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Poor and sick? Outta luck.

By Jessica Martin
RAW STORY COLUMNIST

I feel all the symptoms: the rumbling in the chest, followed by coughing up my insides in the form of a yellow gooey germ-infested globule into my hands because I never seem to have a tissue on hand.It has been lingering for weeks now, this sickness. I personally diagnose myself as coming down with a strand of bronchitis that plagued me each year at about this time while growing up in those harsh Northeastern winters.

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This one image of my youth fails to escape me, it lingers in my brain as if by revisiting me, it will teach me something that I have yet to learn. I am 10 years old, waiting for the school bus on one of those frigid mornings when your breath comes out of your mouth in a white frost before your words do. As there has been no rain, there is no snow on the ground. I wait patiently at the designated bus stop with one other freezing student. The bus is late and the discomfort of my rumbling chest rivals my frozen fingers and toes. I bop up and down and rub my mittened hands together, attempting to get warm. Although my parents always told me that 90 percent of our body's heat escapes through our heads, my wool hat is not doing its job. Finally, after I experienced several earthquake-like tremors inside my chest and my body was the temperature of an icicle, I see the yellow beacon in the form of a school bus at the bottom of the hill, making its way up to me.

The door slides open and I step into the overheated bus, my chest still rumbling but my outside body beginning its 15-minute thaw on the way to school. In class that day, I will hold my breath as best I can until my body cannot take it any longer and my coughing fit will begin once again. At this point the teacher kindly asks me to step outside to drink some water from the fountain. I do so.

The whole hold-it-in-till-you-burst analogy is still a metaphor for my entire life, the details of which I will get into in another essay.

And now, 20 years later, I feel it coming back: the rumbling of the chest; the intense coughing that results from my still holding back that hacking cough, because the coughs are so intense and constant that I physically can feel my lungs bruising. The coughing attacks are extreme and they are painful. Although the winters of my present home in San Francisco are much milder than the Northeast winters of Philadelphia where I grew up, this town does get a chill in the air during the winter months.

We recently realized that it was not strategically wise to put the head of our bed just underneath our bedroom window. Although the daytime sunlight is perfect for reading in bed, the nighttime chill penetrates through our windows right onto our exposed heads. Last night must have been extra windy, as the breeze through our window physically woke me up — it was that cold. My body was nice and warm, snug up next to his, the majority of my body bundled in layers of blankets. Yet my exposed neck and head quickly were becoming icicles. I nestled my body closer to his, pulled my blanket up to my neck so that only my head was exposed. I still could not get back to sleep. The breeze through our window made it feel like I was camping on the north face of Everest.

It was so intolerable that I coaxed my tired body out of bed, dug through my ready-to-go camping backpack, and pulled out the warmest winter hat I own. Once I pulled it over my head and resettled myself in the bed next to him, I was finally able to go back to sleep. Yet the chest rumbling continues today and it has been sticking around for weeks. You better believe that I will be sleeping with my fleece camping hat on my head until I get better.

My bronchitis concerns me, as I do not have health insurance and I have not had my body insured for years.

What does it say about the priorities of a country, of a society, that legally requires your automobile be insured but not your physical body?

In my opinion it speaks volumes. I am one of millions of Americans who fall victim to this major shortcoming in my fine country's priorities. My Toyota Tacoma pickup is fully insured, because the law in California requires it to be so. If you are driving and get pulled over and the kindly officer checks your vehicle information and you are uninsured, you will find yourself with a suspended license. Then, unless you are one of those renegade souls who drives around on a suspended license, when you eventually do get coverage your insurance rates will have tripled due to the suspended license incident.

So, while our cars are snug, secure and insured, there is no state law requiring that one insure their own body. There is something clearly wrong with this picture. We are an insurance-obsessed country, with everything around us able to be insured from our car (auto insurance) to all of our earthly possessions (renters or homeowners insurance) to our body while we are still alive (health insurance) and our body once we are dead (life insurance).

The whole concept of life insurance, of someone making a buck off your death, simply sickens me. Only in America. I guess I can understand why it would be useful if you were a parent and you want you ensure that your children will not become finically destitute if you die an untimely death. Yet doesn't the whole life insurance premise seem inherently wrong on so many levels? Let us not forget about the countless life insurance scandals that occur each year, where the benefactor of the life insurance policy (usually a spouse) will either hire a thug or find a way to creatively off the person with the insurance to reap the benefits from the policy. What a sick, sick animal humans can be.

Say I get mangled by a city bus or I become the unfortunate victim of a city shooting or a terrorist attack. Say I am still alive and I heroically limp my way to the nearest hospital. There is a good chance that the emergency room physicians will not even see me due to my lack of health insurance. I very easily could lay there bleeding to death in the waiting room of one of my fine country's top-notch medical institutions. Yet there is not a damn thing that the kindly nurse can do about it.

I can hear my gentle and kind readers saying aloud while reading this, “Jessica, why don't you simply buck up and get your body insured already?” Good question. The answer is a simple one: The money is not there. A basic health insurance policy costs at least $100 per month and I am living a totally bare-bones existence at the moment. I make enough money to pay my bills — barely — and enough money to eat — barely.

These days I do not even have enough money to go out for an occasional beer or a movie. I have zero extra cash to do anything that costs money, which basically leaves me either a) at work or b) at home or c) occasionally talking a walk, getting fresh air and looking in the storefront windows at the urban luxuries that I couldn’t dream of affording at the moment. Once a year I will go to the "girl doctor" in the form of Planned Parenthood, but that is all I seek in the form of medical maintenance. I have not seen the dentist in forever. Quite honestly, if it were not the law, my beloved pickup would cruise these city streets as uninsured as my body does.

I cannot help but be perplexed at the reality that is my country, a country that clearly values the material (our vehicles) over the human (our bodies). Something feels dreadfully wrong with this picture, like we are a culture rotten at its core with such money-hungry values that we no longer can see the forest for the trees.

For a second, I ask you gentle reader to unzoom and look critically at what we value in our American lives. Doesn't feel good, I know. Yet I do not live by the premise that ignorance is bliss. Instead I prefer to live by the adage, knowledge is power.

In the meantime, in fact as I write this, the rumbling in my chest continues to build until it inevitably will explode all over the cupped hands over my mouth. In fact, that last sentence grossed me out so much that I will go get a tissue instead ... there, much better. I will eat well; take vitamin C supplements; and wear my wool hat over my head each night to keep out the cold, wet Pacific Ocean air. Right now I am running with the whole invincible young scenario: I am young. I am relatively healthy. I will be fine. Yet that logic will not hold out forever. My body will age, as bodies tend to do, and chances are I will need to see a doctor eventually. In fact, right now would be nice. *cough*cough*

The bitter irony of this whole scenario is that I am not too fond of Western medicine except as a Band-Aid approach. Sure, when you break your leg or get mangled from a city bus, Western medicine can stitch you up, give you a prosthetic limb or two, and you will be on your way. But for longer-term illnesses like the flu, the common cold, and daily aches and pains, the take-a-pill-and-call-me-in-two-weeks philosophy simply does not do it for me. I believe in a more holistic approach to our bodies, where one integrates physical activity with a positive mental outlook while eating well to heal. Yet for when we need the medical band aid, the quick fix, there is of course no substitute for Western medicine.

I just hope this menacing cold does not turn into the full blown bronchitis of my youth, because if I have to go to the free clinic for an antibiotic (not Planned Parenthood but the Haight Ashbury Free clinic), then I am likely to pick up scabies in the lobby as I am waiting to get the meds for my bronchitis. In the meantime, I will be starting my sweaty yoga intensive this week, as I know the dry heat will be good for my very moist chest. As I nibble on vitamin C tablets and sip on echinachea tea, I will no doubt keep applying for better work opportunities so that I more adequately can pay my monthly bills and eventually be able to splurge on health insurance. Moreover, in the meantime I hope that I stay clear of buses and stray bullets, menacingly steep stairs and, of course, terrorists.

For an archive of Jessica's columns, visit her archive page at http://www.rawstory.com/exclusives/martin/.

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