It Sucks to be Sick
Everyone gets sick. This is the unspoken corollary to the other two eternal phenomena of human life: death and taxes. Sickness is a part of the human experience, and let’s face it, it stinks. No one likes waking up to a fever and feeling achy with a flu, no one likes the repeated spitting that follows a particularly unpleasant bout of vomiting, no one likes a sore throat or a headache or all the other maladies that may afflict us at any given time. If we’re lucky, that’s the long and short of it. Maybe if we’re slightly less lucky we’ll get a broken limb or have to undergo some small surgery, but for many people this is the limit to what they think of when they think of sickness. It’s the occasional inconvenience to be endured every so often, with a few aspirin or an antibiotic to make the whole process a little more tolerable. Otherwise, we are all expected to simply go on with the belief that sickness is nothing more than a tiny nuisance; however, this is not the whole truth.
In 2014 we were reminded that there are scarier diseases out there than the flu like Ebola, though statistically the flu remains the greater killer. We had to suffer the hysteria of people dealing with just the thoughts of what a pandemic disease might mean. This not to belittle the tragedy that befell West African countries that really did experience the full force of Ebola. Here in America the number of people who ever even had Ebola remained so low that you could count them on your fingers. Despite the facts of the situation, it seemed like we were nearing the end times, as governors forcibly quarantined certain individuals for the sake of the herd, regardless of the medical consensus. We were reminded of the structural inadequacies of the American healthcare system to confront a threat like this, but also the overwhelming fact that modern medicine certainly is prepared to treat even the scariest diseases with a very high success rate. But now in 2015, no one cares anymore.
“Breaking Bad” was one of the most successful and entertaining dramas in television history. A testament to its success were the record breaking numbers of viewers tuning in to watch the pilot of the spinoff, “Better Call Saul.” And whether said explicitly or merely felt implicitly, one of the overarching themes of that series was the critical failure of the American healthcare system. Walter White didn’t die of cancer, but only because he made a fortune selling drugs to afford the treatment, among other things. And while this is certainly a work of fiction, it pays lip service to a larger truth that America, though blessed with the greatest doctors and the most advanced medical technology, is not very good at healing its citizens. Someone that I greatly admire, Dr Aaron Carrol, made a video exploring just how the current healthcare system we have now is not necessarily extending everyone’s lives in this country. https://www.youtube.com/watch?v=vjlRc1lEIvk
It’s all well and good to have the best doctors in the world and to be the epicenter for medical research, but it’s quite another to bring those resources to bear when and where it counts, which is to say in the lives of real people. If you can afford a good healthcare insurance plan you’ll probably be fine. Let’s not forget that even having any plan does not necessarily guard you against high premiums and deductibles. The ACA has done so much good in extending the benefits of healthcare to millions of Americans, it does not solve the problem altogether. There are still plenty of holes in the system where real people can and do fall through. This is why America is still in the elite category of being on of the only developed nations left in the world that still fails to guaranty healthcare to everyone in her borders. The only reason why there isn’t a greater outcry on a daily basis is simply because the vast majority of people don’t get sick that severely or that often, but for those of us that do, it is a daily embarrassment to say the least.
But we cannot pretend that the only problem here is the failure to help Americans who, through no fault of their own, get a chronic disease or an otherwise overly expensive medical complication. It’s not simply a matter of failing people who have the temerity to be both poor and cancer patients, it’s a matter of business and social policies that seem dead set on ensuring that sickness is as inconvenient a threat as possible. The liberties people take with their own health and the health of their children has come to some prominence lately. After about a hundred cases of measles were reported and linked to vacationers at Disneyland, it seemed there was finally a bit of a public outcry over the number of parents denying vaccines to their kids.
Herd immunity is critical for the survival of a modern society, and the cornerstone of herd immunity is the trust that every person who can be vaccinated against preventable diseases will do so. There are some people in the world who cannot take vaccines because their immune systems aren’t strong enough. Babies are the first that come to mind, as their immune systems simply haven’t developed yet; then you have senior citizens of very advanced age, who again are dealing with ever weakening immune system; next would be the people who simply have autoimmune diseases, including but not limited to HIV/AIDS; and of course people who have to take immunosuppressant drugs in treatment of disease, which incidentally includes myself. All of these groups have limitations as to which, if any, vaccines they are capable of taking. The whole of this group, along with the rest of society, depends on other people to do the right thing and get vaccinated; however, we’ve been reminded what one of the costs of freedom is in the hands of irresponsible people.
But on a more day to day basis, sickness plagues the lives of American citizens everywhere because of our work ethic. Americans are among the most productive and work centered people in the world. In fact, many countries joke about just work obsessed we are, yet it remains one of the qualities I most respect about my homeland. Unfortunately, like all things, there is such a thing as too much. Our devotion to work means that there is still no guarantee that all workers can expect maternity leave from their employers, let alone paid maternity leave. This ensures that pregnant mothers will remain on the job as long as physically possible putting both the mother and child at heightened risk. More fundamentally, Americans have no guarantee of sick leave of any kind from their work, and this is of particular concern.
Workers in food service routinely show up to work less than healthy, because they know that they can’t afford to take the day off. Doing so means a day’s less wages or worse the possibility of termination, but this only serves to put the consumer at greater risk. Now there is always going to be a risk from going out to a restaurant, just as in preparing food at home. There are any number of ways that you could get sick from food borne illnesses or from sitting next to another customer with a contagious disease, but we only put ourselves at greater financial risk when our chefs, cooks, waiters, and maitre d’s are expected to always come to work. This of course setting aside the fact that these same workers generally can’t take off to tend to their kids when they get sick either.
Sickness sucks, and not just for the person zonked out on Nyquil with a flu. Sickness sucks billions of dollars out of the US economy every year from losses productivity, it sucks trillions of dollars out of people’s wallets to cover expenses ranging from treatment to funerals and yes business expenses too. Sickness sucks out our humanity as we continue to allow millions of Americans to go without or to go into interminable debt when combating serious illness. Sickness sucks in just about every way possible, except for the fact that it does keep our doctors and nurses employed. Any of these are the kinds of conversations we need to be having because it costs us dearly, but no, by all means let’s have another fight on whether we can keep the government running at all in the first place.