Tuesday, April 7, 2009

In which Tim goes to the doctor(s) and muses about health care...

Peace Corps is obviously a part of the US Government, which has its ups and downs. The negative aspects have to do with bureaucracy and silly rules that are very inflexible. For example, right now we are not allowed to open any of our mail inside the office, because someone might be sending us anthrax. Why anyone would try to anthrax a Peace Corps volunteer is beyond me, but uncle Sam knows best.



Yes, there are downs, but there are lots and lots of ups. Like how we get to use the embassy pool and restaurant when we are in the capital. Very nice. But the best thing of all is the health care we get as volunteers. It is free, and covers everything. We have two doctors in the office who we can talk to whenever we come in, and call at any hour of the day or night. They have an entire closet full of drugs to give us, and if they don't have what we need they send out for it.



I have been in country for a year now, which means I have go through a routine medical exam to make sure I am still fit to serve my country. I got to go see a doctor for a full check up, and a dentist for cleaning and cavity check. All of my parts are in good working order, and despite the countless cups of sugar saturated coffee I've had over the last year, I have not a single cavity.



The government pays for us to see the best of the best private doctors. All the waiting rooms I sat in were airconditioned, with marble floors and expensive paintings on the wall. The other people waiting were wearing designer jeans and talking on iPhones. Rich people. And I was there with them. It reminded me that despite the fact that I live in a small house without electricity, I am still one of the privileged in this country. I have access to resources that my neighbors could never even dream about.



A few weeks ago a team of doctors came to my community to do general check ups. The crowd formed hours before the doctors even arrived. People hiked miles and miles out of the hills to see them, some carrying their sick family members. There were regular non-serious illnesses, like colds and aching backs. But there were also cuts that had not been cleaned, and become infected to the point that the limb might be lost. There were little kids with serious parasites. I saw a few people who complained of vision problems, and the doctors told them that they were in the early stages of blindness.



The team stayed until after dark. Fortunately they were able to see just about everyone who came. But we don't know when they will come back. There is no hospital. Most of these people cannot afford to travel to the city, let alone pay for treatment. They are illiterate, and have never been taught anything as simple as how to clean out a wound, or make sure the drinking water is clean.



We complain about lack of health care in America, and there are certainly real problems that need to be addressed (I don't know what I will do when I'm no longer under the government's umbrella!). But before we wallow in too much self pity for having to pay what we do for pills or surgeries, remember that at least we have stores that sell the pills. And we have doctors who know how to help us. It would do us some good to remember those who lack what we have been given.



I recommend the book Mountains Beyond Mountains. It is about a doctor who's been doing public health work in Haiti for a long time. Fascinating and convicting stuff.

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