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Opinion The Last Word

Doctors and Dollars

This past Wednesday, I experienced a parenting milestone that I’ve been dreading ever since I became pregnant: my child’s first emergency room visit.

All things considered, it could have been a lot worse. My son came out of the hospital the same night he went in (well, technically the next morning, at 1 a.m.). He didn’t have to be admitted, his life wasn’t at risk, there were no broken bones. Every single staff member we encountered at Le Bonheur Children’s Hospital treated us with compassion and care. But I’m still left shaken at the thought that he is old enough now to most likely remember the whole thing. After all, some of my earliest memories are from the emergency room.

My first tryst with the emergency room occurred after I tripped over a crack in the sidewalk outside of Snowden Elementary and went face-first down some concrete stairs. Every childhood picture from the immediate years after that little tumble caused my older brother to remark, “You look like a hockey player.” He’s not wrong.

But the trip to the hospital that keeps coming to mind since last Wednesday night happened later that same year. Like my son, I was four years old. Also like him, I went because of an ear infection that had morphed into a more serious issue. The similarities end there. My son’s ear infection was coupled with a virus. Mine caused my eardrum to rupture. “Explode” is the word the doctors used, and that always stuck with me, probably because of the dramatic flair.

What I remember from that night is that my dad didn’t take me to the hospital right away. Four-year-old me begged to go as we walked together through the house, my dad holding me and humming, desperate to alleviate my pain, but hesitant to make the 30-minute drive to the emergency room in the middle of the night. It was about 4 a.m. when he finally called my grandmother to accompany us. He was new to the area and needed directions (this was before the internet, MapQuest, or GPS).

Growing up, I never truly understood my dad’s reluctance until I became a parent myself. The sheer logistical nightmare of taking a child even to their own pediatrician is enough to make you want to be certain. I can’t tell you how many times my son and I have gone to his doctor’s office only to find out that he essentially had a cold. It’s hard to know what to do when your kid is too young to articulate what’s wrong.

There’s another reason I can now sympathize with my dad’s plight. Every time I’ve been to the emergency room as an adult, it has been preceded by a drawn-out attempt to avoid the ordeal at all costs. At all costs. Every time, that’s what makes me stall, despite the pain (I’ve been to ER three times for kidney stones. The pain is no joke.). I know friends and family members who have done the same. The cost of an emergency room visit, even with health insurance, has made me delay even when in the worst pain of my life. My child’s trip to Le Bonheur was the first time I didn’t hesitate when faced with going to the hospital.

While I will be forever grateful for the wonderful care my son received from every doctor and nurse involved in his stay, the reality has been brought home to me, for the millionth time since becoming a mother: Good health is a privilege. The stark reality is that money is deeply entwined with my son’s, and every child’s, healthcare.

He needed blood work, a urinalysis, and an IV. I am highly aware that for many parents, these things would be beyond their budgetary capabilities. Heck, if it weren’t for my ex-husband’s great insurance, they all would have been beyond my budgetary capabilities. It is almost impossible to articulate the mixed feelings of deep relief that my son was provided for and the unrelenting guilt that so many children are left by the wayside.

It is almost impossible to articulate the deep confusion and crushing sadness that so many people can write off universal healthcare where children are involved. Even without my own personal experiences weighing medical cost vs. medical need, I have never understood this sort of thinking. I don’t think I ever will.

Coco June is a Memphian, mother, and the Flyer’s theater columnist.

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Letter From The Editor Opinion

The Unavoidable Story

Countries with some form of universal healthcare in orange.

“One of the worst things is you can’t tell if people are smiling.”

“Well, I’m smiling,” I said, from behind my mask. “Hope you have a good day. And thanks.”

“Oh, I will. At least I have a job.”

I’ve got one, too. But my co-workers and I are working from our homes, unlike the checker at Fresh Market, who’s on the front lines, toiling with rubber gloves and a mask behind a plastic shield. But, truth be told, all of us who are still working in this current situation are lucky.

The economy is tanking. At last count, 26 million Americans had filed for unemployment. And for many of those folks, no job means no health-care insurance. Which means they’ve joined the approximately 44 million other Americans who have no health insurance — in the middle of the worst health crisis in memory. A Gallup poll released this week reported that one in seven Americans wouldn’t seek care for coronavirus symptoms due to worries about the possible cost of treatment.

Nationally, COVID-19 crisis “management” is still an unholy, disorganized mess. While steps are being taken in some states to “reopen the economy,” just across a border, another state is still battened down. Germs don’t recognize borders, last I heard. But coherent leadership from the top of the political food-chain is quite obviously not going to happen. Or coherent anything, for that matter.

Most indications are that things won’t truly return to “normal” until a vaccine is discovered, and that’s likely many months away. Most projections I’ve read predict a second surge of the virus. It could happen soon, if we reopen the economy too fast. It could happen this fall, even if we bring down the infection rate this summer. Everyone appears to be shooting in the dark to some extent.

What we do know is that in two months, nearly 60,000 Americans have died. And that’s just the official number. Higher general death rates in some parts of the country suggest that many probable COVID deaths have not been attributed to the disease.

I was chatting with a group of journalists via Zoom this week. There was some talk about covering “other stories” besides the virus, but the fact is there is almost no story you can report on that isn’t impacted by the COVID crisis: politics, education, government, voting rights, food, the arts, sports, social justice, wage and income disparity — you name it.

Unsurprisingly, as Maya Smith reports in this week’s cover story, the disadvantaged among us — the poor, the homeless, the undocumented, certain African-American communities — are disproportionately affected by COVID. It’s an eye-opening story.

And those folks’ lack of access to health care affects everyone, even those fortunate enough to have it. More people walking around with the disease means more people getting infected, which sustains the shutdown and stay-at-home orders. If millions of Americans can’t get — or can’t pay for — medical care, all of us pay the price.

If there’s an upside to all of this, it’s that it’s given us a chance to see what’s truly broken, to understand what needs to be changed to get this country back on track. COVID has exposed major faultlines in our civic and social foundations. We have a long list of problems and disparities that need to be addressed. But at the top of that list is health care.

What the United States calls a health-care system is an insult to the word “system.” It’s bloated, inequitable, inefficient, greed-driven, and unsustainable. The current situation has made that blindingly clear. Vast numbers of Americans are one medical crisis away from bankruptcy. Vast numbers of Americans avoid seeking medical care because they can’t afford it. In so doing, their treatable conditions become emergency room crises, their deaths are often premature and unnecessary, and their communicable illnesses needlessly infect others.

Assuming some sort of electoral purging of the current power structure happens this November — a big assumption, I know — Job One has to be fixing health care. The United States is the only — only! — first-world country that doesn’t provide some sort of universal health care for its citizens. No one goes bankrupt due to a medical bill anywhere else in the civilized world. Nowhere else do people avoid seeing a doctor because they can’t pay for it. Health care is the most essential and basic human right. And if anyone is concerned about the “cost,” remind them of the $5.6 trillion (and counting) the federal government has just thrown at the economy in the past month.

We may be wearing masks for a while longer, but it’s time to take off the blinders.