$4 is all it takes to save my life. Four fucking dollars, twice the bounty on John Cusack’s life, to keep me alive. And a piece of paper. But, oh, it was that elusive piece of paper that was the motherfucker to obtain.
I always loved the phrase “The Cost of Living”. I was planning on naming my first collection of short stories that. (And I still am, so back off, you fucking jackals.) But never has it meant more to me than after today, and the events of this weekend.
Saturday found us going to the Glendale Health Clinic at 7:30 AM. I moved a potentially valuable audition to make sure I could fit both in the same day. Higginbottom does our clerical research, and after making a surreptitious at-work phone call was informed that walk-in appointments were available at 7:30 AM on Saturday. So when we drove the 15 or so minutes to Glendale to discover the joint closed, we were perplexed. Apparently, by 7:30 AM on a Saturday, they meant, 7:30 AM Monday through Friday, fuck you fatty and your sleep. So we drove home.
I began calling free clinics on the Los Angeles County Public Health Website. There was a clinic open on Saturday, and so I called them first, because there were down towards East LA. Everything you heard about Compton and East LA are true. Going there is like those kids playing capture the flag who would play run across the line and back to taunt the other kids. Except here, getting tagged means two to the back of the dome, spray painted, and left for dead up in a vacant by Chris and Snoop. I respectfully keep my lily whole wheat ass out of the ghetto. But enough of my suburbanly racist rhetoric. I am informed in broken english that they are not taking new patients, and to call back in two or three MONTHS. Thank you, American Health Care system!
So I decide to call Glendale Health Center on Monday to set up an appointment during the week. Which I will have to make up on my own time so that I can get paid for it. Glendale informs me that, yes, I can just walk-in, it will only cost $50. Because even though every fucking cent I make goes to paying bills, I make too much income to qualify for low income medical care. I thank her, and inform my asshole boss via email (because he flew up to San Jose to pimp our business) that I will not be in Tuesday morning, and potentially the rest of the day. He agrees, but tells me to document my hours, because otherwise “how will he know?” He just called me a liar. I want to make him a living pinata.
So here we are on Tuesday. After obtaining transportation to and fro work for Higginbottom (oh, did I forget to mention we share a car? In LA?), I drive to the clinic in Glendale. Already, a line is forming. I ask to make sure I’m in the right place. I tell the woman that I need a general check-up. She tells me that they no longer do general check-ups. But if I have an issue, I can be examined. So I say, yeah, I’m having chest pains because I think I have gallstones, but I need a check-up to make sure. She cocks an eyebrow and says, we don’t do checkups. I say, “I have chest pain”. She nods, says, “Good boy.” and gives me the forms to fill out. I wait as the queue starts to fill. The woman calls number 9. I’m number 19. But then, I figure that numma nine means 19. Because she can’t read 19. Awesome. The nurse asks me a few questions, and then says, “Well, for the gallstones, we might be able to see you, but because you have chest pain, you have to go to the hospital. Immediately.” I say, I can’t afford the hospital. She says, “No, they’ll give you the low income deal we do.” I smile, and tell her how much I make. She gets sad. Oh, yeah. No, they won’t take you then. You won’t qualify. But they can put you on the installment plan.” But she can and won’t do anything for me. I thank her quietly and leave.
Because of the cost of healthcare, a hospital visit, with the necessary EKG, lab work, and various folks poking and prodding me, will cost between $1500 (i wish) and $4000 (they wish). I can’t afford to pay $100 a month for several years to have them shrug and tell me they aren’t sure.
I call Higginbottom. I tell her, I’m going to start contacting health insurance agents. She tells me that she’ll look into her DGA program, but even if I get on her plan, it probably won’t go into effect until the first of the first month beyond a full month after it goes into effect. Which means, if it happened today, it wouldn’t work until May 1st. I think.
I call an agent for Blue Cross/Blue Shield. I had been checking out their Tonik plan, which is designed for twentysomethings to get cheapo coverage. It’s $109 a month with a $1500 deductible. So sure, I can go to the doctor, but if I need lab work, I pay full price. Again, can’t pay. Also, this is for a 20-29 year old. I am just 4 months shy of 30. So it goes up. I call the agent. She gives me the skinny. It would cost $144 a month. For a $35 co-pay, and 60/40 split on lab work and a $750 deductible on brand name prescriptions. I don’t need brand names, so it goes down to $132. So I pay $132 a month, plus the $35 for the doc visit, and then 40% of whatever the lab work is going to be, which will be inevitably expensive. So that pushes it to over $200. Not working.
Higginbottom calls me. If we get married, I go on her plan instanteously. That means, if we hop in a car to Vegas, get a quicky marriage (which is the best way to make a lifelong sacred commitment, and absolutely romantic, since her engagement/wedding ring will undoubtedly be an onion ring, cause that’s what I can afford), and drive back with the wedding certificate, I go on the DGA plan. Which would cost us an extra $50 a month. And we’d share the deductible she already used up with her surgery. Which has $0 co-pay, and 90% of labs covered, if not all of them, if they’re done in network.
Let us recap. Right now, my most viable healthcare option involves a Vegas marriage. Now you fucking tell me Michael Moore didn’t deserve to win an Oscar for Sicko.
While searching for a powder blue tux in tubby little bastard sizes, I happen upon the phrase “urgent care clinic”. Let me explain the concept of an urgent care clinic. It is similar to ordering at Outback Steakhouse. You pay a flat fee for the initial exam. Then you pay for any extra labwork and testing off a menu. No, I’m fucking serious. A menu. EKG work? $60. Blood tests? $75. Loaded baked potato? $4.85. Then you pay the full cost at the end. I start pricing urgent care clinics. I call one in Sherman Oaks. Sherman Oaks is where Britney Spears buys her Starbucks. The initial fee is $120. Lab work included, but the EKG and seasoned french fries combo package will run me to the super-sized cost of $200. Thanks, but I’m looking for a Chili’s or Applebee’s, not Cheesecake Factory.
I then see a webpage that I swore was for Nursing Assistants Gone WILD! It advertised $20 walk-in. The page looked like someone did it up on an old geocities site. I was looking for the little Joe Francis logo. The doctor was pictures amidst all his beautiful nurses. Like a slut buffet. And this was also below the 10 freeway, so I figured I would be found in a bathtub full of icecubes sans a liver and with a new thirteen tattoo. Plus, you don’t really want a bargain basement doctor plan with someone who smacks of Dr. Nick. Someone has to graduate last in the class at medical school. They’re called malpractice lawyers. Or Mexican gender altering surgeons.
Finally, I saw a doctor advertised in Canoga Park, which was out near where I worked. It seemed to look professional. It was a $40 initial fee. It came with a free 7 day followup, and choice of soup or salad. Tuesdays they have Snickers pie. Sold!
I drove out to the Urgent Care Clinic, and immediately filled out the paperwork. It went super fast, no waiting. The doctor took my blood pressure, which was through the roof. We talked about my diet, about foods I should eat (which I’m eating), taking baby aspirin (which I do already), and the medicine I need to take. He would fill the prescription in office. I asked what that cost. It was $15. I asked if I could just get a prescription, because I could find it cheaper. He said, not a problem. He told me he wanted to do a blood work test to check my cholesterol, and then an EKG to see if there was any damage. $10 for the EKG, $45 for the lab work. SOLD!
His nurse, who I was afraid was a teen Nurse Ratched, turned out to be incredibly sweet, and got me sensored up (apologizing for the chest hair I was about to lose in the name of health science) and drew blood. I was afraid she would be less than skilled, because she was in a cheap office. She was brilliant! Turns out I didn’t have a heart attack, but I need to be on blood pressure medication. He’s going to call me later in the week to review the lab work to see if I need to go on cholesterol medication. He was totally familiar with South Beach, so he figures if it isn’t too bad, he we’ll be able to diet it to normal. Oh, and that’s going to cost me NOTHING. Even if I have to run back for the prescription. I told him, it’s only going to be $40, I don’t have insurance. He says, “I’m the doctor for people without insurance. That’s why I’m here.” I almost hugged him.
So $95 later, I had my prescription. Which he made out for enough pills for two months, plus another refill for two months. So I wouldn’t have to go see him for another four months if I wanted. I drove to Wal-Mart, where despite them being evil and corporate, they also sell generic prescriptions for $4 for 30 pills. So I got my slip of magic paper, and now $4 later, I have the medication which will cure all of my ails.
So the cost for me to live: $4.