1. "We feel that medication is not effective for the treatment of your specific condition."
I really could not believe the words that I had just heard, so I asked the woman at Humana to please repeat what she had just said.
"We're declining to pay for that specific prescription because we do not feel it is effective for treatment."
"Can I just ask, please, when you became the doctors and got to decide what might or might not be effective for treatment of my very specific medical conditions?"
The woman at Humana didn't even pause and continued, "We're partners in your excellent medical care, Jennifer. Your prescribing doctor will need to call us to discuss and authorize that medication for you."
"The same medication that I have been taking to help control my seizures for the last ten years? That exact same medication? The one you have decided with my excellent medical care in mind is not effective for treatment of my medical condition?"
"You will need to have your doctor call us. Is there anything else I can help you with today?"
It's no secret that for a lot of my life I haven't even had medical insurance. I happen to have it right now, but I'm not even certain how it is helpful when the people who are in charge of actually providing it get to make decisions about what is and is not appropriate in terms of medication for my specific condition.
How is this good medicine?
I do understand that there are profit margins to be considered, but the health and well-being of our fellow human beings should always come first. I do not believe that allowing a computer generated data program to decide that one drug is more effective for treatment than another drug just because it costs twenty five cents less per pill is the best possible treatment for anyone.
I have paid for my drugs out of pocket for a very long time. Last week, I paid for my drugs out of pocket, again, simply because I couldn't wait for the insurance company to have a conversation with my doctor about what might be the best course of treatment for someone in my condition. So I'm paying insurance premiums for drug coverage that I really do not even receive.
God Bless America.
2. "I'll pray for you."
J is sitting across from me in the very crowded waiting room at our public mental health facilities. I'm there because life turned upside down, as it sometimes does. A trip here to find an angel in torn jeans and an ancient Ramones t-shirt and paint splattered shoes who can help make sense of the cacophony of voices screaming in my head just feels like a better option than another manifesto written in sharpie on the walls. At least this time around.
"What are you here for?," J asks me.
"My head is full of all kinds of noise. I need help."
"Oh, are you schizophrenic, too? I am. But they're really good here. They'll help you. Do you do drugs, too, to shut everyone up?"
"No. Not anymore."
"Oh, that's so lucky. I try to not do them, but it's so hard."
"Are you here to get off drugs?"
"I'm here to stay off. I've been sober for five days. But it's so hard. I was on Meth and I don't want to do Methadone. But they're really good here. They're going to help you so much."
"How were you paying for all those drugs?"
"Prostitution. I am always terrified I was going to get chopped up by a chain saw. Getting in cars with strange men. I'm usually so high, though, I don't even know what I'm doing.."
"I'm so sorry."
"Don't be sorry for me. My mother did it, too. I've been out there since I was 16. Do you read the bible?"
"I have read it. I don't have a lot of faith in organized religion."
"You need to find religion, Jennifer. It's the only thing that's going to save you. Well, it will help you save yourself."
I hear my name called. Intake. To sort demons from angels. To hear my own voice the loudest. To love me. Again.
"I'll pray for you."
3. He slammed his fist on the counter and erupted. In that instant, in that single moment of his anxious frustration, everything changed.
I had to leave.
In the leaving, in the walking out, in the moments of deciding that it was safer for my heart to not be there with him than to be there with him, I was so hurt and confused and small and broken that I lost all parts of my voice and could only barely whisper.
"I don't know."
I really did not.
Know.
We walk, in each relationship that we choose, on a fine edge between all that has come before and everything that we're choosing and hoping will be. We're not alchemists, exactly, of our hearts, though the wishes for just that can be bigger than either of us dancing the dance.
My edge has thorny branches that reach out and stab at the most unfortunate moments. His edge is unchartered territory for me and the guazy veil that hides it makes the navigation to leap from my edge to his, the alignment of our selves against each other, sometimes more difficult than I wish it would be. We have our old maps that we're trying to use and they're failing us.
Wishing and twisting and trying to find North, though, doesn't make either of our edges any softer or the navigation any easier.
These moments of breaking happen, the cracks appear in the surface, the veil slips and allows a better view of things that truly terrify us.
The very bad endings of old fairy tales should never be allowed to write the beginnings of your new romance.
I love my professor in ways I did not even know I was capable of loving.
This is all brand new and un-chartered territory.
That is what I know.