A Twinkle at the End

<p><span style=color: rgba(0 0 0 1)>A Twinkle at the End is a story about my life spanning seven decades imagined as if I had lived it in reverse. Rather than being born as an elderly infant this story follows my life as if I died old am reborn and then transfigured to age in reverse.</span></p><p></p><p><span style=color: rgba(0 0 0 1)>I've been thinking about aging and have recounted some of my experiences in the context of the American healthcare industrial complex paradox-that's a lot of Xs.</span></p><p></p><p><span style=color: rgba(0 0 0 1)>Public and private health care providers dedicate themselves to keeping people alive and free of disease but also must make a profit and sustain themselves. Nonprofit healthcare organizations can make money but laws disallow them from distributing dividends to owners and stockholders.</span></p><p></p><p><span style=color: rgba(0 0 0 1)>Meanwhile the industry keeps its heart thumping and pumping by continually expanding the number of patients who consume pharmaceuticals visit doctors and are tested by new machines. People should stay a little bit sick rather than be cured at least from a profit-and-loss standpoint.</span></p><p></p><p><span style=color: rgba(0 0 0 1)>Now that I'm an old guy and have been sucked into hospitals and doctors' offices more than ever I've grown increasingly distrustful of them. After a health scare in 2013 I'm never sure if they make decisions in my best interests. I could have benefited from additional healthcare and financial advocacy.</span></p><p></p><p><span style=color: rgba(0 0 0 1)>The squeaky patient gets the bedpan. I've learned that going to the Emergency Room in an ambulance increased my chances of being admitted to the hospital by the ER doctors. Movies and TV shows have depicted ambulances and ERs as reserved for emergencies like rescuing car accident victims and triaging casualties from mass shootings.</span></p><p></p><p><span style=color: rgba(0 0 0 1)>It's different now. ERs are the first point of contact for any patient needing routine or emergency care.</span></p><p></p><p><span style=color: rgba(0 0 0 1)>So far my life has been lucky when facing life-and-death situations. Over seven decades I've had three close calls with mortality every 20 years or so. The most recent was after being admitted in December 2013 arising from my deathbed a few days before the 2014 Super Bowl and recovering from an exotic lung disease I contracted because my immune system failed from working too hard.</span></p><p></p><p><span style=color: rgba(0 0 0 1)>At last check according to the Social Security Administration actuary chart I have 10.4 years to go which means I will be dead when I'm 79. My next meet-up with the Grim Reaper will likely be the last.</span></p><p></p><p><span style=color: rgba(0 0 0 1)>We all have unique experiences as we move through life. Being at the top of my game has been hard work. I'd rather have a positive influence on the people I meet than a negative one.</span></p><p></p><p><span style=color: rgba(0 0 0 1)>Alan O'Hashi</span></p><p><span style=color: rgba(0 0 0 1)>Boulder Colorado</span></p>