Being home
after surgery and 5 days of hospitalization feels wonderful. There is no one to blame but myself for the self
inflicted injury I suffered while working outside, but there are many people to
thank for helping me while I was hurt and sick.
I will get to that later in the blog.
In his
book, A Pirate Looks at Fifty, Jimmy Buffet writes that travel outside
the U.S. changes a person. The more places and cultures one is exposed
to around the world the more one learns, engrained beliefs are challenged and
the mind is opened to new ways of thinking.
When I read A Pirate Looks at
Fifty I had just turned 50 and what Jimmy said rang true with me. I had already traveled extensively and lived outside
the U.S. and it had been a life changing experience. My recent hospitalization in a Central
American country that is considered by many to be third world was a positive
experience that makes me appreciate living in Panama even more.
Since only
about 20 percent of native born Americans have their passport that means around
80% have never traveled outside the country for that eye-opening experience of
foreign travel that Jimmy Buffet writes about.
That is easy to understand. For over
50 years, from sometime after the end of WWII up until sometime before 911, the
United States was probably one of the best places on the
planet to live. My grandparents, with
the exception of brief trips over the border to Mexico back in the days when it was safe,
never traveled outside of the U.S.A.
The same was true for my father. Nobody
retired to Mexico in the 60’s unless they had escaped
from prison, as portrayed in the Shaw Shank Redemption. Today, despite the violence in Mexico , fueled by the U.S. appetite for illegal drugs, many Americans
have retired to places in Mexico . Many other countries are also popular
retirement destinations for U.S. citizens who are looking for a
better life, better weather and a more affordable daily existence than the U.S. offers. Some, but not many people initially consider leaving
the U.S. in search of better healthcare or to escape
the bureaucratic healthcare nightmare that has become the U.S. system, but they should.
My wife and
I do not return to the U.S. frequently. Collectively we spend less than 6 weeks a
years visiting relatives in the U.S.
Twice, I have gone 2 years without a state-side trip. One of our biggest fears is getting sick or
being in an accident while visiting in the United States and having to see a doctor there or
even worse, having a health problem that would require hospitalization. Why?
Because over the last 9 years we have become accustomed to the far
superior and flexible healthcare available in Panama, Central America. The
lack of medical bureaucracy, the ease of seeing and communicating with your
doctor, the medicines that are available in Panama (and the rest of the world) that
are not allowed in the U.S. and, importantly, the ability to
have access to this care WITHOUT health insurance. Health Insurance is not part of our budget.
Early on a
Sunday morning when I realized I was in trouble from my injury, Belinda called
the surgeon at home on his cell phone and he told us to go immediately to the hospital
and that he would be waiting for us. He
was waiting at the admission desk for us, by-passing the emergency room. First question….”Do you have insurance?” I answered, “No, I’ll self pay”. “Good, give us a $300.00 deposit and sign
here. Do you want a private room?” was
the concise response. I took the private
room option and was in my room hooked to an I.V. within minutes. No complicated paperwork, no filling out
forms, no delay, no hassle whatsoever. Just
$300.00 and signature and I was being helped by what seemed to be an army of
caregivers.
Over the
next 5 days there were x-rays, numerous ulta-sounds, a cat scan, an EKG,
general anesthesia surgery, lots of I.V. delivered painkiller, antibiotics,
temperature and blood pressure checks and pretty good food when I could eat. There were no requests for money beyond the
first $300.00 deposit I made on that early Sunday morning, other than 60 cents
for extra coffee. Remember that I have
no insurance. However, every two days
they brought me an itemized accounting of what my bill was up to that moment so
there were no financial surprises.
The nurses
and the doctors all seemed to enjoy their work and care about me. When it came time to be discharged from the
hospital I did have one question about the bill which was answered and explained
within moments with another detailed statement. Because I am retired, without asking, they surprised
me with a 20 percent discount on the already very reasonable hospital charges. With
the swipe of a credit card we were on our way home, feeling grateful to the professional
and friendly staff of Mae Lewis Hospital in David, Panama. Thanks to Dr. Cattan for being so accessible
and doing the surgery that brought me immediate relief. Thanks to Dr. DeGracias for his managing my
infection and for being so friendly and interested in me. Thanks to my wife, Belinda, who made the long
trip back and forth to the hospital daily and for taking care of everything on
the farm while I was gone. Thanks to my
friend Mike Smith for bringing me really good hot coffee each morning and thus
saving me the 60 cents for extra coffee. Also thanks to those who were concerned and
who came to see me.
Healthcare
is an important consideration for those who expatriate from the United States . Living
outside the U.S. has taught me that there are places
where the weather is better, the climate is more agreeable, the cost of living
is lower, the food is fresher, the air is cleaner, the beer is cheaper and the
health care is superior. I wouldn’t want
to give up any of these things. Thanks Panama .
P.S. If you
can afford it, get a passport and follow Jimmy Buffet’s advice and explore the world,
learn a new language and explore other cultures. It will change you. If you can’t afford to travel it may be
because it costs so damn much to live where you are that there are no funds left
over for international travel. If you
are not young enough to back pack, use the internet to explore the world and
your options for healthcare outside the U.S.
If you are sick and are not getting the care you need in the U.S.,
consider that many people are discovering, for example, they can travel to
Puerto Rico for good healthcare at a fraction of the cost of U.S. based care.