A Reflection on Health Care

I woke up Wednesday morning to my daughter's screams. She was shrieking from the pain in her side. She hadn't felt well for several days; by Wednesday, it could no longer be ignored. We sought aid from the hospital that bears the name of the denomination that I have served for 25 years, my father has served for 50 years, by uncle has served for 30 years, and my grandfather served for 54 years.
Sara was there for six hours. She was barely examined. She was, for the most part, ignored. Then, at 2:30 pm, with no explanation whatsoever for what was causing her pain (which had not subsided), the nurse came in with her discharge papers and wished us well. We asked to see the doctor. He came in with a thoroughly condescending smile on his face, and told us, graciously but pointedly, to get out.
You see, Sara is a sinner. Her sin? She has no health insurance.
My daughter works an average of 46 hours a week at a local restaurant, for $2.14 an hour plus tips (and if you eat at restaurants and don't tip the waitstaff, your tongue should fall out). Those fine folks terminated her health insurance last fall when Sara was eight months' pregnant. They said she wasn't working enough hours to qualify for insurance. Which was interesting, given that they made out her schedule each week. My guess? Someone was ordered to cut costs, so they did.
Another family in our church has incurred an incredible amount of medical neglect. That neglect has caused significant damage. One of the doctors in that instance dropped a tirade on his patient, screaming at her that if she had better insurance, she'd have gotten better care!
Other families in our church have lost their insurance when the business closed. There are few scarier places in life than finding yourself unemployed and uninsured when you are several years away from qualifying for Medicare, or have young children, or you or your spouse already have health issues.
Shannon and I do not use the Annual Conference insurance program. The Conference program penalized us in ways we cannot afford for Shannon using brand name insulin rather than generic insulin. When there is no such thing on God's green earth as generic insulin. Fortunately, we have access to her collectively bargained program, that of the Mississippi teachers' union. But as good as it is, we can't put Sara on it, as she is 23 and not in school.
In Sara's case, we are fortunate. My father is still somebody within our little world. So this morning, he was able to call on a friend and former church member of his to get Sara examined, diagnosed and treated. She has a respiratory infection that, left untreated, could have gone into pneumonia and killed her. But she's going to be alright, because Dad knows somebody.
How many people don't know somebody?
How many people are being left to suffer and die because they are inunsured, and, therefore, in the eyes of far too many medical professionals, untreatable?
How many people are suffering needlessly, and becoming sicker than they should have to, because they don't even seek medical care, knowing they are uninsured and can't pay?
How much more expensive is it for all of us for the poor and indigent to show up at The Med when they are at death's door, bur never should have gotten so sick in the first place?
How much of the exorbitant premiums that we all pay are due to the expenses of those uninsured, whose "care" has to be covered somehow?
How long will the greatest and wealthiest nation in the world allow tens of millions of its people to suffer misery, physically and emotionally, over health care?
Do those who wring their hands over the prospect of "Death Panels" run by the government (which do not exist in any of the plans being considered) not understand that the insurance companies are, by their refusal or approval of procedures or tests that doctors deem necessary, acting precisely as the kinds of boards that they fear?
I don't know what the answer is. I wish I did. I just know that there has to be something better than the way we are (barely) functioning now.
Again, Sara will be alright. I'm thankful for that. But as we consider our church family, our community and nation, there are an awful lot of people who cannot say tonight that their loved one will be alright.
Because they don't know.
Because they cannot afford to see the doctor.
And may God have mercy on all our souls if we continue to accept this perverse and unjust system with our silence, selfishness and inaction.
With prayers for God's just future to come speedily,
+Bro. Joe
(from the September edition of our church newsletter)

Edward Moore Kennedy, 1932-2009

We all know his failings, one horrific, others, things he should have been above.
We all know his family's tragedies, almost more than can be counted or believed.
But since Ted Kennedy entered the United States Senate in 1962,
If you have worked for a paycheck, and especially a minimum wage paycheck,
If you have worked in a safe environment,
If you have been fairly treated in your workplace,
If you have needed health insurance,
If you have sought redress after being discriminated against in any way,
If you have voted easily and without challenge,
If you love someone who has special needs,
If you have borrowed money to go to college or graduate school,
If you have purchased a home,
If you have had a problem with a landlord,
If you have been to public schools, and sent your children and grandchildren to public schools,
If you have treasured your individual liberties,
If you have lived in this nation, and this world,
you should say a prayer of thanksgiving for the life of Ted Kennedy, and another for comfort for his family.
He was, simply, the greatest Senator in our nation's history.

Jim Dickinson, Part Two

In response to a couple of questions, your humble blogger is back to gather you kiddies around the rocking chair to relieve you of your ignorance. (Please remember, ignorance isn't bad unless it's willful. It just means you don't know. And some things, you need to know.)
Jim Dickinson wasn't God, but he certainly was about God's work.
How does a body go about explaining Jim Dickinson?
Jim was one of those rich souls who was born old. Not in the rigid, dead-to-the-world sense, but in the wise, seen-it-all-twice sense. In the "I remember everything" sense. He was a rocker. And a Bluesman. And a crooner. And country and jazz and...well, you get the idea. The music was in his bones. Then again, if it isn't in your bones, what the hell are you doing being from Memphis?
The city cannot be separated from Jim Dickinson. He loved it, just as an awful lot of us do. That would be the ones who don't sit around afraid to go downtown, whining about the former/future Mayor, the City Council, the School Board and whatever else you've got, no matter how much all that deserves to be whined about.
Memphis' sole excuse for existing is the music. You either get that or you don't. God help you if you don't.
Jim got it. He lived it. He preached it. He played it. He produced it. Jim was the music!
When he sat down with Lee Baker, Sid Selvidge and Jimmy Crosthwait and they became Mud Boy and the Neutrons, miracles happened. When he decided to make a solo album, a good 1/3 of the wonder was finding out what songs he had unearthed to include. Dixie Fried, Free Beer Tomorrow, Jungle Jim and the Voodoo Tiger, Killers from Space and Dinosaurs Run in Circles...if you want to get Memphis, get those discs and wear them out as quickly as you can. Then you'll know.
He was a piano player. Like Lincoln was a President. Jim Dickinson at a keyboard could haunt your soul. He did it on The Rolling Stones' Wild Horses. He did it on almost all of the cuts on Dylan's Time Out of Mind. Dylan has been crazy powerful and prolific since crossing paths with Jim in 1997. I'll go to my grave believing that's no accident. That's Dickinson.
On The Bob: there's a line in his song I Feel a Change Coming On from the new album Together Through Life: "Some people say I've got the blood of the land in my voice." Long before Bob had totally blown his voice out, Dickinson had the roar, the earth-shaking, never smooth, instrument of apocalypse that was his voice. Listen to Mud Boy's Shake Your Money Maker or Money Talks, complete with his childhood experience of Rev. Robert G. Lee's Payday Someday sermon, the judgement of God delivered bluntly and as an End Time lecture to a beat you can dance to. Make that, you have to dance to.
Jim nurtured musicians. Look at his boys. Luther and Cody are ridiculously gifted musicians. They paid attention. They learned well. The North Mississippi All Stars are an experience every single time out. I'm getting redundant, but if you're not in the audience whenever the All Stars play the Home Town, you have no soul and you need help. Immediately.
But the sharing was never confined to the family.
Big Star, Calvin Russell, The Radiators, Mudhoney, Beanpole, Alex Chilton, Paul Westerberg and a thousand others, all found their music better after passing it through Jim Dickinson's hands. Not for Jim, the neurotic "Mine is the only" or "Why should I help anyone else" approach to art and life. Never Ever.
Mose Vinson was my point of contact. Jim's work with Mose taught me about the man.
Mose was an old man when I met him. He came to live in one of our retirement homes. He had gotten too well to keep his Medicaid in the nursing home where his niece had dumped him after his stroke. One of God's great saints, Mary Lee Moore, called me to her office to back up her judgement that the old man wasn't capable of living independently. When she asked the standard questions, the old man grunted, monosyllabic at best. Finally, divinely inspired and seeking any response from him, she asked, "What do you like to do?" The head lifted off the chest, the voice became strong, the one good eye fired to life, and the man said, "I play the piano!" Mary Lee being Mary Lee, she challenged him: "You can't play the piano; you're half dead." A smile played across the old man's lips. "You got a piano?" was his question. We led him into the dining room, to the pathetic old excuse for a piano that some Sunday School class had dumped on us when they bought something nice and new. Old hands became young on the keyboard. He ripped into Howlin' Wolf's .44 Blues. When he was done, our mouths were hanging open, and he was claiming to be the real composer of the great Blues standard. Later, Jim Dickinson told me that the Wolf may well have taken the song from Mose at Sun Studios.
Mose had been used his whole musical life. Sam Phillips had hired him at Sun Studios. To be the janitor. That way, any time a piano player was missing, Mr. Sam could have Mose sit in. Ike Turner often wasn't in shape to play when he actually showed up for a recording date at all. That sort of problem wasn't rare in the old days. But the janitor had to be functional. And God only knows how many of those incredible Sun sides actually featured Mose Vinson on piano, regardless of whose name was listed on the label. Mose certainly never got paid for any of that work. Somewhere along the way, Mr. Sam did credit Mose with a few sides, but they were never released until they were included in Bear Family's fabulous box, Sun Blues. Yeah, the Germans know their Blues. Who'd a thought?
Jim Dickinson gave Mose his moment in the sun, no pun intended. Jim produced, for Judy Peiser and the Center for Southern Folklore, the only album that ever carried Mose Vinson's name, Piano Man. Jim talked Mose through the recording. It sounds like two old friends sitting and talking in the parlor, around the piano. They even play some four-hand piano on the cd. Jim and Judy threw a cd release party for Mose. He was a star, if only for that night. Because Jim Dickinson said he was important.
Jim was a real-life Yoda. He spoke his own language. He saw and heard things others couldn't fathom. He lived richly and always saw the possibilities. He told Chuck Prophet, "You can burn out, but you can get lit again. I've seen it happen."
I knew Jim Dickinson just slightly, and that, only because of Mose. But I love him. I pretty much adore him. Jim was pretty much everything I'd love to be when I grow up. On several occasions, he'd spot me at one of his performances, and he'd ask, "Reverend, how's the Good Work going?" I'd say to him, "You ought to know. You're the one doing it."
I believed it when he was alive. I sure believe it now.
There's your lesson on Jim Dickinson.
Now you know something that matters!

James Luther Dickinson, 1942-2009

Our "celebrity culture" is a royal load of crap, because any society in which Paris Hilton, Britney Spears and any number of teenaged vampires are followed breathlessly from moment to moment deserves to be blown up. Filming your sex acts, not wearing underwear in public and teen angst over who is dating whom are not bases for choosing objects of worship.

That said, I have been thrilled to meet exactly three legitimate celebrities, truly accomplished people, in my life: Sam Phillips (not the woman who sings; the Real One), Stan Musial, and Jim Dickinson.

Jim Dickinson was Memphis Music. His resume is being widely rehearsed in his obituaries. Would Bob Dylan have had this late-career renaissance if he hadn't crossed paths with Dickinson during the recording of Time Out of Mind? Could he?

Would Alex Chilton have become, well, Alex Chilton without Dickinson at the board for those Big Star albums?

Would Furry Lewis, Bukka White, Son House and so many others hold their hallowed places in American music history without the efforts of Dickinson and several other young white boys in the 1960's to find them, get them performing again, and fight for their just due?

Would the Beale Street Festival have been conceived without the Blues festivals Dickinson staged and performed in at the Overton Park Shell?

Would anyone care about Wild Horses without Jim's piano?

And there is still the film scoring with Ry Cooder, the upbringing of the North Mississippi All Stars, the performances all over creation (Brownsville with Luther and Cody at the dedication of Sleepy John Estes' cabin, all the times at the Memphis Music and Heritage Festival, hundreds of others that I was privileged to hear), the gift to Mose Vinson of finally giving him an album under his own name, and so much more.

Jim was Memphis Music. Jim was American Music. And I'm sick that he's gone.

But as he left his own epitaph: "I'm just dead. I'm not gone."

Amen, brother! Amen!

Differences

Country Club: charges dues
Church: offers chance to give gladly to God's work

Country Club: exists for members' enjoyment
Church: exists to change the world

Country Club: members are to be served
Church: members are to serve others

Country Club: private playground to ensure members don't have to associate with anyone below an acceptable income status
Church: public Body of Christ intended to bring together people of all incomes, races, ages, genders, backgrounds

So why is it so often impossible to tell the difference in a Country Club and a church?

[Posted with iBlogger from my iPhone]