Showing posts with label healthcare. Show all posts
Showing posts with label healthcare. Show all posts

Wednesday, August 31, 2011

In Which All My Dreams Come True, Provided I Never Get Sick

So, here I am in ~California~, in the **~**Bay Area**~**. I am in my second week of orientation at seminary. Well, technically I am at seminary, though as an MA student I guess I am not really a seminarian – just surrounded by them.

My school is very progressive. A hundred years ago it was cheerfully educating women and Asian-Americans, back when ladybits and Asianness were widely considered obvious signs of inferiority as a human being. Today its population is over 50% queer-identified and extremely diverse, racially and religiously. Classes haven't started yet, but I'm already pretty sure that this is the best seminary in the world.

Last night we had an incredible worship service. Christians, pagans, Jews, and unaffiliated seekers gathered together to share a profoundly filling and calming experience of the divine. It was like nothing I've ever experienced before, and it was amazing.

I love the fact that I get to take very intellectual classes on things like Constructive Theology and Political Theology, and I also get to take part in worship and spiritual praxis. I love that I'll be learning heart-things as well as head-things. And I love the sunshine.

The other day someone asked me what I miss from home. I couldn't really think of anything. I miss my friends, obviously, but I'm making plenty of new ones so it's not as though I'm sitting alone crying for them. (Still love you guys, though!) One thing that occurred to me later is the NHS.

Oh, National Health Service. You are big, lumbering, and often inefficient. Sometimes you offend me. You seem to have a very nasty culture of silencing whistleblowers. Nobody would pretend that you are perfect; even so, as far as the blazing sun is above the feeblest anglerfish in the Mariana Trench, that's how far you are above the ridiculous US healthcare system.

I don't know if many USians understand just how absurd your healthcare system seems to an outsider. Let me explain:

You're in Britain, and you need a doctor. You're feeling peaky, or you need birth control, or your acne's flared up, or whatever. What do you do? You go see a doctor. Doctor treats you. If you need a prescription, you get your drugs – free if you're in Scotland or Wales, for a small sum (except for birth control) in England.

I'm not leaving any steps out. This is exactly what happens, from start to finish. It doesn't matter if you're unemployed. It doesn't matter if you're a taxpayer, a foreigner, a child. You see a doctor and you get treated.

This is normal for me. This is what I'm used to. Do you know how outrageous your system is to me? It literally would not seem out of place in a dystopian novel about an oppressive futuristic society that murders its citizens on a daily basis.

I'm in the US now, and I do have health insurance. If I need the doctor, I don't have a frickin' clue what I do. From the sound of things, my best bet is to fly home and get treated on the NHS.

Aside from the healthcare clusterfuck, I love everything about being here. I love the weather (obviously! I've been here ten days and I haven't been rained on once). I love that people are so friendly, and find my accent charming instead of weird. I love that the town is a lot like Camden. I love that I got to stand on the Golden Gate Bridge. I love my school. I love that I can look out of a classroom window and see a palm tree across the Bay. I love that, several times a day, I have to fight down the urge to lie on the ground kicking my heels and squeeing for joy.

I'm a grad student at a progressive seminary in California. What more could I want? (APART FROM UNIVERSAL HEALTHCARE, SERIOUSLY, GET IT TOGETHER CONGRESS)

Thursday, July 21, 2011

Fat Acceptance, Thin Privilege

Naturally I have nothing but respect for the hard-working medical health professionals who make our NHS the flawed yet wonderful institution it is; but I gotta say – sometimes, doctors are d-bags.

I think of the nurse whose sex-ed advice plowed over my somewhat embarrassed insistence that I do not sleep with men and have no intention of so doing; the doctor who prescribed me The Pill for my skin condition and a couple months later told me icily that I'd put on weight and should exercise more; a dozen forms and pamphlets that frame sexual activity exclusively as hetero P-in-V (“the only 100% sure way to prevent pregnancy is to abstain from sex entirely” – both heteronormative and profoundly unimaginative!).

Of course, for every story of indignity and humiliation suffered at the hands of healthcare professionals, I have one of excellent treatment – the doctor who so readily put me at ease when I shamefacedly reported my first yeast infection; the nurse who ran the metal speculum under the hot tap before bringing it anywhere near me (if there was never a furious second-wave feminist screed entitled Speculum, somebody missed a trick) – but the fact remains: doctors can be real assholes.

It's not always entirely their fault. They're the products of the med school system, which – like everything else in this sad, mad, wonderful world – is susceptible to humankind's penchant for Othering and oppression. I don't want to sound like a conspiracy theorist, but doctors don't always know best: how many Victorian women were diagnosed with “hysteria”, the complaint of being female in a very male-dominated society? How many housewives of the 1950s and 60s were psychoanalyzed with spurious mental illnesses just because they didn't find being a housewife entirely fulfilling? How many trans* and genderqueer individuals face hostility from the doctors they have to somehow convince of their gender identity? I don't think it's the words of a kook, therefore, to suggest that sometimes doctors talk total shite, especially about queer people, PWD, and fat people.

Fat Acceptance (FA) is probably the newest aspect of the social justice movement to me, and initially I looked on it with doubt. Hadn't I always been told that fat = bad? That fat ugly I was prepared to accept as jiving with basic feminist values, but medical health professionals are always reiterating that fat = unhealthy. There's the increased risk of heart failure; there's the late onset diabetes; there's the obesity epidemic, and my God won't somebody PLEASE think of the children?!

Actually, though... read FA websites. Learn that the correlation between size and health has never actually been proved to exist, and that you can be fat and healthy (or thin and unhealthy) at one and the same time. Realize that, even if there is or might be a correlation between an individual's size and eir health, it is not a moral issue and you have absolutely no right to be judging em for eir (horrible phrase) “lifestyle choices”. Think critically about the multi-bajillion-dollar diet industry, which operates on a cycle of convincing people that they should hate their bodies and spend all the money they can on the latest diet regimes that will not work because the idea that everyone can obtain any body shape they want through diet and exercise is A COMPLETE LIE, and that is a feature not a bug. Start to notice the fat-shaming in which our culture is engulfed, in constant pop-culture messages that fat equates to greedy or gluttonous or comic relief or unsexy or disgusting or immoral or just bad, bad, bad.

I've been reading and learning and realizing and thinking and noticing, and I think it's important for me to start talking about it because fat is a feminist issue: if you're a feminist, an activist, a social justice blogger, you cannot be all, “End discrimination now! Oh and go on a diet, porky.” We've all seen that attitude on supposedly feminist websites, often in the form of concern-trolling. Just cut it out. Being a feminist/SJer who castigates fat people is like being a feminist/SJer who says racist things. Not saying it doesn't happen; I'm saying it shouldn't happen, it makes no sense, and it needs to freakin'. Stop. Now.

I myself am not fat, and in this messed-up world of ours any minority cause gains credibility from privileged people talking about it. It's gross, but it's true. The white anti-racist, the male feminist, the straight queer activists – these are the people that get mainstream attention; and there goeth the thin fat activist.

When I first became aware of FA, I used to angst about my thin privilege. “People keep complimenting me on looking slender!” I would agonize. “o me misere, what shall I do? Give them a self-righteous lecture on how slimness is not a virtue, or just accept the intended compliment? BEING A THIN FAT ACTIVIST IS SO HARD!”

Whoooops!

Do you see what I was doing? I was taking the Cause I had so nobly appropriated, and making it all about me. It's a classic ally tactic: you see it in the white folks who go to womanist spaces to ask for advice on dealing with a coworker who uses racial slurs and it offends me and I feel I should speak up but I don't want to rock the boat and, oh, whatever shall I do? How can I ease my privileged-person conscience in a blaze of faux-deprecation that actually reinforces my privilege and how awesome it makes me feel?

Being an ally to any cause is full of pitfalls, but once you start to engage any deeper than the surface it's not hard at all. You just have to remember:

It's not about you. When in doubt, shut the fuck up.