Many claim that America has the best health care system in the world. If this is the best, God help the rest of the world. I will admit that a friend from Canada once told me he had to wait six months for an arthroscopy on his knee because he wasn’t considered a “primary” candidate for the procedure, but hey, a scope is a scope is a scope.
Perhaps my view of our health care system is colored by the fact that I’m over 65…well over 65, and that I happen to be on a Medicare supplement. To the uninitiated, that means that my primary insurance isn’t with Uncle Sam, but with someone else…I think. It also means that I am at the mercy of someone called my primary care physician. When I was working full-time and had private insurance, this person would see me willingly; I’d call, we’d set up an appointment, usually within 24 hours or less, and he’d take care of the problem. If it was some situation requiring a specialist, I would tell him the name of the specialist or he would suggest several and I would choose the one I thought best fit my needs. Then, I retired…from full-time work…from private insurance… from the luxury of selecting my own specialists or going to specialists I had used in the past…from even being able to see my primary care physician except as a last resort, or when he stops by to “stick it” to me as part of my annual physical exam…no further explanation of that is required, I’m quite certain.
Admittedly, I can have one visit per year with an eye doctor of my choosing…phew! Said eye doctor recently suggested that I have a cyst removed from one eye and a biopsy taken from “something unusual” on the other eye. She set up an appointment with an eyelid surgeon – now that’s what I call specializing – and things seemed to be moving along nicely. Oops, not so fast. My primary care told me that I would have to see “his” specialist; someone in “his” circle of medical care specialists. His office set an appointment. I could either keep it or pay out of pocket the $650 to see the person of my choice. I don’t know about you, but at this time of year…hell…at any time of year, that’s big money for someone who is living on a fixed income and supposedly health insured.
To tell you the story of my four-hour ordeal in Boston would just get you laughing hard enough to have “an accident,” something that you’d probably rather not do. Suffice it to say that we arrived at the medical building, which by the way, is immediately adjacent to the Wang Center, just as the buses were arriving for the matinee of the NYC Rockettes Christmas Show. This, in itself, posed several problems, eg, making the turn onto Tremont Street from Kneeland. That, however, is a different story for a different time.
Yes, my doctor had called; yes, he told ‘someone’ why I was there; yes, I was to see a corneal transplant specialist (right away, I should have suspected that something was – in Shakespearean terms – “amiss.”) After spending a little over an hour with a technician, going through the form that I had already completed, but that she then transcribed onto another form – “We’re never certain if people will complete the one we send them, so we just go ahead and ask them the same questions and fill in the answers while they’re here”…oy vey – I was then given an eye examination. “Look,” I kept saying, “I don’t need an eye exam; I had one less than a month ago. It’s not necessary. I just want this cyst removed from my right eye and this ‘thingie’ biopsied that’s at my left eye.” I was told that this would not be possible until I was given a complete eye exam. The question, “Why,” appeared to completely stump them.
Following the eye exam, my eyes were filled with dilation drops. “Can I get the anti-dilation drops later,” I queried. Of course, you can, I was told…lies, lies, lies. I then had to see a resident who was to ‘prepare me’ to see the DOCTOR. I gather this means that God was coming down from Olympus and that the underlings had better not mess up or they’d be sent to optometry hell Here, too, I was asked what brought me to these hallowed halls. Cyst, biopsy, right eye, left eye, I kept repeating…it was my afternoon mantra that did not seem to penetrate. “Can I get the anti-dilation drops later,” I asked again. Of course you can, I was told…more lies. Finally, I met THE MAN, who asked, “Why are you here?” It’s obvious that these people don’t really communicate with one another; they merely pretend to do so. Either that, or they’re all stone-deaf and just smile a great deal. “Oh, I don’t remove cysts…and I don’t biopsy.” Well, no kidding, Dick Tracy; I didn’t think you did. You’re a bloody corneal specialist. “But we’ll fix you up with someone who can do that. You just have to make an appointment to come in and have it done.”
The “kill reflex” is growing stronger by the nanosecond. My mantra is beginning to fail me. I just know I’m going to snap and launch several people through the ninth floor window to land on the unsuspecting crowd that is now exiting the Wang Center from the matinee. I have been in optometry hell for more than three hours. Even the Rockettes below have finished before I have. I can kill these people. It’s my duty to kill my tormentors and escape from this place, despite the fact that no one seems to have the anti-dilation drops; my pupils are the size of dinner plates, and the edges of my vision are a cloudy shade of milk…or milky shade of cloud if you prefer.
I’m home now. They’ve released me and removed that funny jacket with the sleeves that buckle in the back. The psychiatrist says I’ll be fine if I just don’t go near the Wang Center for about six months; something about ‘triggers’ and 21st Century health care. I don’t really seem to be bothered by it…the pills are very good.