Medicaid – Sage Telling Your Story

If you get confused just listen to the
music play

Some come to laugh their past away

Some come to make it just one more day

Whichever way your pleasure tends

If you plant ice you’re gonna harvest wind

A
few lines from Franklin’s Tower. Grateful Dead (Garcia/Hunter/ Kreutzman)

Let me just
repeat that last line for emphasis: “If
you plant ice you’re going to harvest wind”. More on that further on.

Writing about “anxious
moments” in June of 2017 now 7 months into Donald Trump’s presidency presents
itself as a herculean task. I mean where to start? For me perhaps it is best to
start with a bit of self-examination of what may be causing my anxiety.

If my privilege allows me
to simply weather out the storm of the next four years with little or no
personal damage, and sadly that seems it might be the case, I must say that it
is very tempting to just put my head down and go about my daily routines. That would be much less anxiety provoking I
think.

I have Medicare and not
Medicaid. Paul Ryan and his bunch would
certainly like to get rid of both but Medicare seems a reach to far politically
even for that crowd. Medicaid on the other hand serves a much more vulnerable
and powerless group of Americans. The strong and largely elderly voting block
represented by Medicare recipients is somewhat of a bulwark against Republican
intrusions – Medicaid not so much.

I also get a small Social
Security payment and a pension from the City and County of Denver. Both of
these are fairly solvent entities that I expect to last for my remaining years.
That is perhaps delusion on my part but rather than get “anxious” about it I
prefer to just blithely skip along. I acknowledge this view may really be from looking
out on the world from my relatively privileged window. There is of course any
number of ways the whole really fragile edifice could come crashing down on all
of our heads. So I am choosing to resist
on many fronts anxiety provoking or not.
Let me relate a very small, and perhaps even a silly way, I am
resisting.

Significant marijuana tax
revenues going to Colorado coffers are adding to the overall financial health of
the State and our City in very major ways, indirectly helping keep my City
pension solvent, a tax tide sort of floats all boats. I am choosing to do my
part by exploring marijuana edibles in earnest purchasing recreational rather
than medicinal and paying the larger tax.
I could of course legitimately play the HIV card and get a medical
marijuana license but for now I can afford the higher tax on the recreational
herb. Taxes really are the cost of living in a civilized society and it would
only add to that civility I would think if a significant portion of us gets
stoned on occasion.

So what else, other than
getting high, am I trying to do to counter the toxic miasma of the Trump
presidency enveloping us all? Well I am trying not to ‘plant ice’ and by that I
mean I am acknowledging that nobody is wrong 100% of the time (thank you, Ken
Wilber). Well that may not apply to Trump but I am willing to give nearly
everyone else on the planet a pass.

Without getting too deep
in the weeds and stretching the metaphor to death you can simply think of the
phrase “if you plant ice you’re gonna
harvest wind” as another way of saying don’t be an asshole. That behavior often
causes anxiety for others and yourself eventually, adding however small to the
anxiety burden of the planet.

A recent personal example
of my regrettably ‘planting ice’ was when I encountered Human Rights Campaign
(HRC) solicitors out in front of the Trader Joe’s near my house. It was a warm
day and I suppose I was cranky from the heat but I decided to give these young
20-somethings a bit of crap around HRC’s early endorsement of Republican Mark Kirk
over Tammy Duckworth in the Illinois U.S. Senate race last fall. HRC switched to Duckworth a few weeks before
the election supposedly due to nasty things Kirk had to say in a debate about
Ms. Duckworth and her family but the damage had been done in my mind.

Initially I felt mildly
righteous for sticking up for my longstanding belief that the at times too
conservative HRC was not my Radical Fairie cup of tea. By the time I got home a
couple blocks away I started to feel somewhat anxious about the interaction
though albeit it was pretty tame, no stone throwing or cursing had occurred. I
began to worry, a great hallmark of anxiety, that maybe I had not made myself
queerly obvious and they thought I was some old homophobic jerk. So I put my
groceries away and walked back down the street. After assuring the two I was
not stalking them I explained further my issues with HRC and threw in a few
other things to firmly establish my gay cred. They listened politely, nodding a
lot and I am sure hoping this crazy old queen would soon move on. I ended by
saying that I appreciated and admired their being willing to be openly and
politically queer on a public street. Not something I would have done in my
early twenties. This proved to be one
more instance in my life where I realized if I were going to plant ice I would
soon be harvesting wind.

© 11 Jun 2017

About
the Author

I was born in La Porte Indiana in 1949, raised
on a farm and schooled by Holy Cross nuns. The bulk of my adult life, some 40
plus years, was spent in Denver, Colorado as a nurse, gardener and gay/AIDS
activist. I have currently returned to
Denver after an extended sabbatical in San Francisco, California.

It was in the summer of
1973 and I was living on Elati Street in Denver in a railroad duplex we were
renting from a landlord who I seem to recall lived in Texas. There was at any
one time 3-6 folks inhabiting the place. We had all recently relocated from
Champaign, Illinois. The men all had homosexual tendencies, which for the most
part were still in a state of unactualized potential and a couple of, I
believe, straight women who were fluidly moving in and out of residence.

One of these women named
Sue had recently checked out the hospital a few blocks to the east named at
that time Denver General, now called Denver Health. She came home telling the
mostly under-employed men in the household that the hospital was hiring several
different positions and maybe we should check it out. I was at the time working
down in Englewood at Craig Rehab hospital in their kitchen and having some
minimal patient contact. Having no car it was a bus ride back and forth down
Broadway and I was anxious for a more challenging change closer to home.

In August of that summer
of 1973 I was hired as a hospital attendant at Denver General on the inpatient
psychiatric ward, 4-West. The attendant staff was all male and all my
co-workers conscientious objectors. I had avoided the draft by having a high
lottery number and the good sense to not volunteer and end up possibly coming
back to the States in a body bag from Vietnam.

The attendant staff was
all male I suspect to provide muscle for the all female nurses so I am not sure
why I got the job being all of 145-pounds soaking wet in those days. This turned
out to be my “once in a lifetime” decision that has given my professional life
direction for the past 42-years. I am assuming that something that is once in a
lifetime should have more impact that one’s usual run of the mill life happenings
and this decision to wade into nursing was it for me. The duties of the
attendants did include elements of what I call real nursing i.e. hands on
interaction with clients. No advanced degree was necessary with the ability to
communicate with people in distress being the main requisite of the job.

Back in the early 1970’s
the mentally ill, especially the homeless mentally ill, had a much better
chance of hospitalization rather than today’s all too frequent option of
incarceration. And so began my several decades of interacting with Denver’s
most disenfranchised. I did detour for 10-years to what was then called
Colorado General but in those days they actually served the indigent uninsured
as part of their mission. That hospital
has also changed its named, moved to Aurora and now has TV ads featuring Peyton
Manning. I find the tone and pitch of these commercials to be very off-putting
but I will not explore that further at this time.

This personal lifetime of
nursing is particularly poignant for me today since back on the 28th
of November 2015 was my last day of work as a nurse at Denver Health. It was a long
very busy 13-hour day in Urgent Care attending to many of the same type of
folks and their issues as I was back in 1973.

I’ll close this piece
with a couple things. First, is that Colorado has the chance to vote on single payer
health care in November 2016. We as a state currently have a very high rate of medically
insured thanks in large part to accepting federal Medicaid support through the
Affordable Care Act. Single payer would though be a great improvement in spite
of this current commendable high-insured rate.

Secondly, I want to share
a series of encounters I had with a homeless fellow I ran across on my walks
into work my last two days on the job. The first occurred at 0600 on Friday the
27th. It was a cold snowy morning and this fellow was under a
blanket on the Cherry Creek Bridge on Broadway just south of Speer Blvd. This is
often a favorite spot for the homeless folks and he seemed bundled up and out
of the wind so I proceeded to work thinking though I might see him later in
Urgent Care.

At the end of my shift
about 7:15 pm I walked home the same way and was surprised he was still in the same
spot but now sitting up and still covered in his blanket. My assumption,
perhaps wrong, was that he had spent the day out in the sub-freezing elements.
I kept walking but after crossing Broadway I turned around thinking this is
really not OK even for a seasoned homeless person. I cautiously engaged him and he popped his
head out of the blanket. He said he was OK that the blanket was warm. The next
words out his mouth were to ask if I had a smoke. Despite the obvious health
issues related to smoking to lecture him on this under the current
circumstances seemed ludicrous. Instead I gave him the four bucks I had and
encouraged him to walk the one block down to Denver Health where he could spend
the night in the Emergency Department waiting room at least.

The next morning walking
into work again I was stunned he was in the same spot. Still under his blanket,
a thick coat and pretty good hat and rhythmic breathing quite noticeable. He
was not lying directly on the pavement but still this could not have been
comfortable. I have over the years encountered numerous homeless who prefer
even sub-zero weather to the shelters for a variety of reasons. I decided I
would walk home later the same way and if still there I would give him the $20
bucks I had. He was however not there in the evening and I wondered if he had
walked down to the hospital or to a shelter or much more likely just moved on.

He had selected a spot
out of the wind, temperatures in the high teens with lots of traffic and
pedestrians within a few feet and he was reasonably dressed so I never thought
the situation life threatening but if not careful frost bite could have been an
issue for his toes at least. The greatest clothing need for homeless shelters
is socks. I should have brought him a couple pairs from work. Since I walk
central Denver a lot I plan to always venture out especially in wintertime with
an extra pair in my bag.

About
the Author

I was born in La Porte Indiana in 1949, raised on a farm and schooled
by Holy Cross nuns. The bulk of my adult life, some 40 plus years, was spent in
Denver, Colorado as a nurse, gardener and gay/AIDS activist. I have currently returned to Denver after an
extended sabbatical in San Francisco, California.

Tag: Medicaid

Once in a Lifetime, by Pat Gourley