When I finally got the receptionist's attention at the dentist's office, I told her I was there for a 12 o'clock appointment. "Andrea? I have here that you were at 11." Hmmmm....I was pretty sure it was 12. I had immediately written it in my calendar the week before and don't usually mistake this sort of thing. But unfortunately I had denied the printed appointment confirmation receipt the week before, and so couldn't show her anything. But I was pretty sure. She called back for a dental assistant to come help address the issue.
During our conversation another man walked up and started talking to her, perhaps not realizing she was occupied. She seemed to recognize him. "T, you're late. No your appointment was at 11:30, not 12. No, you're late."
"You can go ahead and take a seat," she said to me. "I've called for the assistant."
Most of the seats were full. It was more full than last week when I came for a cleaning, but it was a similar scene. The TV was turned up, showing local news (people being interviewed about how hot it was), people were talking full voice. Especially present were the voices of the mothers scolding their children for minimal offenses, being out of their seat, or just being too squirmy. And when yelling didn't work, there were potato chips to appease. I don't think there was another white person there.
After about 10 minutes the assistant that I'd met the week before came out and asked if I could come back at 4. I really couldn't. He offered another time next week. Based on my experience the week before–having had a 10am appointment and not being seen until 11 and then not being finished until 12:30–I explained I could do that time, but it would really have to be that time and I'd need to be done about an hour afterwards. He looked down and walked back to check another possibility, that being too much to assume. So we settled for a time, earlier in the morning, when the chances of the office being overwhelmed would be less.
It has been enlightening to be in the middle of the Medicaid system. I was in one office, and even gave a urine sample before being kicked out because my insurance was not accepted there. In another dentist's office, I learned that I had been assigned a different primary dentist (how was I supposed to know this?) and that unless it was an emergency, insurance would not cover that visit (the receptionist tried to convince me this wasn't the case because their office would just bill later, after the date when my new preferred primary dentist (them) went into effect–I didn't bite). It's incredible how much time it takes to take care of oneself in this system, to figure things out, and my issues are incredibly minimal. Who can give up a day of their lives to sit in a clinic waiting room, and then do it again when it was the wrong place, or with kids, or to find out in the end that they have to pay a ton of money because no one told them they weren't covered there? It's ridiculous that this is what healthcare is in our country.
Or at least for a certain population. Insurance issues are issues at any level. But the amount of waiting, the quality of care (in my check-up, the water cleaner was leaking water everywhere, the floss was so course it wouldn't go between my teeth, and a giant horsefly visited us several times), and the personal treatment (were I not a white person I wonder if I would have had a chance to set up a new appointment with the assistant, unlike the man who was unarguably late) are incredible.
To walk into one of these clinics is to look through a window at the systemic issues of a certain type of living and care, one that is not actually my own. My background is incredibly privileged, and it is through that lens that I see these things and know that they don't have to be this way. The treatment of one's self, one's children, and others.
Likely there will be a day when my income is stabilized and I can afford to sign up for a different health insurance, one that is covered at different places. It may not be that far off that I am kicked out of this current system, deemed a different worthy than to be a part of it. And maybe then I will forget what it is, growing comfortable in the lack of these offenses, enjoying the gentle muzak and running water and screens of fish floating in corral reefs that will consume a new way of living. Perhaps I will think of these offenses–which to me, not being pervasive in other aspects of my life, are minor annoyances–and think how I could have possibly lived that way. My lifestyle will shield me from these discomforts and make me think them impossible to live with.
But there is no end to wanting more. Seeking greater and greater comfort is an exercise in retreat. To look the other way is to blind oneself. But as I grow up, into the privileged class that I am and will likely settled, I have to ask myself, where do my choices cross with others' inability to choose? What power do I have to share the perspective that I know from my upbringing? Where is my potency, seeing this, and yet being so far removed?