Originally posted elsewhere, December 8, 2014
I’m disabled. I’m a woman. I’m poor. I’m pansexual. I’m sure, if I thought about it, I could come up with several other things that put me on the disadvantaged side.
But there isn’t a single one of them that excuses me actively oppressing other people, who are underprivileged in different ways. Not one.
In other words, I don’t get to act like a racist, and then claim that it’s somehow okay, because of the disadvantages I face as a poor person. I don’t get to be a douchebag, and use my own suffering as a justification.
It isn’t that I don’t care about the ways in which you’ve been oppressed. It’s that I care about the ways that all people are oppressed. And I won’t give you a pass on being classist, just because you’re disabled, or black, or gay. Or vice any of those versas (and yes, I just made that phrasing up, and I don’t care if it’s linguistically accurate).
So, no matter who you are, how much I like you, or how much shit you’ve been put through by some busted aspect(s) of the system that currently exists, I will call you out, if I see you being a jerk about this stuff.
Most recently, I found this via a thread about medical care. A woman was ranting about ER doctors prescribing a drug that was no longer available in the US, for intestinal parasites.
Some folks wanted to laugh at the condition. Sure, it sounds gross, and is easily mock-able. That seemed kind of crass, but still didn’t really upset me, much.
Then came the space cadets who think that it’s oh-so-easy, in the US, to simply be insured, or get decent medical care, regardless of circumstance. They jumped all over the OP for going to the emergency room for care, for something they deemed a minor irritant. And those people? Yeah. They can fuck right off.
First, intestinal parasites aren’t really a minor thing. Symptoms can include abdominal pain, fever, dysentery, weight loss, malnutrition, intestinal bleeding, anemia, cysts in muscle tissue or the liver, swelling of the eyes, cardiovascular distress, dementia, and even death, especially if left untreated. And you can easily contract some types by swimming in contaminated water, or simply being around groups of small children. So, they absolutely require treatment.
Second, a ton of the suggestions had to do with going to an urgent care, getting a GP, or using health department services. Well, all of those sound like wonderful options. In many cases, though, they aren’t. I’m just going to speak from personal experience, here, from the last year and the rural area in which I live.
Go to an urgent care:
There are two urgent care facilities, here. If you don’t have insurance, and can’t pay up front, neither one will see you. The rates range from $140-$180, just for an office visit. That’s half a week’s pay, for many people, and only the more expensive office is open on Sundays, or after 7 p.m. And it doesn’t count tests, procedures, or medication.
$180 is more than many poor people spend on groceries for a family of four in an entire month. It can be, and often is, the choice between going to a doctor, and feeding your family.
If you work a minimum wage job, you probably don’t have affordable insurance, and you’re not likely to be allowed time off for a doctor visit unless your health is somehow having an impact on the company’s bottom line. Even then, many restaurants give no fucks, and will demand that sick people come to work, even if they’re wildly contagious. So, if you work until close, making minimum wage, the only remaining option is the ER. This is an “at-will” employment state. That means any employer can fire any employee for no reason at all, anytime they like. Miss work due to illness, and there are people waiting in line for your job. Bosses make certain that you know it.
Find a GP
I am disabled, so I have Medicare. I’ve been living here for a year and a half. I can’t find a doctor who a)isn’t a total hack, and b)is willing to accept me as a patient.
The one office that I sort-of trusted made me fill out an application, much like I was applying for credit, or a job, because I didn’t have private insurance. They denied me.
I am literally unable to get a decent GP, where I live, and many other poor, rural areas are much the same. And one of the urgent care facilities has told me that they won’t treat me again, until I get one. Of course, it’s the one with the longer hours and better practitioners.
Go to the Health Department
The health department, here, offers family planning services. It offers WIC. It will not act as a primary care physician for adults.
So, let’s say I get sick. A sinus infection. Let’s say that, because I don’t have an easily accessible option for healthcare, I treat it with OTC meds, and hope for the best, but it gets worse, and finds its way into my lungs. I have bronchitis, or pneumonia. I’m having trouble breathing.
What options do I have?
There’s only one, unless I want to travel for over an hour: the emergency room.
And that shit is no cakewalk, either. I don’t know if you think that poor people get some sort of red carpet treatment, when they hang their heads and walk into an emergency room for non-emergent care, or what, but that isn’t how it goes. Usually, you get people being just as rude, discriminatory, and insulting as the assholes on that thread. You get ignored, shamed, belittled, pushed around, and outright bullied. You often get misdiagnosed, because no one takes your complaints seriously.
Don’t even get me started on the other shitty things about living at or below the poverty line. If you haven’t lived this hand-to-mouth, paycheck-to-paycheck existence in this economical and political climate? You have NO IDEA, and need to STFU and listen to the people who have and do.
And another thing? Fuck you, if you say, Well, you can obviously afford internet, so you can’t be in such bad shape, really.
Get a fucking grip. My internet access costs around $50 a month.
I just did a search for an insurance quote, assuming I worked full time at minimum wage, with a gross (pre-tax) income of $1218. Private insurance would cost me anywhere from $290.00 to $486.00 a month, and the lowest deductible on any of those plans, for in-network care, is three thousand dollars. That would be nearly three months income. If I disconnected my internet right now, and someone else paid my premiums, I still wouldn’t have enough money to pay forjust the deductibles.
And fuck you, too, if you want to talk about how I got here. You know what? It would take me a month of non-stop writing to explain all the ways that happened, and the proportion of the responsibility for that journey that doesn’t fall on my shoulders would blow your tiny, boxy minds. So, instead, I will just tell you that I’m physically unable to work, according to several neurologists, and the federal government. No one would hire me. I’m an insurance liability. And you know what else? I shouldn’t have to even justify myself like that to you, or anyone else. Not in a country where about a fifth of the inhabitants live at or below the poverty line. If you can’t see that the problem is NOT with the people, you’re as dense as a dudebro’s neckbeard.
The point is, you don’t know what it’s like to be poor in this country, in this time, unless you are or have been. And what seems easy, from the outside, isn’t so easy from down here in the depths of it.
And it doesn’t matter one bit, in this context, what other oppression you’ve experienced, if you’re going to be a douchebag about poverty. If you do it, I’m calling you on it. Just like I’d call you on misogyny, homophobia, racism, transphobia, or any other discriminatory behavior.
Do some research. Talk to people who actually live it. LISTEN to what they have to say, instead of discounting everything as an excuse. Excuses and reasons aren’t the same thing, and you asshats need to learn the difference.
You want to get angry about something? Get angry at the way the deck gets stacked against so many people. Get angry about the way healthcare in this country is one of its most profitable industries, instead of a public service, like it is in most other first-world nations… and even many which aren’t.
Poor people aren’t the enemy. Stop acting like they are, or fuck off.