A Healthcare Promblem

Rick Santorum has given up his quest. That leaves only Mitt Romney and the rolly polly former Speaker from the congressional district to the west in the running. (Now, before you decide to send me an email about my description in the previous sentence of the body shape of Newt go Google a picture of him.) I realize I'm going out on a limb here, but I'm going to predict Governor Romney will get the nomination.

Pretty soon, President Obama and Governor Romney will be in a headlong marathon whose finish line in on a Tuesday in November. One of the big topics of debate, of course, will be health care. But neither will experience the health care frustration that is mine.

Here's the crux of that challenge: I'm entrusted with the responsibility of assisting my uncle to his many medical appointments. The interaction between my uncle and the doctor on these occasions usually go like this.

“Hello, how are things going?” the doctor will greet.

“Pretty good,” my uncle will reply, “for an old man.”

“Okay,” the doctor will respond. “Your blood pressure is good. You've lost a couple of pounds. I'm looking at the last lab tests and everything is progressing beautifully. This is good. Is there anything bothering you?”

“Well,” he'll say quickly, “there's this place on my arm.” He'll pull up his shirt sleeve and display his bicep, whereupon he'll point to what appears to be a large freckle. “Look at this. Do you think you should refer me to a specialist?”

“Let me see,” the doctor will say. And then he'll tell my uncle it's a natural by-product of aging. “We get spots like that as we grow older.” My uncle will state it looks “per-cancerous” to him. The doctor will offer to refer him to a dermatologist. My uncle will say he'd like that. It will be up to me to make the appointment.

I'm thinking back to my younger days. Old Doctor Massee, our family physician, didn't have benefit of the marvelous technological tools of today's medical practitioner. He used a stethoscope and probing fingers and knuckles to diagnosis. He kept us healthy despite his lack of modern equipment.

He had another unusual trait, however. He knew my name without having to glance down at my chart. Not only that, he knew my Little League batting average.

The modern doctor seldom uses his stethoscope; hardly ever probes with his fingers. He relies on his computer as he inputs the answers to his questions, and the lab work he regularly orders. And then he suggests a return visit in six months.

Now let me be clear. I did not attend medical school. I am not qualified to make a judgment upon the medical abilities of modern doctors. I scientifically do not know if this doctor or the one of my childhood is the better qualified.

There is one comparison I'm qualified to make. Back in the old days the waiting room experience, the probing fingers, and the discussion of how it might benefit me to choke up on the bat took about thirty minutes, forty tops.

I brought my uncle to his regularly scheduled appointment this morning. He was weighed and blood pressured at 11:30. It's now 1:10 and I'm still waiting for the doctor to walk in the door and say, “Hello, how are things going?”