Showing posts with label Medicaid. Show all posts
Showing posts with label Medicaid. Show all posts

Thursday, October 5, 2017

Anxious Moments, by Pat Gourley


If you get confused just listen to the music play
Some come to laugh their past away
Some come to make it just one more day
Whichever way your pleasure tends
If you plant ice you're gonna harvest wind

A few lines from Franklin’s Tower. Grateful Dead (Garcia/Hunter/ Kreutzman)

Let me just repeat that last line for emphasis: “If you plant ice you’re going to harvest wind”.  More on that further on.

Writing about “anxious moments” in June of 2017 now 7 months into Donald Trump’s presidency presents itself as a herculean task. I mean where to start? For me perhaps it is best to start with a bit of self-examination of what may be causing my anxiety.

If my privilege allows me to simply weather out the storm of the next four years with little or no personal damage, and sadly that seems it might be the case, I must say that it is very tempting to just put my head down and go about my daily routines.  That would be much less anxiety provoking I think.

I have Medicare and not Medicaid.  Paul Ryan and his bunch would certainly like to get rid of both but Medicare seems a reach to far politically even for that crowd. Medicaid on the other hand serves a much more vulnerable and powerless group of Americans. The strong and largely elderly voting block represented by Medicare recipients is somewhat of a bulwark against Republican intrusions - Medicaid not so much.

I also get a small Social Security payment and a pension from the City and County of Denver. Both of these are fairly solvent entities that I expect to last for my remaining years. That is perhaps delusion on my part but rather than get “anxious” about it I prefer to just blithely skip along. I acknowledge this view may really be from looking out on the world from my relatively privileged window. There is of course any number of ways the whole really fragile edifice could come crashing down on all of our heads. So I am choosing to resist on many fronts anxiety provoking or not.  Let me relate a very small, and perhaps even a silly way, I am resisting.

Significant marijuana tax revenues going to Colorado coffers are adding to the overall financial health of the State and our City in very major ways, indirectly helping keep my City pension solvent, a tax tide sort of floats all boats. I am choosing to do my part by exploring marijuana edibles in earnest purchasing recreational rather than medicinal and paying the larger tax.  I could of course legitimately play the HIV card and get a medical marijuana license but for now I can afford the higher tax on the recreational herb. Taxes really are the cost of living in a civilized society and it would only add to that civility I would think if a significant portion of us gets stoned on occasion.

So what else, other than getting high, am I trying to do to counter the toxic miasma of the Trump presidency enveloping us all? Well I am trying not to ‘plant ice’ and by that I mean I am acknowledging that nobody is wrong 100% of the time (thank you, Ken Wilber). Well that may not apply to Trump but I am willing to give nearly everyone else on the planet a pass.

Without getting too deep in the weeds and stretching the metaphor to death you can simply think of the phrase “if you plant ice you’re gonna harvest wind” as another way of saying don’t be an asshole. That behavior often causes anxiety for others and yourself eventually, adding however small to the anxiety burden of the planet.

A recent personal example of my regrettably ‘planting ice’ was when I encountered Human Rights Campaign (HRC) solicitors out in front of the Trader Joe’s near my house. It was a warm day and I suppose I was cranky from the heat but I decided to give these young 20-somethings a bit of crap around HRC’s early endorsement of Republican Mark Kirk over Tammy Duckworth in the Illinois U.S. Senate race last fall.  HRC switched to Duckworth a few weeks before the election supposedly due to nasty things Kirk had to say in a debate about Ms. Duckworth and her family but the damage had been done in my mind.

Initially I felt mildly righteous for sticking up for my longstanding belief that the at times too conservative HRC was not my Radical Fairie cup of tea. By the time I got home a couple blocks away I started to feel somewhat anxious about the interaction though albeit it was pretty tame, no stone throwing or cursing had occurred. I began to worry, a great hallmark of anxiety, that maybe I had not made myself queerly obvious and they thought I was some old homophobic jerk. So I put my groceries away and walked back down the street. After assuring the two I was not stalking them I explained further my issues with HRC and threw in a few other things to firmly establish my gay cred. They listened politely, nodding a lot and I am sure hoping this crazy old queen would soon move on. I ended by saying that I appreciated and admired their being willing to be openly and politically queer on a public street. Not something I would have done in my early twenties.  This proved to be one more instance in my life where I realized if I were going to plant ice I would soon be harvesting wind.

© 11 Jun 2017 

About the Author 

 I was born in La Porte Indiana in 1949, raised on a farm and schooled by Holy Cross nuns. The bulk of my adult life, some 40 plus years, was spent in Denver, Colorado as a nurse, gardener and gay/AIDS activist. I have currently returned to Denver after an extended sabbatical in San Francisco, California.

Thursday, April 21, 2016

Once in a Lifetime, by Pat Gourley


It was in the summer of 1973 and I was living on Elati Street in Denver in a railroad duplex we were renting from a landlord who I seem to recall lived in Texas. There was at any one time 3-6 folks inhabiting the place. We had all recently relocated from Champaign, Illinois. The men all had homosexual tendencies, which for the most part were still in a state of unactualized potential and a couple of, I believe, straight women who were fluidly moving in and out of residence.

One of these women named Sue had recently checked out the hospital a few blocks to the east named at that time Denver General, now called Denver Health. She came home telling the mostly under-employed men in the household that the hospital was hiring several different positions and maybe we should check it out. I was at the time working down in Englewood at Craig Rehab hospital in their kitchen and having some minimal patient contact. Having no car it was a bus ride back and forth down Broadway and I was anxious for a more challenging change closer to home.

In August of that summer of 1973 I was hired as a hospital attendant at Denver General on the inpatient psychiatric ward, 4-West. The attendant staff was all male and all my co-workers conscientious objectors. I had avoided the draft by having a high lottery number and the good sense to not volunteer and end up possibly coming back to the States in a body bag from Vietnam.

The attendant staff was all male I suspect to provide muscle for the all female nurses so I am not sure why I got the job being all of 145-pounds soaking wet in those days. This turned out to be my “once in a lifetime” decision that has given my professional life direction for the past 42-years. I am assuming that something that is once in a lifetime should have more impact that one’s usual run of the mill life happenings and this decision to wade into nursing was it for me. The duties of the attendants did include elements of what I call real nursing i.e. hands on interaction with clients. No advanced degree was necessary with the ability to communicate with people in distress being the main requisite of the job.

Back in the early 1970’s the mentally ill, especially the homeless mentally ill, had a much better chance of hospitalization rather than today's all too frequent option of incarceration. And so began my several decades of interacting with Denver’s most disenfranchised. I did detour for 10-years to what was then called Colorado General but in those days they actually served the indigent uninsured as part of their mission.  That hospital has also changed its named, moved to Aurora and now has TV ads featuring Peyton Manning. I find the tone and pitch of these commercials to be very off-putting but I will not explore that further at this time.

This personal lifetime of nursing is particularly poignant for me today since back on the 28th of November 2015 was my last day of work as a nurse at Denver Health. It was a long very busy 13-hour day in Urgent Care attending to many of the same type of folks and their issues as I was back in 1973.

I’ll close this piece with a couple things. First, is that Colorado has the chance to vote on single payer health care in November 2016. We as a state currently have a very high rate of medically insured thanks in large part to accepting federal Medicaid support through the Affordable Care Act. Single payer would though be a great improvement in spite of this current commendable high-insured rate.

Secondly, I want to share a series of encounters I had with a homeless fellow I ran across on my walks into work my last two days on the job. The first occurred at 0600 on Friday the 27th. It was a cold snowy morning and this fellow was under a blanket on the Cherry Creek Bridge on Broadway just south of Speer Blvd. This is often a favorite spot for the homeless folks and he seemed bundled up and out of the wind so I proceeded to work thinking though I might see him later in Urgent Care.

At the end of my shift about 7:15 pm I walked home the same way and was surprised he was still in the same spot but now sitting up and still covered in his blanket. My assumption, perhaps wrong, was that he had spent the day out in the sub-freezing elements. I kept walking but after crossing Broadway I turned around thinking this is really not OK even for a seasoned homeless person.  I cautiously engaged him and he popped his head out of the blanket. He said he was OK that the blanket was warm. The next words out his mouth were to ask if I had a smoke. Despite the obvious health issues related to smoking to lecture him on this under the current circumstances seemed ludicrous. Instead I gave him the four bucks I had and encouraged him to walk the one block down to Denver Health where he could spend the night in the Emergency Department waiting room at least.

The next morning walking into work again I was stunned he was in the same spot. Still under his blanket, a thick coat and pretty good hat and rhythmic breathing quite noticeable. He was not lying directly on the pavement but still this could not have been comfortable. I have over the years encountered numerous homeless who prefer even sub-zero weather to the shelters for a variety of reasons. I decided I would walk home later the same way and if still there I would give him the $20 bucks I had. He was however not there in the evening and I wondered if he had walked down to the hospital or to a shelter or much more likely just moved on.

He had selected a spot out of the wind, temperatures in the high teens with lots of traffic and pedestrians within a few feet and he was reasonably dressed so I never thought the situation life threatening but if not careful frost bite could have been an issue for his toes at least. The greatest clothing need for homeless shelters is socks. I should have brought him a couple pairs from work. Since I walk central Denver a lot I plan to always venture out especially in wintertime with an extra pair in my bag.

© December 2015 

About the Author 


I was born in La Porte Indiana in 1949, raised on a farm and schooled by Holy Cross nuns. The bulk of my adult life, some 40 plus years, was spent in Denver, Colorado as a nurse, gardener and gay/AIDS activist. I have currently returned to Denver after an extended sabbatical in San Francisco, California.