Affordable health care

Until a few months ago, I climbed out of my recliner and into the world 2-3 times weekly, perhaps for a picnic in the park, art at a gallery or museum, or just a bus ride to wherever, and then I’d step off and go for a walk.

All that’s mostly fallen from the agenda, due to laziness and lethargy. Lately my life is in the recliner, surfing the web and watching old movies. Twice monthly I leave home for breakfast with the family, and once monthly for a bus jaunt to the bank, because the landlord accepts only cash for the rent. Other than that, I’m in the recliner up to twelve hours at a time, and no longer the fine physical specimen I never was in the first place.

I almost never go shopping; groceries are delivered. I don’t even get up to pee; I aim into peanut-butter jars, and empty them in the toilet when I take a dump or a shower or get some food from the kitchen.

On Sunday, a very, very rare social event got me dressed and out in the world, and it was difficult. My chest hurt so much I wondered if I’d had a heart attack. From the pain’s subsequent behavior, seems more likely I pulled a muscle in my chest, but days later it still hurts, and it ain’t good that a blubbery old man could pull a chest muscle just walking half a block to a bus stop.

I have therefore vowed to return to a long-ago habit of walking half a mile first thing every morning, and set a daily alarm to remind me, at 7AM, starting on Monday.

On Monday, though, when the alarm went off, I did not walk half a mile. I didn’t walk anywhere except into the kitchen to zap a microwave pizza for breakfast. Even that short walk left me breathing like an obscene call, and my legs felt more rubbery than the pizza after it dinged. Worried, I waddled back to my recliner and ate the pizza, and promised myself I’d start daily walks on Tuesday.

On Tuesday, the take-a-walk alarm sounded, and I meant to walk, honest. First, though, I took a shorter walk to the toilet, to sit and shit. The poop took some effort and a grunt to squeeze out, which left me strangely light-headed. Too precarious to stand, I stayed seated on the porcelain for nearly 15 minutes after the poop, afraid that if I stood I might tumble to the linoleum.

Eventually, pushing on grip bars so kindly provided by the landlord, I stood and remained standing, but dizzy. Very cautiously I made my way back to my room and recliner, and knew there’d be no walk on Tuesday, either.

I remained lightheaded and worried in my recliner, but a few hours later came a fever — which was the best news of the day. I’d been thinking stroke, heart attack, or just chronic wasting disease — you know, something serious. But lightheadedness plus a fever means I’m sick, that’s all, and virtually every time I’ve ever been sick, I’ve gotten better.

So, yay, I’ll be getting better (unless this time, I don’t).

Made chicken soup from a can, ate it with some aspirin to break the fever, and pretty soon I was feeling human. Levelheaded instead of lightheaded, I decided there’d be no further weaseling, I would definitely have a walk on Wednesday morning.

Overnight I slept delirious, with shivers and sweats from the illness, which I’m amateur-diagnosing as my second bout of COVID. My protection has lapsed, because Trump is president so vaccines are no longer available unless you’re insured or have a few hundred dollars to spare. I’m neither.

My dreams were fitful and strange, and between dreams, my thoughts scooted sideways instead of progressing linearly. Even wide-awake after a nightmare, surfing the net for news, every article had winged ping-pong balls floating over the screen. The illusions and delusions have to be short-term, please. If my brain stays slippery long-term, reading and writing would be over for me.

The alarm went off, and I was ready to walk, but for safety’s sake, it wouldn’t be my formerly-usual half-mile walk. Half a mile seemed likely to kill me, and also the sidewalks in this quiet neighborhood are too deserted; I wanted to walk among people, so’s someone could help me to my feet if I collapsed. My plan, then, was to ride the bus to the end of the line, the Burien Transit Center. There are plenty of people and plenty of benches there. And ooh, that sentence both begins and ends with ‘there’.

Even getting dressed left me short of breath, but I pushed myself out the door. Across the street, a jolt of wind reminded me that I’d forgotten to either wear or pack my jacket; I was wrapped only in a t-shirt and sweatpants and shoes, my uniform everywhere I go. Debated returning to the house, to my room, to get the jacket, but that would waste so many footsteps and even pit me against a staircase, and I already wasn’t sure I could do this. It felt about 50°, workable in a t-shirt. Fingers crossed.

Halfway to the bus stop I was already low on oomph, and rested against a neighbor’s retaining wall. After crossing a second street, the last twenty steps to the stop are up a slight hill, which had become Mount McKinley. The walk from home to the bus stop usually takes three minutes; I’d allowed ten, and the bus arrived just as I did.

Sometimes drivers ‘kneel’ the bus for me, and this driver did, which made the one step up an inch and a half instead of several. Found a seat, and breathed heavy for half the rest of the way, but after that it was a bus ride, like any other. I looked out the window. My thoughts weren’t even hazy, and I wrote notes that are coherent to me hours later, which means, hooray, my mind still works.

I’ve ridden the bus to the Burien Transit Center thousands of times, but this was the first time the depot was my only destination. Stepped off the bus, walked slowly for a few minutes, then sat on a bench. When I’d rested enough, I walked again. Walk, bench, walk, bench. Morning rush hour meant there weren’t as many empty seats on the depot’s few benches, so sometimes I had to lean.

On one of my longer walks at the depot, I became exhausted and, benchless, leaned on a garbage can, last emptied circa May, maybe May of 2024. The stink made me retch and cough, and I horked up a puddle of yellow phlegm, and breathed better after that.

A bench slot became unoccupied, and I sat facing the morning sun, which warmed me like cocoa. Strengthened, I was able to walk twenty, then thirty steps without needing a rest, before coming back to my sunny bench. Very therapeutic.

After half an hour of walk & bench, my bus for home came, and at home I felt stronger than when I started. Five steps up to the porch and front door were difficult, but I had taken a morning walk. Cue the Olympic theme.

Yeah, I should see a doctor, and even without insurance I could afford it — one office visit, that is, with one MD. But my shortness of breath, wooziness, weakness, and sometimes inability to think in a straight line doesn’t seem like a problem one doctor-visit will solve, so I won’t even mention it. If I did, the doctor would spend the rest of the appointment telling me I’m fat and need to lose weight, and then refer me to a specialist I can’t afford, and order a battery of tests I also can’t afford, so there’ll be no doctoring over any of this. Affordable health care is a myth, and anyway, America’s always wanted me dead.

Instead I will cure myself. The take-a-walk alarm will sound daily at 7AM, and I’ll eat more bananas and chicken soup, less pizza, and take three aspirin every time the fever comes back, and remember to wear my jacket when it’s cold. Dr Doug’s orders.

9/24/2025

itsdougholland.com
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8 responses to “Affordable health care”

  1. Henry L. Racicot Avatar

    I asked Gemini to analyze this entry. Here is its alarming assessment:

    Narrator’s Health Issues

    The narrator’s physical health is in a critical and precarious state. The text describes a cluster of symptoms that point toward severe, unmanaged chronic disease, which is now being complicated by an acute illness.

    Probable Cardiopulmonary Disease: The most alarming symptoms are chest pain and extreme shortness of breath (dyspnea) brought on by minimal exertion, such as walking to the kitchen or half a block to a bus stop. These are classic signs of serious heart or lung issues. The dizziness, light-headedness (especially after straining), and profound weakness could indicate poor circulation and cardiac insufficiency (like congestive heart failure).

    Severe Deconditioning: His sedentary lifestyle, spending up to 12 hours a day in a recliner, has led to extreme muscle atrophy and loss of stamina. His description of legs feeling “rubbery” and a short walk feeling like climbing “Mount McKinley” perfectly illustrates this.

    Acute Infection: The fever, chills, sweats, and coughing up yellow phlegm clearly indicate an active infection, which he self-diagnoses as COVID. This illness is placing immense additional stress on his already compromised body, dangerously exacerbating his underlying conditions.

    Obesity: He refers to himself as a “blubbery old man” and implies he’s overweight. This is a significant risk factor that contributes to all of the other health problems mentioned.

    In short, the narrator is a textbook example of someone at high risk for a major medical event, like a heart attack or stroke. The acute illness he’s experiencing could easily be the trigger that pushes his body beyond its limits.

    Narrator’s Psychological State

    The narrator’s physical decline is mirrored by a complex and troubled psychological state. He appears to be caught in a powerful cycle of depression, anxiety, and denial.

    Significant Depression: His condition is characterized by lethargy, apathy, and social withdrawal. He has abandoned his hobbies and confines himself to his recliner. His neglect of basic hygiene (using peanut-butter jars instead of walking to the toilet) is a profound indicator of a major depressive state.

    Anxiety and Fear: Despite his apathy, he is deeply worried. He fears having a stroke or heart attack and is terrified by the temporary cognitive symptoms (visual illusions, jumbled thoughts), which threaten his ability to read and write—activities that seem central to his identity.

    Denial and Rationalization: The narrator is an expert at minimizing his situation. He dismisses the chest pain as a “pulled muscle” and is relieved by the fever because it provides a simple, temporary explanation for his severe symptoms, allowing him to avoid the more terrifying reality of chronic disease. He constantly makes excuses to postpone his walk.

    Hopelessness and Resignation: The final paragraph reveals a deep-seated hopelessness. He feels trapped by a healthcare system he believes is unaffordable and uncaring, concluding with the fatalistic statement, “America’s always wanted me dead.” This sense of powerlessness justifies his inaction and refusal to seek the medical help he knows he needs.

    A Fading Will to Live: Despite the overwhelming negativity, there is a glimmer of a fighting spirit. He does make the vow to walk. He does eventually force himself out the door in an act of significant effort. His feeling of triumph after his short, difficult walk (“Cue the Olympic theme”) shows that a part of him still wants to live and get better.

    His psychological state and physical health are locked in a destructive feedback loop. His depression fuels the inactivity that worsens his physical condition, and his worsening physical condition deepens his feelings of hopelessness and depression.

    1. Doug Holland Avatar

      Well, I hate AI, but there’s a fair amount right in there. Also a fair amount wrong. Nothing’s unhygienic about peanut-butter jars.

      I have always figured something treatable but expensive would kill me. Thought it would come on slower, though, and I was fine just a few days ago. Wouldn’t surprise me if I’m fine again in a week. Also wouldn’t surprise me if I’m not. Que sera sera.

      1. Henry L. Racicot Avatar

        Gemini came up with a pretty good GoFundMe campaign for you:

        Campaign Title: Give a Good Man a Lifeline to Health

        Campaign Text:

        Hello,

        We’re raising funds for a kind, thoughtful man who is trapped in a health crisis and a financial corner, and who is too proud to ask for help himself.

        Until a few months ago, our friend was a man who loved to explore the world around him, even if it was just with a bus ride and a long walk. He found joy in picnics in the park and visits to art galleries. But lately, as he says, “laziness and lethargy” have taken over. In truth, it’s something far more serious.

        His world has shrunk to the four walls of his room and the confines of his recliner. A simple walk to the kitchen leaves him “breathing like an obscene call.” Recently, a rare trip out of the house caused him so much chest pain that he worried he was having a heart attack.

        He knows he needs to change. He vowed to start walking again, but his body is failing him. His legs feel “more rubbery than the pizza” he eats for breakfast. A simple walk to the bus stop, just half a block away, became his “Mount McKinley.” He is fighting, but he is losing.

        The Barrier He Can’t Overcome Alone

        This is not just a story of ill health, but of poverty. Our friend is uninsured and lives on a razor’s edge financially. He knows he needs a doctor, but in his own words, he feels utterly trapped:

        “My shortness of breath, wooziness, weakness… doesn’t seem like a problem one doctor-visit will solve… the doctor would… refer me to a specialist I can’t afford, and order a battery of tests I also can’t afford, so there’ll be no doctoring over any of this.”

        He has resigned himself to suffering in silence because he believes that in America, “affordable health care is a myth.” We want to prove him wrong.

        How Your Donation Will Be His Second Chance

        This is where we, and you, can offer a lifeline. The money raised will go directly to providing the comprehensive medical care he desperately needs to get a real diagnosis and a treatment plan.

        Your donation will fund:

        A full diagnostic work-up with a primary care physician.

        Essential tests like an EKG, chest X-rays, and bloodwork to understand the root cause of his pain and breathing trouble.

        Consultations with specialists, likely a cardiologist and a pulmonologist.

        The cost of necessary medications that will surely follow a diagnosis.

        Follow-up care to manage his condition and get him back on his feet.

        Our friend recently took a bus to a transit center just so he could try to walk where there were benches and people who could help if he fell. He has not given up, and we can’t give up on him.

        Please, help us give him a fighting chance. Help him get the care he needs so that one day soon, he can once again enjoy a simple walk in the park.

        Thank you for your compassion and support.

        1. Doug Holland Avatar

          I appreciate the kind thought, Henry, but still hate AI, and I would rather literally die than beg strangers to pay for my medical care.

  2. eel paradise Avatar
    eel paradise

    Your story has some ava possibility, though the crapping might have to be removed/downplayed.
    Bruce is a passive-aggressive (actually i hate that undefinable term, ever since i was doing the dishes at my girlfriend’s house, broke one of her nice glasses, and she called me P-A) kind of censor: if he dislikes one word he will ditch the whole article, rather than showing his true colors and exxing out the prohibited word or words, therefore he can tell himself he’s not a censor, he’s just deeming an article not worthy of his paper.

    The Ai diagnosis was fascinating, what next?

    1. Doug Holland Avatar

      Bruce has never, to my recollection, rejected anything I’ve sent to the AVA. He did, once, hold an article for a week (back in the on-paper days) and then merged it with another article I’d sent. It was an impressive piece of editing; I hadn’t even noticed a connection between the two pieces, but they fit together well.

      But I haven’t sent any fart-and-poop stories, I guess because I don’t think they’re my best?

      What next about my ailments? I’ll write about ’em if I can, and if I can’t, well…

      1. eel paradise Avatar
        eel paradise

        Once, back in 2021 i think, i sent in so many stories to the ava that he caught up by putting one on the front page then a bunch more on two big broadsheets inside the issue…

        1. Doug Holland Avatar

          I think I remember that, your byline 3-4 different times.

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