Medical Minutiae, Ch.1

duplicate medical forms sent on the same day
Four duplicates of the same correspondence from eviCore Healthcare.

At a healthy 59-years-old, I’m not an expert on all things medical yet, but I think my education on this subject is going to be coming faster than I ever dreamed. And, a good part of that education will likely have to do with the exceptional waste and overpricing that we hear about on this subject, on any given news day.

Recently, I received four identical envelopes in the mail on the same day, and in opening them, wondered if the content was the same as well. “Nah, couldn’t be,” I thought to myself. “Surely there’s a different correspondence in each of the alike envelopes,” yet I couldn’t imagine what they were.

Anyway, whoever these people are at eviCore Healthcare, located in Franklin, Tennessee, they did manage to send me four identical letters with the same message about an upcoming MRI. The only contrast I could find in these four correspondences was that two of the letters had a time stamp of 9:54 a.m while the other two were stamped at 9:54, but all four were dated February 11. Go figure.

I’d like to think that this little anecdotal account isn’t representative of a glaring incompetency in the medical/insurance profession, but one has to wonder. I can almost understand getting two identical letters in this case, but four is something that makes you pause—and write a blog entry about.

Do we need a post-Super-Bowl holiday?

Patriots fans celebrate their Superbowl victory over the Rams at Sonny McLean’s bar in Santa Monica on Sunday, February 3, 2019. (Photo by Axel Koester, Contributing Photographer)

Might we consider a national holiday for the day after the Super Bowl?

It’s the Monday after the Super Bowl, in this case Super Bowl LIV (2020). My 9:00 a.m. class only has four students in it and one of them is taking the class as an audit (no credit or grade), yet not one of them has shown thus far and the class should have started ten minutes ago.

And this isn’t the first post-Super-Bowl-Monday when I’ve experienced this phenomena in my classrooms.

Along with the day-after effect of the big game, it started snowing yesterday afternoon and has continued throughout the night—albeit lightly—resulting in a healthy two inches of snow on the ground. In more than a month since the first day of winter, winter seems to have finally arrived on this third day of February.

I recently read that the day following the Super Bowl is the day more people call off work than any other day of the year.

As a school, we typically have the Monday following Easter off, so I’m wondering here, perhaps we need to consider another National Holiday following the Super Bowl—a day of recovery from the previous day’s excitement, gluttony, along with a good dose of alcohol-over-indulgence.

By the way, one of my students ended up making it to class—only 15 minutes late.

Curing mental illness vs. gun laws with teeth

“This American carnage stops RIGHT HERE, and stops RIGHT NOW.” —Fuckface von Clownstick. (And the people clapped)

It’s been well over a week, so it would seem now is good time to start talking about gun laws—before another mass shooting shakes the country to its core again. (Never mind the everyday mass shootings that injure and kill only a handful of our fellow citizens.)

As authorities in law, psychology, and other professions sift through the evidence more than a week after the Las Vegas shooting, everyone remains dumbfounded in the case of Stephen Paddock, the Las Vegas shooter. Even those closest to him (family, the gambling and gun-selling communities) are clueless and never had a vibe regarding his character of darkness that he kept from everyone so well. He certainly was an anomaly, but that’s how distant we are to addressing mental illness as a solution to mass murders. Think about it: its been over a week after the Las Vegas massacre, and we still have zilch.

Its odd that those who advocate curing mental illness is the solution to preventing mass killings, have no particulars when it comes to how we get there. It’s just this vague, clouded idea—much like asking for directions to a location and your told, “Yeah, I know the place, but I’ve never seen it, but if you go up the road a distance, I’m sure you’ll find it.”

This seems like a good place/time to ask why gun violence is always linked to mental illness? I think our society has a tendency to make the two synonymous. As to say, gun violence is the result of mental illness and mental illness is the result of gun violence. One thing to keep in mind—based on research—the overwhelming majority of people with mental illnesses are no more violent than the overwhelming majority of people in general.

Simply stated, the mental health discussion to a safer community that carries firearms is nothing more than a smokescreen for the gun advocates of our society. It’s simply a diversion with an impossible solution that keeps as many people away from talking about real solutions. This is a quintessential example of “kicking the can” down the road.

Can you imagine what advances in mental health it will take to reach a point where outward-appearing everyday guys can be found-out before they reach their inward critical mass to do the unthinkable (which has materialized far too many times)? It will be nothing short of placing mind-readers in gun stores, the workplace, and the homes of everyone who is suspect.

And how far do we go in lumping the various attributes that lead to violence with mental illness? Most agree that things like schizophrenia, bipolar disorders, and major depression can fall under the mental illness umbrella, but what about those with a history of child abuse, binge drinking, or simply being male—because those things are also linked to violence. Then there are those who have experienced resentment, revenge, social isolation, a tendency to externalize blame, a fascination with violent video games, and a passion for weaponry.

The immediate answer to reducing the number of mass murders in America  isn’t in wrestling and sorting out the far-off mysteries and fuzzy-logic of mental illness, but rather in implementing concrete, extensive and tougher gun laws that mirror the requirements of other dangerous operations such as the various levels of licensing in the operation of a vehicle.

When it comes to mental illness warning signs, it seems fair that anyone who has over, x-number of guns (a number agreed upon by a rationale-minded group) and a bunch of ammunition is a candidate for some kind of mental illness screening. And, short of legitimate gun collectors, those who possess vast arsenals of guns and ammo, might this passion be an extension of their army-playing days in their youth. (If that isn’t a form of mental illness, I don’t know what is.)

Should we make drastic improvements in mental health that allow us to identify a mass-murderer before they act, then we can talk about the elimination of gun laws. For starters, if you want to stop mass murders, require every person who has x-number of guns and ammo, or owns an “assault-style, non-hunting” gun to get regular screening.

Getting a driver’s license, a car license, and insurance is a true inconvenience when it comes to driving. However, it doesn’t prevent us from securing our right to drive, it’s just a precautionary to ensure that we can carry out the task without being a great risk to society. And so, owning a gun should be the same kind of inconvenience for anyone wishing to possess a firearm and/or ammunition. Besides, if you’re a “good-guy-with-a-gun,” you shouldn’t object to a little inconvenience, right?

Despite all of this, I’m reluctant to believe that if the day should come when we can identify people with mental illness quickly, the NRA-gun lobby will likely still resist anything that prevents people from getting their hands on guns.

For the time being, America has long since disqualified itself when it comes to “greatness” in its tolerance for continuous massacres of its innocent citizens. Any great country would have addressed and solved this problem by now. Australia… now there’s a great country. New Zealand… another great country. Japan… yes. Etc.