By Donna Smith, American SiCKO
Founder, American Patients United
National Co-Chair PDA's Healthcare NOT Warfare campaign
Communications specialist, California Nurses Association/NNOC
CHICAGO -- During every national election cycle at about this time in the big races, I start to want to scream into the great abyss of political hype flying around. "You don't speak for me. You haven't seen what it's like to live in America's real middle class for a long time," I want to thunder as loudly as they do their messages of kinship with me.
I am a middle class grandmother. I grew up in Illinois. I was raised to care about God and country. I may not have achieved a great level of renown, but I think I have just as much right to weigh in on this nation's future as those who claim to know me but just don't.
Whether it's Lou Dobbs blowing hard on CNN about his affinity for the great middle class of this nation (and his salary is what?) or Barack Obama or John McCain claiming empathy by slamming down a shot and a beer (and the last time they bought half a tank of gas because payday was still three days away was when?), none of these people know what middle class life feels like right now, today in middle America. They may grab a position or two that they know is sexy enough to get media attention, but they don't get it -- they do not get me -- and they won't be my best advocates unless and until they do.
Let's talk healthcare, for example. And let's talk reality for middle class folks like me. This issue permeates so many different parts of my life. From where I work to where I shop, rising costs for healthcare invade not only my bottom line in wages and benefits but also every business and every product and every service I use.
I know gas prices matter too, but any wonk who claims to speak for me is lying if he or she fails to talk about what the costs of healthcare are doing in a much more insidious way. If today's price for a night in the hospital or an "extended" visit with my doctor was posted on every street corner like gas prices are, I dare say the conversation might shift. And while we're at it, let's post the cost each business paid for health insurance coverage for its employees.
Thank God I have insurance coverage through my employer. And thank God my husband now has coverage through Medicare. So, in theory, the issues of access to care should be golden for us and for millions of others in this nation. Yet I have to spend weeks waiting for care, get just moments being assessed for needed care, then weeks more waiting for more assessment and all the while missing precious work time and not being helped to feel better or have better strategies for preventative care. That is my middle class reality.
And let's talk everyday life, for a moment. I see gas prices rise and fall with little relationship to world conditions to which I am privy. I get the impression that the twists and turns of those markets have more to do with making money and then yanking my chain with prices that fall back just enough to provide minimal relief. During the points when the prices are surging, everything in my world gets more expensive, yet when the pump prices recede just a bit, everything else stays at the inflated price. I am not stupid, and that is my middle class reality.
My middle class reality is that at any moment I might not be middle class. And that reality is what keeps me in constant worry and always listening for some understanding of that reality.
SiCKO was released a year ago, and I often tell audiences I am the blessed one from among those people featured in the film. I have the honor now to work for a great organization -- the California Nurses Association -- and I can pay my rent and my basic bills again. And we even have a newer used car for the first time in eight years. I will never again be a homeowner, though. There are not enough working years left to repair my damaged credit following our bankruptcy due to illness while insured. I am afraid about the "what-if's" -- every single day. My security is tenuous. That is my middle class reality.
I watch my country's infrastructure crumble -- the potholes, the traffic jams, the weakened and old bridges. I worry about the gun violence our young people live with -- and I am married to a hunter, a man who loves guns used for sporting purposes. When I do get to fly, I am herded onto airplanes that may or may not take off on time or at all -- and I have no recourse for time lost, bosses angered or family members inconvenienced. I wonder if any of this will matter if the global warming issues overtake any of the momentary concerns and the planet does not survive our abuse.
And finally, I do love my country and our troops and my freedom. I am sad about our current world situation as I think about what World War II vets like my dad fought for and believed in. Are there times when war must be waged? Yes. But I am afraid we've completely screwed up our set of priorities and really do not like our warring for oil and world dominance while we send mosquito nets and missionaries into areas where tens of millions die enduring conditions we will not fight. That is not my middle class realty nor my values at work.
I am not safe in my homeland. I am bombarded by conditions over which I have no control that threaten my personal safety daily. Healthcare costs and all the deaths related to that crisis right here on American soil are evidence enough for me -- my personal safely is not being protected by anyone.
There are plenty of people in the middle class who could and should speak up during these troubled times. I just want those in the upper classes who claim they speak for me to stop it... tell me the truth for a change. You speak for whatever interest you find potentially profitable at the moment. But you do not speak for me.
I will speak for myself. You will not define which issues to rant about and impose on me. My daily life defines the issues for me. And as one of the middle class reality wonks in this nation, I can tell you I am pretty angry and pretty disgusted with all who claim to know better than I do what the world I live in is like.