In the Greater Picture

It was a few weeks ago when I told Ashley Peterson of Mental Health at Home that I’d have this blog post ready soon, and just yesterday that I got it done. It still only says about one-third of what I’ve felt is needed. But that’s a good thing. There will probably be a couple sequels. 

Much as I hesitate to draw from immediate personal experience in order to support any greater social theories of mine, I can’t help but have noticed how the events surrounding my difficulty in getting my thyroid medication point to a larger phenomenon.   In this case, I’m going to forego my usual hesitations, on the basis of reasonable suspicion that my hesitation could be lifelong if I don’t speak up at some point.

Besides, the “larger phenomenon” to which I allude may have a lot more to do with my personal development than with anything universal.  So if I focus on how I personally have been affected by certain perceptions and expectations of the medical industry, I can only speak my truth at this time.  How my personal truth may reflect a greater reality is a matter for one’s searching.  I can’t claim to know – only to search.

The Story

When I received my retirement income, I noticed a very nice package combining two forms of insurance: MediCare and MediCaid. At the time, I was also somewhat disappointed with the treatment from the local low income clinic (where the doctor I had was only a P.A. – a Physician Assistant – not a full-fledged M.D.)  It occurred to me a while later that the low income clinic was geared toward those who may not have any insurance at all, and that maybe now that I was more fully insured, I ought to find a small family practice center, and hopefully a more knowledgeable doctor.

While I believe I did find an extremely knowledgeable, experienced doctor, I have noticed over the past few months that the people at the small family practice center seem more stressed in general.   Waits are much longer, which one might think would be the other way around.   While they still smile and try to comport themselves professionally, one does not get the feeling that they enjoy what they are doing.

Often I waited a very long time, and sometimes the doctor himself seemed hurried when he did see me.  But when it seemed to take a lot longer than it should have been taking for me to receive my levothyroxine, I returned to the low income clinic to see if I could get a quick scrip from the previous doctor.

As I entered the clinic, I was immediately greeted with the warmth of familial recognition.  They shouted out: “Hey Andy!  How’s it going?”  There was something distinctly genuine and caring in their vibration.   They weren’t just smiling because that’s the professional thing to do.

I quickly got a hold of the doctor there, who wrote me a prescription after a single meeting.  Then, ironically, when I went to pick up the prescription, it was blocked because the doctor at the family practice center had finally filled the prescription two days beforehand.   I not only had received no notice from either the pharmacy or the doctor’s office, but how was I supposed to believe that the prescription would even be filled at all, if this had been going on for over two weeks?

While the wait at the low income clinic’s pharmacy would have been less than five seconds, the wait at the Walgreens where I had been getting meds from the family practice center was well over an hour.   Also consonant with this theme is that no one at the family practice center other than my doctor himself ever learned my name, even though I’d been going there for months.   The people at the low income clinic remembered me even though I haven’t been going there at all, and in fact went there as infrequently as possible, when I did go there.

Throwback to Homelessness

What this all flashes me back to is an experience I had when I was homeless, which recently has been on my mind because of developments in the musical — things that Kelsey and I have been trying to illuminate in the weekly podcasts.   The experience was that of having found a nice “wellness center” in a low income district in Oakland CA where almost all the patients were African-American and where I was treated very kindly — with true caring — despite long waits and a generally congested staff.

At the same time, if I showed up in the Emergency Room in the hospital in Berkeley, and it was known or determined that I was a homeless person, I was given distinctly less preferential treatment than the person who lived indoors.  Sometimes, the medical problem I came to Emergency for was overlooked completely, as they proceeded to give me all kinds of printed information on where the shelters and services were — as if I wouldn’t have known all of that stuff already.

So naturally, my mind has drawn a parallel.  I’m not homeless now, but I am low income.   My insurance isn’t exactly Blue Shield – it’s the kind people have who are elderly or disabled.  Family practice?  I wondered if I even belonged there.  My mind began to imagine what they might be saying about me:

“We’re a respectable family practice!!  This guy doesn’t have a family, he’s just a transient, there’s substance abuse on his medical chart, he’s probably just passing through town . . .” 

Of course, they probably weren’t thinking that.  The point is that my experiences would be such that I would even think that they would be thinking it!

A Theory in the Making

It seems that there are institutions populated by people who are naturally compassionate and even empathetic towards those who are down and out.   There are also institutions where such people are given lower priority.   This present situation may or may not exemplify this phenomenon, because it could easily be a function of the two individual organizations I have described.   That specific family practice center may be particularly understaffed or otherwise swamped due to the pandemic, and this particular low income clinic may happen to be expanding, and gaining more personnel, and apparently State funds of some kind.

Still, the thing that intrigues me is that, whether or not the recent experience exemplifies a larger phenomenon, it was brought to mind in my interactions with the people involved.   There could have been a kind of confirmation bias going on.   But if so, what exactly is the theory I am trying to confirm?

Only bits and pieces of this “theory” are in place.  That’s why I haven’t been writing.   But I am beginning to believe that my intellect alone is insufficient to piece the entire theory together.  And that’s why (if this makes sense) I finally am writing.

What is being brought to light in the podcasts is how, when we were homeless, we were not in the position to be able to distinguish, among all the authority figures and “pseudo-authorities” in our midst, who were the ones who represented benign agencies whose role it was to assist us, and who were the ones who represented more-or-less adversarial institutions designed to investigate and incriminate us.  All these “higher ups” were relegated into the box of our “observers from inside” – and thus it was difficult to distinguish them, one from another.

In a corresponding way, it was difficult for those who lived indoors to discern from among those who were outside who was a legitimate candidate for genuine assistance, and who was of a criminal bent.   Those in the latter camp often feigned a need for assistance in order to gain benefits.   They were also often very good at it.  Whatever the case, I can assure you that I didn’t look much different than any other person on the streets — at least not at first glance.

Unfortunately, that first glance often seemed to be the only glance I got.   Even if the glance became a stare, or a series of stares, I felt like I was being observed with an ulterior motive.   I felt as though people were watching me, just waiting for me to somehow screw up and incriminate myself.    Years of living with that feeling seem to have led to years of trying to find a feeling to replace it.

So I still resort to ways of dealing with feelings that don’t differ widely from how we approached the matter when we were homeless.   How does one, after all, deal with the inner feeling of being dismissed, overlooked, disregarded?   On the other side of the coin, how does one deal with the feeling of being embraced, respected, and accepted — especially if one is not accustomed to it?

When we were homeless, we lived with eyes in the backs of our heads.  We couldn’t drop our guard long enough to process difficult personal feelings.  So instead, we looked for the larger phenomena that they might represent — and we analyzed, and drew conclusions about society.    We conducted such conversations vocally, publicly — encouraging others nearby to join in.  We were a lot more powerful that way, and much less vulnerable, or at risk.

In a way, this doesn’t seem like all that bad a thing to have been doing — in the greater picture.

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Gratitude List 1551

(1) Going to meet with Keva this Sunday and do some singing and maybe more recording – not necessarily all stuff from the show.   Grateful for the connection.  Just because the workshop is over, it doesn’t have to end.

(2) An idea for a new column came to me out of the blue this morning.   Grateful to have been given something new and interesting to focus on at this time.

(3) New Lenovo arrived from Office Depot.   Great computer, never read a bad review, got $220 off on the deal, everything appears to be working perfectly.

(4) I really like this town cafe, which they expanded during the pandemic.   Takes up a whole block now with two new sections, including a beer and wine bar for after hours.   Looking forward to settling into a new phase of working quietly from here — gotta finish the 4th draft vocal score, and finally begin the piano score (having left the hardest part till last.)  Then the show will be ready for whoever.

(5) And I can move on.   It’s weird when change is “trying to happen.”  It feels so awkward needing to navigate new territory.   But change is necessary — I just have to keep trusting in the One who does not change.

“Every great dream begins with a dreamer.   Always remember, you have within yourself the strength, the patience, and the passion to reach for the stars and change the world.”  — Harriet Tubman 

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Re: Everything Must Change

I briefly posted my version of “Everything Must Change” yesterday, prior to promptly removing it from the public eye upon recognition of bloopers too big to bear widespread disclosure.  

Specifically, I kept forgetting during my improv around the standard changes to enter into the repeated modulating passage that precedes the signature hook.  Anyone who knew the correct changes could easily raise their voice in justifiable objection.   So I had to remove the rendition before any further foreseen damage could be effected.

I’m headed up to the church at this moment, confident in my capacity to create a conducive restoration of the formerly misshapen theme.  So convinced am I in my competence to thereof, that I even have dared to announce it beforehand, though one knows not what the future brings.

The piece had been on my mind for two reasons.  One is that it seems fitting in this time of temporal transition, with Good Friday representing the power of Christ’s sacrificial love, wherein there is a death to the flesh in its formerly all-inclusive nature, to be followed by a promised rebirth of a far more transcendent form of life.   “Everything Must Change” can be said to embody this theme, in its core essence.

A second reason is that its chord progression resembles that of another piece that had crossed my mind recently; and that, in fact, I had already performed on a video recording.  “All in Love is Fair” is a song by Stevie Wonder that was popularized in roughly the same era as “Everything Must Change.”  Their chord progressions are similar though not identical.  My mind, while improvising around the progression to “Everything Must Change,” kept forgetting which tune it was that I was supposed to be embellishing.  Many odd short-circuitries of mortal mental prowess transpired.  The upshot was a failure to honor the essence of either piece.   A reconstruction of said construction is therefore in order.

That’s about it!  I’d hesitated to offer what might be interpreted as a mere disclaimer — but then I had a hunch that the explanatory information might be useful to someone, on some level.  I’ll be back within a few hours.