The other day I was talking with people at a wedding. The majority of them were Republicans, and all of them opposed the Affordable Care Act, aka Obamacare. What floored me wasn’t so much that they opposed the ACA, but the grounds on which they opposed it. One man told me that anyone who couldn’t afford health insurance was covered by state Medicaid. Another person insisted that if someone couldn’t afford health instance, she didn’t want to pay for it. When I pointed out that all of us are already paying for the uninsured through higher medical prices to cover unpaid emergency room and hospital care, she said that they could go to InstaCare, as if local acute care clinics didn’t have the same problem as hospitals and emergency rooms.
While my wife and I are fortunate enough to have health insurance and in a position where we cannot be denied coverage, we both have seen and continue to see the array of problems. There’s the college student born with hydroencephalitis, who works minimum wage jobs and cannot get insurance nor meet the criteria for Medicaid. There are the scores of self-supporting college students who have injuries or long-term health problems whose parents refuse to include them on their own health insurance, or whose parents themselves have no insurance. There are the Walmart employees whose hours are capped so that they cannot have health benefits. There was the wife of a friend whose cancer treatments were not covered by his company’s health insurance policy and who died because the cancer spread while they tried to raise money for a deposit demanded by the hospitals in order to prove they could pay for the treatment. Or the full-time retail employee who did have health insurance, but was hospitalized, required surgery, and even after insurance, still ended up owing, as a result of deductibles and exclusions, more than most of his yearly take-home pay. I could give a very long list, and not one of those I listed would be either a so-called welfare queen or deadbeat. Beyond that, my list wouldn’t begin to deal with all the problems faced by the over 40 million Americans without health insurance.
I can’t begin to solve these problems, but I am very much aware of them, and we’ve helped where we could, yet most of the people to whom I talked at that wedding refused even to acknowledge that such problems exist, almost as if they occurred in another world. I’m seeing more and more of this, especially in recent years, and the current Congressional impasse over the federal budget reflects, I believe, the growing trend of Americans – and perhaps those in other industrialized countries – to deny what is happening outside their “world” – or their “bubble,” as the comedian Bill Maher terms it. The problem with such denial is that compromise is impossible when people in different worlds refuse even to acknowledge the events that are happening to others because those events, and even facts, don’t fit into their own world.
Put in another way – we don’t need space travel to find other worlds; there are more than enough alien worlds right here on earth, even if no one wants to admit it.