Tag: Healthcare Reform

A Tale of Two Systems

It’s been a while since I have written a post — though I have been spending a great deal of time on my book — but have been repeatedly urged by family to finish telling the story I began in “Rise of the Leftnots” back in January regarding my experience in the very contrasting health systems of the US and UK. Not feeling I could really do it justice until the process was almost complete, I write today from a lovely hotel 5* in London having had a similarly 5* healthcare experience vis a vis the surgery I had here yesterday, but thanks to the insurance-dominated healthcare system in the US could not have had there for at least two more months, if at all. That is an important distinction to bear in mind and one I wish would reach the level of public discourse: the problem is not the healthcare system in America, but the health insurance system, industry and its powerful lobby. Unless and until we have an honest dialog about those two systems and their unhealthy relationship and unholy marriage, quality healthcare in our country will never be truly accessible and affordable to all.

Anyway, my story is very much that and I am by no means going to claim that this is typical anymore than I would suggest that everyone can give their American doctor the middle finger, hop on a plane to London and have one of the best orthopedic surgeons in the world operate on them. I am blessed both to know the right people and to be able to afford to do so, though I suspect the actual cost of it — which I am going to share — will surprise you. For those of you used to my writing, do not expect the snarkiness or attempts at humor or poignancy of my usual tone as to me, the importance of this story lies in the facts and details thereof; there is nothing entertaining about the state in which we find the current healthcare system in the US. So, without further ado…

I broke my foot on December 3rd, a notoriously difficult to heal Jones Fracture. The real deal; not what some doctors erroneously call a Jones Fracture that really isn’t the true, bitch of a break that this is. The first doctor I saw at the ironically named walk-in department of our local and somewhat (allegedly) prestigious bone clinic was closer to honest with me about what that meant than was the over-hyped foot surgeon I would see four times thereafter. The initial doctor had told me I would be in a non weight-bearing cast for 8 weeks followed by probably 4 more in a boot and that these breaks are amongst the most difficult to heal in the body with an overall non-union rate near 28%, this group eventually requiring a surgical solution. That doctor was semi-retired and worked at the walk-in to keep himself engaged, but I much preferred his style. He was old-school, blunt and seemed to not have been trained in, or impeded by the insurance speak which has so rabidly infected the rest of our system. Frustrated with the news, but thankful for the blunt talk, I got the cast and corresponding instructions and upon leaving, a follow-up appointment for 2 weeks later with “our best” (certainly their words and by no means mine) foot surgeon.

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