An Eye On Health Care

I had an eye doctor appointment this past weekend. First one in five years. I normally go more often than that, but 1) my eyes haven’t gotten much worse in these five years, 2) I like my glasses and 3) I did not have vision insurance until the past couple of years, through Starbucks. Anyway, five years is a long time to go between medical examinations, so I said, what the heck.

After getting lost trying to find the place, and reading old copies of magazines in the waiting room, I was taken into a room full of all kinds of widgets and gadgetry. The nice lady, who sat in the middle of this revolving chair thingy that spun around four or five place-your-face-here machines, had me place my face in all of them, and then took me to another room, where the Good Doctor entered. I was promptly told that I need a backup pair of glasses. And also a pair of sunglasses. Prescription sunglasses with some kind of special UV coating. Do I wear contacts? No. Do you want them? No. Have you ever had Lasik? No. Do you want to have Lasik? No. Okay, but keep in mind, it's a great option for you. Okay.

I was then read a laundry list of orbital diseases that I could contract, and how serious each and every one of them was. I then read the letters on the wall, followed the pen with my eyes, and was asked if I would rather have my eyes dilated, or use their big, fancy Opto-Map machine that takes a picture of the inside of my eyes. I told him I would like neither today, as I had to work in an hour and would rather not have dime-sized pupils and bright, blurred vision while I run a shift on the floor. And at the moment, I could not afford the extra fee for the Opto-Map machine, as it was not covered by my insurance, so I would like to pass today, please, thank you. Well, you need to do one or the other, so choose. No, thank you.

At that moment, I felt my name being entered into the “Shit List” database.

I was told he would come back to me, and sent out to look at new glasses. I was helped by a very friendly lady, who, after going over the plethora of options available to me- lens density, frame type, coatings, polishes, clip -ons, backup pairs, etc- explained to me quite nonchalantly that my new pair of glasses would cost me somewhere in the neighborhood of $300. After insurance. Even after I deleted some of the options, like glare-resistant coating and a special polishing procedure, they still would cost me almost $200. After insurance. I thanked her for her help and explained that I would pass on the glasses today.

The Good Doctor then called me back into another room. So what’s it going to be? Neither, I can’t do it today. You know, I was just telling your wife that… (insert horror story here) and well, it’s like going to the dentist and not opening your mouth, and (insert horror story here), and we really care about you here, we don’t want you to end up like (tragic horror story victim), and all the diseases that are out there (insert laundry list here), and some things in life you just have to suck it up and do it.

After checking my breath to make sure I hadn’t swallowed this guy’s firstborn or anything, I sucked it up and said no, thank you. I will do it another time. I promise.

The Good Doctor then proceeded to insinuate that I was hopelessly doomed, and then he checked my eyes and from what he could see, they looked great. Awesome. On my way out, I set up an appointment for an Opto-Map scan, because in a few weeks, we won’t have a rent check that needs to clear as urgently and we’ll have recovered some from putting another $500 into car repairs. Walking out to the car, I felt like I had just been to a fire-and-brimstone revival meeting and rejected Jesus to his face. Quite honestly, I felt guilty and crappy.

But I never knew there were so many things that they could SELL YOU at an eye exam. No wonder they only charge $10 for the office visit- they know that once they’ve got you through the door, you’re good for at least another $300. And this is only the optometrist. There’s so many other doctor-types out there, I can’t imagine the HORROR STORIES they must tell people, the THINGS they can sell, the MONEY they must make off of us poor, scared, unhealthy peasants! And this is on top of paying hundreds of dollars a month for the insurance.

I think this is why I want that dreaded “government-run” health care. I want someone who cares enough to keep me alive and healthy, but who has no vested interest in selling me all this extra stuff. I want a nice, clean, impersonal service, not a guilt trip and a sales pitch. Keep the snake oil salesmen out of the biz, keep it minimalist, and keep it inexpensive. I can handle the taxes- it’d probably end up being cheaper than monthly health insurance payments, anyway. They do this in almost every other country in the world, and every other country in the world is healthier than ours. Why can’t we create a unique, American single-payer health care system that we can all live with?

Anyway, I’m glad I went for an eye exam. I’ll probably even go back to this place. But the whole experience speaks volumes to me about why we need something different, something simpler, and something that’s much less of a drain on the psyche and the wallet.