OUR "HEALTH" IS MORE DEPENDENT ON "CARE"
THAN IT IS ON A "SYSTEM"

By: Bob Strodtbeck

The problem with America's health care system is, well, the term, "health care system."

I hearken back to a simpler time when those words were not put together and we knew where we had to go when we didn't feel so well. If we were in good "health" we went to work or outside to play and went about our daily lives. If we weren't in good "health", we would stay home and our mothers would take "care" of us. This "care" would involve staying in bed, taking plenty of fluids, and, of course, chicken soup. Generally we weren't in good "health" and needed "care" because some malady had overtaken our respiratory "system" or digestive "system" or some other "system" that was important to our bodies performing its routine tasks. Simply put, we didn't need an insurance company or federal bureaucrat to tell us we didn't feel so good.

Something happened between the time when a band-aid cured all my boo-boos and skin abrasions covering my body was a sign that I was a healthy, active boy. Shortly after I passed through my boyhood, I worked for a now defunct pharmaceutical company-it was absorbed by a larger, more powerful pharmaceutical company. During that time in the early 1980's, I would pay a sales calls on the many family owned pharmacies that filled my Nashville, Tennessee, territory to sell a new pill. I would tell the pharmacists, who also owned the business, of all the miracles the wonderful little pellet would perform in the bodies of people in bad states of health. Without exception, everyone of these stern businessmen would ask, after my stunningly professional dissertation the same two words: "How much?"

One day one of my clients went beyond the basic utterance and after I gave my pitch, he went back into the shelves collecting six different bottles of other medications. He laid them out on the counter in front of me. He told me each did the exactly the same thing as did my miracle pill, but at a precise fraction of the cost. Then he asked, "Tell me why I should rearrange my shelves for your pill."

I had not reached the point of professionalism at that point to give him a decent answer.

Not long after that the words, "health", "care", and "system", merge as a single phrase to identify a need for all our lives. It seemed that we no longer needed mom and chicken soup, but something sophisticated, scientific, and comprehensive to cure us of all our problems. Interestingly, since that time costs have skyrocketed. Prescriptions, vaccinations, and going to experts to issue more of each is a sign that we are so conscientiously caring for our health as to prevent all the evils that can attack us in the new millennium.

Something that does not exist, however, in this new age in which our "health" is in the "care" of a professionally manged "system" of corporate executives and government employees is that there are no more of those little family owned pharmacies with their inflexible owners grumbling, "How much," to every innovation to save the innocent from the ravages of illnesses-real or perceived.

Might I suggest that these medical curmudgeons were a huge barrier to those executives and bureaucrats who saw great wealth and power in the discomfort of us mere earthlings. When those small business trolls would resist buying the newest invention intended to rescue us from the frailties of the human condition because they had plenty of other remedies at a lower prices, they were subjecting the masters of industry and government beneficence to the crude basics of economic realities.

Those little shop keepers, with their soda jerks, lunch counters, and Timex watches, were preventing corporate and government growth by placing laws and supply and demand on each great creation to spare us from disease. Somehow those store owners knew what their customers could afford when they needed a pill. Interestingly, their stores were generally very close to their homes and the people who came into their shops tended to be their neighbors.

On one occasion I saw one of those neighbors come into the store with a $10 bill and told the pharmacist, "We're needing some food." The pharmacist told him, "Go get what you need." He filled his basket with an assortment of bread, milk, and canned goods worth at least, at that time, $15. The man gave the pharmacist the $10, he rang the cash register and gave him $5 back. After the man left and I watched quizzically the pharmacist, who routinely asked me, "How much," told me, "I grew up with him, he's down on his luck, and he needs a friend." I also saw some of these penny-pinching small operators dispense medications to their neighbors free of charge even before they went to a doctor to have a diagnoses or prescription. It seems that although they were parsimonious to a brash, young pill peddler, they didn't need the permission of a "system" to tell them how to "care" for the people who depended on them.

Maybe that is why the "health" of so much of what we see in this country is declining to the point of being hopelessly inoperable.



"Published originally at EtherZone.com : republication allowed with this notice and hyperlink intact."


Bob Strodtbeck has been writing commentaries for a news weekly circulated in a community 10 miles north of Orlando, since 1993. He currently lives in OrlandoBob is a regular columnist for Ether Zone.

Bob Strodtbeck can be reached at: strodtbeckr@bellsouth.net

Published in the December 22, 2008 issue of  Ether Zone.
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