After the House GOP pulled its nearly universally reviled proposed replacement for the Affordable Care Act, I confess I celebrated. There was really nothing of merit to the plan.
Yet we can’t forget that our health care system remains deeply flawed, especially for women, and I should know: I’ve spent the last year trying and failing to get a mammogram.
It’s not that I revel in the idea of having my breasts smashed between two unyielding plates of glass. I’m actually not looking forward to this appointment whatsoever. But, given that I am (a) over 40 years of age, (b) have a family history of breast cancer, (c) know my own mother’s cancer was caught by a regular annual screening, and (d) have an odd spot on my left breast my doctor would like to keep tabs on, I’ve gotten into the habit of having the procedure done twice a year.
[quote position="left" is_quote="true"]I have stellar insurance and an odd spot on my left breast.[/quote]
But right now, despite having what’s widely considered stellar health insurance that would happily cover the vast majority of the costs associated with these procedures, I cannot get an appointment. Let me explain.
I was scheduled for my ordered mammogram about 14 months ago. It took a few months to get the appointment, even with my history, but, in my experience, that is par for the course. Unfortunately, I had to cancel that appointment the week before because of an unexpected work trip. Luckily, the nice folks at the facility penciled me in for an appointment about 10 days later.
Little did I know, it would be 10 days too late. I went to my appointment, only to learn that the order for the mammogram had expired. The woman at the front desk apologized profusely, but they would not be able to offer me the procedure that day. Instead, she sent me home with the instructions to call my gynecologist for a new order and told me to immediately call the main scheduling line to book a new appointment. Never mind the fact that gynecology and radiology are literally just two hallways down from one another at the facility. They apparently can’t talk to one another. It would have to be done by phone.
I tend to at least try to follow instructions when it comes to my health, so I did exactly as directed. But, alas, I would soon learn that a phone call would not do the trick. My OB-GYN could not update my mammogram order. Unfortunately, it had been too long since my last “well-woman” exam. A new order would be impossible unless I came in for another old-fashioned, touchy-feely breast exam. The nurse was sorry, but the system simply wouldn’t allow it. Would it be too much trouble to come back in for a 10-minute visit?
It would not have been—except even 10 minutes with a popular OB-GYN can be hard to come by. The scheduling nurse remained apologetic. But apparently only enough to squeeze me in for my new appointment nearly four months later.
[quote position="full" is_quote="true"]Some might say a mammogram simply isn’t worth the effort. But they don’t have my mother, a breast cancer survivor, regularly nagging them.[/quote]
After my doctor manually checked my breasts, she wrote up a new order for the mammogram. I knew to expect a six-week wait, minimum, to get back on the radiology schedule. But I tried to take it in stride. That is, until I was informed that my insurance would no longer be accepted at the doctor of my choice—thanks to cost negotiation issues between the facility and my insurance company. Not for a mammogram or anything else, for that matter. And, no, so sorry, that mammogram order would not be good at any other facility. I’d have to find a new OB-GYN and start from scratch.
At this point, some might think the universe is telling them that a mammogram simply isn’t worth the effort—they can just make do with regular self-checks at home. But they don’t have my mother, a breast cancer survivor, regularly nagging them to get in there and get it done.
So I found a new OB-GYN. Someone who is covered by my insurance. Here’s how it goes: I wait for my appointment and am finally handed a new and quite official-looking paper order for a mammogram with a quite strong admonishment from my doctor to schedule my screening immediately. I had every intention of obeying.
[quote position="right" is_quote="true"]Even 10 minutes with a popular OB-GYN can be hard to come by.[/quote]
Except when I call to schedule my mammogram, I learn that my order, despite its authoritative look, is not valid. It is missing an ICD-9 code and a checked box for “left, right, or bilateral.” I will have to get myself a new order before I can be scheduled. Not only that, but I’m told by a very unsympathetic voice on the other end of a phone line, radiology will not give me that mammogram, despite the new order or the length of time since my last screening—unless they get all of the films from my old facility, a task that will require getting a DVD burned in person.
I’m currently working on that last part. First, I have to call my new facility back and figure out what format they need. No one seems entirely sure, and I’ve gone unchecked all this time. There is one Planned Parenthood facility on the other side of town, and going there may be what I end up doing. But I shouldn't have to—by making an appointment there, I’ll be taking a spot away from someone with lesser/no insurance. And unless I plan to continue going there in the future, it breaks my continuity of care.
I’d like to tell you that my experience is an anomaly, but as I’ve recounted this experience to other women I know, I’m learning that it is not. I shudder to think of the hoops that women with lesser means may have to go through to get this routine check, especially since we well know that catching cancer early is so critical to good outcomes, both medically and financially.
It seems nearly everyone has an opinion on women’s health—especially right now. A mammogram may seem insignificant, an inconvenience, really. Certainly, Senator Pat Roberts, a Kansas Republican, thought so little of them that he callously quipped, “I wouldn’t want to lose my mammograms,” when a reporter asked him about potential cuts to “essential health benefits” in the now-pulled American Health Care Act proposal.
Though he’s since apologized, I still don’t get the joke. A year is plenty of time for that spot to turn into something more sinister. It’s not a joke for my mother, whose cancer was caught early by a routine screening. It’s not a joke for other friends who have suffered their own bouts with breast cancer, who know all too well what it feels like to wonder if their insurance will cover all or only part of their cancer treatments—let alone important checks and screenings. It’s also not a joke to the families whose loved ones succumbed to the disease, leaving only their memory and, too often, crushing medical debt behind.
That’s why I’ll continue to call and pester and beg until I get my mammogram. Not only to shut my mother up—though that part certainly won’t hurt—but because it shouldn’t be this hard to do such a simple thing that is so critical to my long-term health.
Why do some folks use social media but don't engage?
Psychologist says people who never comment on social media share these 5 positive traits
For over 20 years, social media has developed into a staple in many people’s day-to-day lives. Whether it’s to keep in communication with friends and family, following the thoughts of celebrities, or watching cat videos while sipping your morning coffee, there seem to be two types of social media users: commenters and lurkers.
The term “lurker” sounds equally mysterious and insidious, with some social media users writing them off as non-participants at best or voyeurs at worst. However, mindfulness expert Lachlan Brown believes these non-commenters have some very psychologically positive and healthy traits. Let’s take a look at how each one of these traits could be beneficial and see how fruitful lurking might be even though it can drive content creators crazy.
1. Cautious about vulnerability
Consciously or not, making a post online or commenting on one puts you and your words out there. It’s a statement that everyone can see, even if it’s as simple as clicking “like.” Doing so opens yourself up to judgment, with all the good, bad, and potential misinterpretation that comes with it. Non-commenters would rather not open themselves up to that.
These silent users are connected to a concept of self-protection by simply not engaging. By just scrolling past posts or just reading/watching them without commentary, they’re preventing themselves from any downsides of sharing an opinion such as rejection, misunderstanding, or embarrassment. They also have more control on how much of themselves they’re willing to reveal to the general public, and tend to be more open face-to-face or during one-on-one/one-on-few private chats or DMs. This can be seen as a healthy boundary and prevents unnecessary exposure.
Considering many comment sections, especially involving political topics, are meant to stir negative emotional responses to increase engagement, being extra mindful about where, when, and what you comment might not be a bad idea. They might not even take the engagement bait at all. Or if they see a friend of theirs post something vulnerable, they feel more motivated to engage with them personally one-on-one rather than use social media to publicly check in on them.
2. Analytical and reflective mindset
How many times have you gone onto Reddit, YouTube, or any other site and just skimmed past comments that are just different versions of “yes, and,” “no, but,” or “yes, but”? Or the ever insightful, formerly popular comment “First!” in a thread? These silent browsers lean against adding to such noise unless they have some valid and thoughtful contribution (if they bother to comment period).
These non-posters are likely wired on reflective thinking rather than their initial intuition. Not to say that all those who comment aren’t thoughtful, but many tend to react quickly and comment based on their initial feelings rather than absorbing the information, thinking it over, researching or testing their belief, and then posting it. For "lurkers," it could by their very nature to just do all of that and not post it at all, or share their thoughts and findings privately with a friend. All in all, it’s a preference of substance over speed.
3. High sense of self-awareness
Carried over from the first two listed traits, these silent social media users incorporate their concern over their vulnerability and their reflective mindset into digital self-awareness. They know what triggers responses out of them and what causes them to engage in impulsive behavior. It could be that they have engaged with a troll in the past and felt foolish. Or that they just felt sad after a post or got into an unnecessary argument that impacted them offline. By knowing themselves and seeing what’s being discussed, they choose to weigh their words carefully or just not participate at all. It’s a form of self-preservation through restraint.
4. Prefer to observe rather than perform
Some folks treat social media as information, entertainment, or a mix of both, and commenting can feel like they’re yelling at the TV, clapping alone in a movie theater when the credits roll, or yelling “That’s not true!” to a news anchor that will never hear them. But contrary to that, social media is a place where those yells, claps, and accusations can be seen and get a response. By its design, social media is considered by experts and the media as performative, regardless of whether it is positive or negative. Taking all of the previously mentioned traits into account, one can see why they would prefer to “observe the play” rather than get up on the stage of Facebook or X.
On top of that, these non-commenters could be using social media differently than those who choose to fully engage with it. Using this type of navigation, there may be nothing for them to comment about. Some commenters are even vying for this for their mental health. There are articles about how to better curate your social media feeds and manipulate algorithms to create a better social media experience to avoid unnecessary conflict or mentally tiring debate.
If you go on a blocking spree on all of your accounts and just follow the posters that boost you, it could turn your social media into a nice part of your routine as you mainly engage with others face-to-face or privately. In terms of commenting, if your curated Instagram is just following cute dogs and all you have to offer for a comment is “cute dog,” you might just enjoy the picture and then move on with your day rather than join in the noise. These non-commenters aren’t in the show and they’re fine with it.
5. Less motivated by social validation
The last trait that Brown showcases is that social media users who browse without posting tend to be independent from external validation, at least online. Social media is built to grow through feedback loops such as awarding likes, shares, and reposts of your content along with notifications letting you know that a new person follows you or wants to connect. This can lead many people to connect their activity on social media with their sense of self worth, especially with adolescents who are still figuring out their place in the world and have still-developing brains.
Engaging in social media via likes, shares, comments, and posts rewards our brains by having them release dopamine, which makes us feel good and can easily become addictive. For whatever reason, non-commenters don’t rely on social media as a means to gauge their social capital or self worth. This doesn’t make them better than those who do. While some non-commenters could have healthier ways to boost their self worth or release dopamine into their systems, many get that validation from equally unhealthy sources offline. That said, many non-commenters’ silence could be a display of independence and self confidence.
Whether you frequently comment online or don’t, it’s good to understand why you do or don’t. Analyzing your habits can help you determine whether your online engagement is healthy, or needs to be tweaked. With that information, you can then create a healthy social media experience that works for you.