Seanan McGuire (seanan_mcguire) wrote,
Seanan McGuire
seanan_mcguire

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Taking care of ourselves isn't always easy.

Things people have said to me recently:

"You look tired."
"You should take some time, you know. Some time to rest."
"You should sleep more."
"You have to take care of yourself."

At the end of the day, I do look tired. Why shouldn't I look tired? I am, after all, working two essentially full-time jobs: I get up at 5am every day to travel from my suburban home into San Francisco, where I put in an eight-hour day before repeating the commute in reverse, and spending the evening writing, editing, and trying to stay on top of my frankly horrifying inbox. When all my must-do items are checked off the list, I collapse on the couch with my cats, and watch mindless television to power down my brain. And then the next day, I do it all over again. On the weekends, I either write like my shoes are on fire, or go to conventions, where I have a lovely time, as long as I don't think too hard about how much catching up I'm going to have to do later.

Why do I do this? Why am I working two jobs, with a massive commute in the middle? It's not because I particularly need the money. I know how to make a pound of hamburger last for a week; it's not pretty, but I can do it. I may like to buy books and toys when the cash is coming in, but I do pretty well with amusing myself on what I have then the cash isn't there. So what's the big deal here?

The big deal is medical insurance. The big deal is what can happen to you when you don't have it. The big deal is that not everyone has friends who can put together an anthology of massively awesome authors to save them from bankruptcy* when they get sick, as people have a natural tendency to do.

Melissa Mia Hall didn't have the same option. She died last week of a treatable medical condition, because she couldn't afford to go to the doctor. She died alone in the night, of something modern medical technology could easily have fixed. And yes, they would have treated her if she'd gone to the emergency room, but she didn't go, because she knew—as the uninsured always learn, as I learned, when I didn't have insurance—that it would be expensive, and she couldn't afford to risk losing everything.

My mother doesn't have medical insurance. Neither does my youngest sister. I work two jobs because I need to have medical insurance, and because I live in honest fear of the day Rachel calls to tell me that Mom was having pain and didn't say anything, because she knew it would be expensive. And if that sounds overly dramatic, well. Take a look at either of the examples listed above. One woman who sought medical care and would have lost everything without her friends stepping in; one woman who chose to die rather than gamble with the loss of everything she'd worked for.

And that's why I look tired, and why I wish people would stop telling me how tired I look. I know how tired I look. I just don't see where I have any other choice.

(*If you missed this: Ravens in the Library was an anthology project organized to pay the medical bills of SJ "Sooj" Tucker when she got hit out of the blue by an illness that required serious hospital care. You can see my original post on the matter here. Without that book, Sooj would have been in a lot of financial trouble. I think that book saved her life as lived, even as the hospital saved her life as living.)
Tags: family, medical fu, utterly exhausted
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  • 180 comments
Speaking as someone who grew up in Australia and who now lives in the UK, the idea of a first world nation *not* having some species of universal health care is insane to me. And the more I read about American poverty, the more I wonder: how much of it can be blamed on a lack of accessible medicare? How many people get into insurmountable debt because they got sick, couldn't afford to see a doctor, and therefore missed too much work and lost money, or were fired for too many absences? How many children are raised in needless poverty because that's what happened to their parents? How many of them never leave it because it eventually happens to them, too? My parents have been nagging me for the past few years to get private health insurance, and possibly this might be the year that happens, but even without it, as an adult I've always been able to go to a bulk-billing doctor's surgery and know that more than half of what the visit costs will be paid for by the state, or that I'll get a rebate on a dental check-up. Having lived in the UK for a month, my husband was able to go to a doctor yesterday and get a prescription for his ventalin. Anyway, I'm rambling, but the thought of living in a country where any of the times I was properly injured or sick - when I hurt my neck so badly I couldn't walk for four days, when I wrenched my back, the times I've fainted at work, all my sprained ankles and heart palpitations - and couldn't go to a doctor because I couldn't afford it, or because I was unemployed or no longer living at home ... that terrifies me.
the idea of a first world nation *not* having some species of universal health care is insane to me

Yes, this. I might be resentful some days when I see that 40+% of my income go to the state in taxes and various insurances, but on the other hand I really love the fact that I can always go see a doctor when I need to, and will be able to keep doing so even if I loose my job, or want to go free-lance, or ... .
Spent most of my life in Australia, now in the UK. Since I'm a full-time, fee paying student, I'm on the NHS. It breaks my heart to think the US doesn't have this. If I get sick, or hurt, the first thought is not "Can I pay for this?"
And it SHOULDN'T be.
My taxes were over 40% in the US.

If one adds to that my health insurance (as one logically would) my "taxes" were nigh on 650%.

Reading this, reading the comments, breaks my heart all over again. The US is a place of such potential for good...
Pity it can't pull its head out of its ass.