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Boston hospital doctors
shut doors: 'How here?'
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¦
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¦ By Paul Cauwin I
pgauvin@barnstablepatriot.cor
A
man tells his doctor he wants a
vasectomy."That's a serious decision
to make by yourself," says the doctor.
"Have you talked it over with your wife and
children?"
"I have," replies the man, "and they're for
it 15to 2."
* * *
But seriously folks, the Boston Globe had
a troubling story in Sunday's edition saying
primary care physicians working at Boston's
hospitals have shut their doors to new pa-
tients because they are already inundated,
oversubscribed.
In the old days of journalism, the city edi-
tor, in a case like this, would clip the story
from the paper and attach a note to it that
said simply, "How here?" and give it to a
reporter to follow with a local story.
How here, indeed.
Want to see a dermatologist on Cape Cod
that takes your insurance? If you do find
one, you're in for a six-month wait, and
that's with a reference from your primary
care physician -that is, if you have one and
are not forced to use the local emergency
room as your source of primary care.
Other recent news stories declare that
there is a nationwide shortage of primary
care, or family doctors, we used to call
them; or that we have an aging population
requiring more of the doctors' time, or that
many female doctors shorten their hours to
care for family.Also, there's the news that
more student doctors are opting for special-
ties, leaving the primary care field wanting.
There are primary care groups that
choose for pecuniary or philosophical
reasons not to deal with insurers -which
causes more of a burden, it would seem, on
those who do.
One townie who prefers anonymity said
he has had five different primary care physi-
cians in about 10years at a revolving-door
office owned and operated by the local hos-
pital. The last doctor he had in that office,
a nice enough fellow from South America,
found the climate here not to his liking and
moved south to Florida. So much for the
Cape Cod attraction bit.
Having a doctor in Florida would be fine
with him, the man says, if his insurance
would fund his flights to the Sunshine State
for his annual vaca -err -physical.Wishful
thinking.
Instead, he signed on with another
overburdened doctor in the same office but
has never seen that doctor, being serviced
instead by a competent nurse practitioner
under the license of the doctor, one sup-
poses, and an accommodating office staff
and liberal referral policy.
What has all this got to do with Iraq? Well,
like the military there, it would appear the
medical profession here needs more troops
on the ground. But as in many things, every
apparently simple solution creates a com-
plex problem of its own.
There were stories years ago -true or
false - about limiting the number of medi-
cal school graduates to insure that those
who did graduate earned a decent living.
Too much competition would lower earn-
ing potential, which in turn would lower
the number of people entering the medical
profession.
The Democrats say they want to do some-
thing about this growing demand upon the
medical professions. They will specifically
try to deal price concessions from the drug
industry -but what else, as far as service is
concerned? Even emergency rooms, accord-
ing to Parade Magazine , are stretched to
the limit, requiring long waits as "hospitals
struggle with more patients and fewer doc-
tors."
The layman hasn't a clue on how to solve
the myriad, complex problems of health
care delivery and its escalating costs. All
that he knows for sure is that he'll never get
out of this world alive and that, after all,
humor perhaps is the best medicine of last
resort. To that end...
* * *
After waitingfour hours for service in the
emergency room, the bearded man with the
placard and long robe begins shouting and
making gestures over the heads of other
patients waiting for service. "I am John the
Baptist and I have come..." whereupon the
guards gently take him to an observation
room and lock the door.
Another man is sitting in the corner of the
adjoining observation room "I am John the
Baptist," the new arrival calls. "Jesus has
sent me to save you," whereupon the other
man replies, "I did not."
By Michael Daley
columnist@barnstablepatnot.com
The
recent election provided ample
material for an enormous number
of columnists all over the world.
As the second week kicks in, even local
monthly guys like me can still get some
mileage. To
me the recent
election
provided sev-
eral valuable
political les-
sons. Some of
these lessons
should be
sampled and savored by all elected of-
ficials. This is true for the locals.
One of my lessons learned was that
the partisan bickering and the compul-
sive one-upmanship that permeates our
national and state political arena are
not playing well in Peoria. This election
proved it isn't playing very well anywhere
else across the country for that mat-
ter. The no hate approach will get more
results.
The tone and viciousness that spewed
from many candidates and political action
committees was tenacious. There were
ample examples from one end of the coun-
try to our own state. There seemed to be
a new all time high in the level of scare
campaigns. They seldom work well.
I found that the level of negative media
bombardment did little to suppress
the morale of voters. In fact the record
turnout seemed to be a byproduct of the
highly negative advertising. Clearly our
own Lt. Governor suffered lower perfor-
mance numbers due to a voter backlash.
It amazes me how much of her children's
future she wasted on a poorly crafted neg-
ative campaign. It is ironic that she could
have spent less of her family's assets and
enjoyed better election results.
Connecticut showed us that you can
lose your party's primary and still retain
your senate seat. However, it is the politi-
cians in DC that have now showed us the
most on this subject. When it comes to
that private club in DC known as the Sen-
ate, we learn so much more. We now know
that you can be an independent Demo-
crat. That status is obtained when you
get beat in the Democratic Party primary
but win a three-way popular election as
an independent. Who knew you can win as
an independent and still keep your former
level of rank and privilege within both
your former Democratic party and the
senate. Now that's a real lesson in loyalty.
Or is it?
Clearly the largest voice we all heard
was speaking to our commander-in-chief.
CONTINUED ON PAGE A:9
Election
lessons
learned
j FTTFRS
1**
4 I ll4l\J
'Sin' finds Ash Girl review
deadly
As a cast member of the play, The Ash
Girl, I found the review done by Bethany
Gibbons highly presumptuous and it
wasn't because it was a bad review. Bad
reviews happen and every actor knows
that it's not always a true reflection of
them or the play they were in. It was how
it was written that bothered me and my
fellow actors the most.
First off, had this particular reviewer
come when the show had actually started
-which was 8, not 8:30 -she would have
realized that the play did not start with
the Seven Deadly Sins, but with the step-
sisters giving a background on how they
love food despite their mother's wishes
for them to be thin and them tormenting
Ash Girl (Cinderella) that her father had
vanished into the woods and forcing her
to eat. In the second scene it went further
with Ash Girl describing how she had this
wonderful relationship with her father un-
til his marriage to her step-mother, when
he then was overcome with monsters
(particularly Lust) that he had to fight
himself, hence why he was in the forest
for so long.
The next scene provides insight into
how the step-mother "tries" to be nice
to Ash Girl so people won't think of her
wrongly, even though she is resentful
for Ash Girl's father not providing for
the family while he was away like he had
promised. The following scene, which
happens to be the scene prior to the
Seven Deadly Sins scene, tells how Prince
Amir, his mother Princess Zehra and
his friend, Paul, were exiled from their
homeland and how they have felt very
unwelcomed since they have arrived to
their new home.
Had Ms. Gibbons seen this, she would
have been able to have the full experi-
ence of play. Maybe then she would have
understood that Sins, including Sadness,
were important to the play. Without us,
and I say that because I was one of the
Sins, it would have been another Dis-
ney-esque version of Cinderella. We were
representing what every person has inside
of them, the inner monologue if you wish,
of our fellow actors. To call us unneces-
sary was unnecessary in itself. In the eyes
of us, our fellow actors, our director and
more important our audience, we helped
the story become more realistic, more
easy for people to relate to.
And furthermore, to say that the ac-
tress (Morgaihne Huntress) who played
fairy in the mirror saved the show was
also just a bit rude, when we all put in a
lot of hard work playing roles we weren't
accustomed to. Don't get me wrong;
Morgaihne is an amazing actress and I
feel very privileged to have been able to
work with her, but speaking for the Sins
and Sadness, it's not so easy to play an
emotion and only an emotion. We won't
even get into the fact that most of us
played animals as well, i.e. a snake, a
toad, a bird, an otter, and it's not the easi-
est thing in the world to go from human
to animal and not use everyday human
traits so natural to us but not natural to
the animals we played, such as pointing
or crossing our arms.
Maybe next time Ms. Gibbons should
be a little more constructive with her
reviews and perhaps show up on time for
a play she's being paid to review.
Jayme "Angerbird" Mattoon
Editor 's note: Our reviewer reports that
she did not attend an evening performance.
She entered the theater at 2:12 p. m.for a 2
p.m. matinee.
Was reviewer in the dark?
I read Ms. Gibbons' review of Ash Girl
that was recently put on in the Tilden
Arts Center at Cape Cod Community
College. She calls it a "dark and spooky"
Cinderella story. Granted the theater
was dark, but it set the mood of the play.
Maybe if she took her job more seriously
and showed up at the beginningof the
play instead of 20 minutes after the play
started, she might have gotten the true
meaning of the play.
True, this story did parallel the story
of Cinderella, but only in the use of the
basic concepts of the story itself.Ash Girl
tells a story of a young woman who, in the
course of finding happiness within herself ,
has to endure the hardships of the seven
deadly sins. It also tells a story of how
sadness, lust, anger, envy, greed and pride
all play a huge part of everyday life.
I thought the actors and actresses
portrayed the characters of this play bril-
liantly, and did an excellent job of getting
the moral of the story across to the audi-
ence and at the same time entertaining
them.
Thank your for you time.
Ken Mattoon
West Yarmouth
RETROSPECTIVES FROM THE ARCHIVES
ALEXANDER BACON HOUSE - PARKER ROAD,OSTERVILLE -1890 -The Alexander
Bacon House on Parker Road inOsterville as it looked in 1
890. Also as his daughter,Ida
(Bacon) Hall,looked that same year.The house,built in 1
842,was the first in the village
to receive a plaque from the Osterville Historical Society in 1964.
ACROSS TIME 6 PLACE
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