I'm using it anyway. I want to talk about the healthcare system and I think the title sounds like it should fit. So, if you're pissed that I used this phrase to describe a phenomenon related to humanistic looking androids, well, I'm sorry. I'll give you Gary's contact information and you 2 can howl about my hubris in bending a euphemism to my will. (Alright alright, whatever you call the damn thing. Metaphor, syllogism, parallelogram . . .)
The Uncanny Valley states that androids can't bridge the gap between being a robot and being a human. It's that sense of coldness; that jerkiness or slickness of movement that causes you to know deep down that they are not human: a homosapien. The human feels repulsed.
There is a character on Star Trek: The Next Generation that seems to bridge the Uncanny Valley. His name is Data and he's an android, but in real life he's a human pretending to be a robot.
I want to talk about healthcare because I'm being directly affected by the system right now and it's one of the most divisive topics we have in politics today.
Last Monday I had an operation to correct my umbilical hernia. I'll be off work for three weeks while it heals and I'll be on light duty for three weeks after that.
Though I won't be able to earn money for three weeks I'll be okay. I'll have to use all my savings and maybe even buy groceries on a credit card for a little while but I'll make it. When I had the operation I had four days of vacation left, so I cashed those in.
I'm currently avoiding my Family Medical Leave Act paperwork, which I have to fill out in order to keep my job; to justify the time I'll need to take off.
I went online and read about the FMLA because I'd never heard of it before. It protects you from losing your job if you have to take time off for medical reasons but your company is not required to compensate you, even if the time off is work related. My company provides zero sick days, because they don't have to.
I can't blame them. If they aren't forced to do it, why should they?
There was an episode of Star Trek: The Next Generation when the story followed Data the android, after he gets off duty. Like a human he had a cabin, but I never thought about what that might be like. Since he didn't need to sleep he didn't have a bed in the bedroom. It was festooned with scientific instruments because, in his off time, 'he' would measure the distance between up quarks and strange quarks or whatever an android in the year 2375 might be curious about that hadn't been recorded somewhere else by someone else.
Seeing Data off duty increased the chasm of the Uncanny Valley for me. He attempts humor. He plays music. He has a pet cat. He made love to a woman but he doesn't pretend to have what might be considered the flaws of human physiology. Maybe that's the problem. His pursuit of humanity isn't flawed.
What motivates Data? Is it a need to be loved? To be perceived as human? To fool humans into thinking he is one of them? That doesn't seem to be it. He has a flawless memory. He doesn't sleep. He has no need to eat or excrete and he doesn't hide it. Yet he has friends. He even had a lover. He is a competent StarFleet officer who might be said to have empathy, who could probably be a decent star ship captain if androids were allowed to do that. (I don't know what the rules of starfleet are regarding androids in command. I mean, Data is a commander but can he really outrank a homosapien?)
I work with a guy who has a 21 year old daughter that he calls his miracle baby. She was born with lots of issues and he and his wife were told that she might not make it. It cost nearly a million dollars but she is alive and doing reasonably well, today, and he has only recently been able to say he is free from all those medical bills. It took 21 years.
He and I have wildly differing views on politics. His dad hated Jimmy Carter because he blamed him for the high mortgage rates in the 70s and since his dad was a home builder, those high mortgage rates affected his ability to support his family. Not a lot of people build houses when mortgage rates are hovering around 20%. They called it stagflation. I understood why my friend might not like Jimmy Carter.
My mom and dad bought our house in 1967 with a VA loan and dad had a union job that paid very well. He was able to support us all on one income. We didn't have anything against Jimmy Carter. He'd taken office after the VietNam war was over and he was soft spoken, so none of us thought he'd get us into another war.
Then came Ronald Reagan who was infamous in union families for breaking the Air Traffic Controller's union. It was a big deal because a lot of high profile unions, who normally supported democratic candidates, supported Reagan and he betrayed them. He promised he'd be on their side but when push come to shove he stabbed them in the back.
Within the terms of two presidencies you can see how blue collar workers might find themselves on opposite sides.
But let's talk about me for a minute. I had a pretty heinous looking belly button. It was an outie having been herniated a few years ago. My intestines pushed their way into my belly button through a tear in the stomach lining and made it stick out. It was gross and ridiculous at the same time.
It had been this way for a few years but I didn't give it any mind because it didn't hurt and there was no nausea involved; both of which are symptoms of something going wrong. I would just wear a t-shirt when I went swimming or wear overalls to work so it didn't look like I had a nipple in the middle of my gut.
Besides, I'm a single dad who has refused to date until my youngest can take care of herself. No one's going to see me naked for a long time. Since it didn't hurt I did nothing about it. I ignored it.
I had been a single, dateless, single father for 10 years when my youngest kid turned fifteen. She's a year away from being able to legally drive a car and for some reason I started fantasizing about holding hands with a girl wearing a sundress and skipping barefoot through a meadow filled with wildflowers, but when we got to the swimming hole where it was understood that we would go skinning dipping I couldn't bring myself to do it. I watched the girl pull off her sundress and jump in. I could only stand there with my head down and my hand covering my belly button.
So it was time to get it fixed. If an opportunity to go skinny dipping with a girl ever comes up again I wanted to be ready.
I made an appointment with a surgeon who was in-network to my insurance. He took a look at my ridiculous belly button and told me it didn't look too bad. He could probably fix it on an outpatient basis.
First, he said, he wanted to see a CAT scan of my torso. Apparently that's fairly standard. One of the guys I work with got one before his own umbilical hernia operation.
We set up the CAT scan appointment at the surgeon's office. I paid my $20 copay and left.
A few days later I got a call from Centerpoint Hospital. They were doing my CAT scan. They asked me a bunch of questions about pre-existing conditions. Then spoke to me about my insurance and told me that I would need to bring a $1000 with me to the CAT scan appointment. That would be my portion AFTER my insurance paid their part.
I was so shocked I couldn't speak.
Those of you who've read my previous blogs may know this already, but a few months ago I was going to buy a motorcycle, then my A/C went out and I had to spend most of my savings replacing it. After that I still felt I needed a motorcycle so I scraped $1000 together and bought an old Honda. My savings had taken quite a few hits but I was still above water.
Riding my motorcycle made me happy. It felt like I had found the missing piece to a puzzle. I felt good. Like my old self again. Which was why I wanted to skip through wildflowers holding hands with a girl and maybe go skinny dipping.
After the silence on the phone got uncomfortable the disembodied voice asked if I was okay. I said I supposed I was but I had to ask her if she was serious about me bringing $1000 with me to get a CAT scan.
After a few back and forths she asked me how much I could bring. We finally agreed on $500. Which was still a lot of money; far more than I thought I would have to pay after the insurance had paid their share. When had anyone ever been asked to bring that much money with them on the day of a procedure unless they didn't have ANY insurance? I had very little experience with the way modern health insurance works. It felt like I didn't have insurance at all yet it was still being deducted from my paycheck.
My insurance is 'provided' by my employer. I have money deducted from my paycheck for an insurance plan that I did not get to choose. It's the only one they offer. There are no levels. When I buy car insurance I can buy as much or as little as I need. I can choose my yearly deductible and how much coverage I have. Why am I not given that choice with health insurance?
Talking about my experience with those I work with is frustrating. All of them think Obamacare, or the ACA, is a ripoff and should be repealed. None of them can tell me why they think it's bad, except that they hate the 'individual mandate'. So I tell them that there is no individual mandate anymore and they still think Obamacare should be repealed, they just can't tell me why.
I don't think they know what it actually is. I don't know everything about it, but I know more than they do. There is not just an uncanny valley in our understanding but in our interest in knowing the facts as well. It's astounding just how little they care. They have been told it is bad; evil and that's what seems to matter. They base their opinion on faith. We are now in the era of faith based politics.
When I moved into this house a lot of people helped me. One of them was a 20 year old woman. My sister and I had a conversation with her about getting health insurance because she didn't have any.
I have a large round magnet on my refrigerator from the 2012 Obama campaign. The young woman pointed to my magnet and said, "I ain't get'n Obamacare!"
Like a lot of people, she thought Obamacare was a product: something libtards created and tried to make everybody buy. I explained that Obamacare wasn't something you buy, it was a set of laws that affect how health insurance companies do business. They can't deny coverage to someone who's already sick. They have to cover people on their parent's insurance until the age of 26. And lots and lots of other boring, but essential stuff.
I asked her, "Does your mom or dad have insurance?" She said they both did, so I said, "ask one of them to put you on their insurance."
She thought I was trying to trick her into buying Obamacare against her will.
This is the uncanny valley between what would benefit an individual and what she believed was a very bad thing; maybe an evil thing and there was a vast chasm between her knowledge that Obamacare was a bad thing and what made it a bad thing. She thought she was being tricked into socialism and she couldn't even tell me why socialism was a bad thing.
I gave up. I told her it wouldn't cost her mom or dad very much to include her on their insurance and she could have health insurance tomorrow, then I walked away. I could not continue to try to save this woman from herself. I refused to keep telling her that Obamacare wasn't evil nor was it socialism.
I'm pretty sure she succeeded in not buying Obamacare.
I ran into another instance where the person had no clue what Obamacare was. He was a racist and was not shy about expressing it with vile language. He came up to me and said, "What did that 'man' ever do for you?"
I put quotes around ‘man’ because he used an epithet that has been directed at Americans of African descent since the days of slavery. He used it proudly and intentionally offensively.
I reminded him, once again, that I have cousins that are black, Mexican and Filipino and if he insisted on using that word I would beat the shit out of him, even if he was my supervisor.
It seems odd that I had to remind him that I'm not a pussy just because I'm a progressive. Next time I should punch first and explain later.
After my supervisor rephrased his question I told him that Obamacare saved my oldest kid's life; they had been suicidal but Obamacare allowed me to put them on my insurance until their 26th birthday and get back to the psychiatrist and get medicated.
My supervisor got really quiet about the president and his health care law after our conversation. I found out that, as we were having that conversation, his 22 year old kid was in the hospital. She had been in a horrific car wreck and didn't have health insurance. He didn't know he could have put her on his insurance until he'd gone on his racist rant.
How could he not have known? How is that uncanny valley so deep that someone I worked so closely with for 45 hours a week or more didn't know something so basic and important as this huge change in the health insurance laws?
I understood why our insurance company didn't promote it because it would cost them money and the new law didn't make them do it. The company that employed us didn't promote it for reasons I can't fathom. The news sources that my supervisor depended on wouldn't promote it because they were too busy comparing the president's new health insurance law to slavery or the rise of Hitler in Germany.
Throughout the course of Star Trek:TNG
Data becomes a beloved character. He wants to fit in. He wants to excel, not because HE wants to but because he was programmed to want what humans want. And throughout his lifetime he's learned. He has accumulated experiences and he has become flawed compared to what he once was due to his understanding of and wish to become human because humans, by their very nature are flawed.
I hand over 500 smackers and the technicians at Centerpoint insert me into what appears to be a device used to squirt unsuspecting, underinsured deadbeats into a different dimension. They called it a CAT scanner. I go home and wait for my next call from Centerpoint. It comes and hey ho, they ask me to, I'm not kidding, bring $2000 with me on the day of the surgery.
When I tell them there is no way on God's green Earth that I can possibly bring $2000 before I get this operation, they say okay, bring what you can.
I considered a home equity loan to get the $2000 but I thought, "Has it really come to that?" I saw a documentary called SiCKO where Michael Moore filmed people who HAD health insurance but lost their homes because they couldn't pay their medical bills. How did we allow this to happen?
I gave Centerpoint $200 and I was mad at myself for bringing anything. I didn't think the hospital would turn me away but I didn't want to take that chance. After all, by the time they asked me for money I was wearing nothing but a smock that gave everyone a great view of my assets and they had given me the first round of pre-surgery drugs. I was down the rabbit hole and my son had taken my clothes and my phone with him to wait at home for the call to come pick me up.
In one of Star Trek movies called Nemesis, Data the robot encounters a creature representing a terrible threat to the human race: The Borg.
The Borg are humanoids networked by computers. When the humans board their ship they're ignored because they're not seen as a threat. The star fleet officers sneak around with their weapons drawn while individual Borg units are standing still, plugged into the network. If you've ever walked into a living room full of teenagers watching TV with their phones out you'll know exactly how those officers felt.
The purpose of the Borg is to assimilate all species of life that they encounter and to use their technology to advance the Borg's ability to conquer more species and assimilate them.
The Borg are pragmatic. They don't make threats. They tell the humanoids they're about to conquer that resistance is futile. "Just relax, this won't hurt a bit."
The Borg finally figured out that, when they run across a pesky group of Earth humans from the good ol' USofA they're gonna get a fight. Because American Earth humans don't like to be forced into thinking as a group just to benefit their species. Not unless they're gonna be on TV or get a chance to win a million dollars, then all bets are off.
To address this lapse in the Borg hive mind thinking, they create an individual to talk to these American humans. A woman. A badass who'll do anything to get them pesky Americans corralled.
Anyone that knows Star Trek will know that the humanoid crew on the USS Enterprise 1701-D are not supposed to be American humans. They're not even supposed to all be Earth humans, but the show was created in the good ol' USofA so the crew are rabidly individualistic and rebellious.
Being a smart race of hive minded humanoids, the Borg don't approach the crew of the Enterprise directly. Their Borg queen captures the humanoid robot, Data. She figures she'll be able to bring him to her side because he isn't a human but he really really wants to be one.
The Borg queen whips up some android magic and gives Data something he's never had before: a sense of touch.
Data has always been able to tell when he's touching something or something is touching him, but apparently, for all seven seasons of the TV show Star Trek: The Next Generation; even while he was being intimate with Tasha Yar, he has never been able to 'feel' anything. Not in the physical sense.
Data did get a taste of emotional feelings when his evil twin (of course Data had an evil twin!) installs an emotion chip without his permission.
So the Borg woman installs, without Data's consent, a patch of skin on his arm. It looks like human skin with hairs and everything. You might think of this little patch of skin as an attempt to bridge the Uncanny Valley from the other side: from android to human.
Then the Borg queen leans down and gently blows across that patch of skin. Data throws his head back and gasps with pleasure.
The director kept the camera squarely on the Borg queen's face as she blew across Data’s arm, but if they'd just stayed on his face and let her head drop out of the frame . . . that movie would have grossed a billion dollars a year from repressed nerds all around the world who could imagine the Borg queen blowing on something else she had installed instead of that little patch of skin.
Anyway.
How do you talk to someone about fixing a healthcare system that they would agree is flawed when they think you’re the enemy? They think I’m trying to trick them into some form of communism.
No one complains that Medicare is a socialist program (which, it could be argued, it is) yet they bristle if someone mentions Medicare for all, which is the same system, with the age restriction removed. The system is already in place, you just expand on what is already there.
I won’t know the cost of all my health insurance woes until everybody involved in tucking my belly button back into my gut has sent in their fee for services rendered. I’ve heard that hospitals have taken to financing those with decent credit and crappy insurance; which, these days, is everyone. So this will be something that haunts me for years.
I’m not asking anyone to pick a side. I’m not trying to win and make you lose. The healthcare system will never get better unless we can talk about it like we’re all in the same boat, because we are.