…And God’s grace was so powerfully at work in them all that there were no needy persons among them. For from time to time those who owned land or houses sold them, brought the money from the sales and put it at the apostles’ feet, and it was distributed to anyone who had need.
Acts 4:33b-35

Envy and Evil

For where you have envy and selfish ambition, there you find disorder and every evil practice. But the wisdom that comes from heaven is first of all pure; then peace-loving, considerate, submissive, full of mercy and good fruit, impartial and sincere.
James 3:16-17

Routines, Rituals and Holy Days

…the wonder of life is often most easily recognizable through habits and routines.

Anne Lamott

I am afraid of darkness outside my window where something I can’t see might be watching. I close my curtains every night  and open them when the sun peeks through. That is how I start and end my daily routine.

A sane routine creates space in time and place for delight in the joyful unexpected and for coping with its dreaded counterpart. Breaking with routine on occasion is comforting in its own way: a holiday, a vacation, a spontaneous moment of presence:  watching a cat chase a butterfly or listening to a toddler learn language to bring order to the chaos of overwhelming new sensations.

On holy days like Thanksgiving and Christmas, alternate routines are dusted off and elevated to the status of rituals. For a few hours these rituals replace our mundane habits. There are people who are not around every day. There is magic in children’s wide-eyed belief and in the stories we tell about other days and other people. There is food that is not part of the daily fare. We give thanks to whatever we believe in for sunlight and darkness and curtains to let the light in and close out the darkness, for health and the sickness that makes health a blessing, for peace and joy and the trouble and sadness that make them real, for daily routines and holiday rituals, for food and coffee, cats and dogs, butterflies, toddlers, and words.

Definitions: private, cooperative, and universal health care

March 29, 2020

The foundation of any insurance program is this: Individuals put money into a common fund, to be used by any of those individuals in case of specified circumstances.

WITH PRIVATE HEALTH INSURANCE, YOU PAY
*Your contribution to the common fund
*Administrative costs (managers, clerks, accountants, etc.)
*WHATEVER THE OWNER AND STOCKHOLDERS DECIDE THEY CAN TAKE FROM THE COMMON FUND AS THEIR “PROFIT”

WITH PRIVATE HEALTH INSURANCE, YOU RECEIVE
*Payment for your health care, according to what you and the owners have agreed to in a contract

WITH COOPERATIVE HEALTH INSURANCE, YOU PAY
*Your contribution to the common fund
*Administrative costs (managers, clerks, accountants, etc.)

WITH COOPERATIVE HEALTH INSURANCE, YOU RECEIVE
*Payment for your health care, according to what you and the owners have agreed to in a contract

UNIVERSAL HEALTH CARE
It is like cooperative insurance, but it also covers people who, for reasons beyond their control, have not contributed to the common fund. Universal health care may be owned by government. It must be overseen by government. Most universal health care programs adjust contributions based on ability to pay, rather than on the extent of coverage as with other types of insurance.

Obviously, any kind of insurance can work satisfactorily or it can be abused and corrupted. The results depend on the good faith and competence of the managers and overseers. Ultimately, the contributors themselves must see that good managers and administrators are hired and held accountable. In the case of government programs, the people who are represented must also see that honest and good-faith representatives are elected and held accountable on a regular basis.

Mary Ann Lesh

Universal coverage is not free medical care

Universal coverage is medical care that is pre-paid BY all the members of a political entity (those who have the means to pay) and FOR everyone under the jurisdiction of that entity, regardless of their socioeconomic condition. This payment is made through equitable and effective collection and administration. The end result is that no person who is in need of treatment will be turned away, no patient has to deal with payment at the time treatment is received, and no medical entity has to bill patients directly. It does NOT mean that doctors, nurses, hospital staff and other care providers have to work without fair compensation. It DOES mean that decisions about prevention and treatment will be based on what is best for patient and society, not on what will generate a profit. Universal coverage does not preclude wisdom in making those choices or sound financial stewardship. Quite the contrary.

This is a good time to to think about the broken medical / pharmaceutical system in the United States, lay aside old biases, put an end to name-calling, and look pragmatically at ways to do it better. A change of heart at the national level would be wonderful, but even the most heartless and self-interested individuals should be able to agree that if there is a vaccine or a cure for a highly contagious and potentially fatal disease, they should be available to ANYBODY who needs them, no questions asked, no money changing hands between patient and provider. Those with even a flicker of compassion would also agree that no person suffering from a curable or manageable illness or accident should be left to die just because they have no money.

There are many options for funding and administering universal health care and dealing with the many complexities of the effort. We can study the models provided by all the other developed nations and even some less-developed ones. Medicare for All has the advantage in the United States of giving us a familiar place to start, adapting and extending any of its policies and structures that have worked well, and building others that will make it work universally.

Any system will be less effective if it is not administered with honesty, integrity, and hard-nosed oversight. However, the decision to make the best health care available to everyone who needs it should not be postponed because of a lot of “what if’s.” Make the commitment, and then put the best qualified, most honest people you can find in charge. Perfection is not attainable, but ongoing improvement is.

Corruption and abuse can creep into even the best systems. They should be dealt with proactively and as they arise, but the possibility should not stand in the way of getting started any more than the possibility of rain should stop us from ever planning to do anything because we might get rained out.

“I can’t live without you” is not love

“I can’t live without you!” Does that mean that the one who says it really really loves you?

No

It’s a romantic thing we say to each other, but if your prospective partner shows signs of really believing it, he or she is not reality-based, and you should run as fast as possible in another direction. Love means being a whole person who doesn’t need another person but can choose freely to love that person. Love may mean carrying on alone what you and a loved one have built together. The traditional marriage vow reminds us of this in the words until death do us part. It is not the happiest part of the marriage vow, but it reminds us to live and love and rejoice in being together in the here and now and that someday, sad as it may be, one partner will have to carry on without the other.

True love doesn’t make anybody happy

The right person, your true love, your soulmate, will make you happy for the rest of your life. All you have to do is find that one person who is right for you.

NO

You are the only person in the world who can make YOU happy. If you are an unhappy single person, you will be an unhappy married person. Your spouse, your mother, your friend, your counselor, your minister may point the way to Happiness and her less-glamorous but more desirable sister, Contentment, but you have to find them for yourself.

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