54-year obsession to catalogue all of the world's edible plants to end malnutrition
Landline / By Margot Kelly
Posted 1d ago, updated ld ago"
An image of a an older man with white hair, presumably the man cataloguing the edible plants.
"Agricultural scientist Bruce French has been cataloguing food plants for five decades. (ABC Landline: Mitchell Woolnough)"]
https://www.abc.net.au/news/2020-08-22/food-plant-solutions-malnutrition-farming-edible-plants/12580732
https://fms.cmsvr.com/fmi/webd/Food_Plants_World
This guy is my new hero. I LOVE learning about native food plants that just grow everywhere without human help.
The database is a little clunky to use (especially on a phone), but still loads of excellent information.
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Image description under cut:
[ID 1: text reading,
"...entrepreneurs and artists also joined the group. On the surface, the association appeared to be an advocacy group for women in a profession that is overwhelmingly occupied by men. Members of the association did not identify as homosexual or lesbian, but as "single"-a term commonly used in Korea to denote a person who chooses not to marry.
The women in the association followed a rigid hierarchy based on age and butch-femme roles. The butch women, who took on the characteristically masculine roles, were called baji (pants), and the femmes were called chima (skirts). Younger pants had to defer to the older pants as hyong, a term usually reserved for men to call older men. The membership grew steadily over the years, and it is said that at least 1,200 to 1,300 women would gather for events. The members took care of one another by planning funerals, celebrating birthdays, and organizing other activities that are traditionally associated with the family. There were also occasional marriages, which were held at Buddhist temples or wedding halls and attended by hundreds. Some women even adopted and raised children. Even though the individual members were not willing to seck visibility in the public eye, they sought institutional visibility. The Women Taxi Drivers Associations......"
" ...the Likes) was officially launched in 1994, and a cafe/bar called Lesbos in Mapodong in Seoul opened in 1995. Both were covered by a popular news program in 1996, after which Kirikiris membership grew and Lesbos received more than sixty phone inquiries a day. The 1990s also saw further visibility in the media, including a 1995 made-for-television movie, called Two Women § Love, a story about a woman who commits suicide when the woman with whom she is in love marries a man. In June 1997, the first public gay and lesbian rights rally took place in Chongno in Seoul."
Su Hui Judy Han
Bibliography
Bruining, Miok. "A Few Thoughts from a Korean, Adopted Lesbian, Writer/Poet, and Social Worker." In Lesbians of Color: Social and Human Services. Ed. Hilda Hidalgo. New York: Harrington Park, 1995, pp. 43-60.
Eng. David L., and Alice Y. Hom. Q & A : A Queer in Asian America. Philidelphia Temple University Press, 1998.
See also Asian Americans; International Organizations.]
[ID 2: A zine cover in monochrome taxi yellow, with a card with various writing in Korean on it. Text in English reads, "Korean Lesbian Taxi Driver Union." A person, presumably a woman, is depicted at right. Her eyes and identity are censored with a black bar.]
just found out that there were terms equivalent to femme and butch in Korean language used within the lesbian community during the 1970s-80s;
Lesbians in Korea at the time would often refer to themselves and each other as 치마씨 (chima-sshi = Ms Skirt) or 바지씨 (baji-sshi = Ms Pants) depending on how they presented themselves. Those in between were called 반바지씨 (banbaji-sshi = Ms Shorts) ! my heart feels tenderized.
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