Two friends of friends both had the back luck suffer serious injuries
in separate incidents. One went to the ER, was told he was unharmed
but sent to follow up with his doctor - who discovered he had a broken
neck (obviously must have been a hairline fracture since  he was
walking around). The ER did not even given him pain pills.

The second happened to a woman who was sent to the ER in an ambulance
unable to move. A triage nurse examined her, told she was  fine, just
being a big baby ordered her to leave. The fof could not get up, and
finally a doctor was called in  - who discovered she had a broken
back.


Oh a third case. A friend suffers extreme migraines, bad enough that a
pain management specialist made arrangements for her to be able to go
to an ER and receive intramuscular dialud. (Can't be
self-administered.)  He had his orders backed up by a doctor on the ER
staff, filed permanently.

Her experience: a lot of the time the ER would refuse to administer
the dialud, insisting on trying other treatments the pain specialist
had already tried with her which did not work. In others they would
insist on starting with a lower dose than the prescription "just to
see if that does the trick". She was a black woman you see, and the ER
staff just assumed that there was a good chance a black woman getting
strong pain meds was a junkie trying to scam the system. Doctors
prescriptions: maybe she had conned the doctors. Maybe the doctors
were acting as Dr. Feelgoods. But leaving someone in excruciating
agony that measured on official pain scales as a multiple of
childbirth pain was worthwhile, cause they weren't 100% sure that she
was not a junkie.  Racism, sexism and war on some drugs combine to
torment a really nice woman.

We desperately need single payer. Without it we are unlikely to fix
any of the systemic problem. But finance and administration are not
the only level at which our health care system is broken. Once single
payer is in place, we have a hell of a lot of other messes to tackle.
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