I was thinking about the migraine that’s been sitting behind my left eye all day. It made me remember last year when I had a migraine that lasted 31 days (yes DAYS not hours).
That made me think about Healthcare.
You see, I’d never really thought about healthcare until I needed to get help for my migraines. Real help! The kind where you know that you can’t keep going if you don’t get some assistance. Nothing I was trying was working and I needed a specialist. Plus I was concerned that if I didn’t get better I would lose my job.
I did get better – then I got laid off. It could have been worse.
But while I was suffering through the maze of healthcare and HR I realized that it was the most inefficient system I had ever seen in my life. My friends and former co-workers know that I don’t do well with convoluted systems – and from what I can tell my experiences were mild compared to most – but the system is broken. But fixing it… that is all about change and as much as we may rail about the system, it is our system, we are used to it, and on some level it works.
I don’t think the Healthcare debate is really about Healthcare. I think it is about change – and it is rare for people to embrace change. We may also have used up our ability to handle change after voting in President Obama. That was change on a grand scale – and it took unprecedented visionary leadership – and guts. Guts for all of us to believe that change was possible.
We are the only industrialized nation without universal healthcare. You can read all the stats on who’s covered, who isn’t, all the horror stories of healthcare gone wrong, all the stories of waste and malfeasance. But none of those are going to make you change your mind… because for a lot of us, what we have works for us and we are afraid that by moving to a different system we will have less.
Fear is what keeps us here. Fear of change.
Isn’t the first thing you do when your company changes healthcare providers is check to see if your doctors are on the list? Or when you change jobs? Who wants to change? To walk into the unknown? Even though change is usually… what?
When something changes… how often is the change bad, good, or just more of the same? And the corollary – where do we have to be before we actively pursue change?
I like that… where do we have to be before we actively pursue change?
If it is our health – is it the X year class reunion, when your doctor says you are going to die of a heart attack in 2 years if you don’t, a major milestone of a birthday, or something else. What tips you into changing your behaviors?
If it is the Presidency – did we really have to go into freefall before the country woke up and said “No More!”
If it is your Healthcare – how bad would it have to get or how good would the option have to be to get you to change? And are you looking at this from a personal standpoint or from what is right for the Nation as a whole?
I could quote you more statistics here but as Benjamin Disraeli said, “There are lies, damn lies, and statistics.” Although 1+1=2 in stats numbers are a lot like words, and words can say whatever you want them too.
The question is what do you want? If we could find the top three things that defined a vision of Healthcare that spoke to everyone – could we then change? Right now we are bandaging the scrape on the knee when the leg is broken. This is a fix. What we need is a reimagining of the whole system. Something that I’m not sure we are capable of.
Our Founding Fathers did a great job making sure that any changes of a momentous nature to our country were slow. The system, with all its checks and balances and division of powers, is meant to make sure that all aspects of a problem are weighed. I don’t think they ever imagined how huge and convoluted our government would become. All systems do this – they build complexity until they drown in it.
No one can wave a magic wand and make this work and without a clear vision we don’t know where we are going – and that scares us.
It took me two months of daily migraines to get a referral to the Neurologist that finally helped me. Would I have gotten in to see him sooner if the system changed or would I have been left waiting for months? Migraines are rarely life threatening so I’m not so sure where I would be on the importance scale.
The thing is – I’m ready to face the change, even if it causes inconvenience for me in the short term because I believe it is where we have to go. We need everyone to have access to Healthcare – everyone to have access to preventive care – well baby checkup – screenings for breast cancer/colon cancer/diabetes/heart disease – whatever you are at risk for. Then we can catch things early – save money on late stage care – and start providing preventive rather than reactionary care. Wouldn’t it be nice if the Healthcare system was about keeping you healthy rather than just fixing you when you’re broken?
So yes, I want change. It won’t be easy, it won’t be pain free. Hell, we may go backwards before we go forwards – but where we are will just collapse in on itself costing us more and providing us less.