"CULTURE CRISIS" vs. "HEALTH CARE CRISIS"
Late, on the evening of September 20, 2010, I confirmed a Facebook® FRIEND Request from Matthew A. Elliott, a random acquaintance made via cyberspace connections to current Facebook® FRIENDS: Brandon Broehl-Phifer, and candidate for San Francisco District 8 City Supervisor, Raphael Mandelman. Out of plain & simple curiosity, I chose to indulge in exploring this new FRIEND'S Facebook® PROFILE, where I was shocked to find the following WALL Post, originating from one Richard Meckstroth, but re-posted recently to his own WALL by Mr. Elliott, himself:
Pictured is a young physician by the name of Dr. Roger Starner Jones. His short two-paragraph letter to the White House accurately puts the blame on a "Culture Crisis" instead of a "Health Care Crisis"...
It's worth a quick read:
Dear Mr. President:
During my shift in the Emergency Room last night, I had the pleasure of evaluating a patient whose smile revealed an expensive shiny gold tooth, whose body was adorned with a wide assortment of elaborate and costly tattoos, who wore a very expensive brand of tennis shoes and who chatted on a new cellular telephone equipped with a popular R&B ringtone.
While glancing over her patient chart, I happened to notice that her payer status was listed as "Medicaid"! During my examination of her, the patient informed me that she smokes more than one pack of cigarettes every day, eats only at fast-food take-outs, and somehow still has money to buy pretzels and beer. And, you and our Congress expect me to pay for this woman's health care? I contend that our nation's "health care crisis" is not the result of a shortage of quality hospitals, doctors or nurses. Rather, it is the result of a "crisis of culture" a culture in which it is perfectly acceptable to spend money on luxuries and vices while refusing to take care of one's self or, heaven forbid, purchase health insurance. It is a culture based in the irresponsible credo that "I can do whatever I want to because someone else will always take care of me". Once you fix this "culture crisis" that rewards irresponsibility and dependency, you'll be amazed at how quickly our nation's health care difficulties will disappear.
Respectfully,
ROGER STARNER JONES, MD
If you agree... Pass it on!
FACEBOOK WALL POST
By: Richard Meckstroth
The COMMENT(S) I shared on Mr. Elliott's Facebook® WALL were an abbreviated version of what I am now publishing to my own social media space on the Web. I'm altogether willing & ready to acknowledge that I had intended for this entire article to be shared with Mr. Elliot and his FRIENDS; although, I did do my best to condense my COMMENT(S) in a way that preserved the overall "positively progressive" tone of my extemporaneous opinion essay. Here's what I wrote at length, without any omissions:
Does he have a point, really?
Let me counter the argument extemporaneously,...
I've suffered from a disabling HIV/AIDS diagnosis since leaving The College of William & Mary (Williamsburg, VA) two months before graduation, in 2002. Conceivably (depending on your point of view and/or level of intimate experience living a closeted college life on the campus of an elite, albeit very conservative, small public "Southern Ivy" university), I was all but forced to leave.
Traipsing cross country in search of the solace of acceptance & understanding from like-minded, health-conscious homos, I chose to make San Francisco my home. Only upon arriving, without a penny in my pocket and desperately in need of support, did I sign on as a client with Bay Area Young Positives, Inc. (BAY Positives) & Larkin Street Youth Services (LSYS).
Both agencies offered much needed assistance, but what they offered that proved most invaluable to me was the means and wherewithal (i.e., advocacy, linkages & coordination of services) with which to apply and be accepted immediately for Supplemental Security Income & Medicaid.
I freely and shamelessly admit that, back then, I was little aware and in no position to be convinced of what good fortune I had run into; what, with access to universal health care and all. In spite of the care, guidance & supportive services I was receiving on a daily basis, I let my once promising life degrade into a dangerously absurd cacophony of unmitigated drug dependency/abuse and unmonitored, unmedicated manic depression & HIV/AIDS disease.
It was only after having recovered from a six month messianic schizoid-delusional borderline personality psychosis and AIDS-related PCP pneumonia that I was coaxed into pursuing employment by the gentleman who was then Prevention Outreach Coordinator and is now Executive Director of BAY Positives: my very dear friend/provider/colleague, Curtis Moore, MPH. In January 2006, with a great turn of luck, I was hired on by FOLSOM STREET EVENTS® (FSE) as their Administrative Coordinator.
During a single year of employment in the charitable nonprofit events planning & fundraising sector, I was able/invited to catch a quick but fleeting glimpse of true independence. Since arriving to San Francisco, my time with FSE was the only time ever in the last nine years that I’ve been able to afford simple mundane luxuries, such as the immense pleasure of going on spontaneous shopping sprees to buy new clothes or amenities & accouterments for my TenderNob/CathedraLoin studio apartment.
In early 2007, after my employment with FSE came to an abrupt and untimely end, my life immediately reverted into a state of perpetual degradation. I freely (although, this time quite shamefully) admit that, at that point, I was still very much unable to accept or acknowledge the very fortunate position in which I had been.
Consequently, I once again allowed myself to turn down the dismally dark, dreary & dangerous path of the "party scene." Of the nearly $30,000USD worth of Unemployment Insurance Benefits I received from the California Employment Development Department (EDD) throughout 2007, I spent a total of $22,758.00USD solely on illicit substances & paraphernalia. Again, unmitigated drug dependency/abuse & unmonitored, unmedicated HIV/AIDS disease lead to what turned out to be my most cataclysmic & death-defying demise.
On October 7, 2007, I was discovered alone, lying unconscious & half-dead in my own bed, drenched in my own blood, vomit & defecation. My face was blackened with necrosis; nearly all my teeth had fallen out. For a second time already in my short, young life, I suffered from an AIDS-related PCP Pneumonia; although, this particular instance of the disease was drastically & dangerously compounded by an unrelenting, out-of-control necrotizing poly-microbial bacterial infection of the face.
Sirens blaring; the SFFD rushed me to the hospital, where I stayed in forced comatose sedation for eight (8) weeks. During that time, only San Francisco's best diagnosticians, doctors & surgeons fought to subdue, control & obliterate the pneumonia. At that, they were successful; however, they sadly sorely failed at doing the same with the bacterial infection that had devastated & destroyed my face. In order to save my sorry specimen of a warped & wasted life, they were forced to amputate my entire upper jaw, mouth and nearly two thirds of my nose.
The only good fortune I can boast of having during this tragic period in my sorry life is that, thankfully, the many millions of dollars that I have incurred in medical costs since late 2007 – when I literally lost all face to the devastation of illness & injury – have been fully covered by the federal & state public health insurance systems (i.e., Medicare & Medicaid).
I have had 11 surgical reconstructions since doctors first debrided the necrotic skin & bone of my face, in late 2007; I still have what will end up most likely being more than 12 facial reconstructions left on the books. As you might assume (what with the direction this article/essay has taken up 'til now!), I expect all of these costs to be covered by a public health care & insurance system.
Don't imagine for a single instance, however, that I haven't been intensely jarred, jawed and jogged into sublime, unadulterated consciousness (maybe, okay probably, for the first time ever in my young, short life) by the terribly unconscionable tragedies that have befallen me, recently. In fact, my life is on an upstart path toward resoundingly resolute redemption!
Despite the ubiquity of my bitterly unbecoming and brutish ugliness, I am on a path towards elaborate beautification and self-betterment. Since clearing the myriad mile-high hurdles of disease, depression, drug dependency and disfigurement, I have discovered a more righteous path toward self-acceptance, sobriety, sanctity and salvation.
In turn, I’ve finally allowed the potency of my profoundly pertinent story of and perspective on survival to turn me no longer in the direction of dependency (i.e., neither on State, on System, nor on DRUGS!!), but along a more promising path of fulfillment through autonomy & altruism (i.e., enough independence to be of worthwhile service to others).
Rest assured!! No matter what direction my writing has taken presently, I am as resolutely committed to living sane, safe and sober, as I am devoutly determined to do so without being reliant upon the System for sustenance & support.
Yet, as for this moment of my life in particular, I am desperately in need of immediate, enduring supportive services & care from a government which practices, as it preaches, in policies protecting our universal rights to progress & peace...
No matter what those other sad, sorry specimens of mankind choose to do with their lives in any given instance, I resolutely & astutely believe that we’ve also a universal right to be hoped for & hoped upon, as well as to have the realization of our purely plebeian potential for salvation through redemption shamelessly, solemnly sanctified, supported & assured by a government founded on what I call “fore-fathered philosophies of happily helped & unhampered human fulfillment.”
Without Medicare & Medicaid, I would have been nothing but left for dead. Now, if anything, I can boast of having not only a marred & mangled, most misfortunate, Tina-torn & AIDS-quilted tapestry of scars, skin-grafts, and flaps of flesh festooning my funny, freakish face, but also a very potent & powerful determination to survive beyond all odds, to beat the odds, and become one hell of a stand-up, admirable, fabulously fagged-out & fortunate Fog City fellow, who’s done something smart with his story of sheer, shamefully scary stupidity & selfishness.
Who knows!? Maybe in writing this comment here on the “WALL” of some random new Facebook® FRIEND of mine, I have effectively furthered my first few footsteps of foray down the path of right direction (although, albeit skewed way to the far left of some people’s fancy!!).
Maybe in writing this comment, I have effectively initiated my endeavor to affect truly positive change in the world; otherwise, I don’t imagine that the giant PLUS SIGN (+) plastered on every last page of my medical record would prove to amount to much of any sort of inspiration for my own (or anyone else, for that matter!) piety, pedantry, and purely pulchritudinous progress in the World. Let’s hope the best for us!! For, if not, nothing’s left but the worst of us…
Most respectfully, and…
Sincerely submitted,
Matt(e)o | QHereKidSF
Matthew D. Blanchard
San Francisco, CA USA
[20100921T011437PST]
http://bit.ly/qherekidsf
http://twitter.com/QHereKidSF
http://facebook.com/mblanchard79
What do you think, after reading this?? Whose side do you favor; that of the conservative interpretation of "CULTURE CRISIS" (How very "TEAPARTY," n'est-ce pas?) or that of the progressive's point of view: the ulterior acceptance and mainstream, status quo point of view of "HEALTH CARE CRISIS"?
What I can say in defense of the conservative interpretation is that "CHANGE" in my life has been slow in coming; but when it did finally come, it came in heaps & heaps, loads & loads, bounds & bounds, and tons & tons of tough-knuckled know-how, not begot happiness, self-betterment, beatitude & beautification!
I'm not sure if "CHANGE" is meant to come at the same pace for everyone on this Earth; however, as for myself, I am oh-so-glad that change has arrived and is in the works for me. Still, I mean/t every word I have herein writ. So, in closing, I will gladly reiterate: "Let's hope the best for us!! For, if not, nothing's left but the worst of us..."
MATTHEW D. BLANCHARD
