I see your bootstraps and raise you an amputated leg

So there's this letter that appeared in this week's Willamette Week:

I am self-employed, and I pay about $140 a month for health insurance. When I hear people say they “can’t afford” health insurance when they have a cigarette habit, a latte habit, and an expensive cellphone, I shake my head in amazement. People, your health is your responsibility; it’s not the job of the rest of society to ante up for your medical costs because you were too cheap to insure yourself. --“Barbara”

Well, allow me to congratulate "Barbara" for thinking ahead and choosing her genes carefully so she could be responsible about her health. If only I had such forward-thinking! If only I hadn't been so careless with my pancreas at nine years old. All my wild parties and late nights back then stuck me with a disease that I will die from if not treated. And if I can't afford to pay for my own mistakes, I have only myself to blame.

But I think "Barbara" may be missing a key part in this whole "everybody deserves health insurance" bug that's sticking in her craw. It's just a little thing, but it's important. She has no fucking idea what she's talking about.

Let's say I lose my job, and am unable to find another job before my COBRA runs out, I will lose my insurance. And given the "pre-existing condition" I recklessly saddled myself with, buying my own insurance could cost as much as $400/month.

And it's very possible that I won't be able to afford that. And that's where things get a little tricky. It's costly to maintain my expensive "must have this medicine or I will die" habit. Allow me to demonstrate (All dollar amounts based on the going rate at my nearby pharmacy in 2007 and the charges incurred at the local medical clinic):

Monthly drug costs: 2 types of insulin, 2 types of syringes: $318.

In order to be a responsible diabetic, I need to be keeping an eye on my blood sugars. I can't expect "Barbara" to ante up for all those complications. This means I will need to buy a glucose monitor ($75) and monthly test strips ($219).

And you can't just walk in and buy some of this stuff. You need a prescription, and prescriptions mean Drs. appointments. If I go just once a year and get all the tests "responsible" citizens should get-- lab works and a pap smear (unless she expects me to bear that burden as well-- after all, I'm the one with the cervix. Half the people on this planet don't need pap smears, what makes me so special?)-- that will cost a little less than $500.

So, let's do some math!

Dr visit + glucose monitor + [(prescriptions + test strips) x 12]

equals

$7019.00 per year. Minimum.

(Note: This of course does not take into consideration anything else that is considered "responsible" health maintenence: Eye care, dental appointments, drugs for other conditions that come with diabetes like glaucoma, neuropathy, gastroparesis, thyroid disease, depression, anxiety. And let us not speak of emergency medical care; anything I would do that would require such extravagance would surely be my fault. C'mon, dressed like that? I would be asking for it.)

Honestly, how could I possibly expect my government to allocate "Barbara's" precious tax dollars to fund my corporeal inadequacies? How reckless and selfish! Jesus, here I've made this whole entry about me, me, me. I mean, what about "Barbara"?

Well, here's what about "Barbara": I think she needs to try that old "walk in someone else's moccasins" for a while. I think any diabetic would be happy to hand over the shoes they can't wear anymore, what with those pesky feet they just had amputated.