For years I have held, and continue to hold, that the major divisions in the United States are not divides of race, gender or ethnicity; they are class based — and as damning as anything the European aristocracy ever enjoyed. For most of the second half of the 20th century, this line was bridged by a growing middle class.
It was possible for some to rise above their class. Then the bridge was sold to China.
This morning the Associated Press has a tale that clearly illustrates the life saving benefits of being a member of the elite.
Dr. Perry Klaassen lived to tell about his frightening ordeal with colon cancer. His patient did not.
Same age, same state, same disease. Striking similarities, Klaassen thought when Shirley Searcy came to his clinic in Oklahoma City. It was July 2002, a year after his own diagnosis.
But there was one huge difference: Klaassen had health insurance, Searcy did not.
His treatment included surgery two days after diagnosis and costly new drugs. They have kept him alive six years later despite disease that has now spread to his lungs, liver and pelvis.
“I received the most efficient care possible. I was 61 years old and had good group health insurance through my workplace,” he wrote in an essay in a medical journal essay that starkly contrasts his care with that of his uninsured patient.
A widowed mother of eight grown children, Searcy had little money. When she began to sense she might be sick, she put off going to the doctor for a year because she knew she couldn’t pay the medical bills. Deeply religious, she put her faith in God, according to her family.
By the time she saw Klaassen, her cancer had spread from her colon to her liver. She had surgery but rejected chemotherapy.
“She just really didn’t feel like she wanted to endure what that would cost physically or financially,” said her daughter-in-law, Karen Searcy.
Shirley Searcy died Dec. 22, 2003, about 18 months after her diagnosis.
As I recall the exodus from Egypt I also remember Hillel’s plea in the Pirket Avot 1:14: If I am not for myself, who will be for me? But if I am only for myself, who am I? If not now, when?
When?