Advantage to health care in larger cities…many “systems” to choose from

It depends on your “insurance” but this is what I’ve found….

Whereas you might get excellent health care in a small town, you really don’t have much to choose from.  I’ve had health care in a small town, and when I’ve bombed out with what they had to offer, my only option was to drive out of town to get my care, or finally, to relocate elsewhere or give up entirely, which I decided wasn’t an option at that time.

My parents would not let me give up.  I thought of them as rather nagging and annoying, but finally, they took me in.  I moved to the Big City and I’ve been here ever since.

I’ve found that with health care in a Big City, you can bomb out real bad here, too.  You can feel like you have exhausted your options.  Just like that small town.

But no, the good thing is, this place is huge.  It’s a metropolis.  There’s not just the one small health care system operating here and no other system.  There are many systems.

So hopefully, if you bomb out of one, you can, if you are in a big city, get into another.

Now here’s the real good thing: You can start afresh. They don’t know you in the new system.  You are starting afresh and you don’t have the damn “reputation” hanging around your neck.

I keep reminding myself to lay low.  Keep the guns uncocked.  Oh, by the way, that was a metaphor, assholes.

2 thoughts on “Advantage to health care in larger cities…many “systems” to choose from”

  1. Julie, I agree what you say about big cities allowing you to start afresh. In 1994 I needed surgery that the Catholic hospital who’s outpatient clinic in downtown Cleveland I’d been going to for years for my intestinal and eye problems wasn’t equipped to do. They recommended that I go the the “world famous” (their self-serving description, not mine…) Cleveland Clinic for it. So I made an appointment there, and instead of having St Vincent’s (the catholic hospital) fax my chart to them, insisted on taking it myself, as is the patient’s right… Only I stopped at a nearby Kinko’s and made liberal use of Whiteout and their copiers to remove any and all references to my p$ychiatric history from it 😉
    They may have suspected I was nuts at the Cleveland Cinic, but there was nothing on my chart to confirm that and they actually took me seriously and nobody tried to talk me into taking psych drugs, they way they’d been trying for years at St. Vincents.

    1. Oh John, what an awesome story. Hooray for wite-out. Love your spelling of p$ychiatric.

      I think if you are not on an antipsychotic or antidepressant, in some people’s eyes, that means you are not a “mental patient” when you go to these clinics.

      I did, however, state that I “refused to answer” when they asked if I’d been hospitalized. Guess they thought that meant yes. But they could not verify….

      I do know that Medicare shares records. They’ll pull my records…I wonder if I should renege permission before my first mental health appointment. I know you can do permission so they will stop sharing. It annoys the heck out of them that they can’t snoop anymore.

      No one over there is going to bother looking me up online. I’ve heard that therapists do this. They look for patients’ facebook pages or MySpace routinely, etc….I can easily be found….A smart therapist doesn’t have a Facebook account even or does some weird thing to hide it (from patients).

      Practitioners should just listen. If a patient is in pain, they are in pain. These practitioners should quit being judges. Let the judges be judges, and doctors be the healers they’re trained to be.


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